60 yrs old female hypertensive diabetic having exertional angina for last 4 months.Last 15 days intensity and severity increase. ECG showed anterior leads mild ST flattening. Echo showed EF 45% with anterior wall hypokinesia. She was admitted . Troponin was negative. Diagnosis : Unstable angina . Her coronary angiography revealed double vessel disease with long segment calfic critical Proximal to mid LAD lesion of 95% severity.
Her LCX were normal. RCA was a small calibre artery with diffuse disease. Both options of CABG and angioplasty stenting to LAD were discussed with the relatives but relatives opted for angioplasty to LAD. Her angioplasty stenting via transradial route using buddy wire technique and proper predilation with 1.5x10 and 2.5 12 mm PTCA ballon. Medtronic ONYX third generation Drug eluting stent implanted with excellent result. Patient got discharged next day Pt is on…
