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Gastrointestinal Ulcers and Skin Radiation Injures in One Patient Following PCI for CTO

Gastrointestinal Ulcers and Skin Radiation Injures in One Patient Following PCI for CTO. Shenyang Northern Hospital Wang Shouli Han Yalin Wang Bin. CIT(2010) Beijing. Male ， 58 yrs Chest pain for 6months 2007-08-20 RF ： HT 、 DM 、 Smoking 、 Drinking ECG ： T (Ⅱ 、 Ⅲ 、 avF) depressed

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Gastrointestinal Ulcers and Skin Radiation Injures in One Patient Following PCI for CTO

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  1. Gastrointestinal Ulcers and Skin Radiation Injures in One Patient Following PCI for CTO Shenyang Northern Hospital Wang Shouli Han Yalin Wang Bin CIT(2010) Beijing

  2. Male，58 yrs • Chest pain for 6months 2007-08-20 • RF：HT、DM、Smoking、Drinking • ECG： T (Ⅱ、Ⅲ、avF) depressed • DIA：UAP、HT、 DM

  3. 2007-08-23 pro-LCX 100%RCA→LCX

  4. Why I use Pilot 150?

  5. 2008-01-07（第二次术后近3个月）胃镜：十二指肠球部溃疡2008-01-07（第二次术后近3个月）胃镜：十二指肠球部溃疡

  6. 第二次术后60天 第二次术后90天 术后13个月（08-12）

  7. 2009-1-14 (2007-08-23)

  8. 皮瓣形成术后10m原皮肤坏死处局部仍不愈合

  9. 2009-10-21 (PCI 24m,surgery 10m） Surgery again！

  10. 2010-03-29 Follow Up

  11. summary (1) • It is available for some patient to do CTO intervention by TRI approach • bilateral angiography by TRI • MSCT may help to open CTO • “Double anchor technique” can improve the success rate for CTO

  12. summary (2) It is harmful for patient receiving several radiation and use fixed angle during PCI This case did twice PCI and once MSCT check just in 54 days The total fluro time was 1h 58m 30s and exposure time was 233.9 s during last time of PCI

  13. 谢 谢

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