OSTIAL LAD CTO.

45y asthmatic patient. H/o NSTEMI.
ostial LAD CTO and thombotic lesion of RI.
refused CABG by patient.
failed attempt to lad at OSH.
still not willing for CABG.
referred for pci.
LAD CTO with caravel XT escalated to Gaia 1st to cross CTO.
stented at mid segment then Ostium.
initial plan to do only ostial stenting and then stenting of RI without involving the lms.
but lad stent seems to be hanged in lms so decided to do the lms to RI stenting while crushed the ostial lad stent.
pot, KBD then repot.
final IVUS. well expended stent of lms and good ostial coverage of both branches.

[@Stentz1]

Great results. Strong work

[@dr11eslamsallam96]

Excellent results

[@EDUAROECR]

Unless a severe contraindication, this patient should get a coronary bypass graft

[@user-wk7ok5ik3i]

Great job ji

[@krishnendudas2154]

The common patients, who have no or little medical knowledge, should avoid visiting the corporate hospitals. They sometimes lay traps to cheat gullible patients. I lost my father in such a hospital where a cardiac surgeon recommended the double open surgeries of abdominal aerotic aneurysm and Bypass together with lots of false promises without discussing any word of risks even knowing that the patient would die after the multiple surgeries. Amazingly, the same surgeon speaks out the truth at the last and critical moments when leaving the hospital was nearest to impossible. Finally, they handed over the dead body with the wounds of five open surgeries of abdominal aortic aneurysm, bypass, cholestomy, Treakestomy and thoracentesis.
My family and friends also learnt an expensive lesson.
Please think twice before trusting the corporate hospitals and its doctors.

[@mujahid03130]

patient should read from google after discussing with doctors, aneurysm surgery is quite high risk, better not to operate if size is not increasing or less than 6cm in diameter

[@mujahid03130]

also while operating anything can go south even in simple lesions even with very skilled doctors

[@krishnendudas2154]

@@mujahid03130 But why doctors dont discuss the risk complications before taking lakhs of package amounts, sir ?
People say that doctors belong to noble profession

[@krishnendudas2154]

@@mujahid03130
I think you belong to medical profession . If you have no objection, I request you to give your WhatsApp no. After my father's death I surfed google and came to know about AAA .
But what is more shocking is that aneurysm is, sometimes, genetic.
I want to discuss it with you, .
Thanking you, sir

[@boddumukesh7324]

Tq

[@Wish4simplerlife]

Ur very good. Where were u trained at? And where r u practicing now?

[@drimranhanifhashmi5442]

Working at gulab devi hospital lahore

[@mujahid03130]

from India, would love to learn from you, currently doing only type a and sometimes type b lesions

[@sarge5000]

Not a cto