STEMI in post CABG patient.

Post CABG patient presented with STEACS inf wall.
patent LIMA.
thrombotic occlusion of SVG to RCA.
primary pci to SVG planed.
Direct STENTING strategy to reduce the risk of distal embolization.
but thrombus prolapse into the stent after stenting and there was distal embolization retrogradely into native rca proximal to graft insertion.
pt experienced chest pain.
intracoronary Gp IIb IIIa inhibitors bolus given and was already there maintenance doze.
but still thrombus inside the stent resistant to aspiration.
IC low doze bolus of thrombolytic given.
then fielder FC was crossed retrogradely into proximal rca for poba.
Timi III flow achieved without out residual thrombus.

[@rockerse5315]

Hdl28 ldl99. Total cholesterol 160
Triglycerides 160 kya isse bhi plaque bante hai kya

[@sutenly1]

how long after CABG?

[@drimranhanifhashmi5442]

Can't remember exactly but it was about more than 10 years.

[@rockerse5315]

Sir triglycerides hdl ratio is too high toh ye dangerous hai 5.7

[@umeshghule92]

Sir please catheter name

[@drimranhanifhashmi5442]

AL1