Angioplasty and Stenting to RCA with 2 Stents | Agra Heart Center | Heart Stent Surgery Video

Educational Video.
Dr CR Rawat sir/ Dr Rajat Rawat
This was a case of Inferior wall Myocardial Infarction that presented late.
EF was 43% with regional wall motion abnormality in the inferior/inferoseptal and inferolateral walls with mild Mitral regurgitation.
MI occurred 4-5 days ago as per history and presented to our hospital after 4-5 days.
CAG done revealed a tight lesion in the mid RCA however, RCA was diffuse diseased as seen, with 70-80% disease from proximal to distal RCA at various points.
The patient had complaints of chest pain even after going to the washroom and after using washroom. His troponins were raised.
Due to symptoms and raised troponing along with evidence of MI. PTCA + Stenting was taken up.
Always remember, not all patients of Heart attack will need stenting. We have to look at the presentation as a whole.
Aggressive predilatation was done - which results in a smooth procedure and provides lot of anticipatory insights about the lesion and helps with the stenting.
2 stents were used.
aggressive post dilatation along with post Dilatation at the overlap junction was done. Post dilatation of the overlap segment is very important.
The final result was wonderful and patient was discharged after 48 hours.
His chest pain had been relieved and in 48 hours he did not have any chest pain after the procedure and his pain free walking distance had increased, as expected.
God is almighty and it is God that guides our hands and decision.
Wishing a very speedy recovery to him and may he continue to show such good progress over time
Posted with permission of patient and relatives.
This is how to achieve good results in case of angioplasty and stenting of RCA.
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