On (b)(6) 2021, patient was transferred to our hospital for nonstemi.To cath lab where films reveal a total occlusion of mid lad, which appeared to be a chronic total occlusion but patient reports chest pain for only 5 days.The lesion was pre dilated with a 2.5x20 emerge otw, and a 3x30 emerge rx, multiple inflations.A 3x38 synergy xd was deployed and it's balloon re-inflated to post dilate.A 3x20 synergy xd deployed more proximal and it's balloon re-inflated to post dilate.Patient did well, and dc'd (b)(6) 2021 on asa 325 mg qd and plavix 75 mg qd.Patient admitted to hospital for uti sepsis (b)(6) 2021, no complaints of chest pain during this admission.On (b)(6) 2021, patient presents to outlying er with chest pain of one hour duration.Diagnosed with stemi and transferred to our cath lab for emergent pci.Previously placed stents with 100% thrombotic occlusion.Patient stated that she had faithfully taken asa and plavix with no missed doses.Thrombectomy performed, and a 3.5x30 nc emerge rx used.Final results with 0% residual stenosis and timi iii flow.Patient did well, and was dc'd (b)(6) 2021 on asa 325 mg qd and brilinta 90 mg bid.Fda safety report id # (b)(4).
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