The first iabp (intra-aortic balloon pump) catheter inserted during procedure was defected.When removed found balloon not intact.In summary, this cardiac catheterization shows: ejection fraction severely decreased.Probably acute occlusion of the right coronary artery that caused the ventricular fibrillation at another facility, emergency intervention will be advised.At this point, pt was started in advance of the totally occluded right coronary artery.We used a #6 4 guide, it was certainly not in the right main artery and then we used an 0.014 runthrough guidewire, was able to cross the total occlusion successfully and then we followed with a 2.0 x 12 balloon and did 3 inflations at the area of the total occlusion.The balloon was removed and then we inserted a 24 x 2.25 synergy stent deployed at the mid stenosis.There was some proximal stenosis close to the ostium.We inserted a 2.25 x 12 synergy stent there and finally between the 2 stents, there was a gap and stenosis at the edge of the first stent, so we inserted a 2.25 x 16 synergy stent and deployed it to cover the whole artery.Final injection was done which showed excellent dilation and patency with timi 3 flow.The stent placed was judged to be very successful.
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