札幌ハートセンター

札幌ハートセンター

2009年3月4日水曜日

LMT RCACTO,LAD subtotal カテーテルでも治療が可能です。




通常であれば、カテーテルでの治療が困難ということで、バイパスに回る可能性のある患者さんです。
ご本人の希望で、カテーテルで、治療しました。


この患者さんは、2回の治療で根治です。
2日間の入院で、治療が可能でした。
我々の役目の一つとして、カテーテル治療を安全に、複雑の部分を含めて提供することも、使命の一つと考えています。

カテーテル治療が無理といわれたら、ご相談ください。

バイパス手術は、上手なところで、うければ、2週間以内に退院もできますし、良い治療だと思っています。患者さんと一生付き合う意味で、バイパスがいいと判断してバイパスを選択するのであれば、大変いいことだと思います。
強調したいことは、バイパスが必要な理由に、カテーテル治療ができないからとか、難しいからとか、言われたら、相談しにきてください。


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いつも拝見させて頂いております。
同じ循環器医として、先生のコメントには心を打たれるものがあります。

今後の参考にために教えてください。この症例はどの病変から治療したのでしょうか?

rotaman さんのコメント...

コメントありがとうございます。
心機能もわるかったので、IABPが必要かもと思いましたが、いりませんでした。

右のCTOを治療して、その後にLADのCTOとLMを治療しています。

ACSでない限りは、手順をまちがわなければ、IABPもなく、通常に治療できました。

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