{"id":8410,"date":"2024-01-05T14:33:34","date_gmt":"2024-01-05T06:33:34","guid":{"rendered":"https:\/\/www.brosmed.com\/?post_type=clinical&p=8410"},"modified":"2024-01-05T14:33:38","modified_gmt":"2024-01-05T06:33:38","slug":"case-interpretation-successful-opening-of-acute-right-coronary-artery-rca-occlusion-with-calcification-using-alveo-hp-%cf%860-75-mm-balloon","status":"publish","type":"clinical","link":"https:\/\/www.brosmed.com\/en\/Clinicals\/case-interpretation-successful-opening-of-acute-right-coronary-artery-rca-occlusion-with-calcification-using-alveo-hp-%cf%860-75-mm-balloon\/","title":{"rendered":"Case Interpretation | Successful Opening of Acute Right Coronary Artery (RCA) Occlusion with Calcification Using Alveo HP \u03a60.75 mm Balloon"},"content":{"rendered":"\n
Introduction to the Case<\/strong><\/p>\n\n\n\n For acute occlusion with calcification in right coronary artery (RCA), neither PCI microcatheter nor 1.2\/1.0 mm balloons can cross the lesion in emergency treatment??? What other device can be considered by operator in elective operation?<\/p>\n\n\n\n A \u03a60.75 mm Alveo high-pressure balloon is the key to confronting CTO lesion! Let’s dive into this case interpretation.<\/p>\n\n\n\n Recently, a 63-year-old male patient with moderate to high-risk NSTE-ACS underwent his second PCI procedure at a hospital in Xi’an. During the procedure, the operator used a \u03a60.75 mm Alveo high-pressure balloon to successfully cross the severe stenosis with calcified lesion in RCA. The balloon was dilated in a single attempt and the stent was implanted successfully! As known, in this case, when the patient was undergoing emergency PCI procedure for the first time, the operator used other brands of balloons and microcatheters, but none of them passed through the severe stenosis with calcified lesion, underscoring the unique advantages of the Alveo HP balloon in clinical applications.<\/p>\n\n\n\n Case information<\/strong><\/p>\n\n\n\n Patient information: <\/strong>Male, 63 years old, 70 kg<\/p>\n\n\n\n Chief complaint: <\/strong>Intermittent chest tightness and shortness of breath for 12 years, with sudden aggravation for 3 hours.<\/p>\n\n\n\n History of present illness: <\/strong>The patient developed chest tightness and shortness of breath 12 years ago, lasting from a few to tens of minutes, which could be gradually relieved after resting; 3 hours ago during the night rest, the patient experienced sudden chest tightness and shortness of breath that persisted without relief. The patient took nitroglycerin but the symptom was not obviously relieved. After that the patient visited the hospital for treatment.<\/p>\n\n\n\n Past medical history: <\/strong>None<\/p>\n\n\n\n Personal history: <\/strong>40 years of smoking history, 20 cigarettes\/day; 40 years of drinking history, 200 mL\/day.<\/p>\n\n\n\n Admission examination<\/strong><\/p>\n\n\n\n PE: <\/strong>Respiration rate 18 bpm, blood pressure 160\/96 mmHG, heart rate 105 bpm, regular rhythm without obvious murmurs auscultated in each valve.<\/p>\n\n\n\n Laboratory tests: <\/strong>The cardiac biomarker panel for myocardial injury were negative, and no obvious abnormality was observed in liver and kidney function electrolytes.<\/p>\n\n\n\n ECG:<\/strong><\/p>\n\n\n\n