Description of Event or Problem · 1
ON (B)(6) 2010, TRANSFERRED FROM OUTLYING FACILITY WITH RECENT NON-STEMI FOR CATH/PCI. A 3.5X15 MULTI-LINK VISION DEPLOYED IN 75% PROXIMAL LAD. DISCHARGED ON ASA AND PLAVIX. HE REPORTEDLY HAD NOT TAKEN PLAVIX SINCE HOSPITALIZATION, AND ON (B)(6) 2010 PRESENTED TO OUTLYING FACILITY WITH STEMI. TRANSFERRED FOR EMERGENT CATH/PCI. FILMS REVEAL TOTALLY OCCLUDED LAD AT SITE OF PREVIOUSLY PLACED STENT WITH THROMBUS. EXPORT THROMBECTOMY PERFORMED. PRE-DILATION WITH 3.5X15 VOYAGER. A 3.5X18 MULTI-LINK VISION DEPLOYED WITH IMMEDIATE POST DILATION WITH COMPLETE STENT EXPANSION. DECISION TO PLACE AN ADDITIONAL STENT AND 3.5X15 MULTI-LINK VISION DEPLOYED. A 3.5X15 QUANTUM MAVERICK TO POST-DILATE THROUGHOUT STENTED AREAS. FINAL FILMS REVEAL GOOD ANGIOGRAPHIC RESULT. PT DISCHARGED ON ASA AND PRASUGREL WITH EXTENSIVE DISCUSSION OF IMPORTANCE OF MEDICAL COMPLIANCE.