Balloon inflate at obstruction reduce platelet

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Unformatted text preview: larization Angioplasty – catheter w. balloon + inflate at obstruction Reduce platelet aggregation Invasive option Stent – keep open (should be on aspirin + definitely clopidogrel) CABG – Coronary Artery Bypass Graft – proximal graft to aorta, distal graft distal to occlusion (the only 1 vessel graft is if it is the left main coronary needing Coronary Syndrome Coronary Syndrome Usually occurs in the presence of atherosclerotic disease Spectrum that includes Unstable angina (negative biomarkers) Non ST elevation MI (non STEMI) ST elevation MI (STEMI) Pathophysiology Pathophysiology In the presence of atherosclerotic disease Cholesterol laden plaques with thin fibrous cap In the presence of stress or inflammation Rupture of the fibrous cap of the plaque Triggers the activation of the body’s clotting system and the platelet activation system Acute Coronary Syndromes Anderson, J. L. et al. J Am Coll Cardiol 2007;50:e1-e157 Copyright ©2007 American College of Cardiology Foundation. Restrictions may apply. Pathophysiology Pathophysiology Pathophysiology of disrupted...
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