Coronary Angiography (Mr WS)

PD, a male aged 64, presented with exertional shortness of breath, absent of chest pain. His medical background included high blood pressure, high cholesterol and a family history of coronary artery disease. He was offered to have a coronary angiogram through the right radial artery (in the wrist) using a TIG 5F Diagnostic catheter. The test revealed moderate ostial posterior descending artery stenosis which was crossed with a Verrata wire and no change in the pressures across the lesions were shown.

SA, a 59 year old male, underwent a coronary angiogram as part of the work up for a coronary artery bypass graft (CABG). He had a background of high blood pressure, obesity, ischaemic heart disease (with previous coronary angiogram) and smoking. He underwent a further coronary angiogram through the right radial artery (in the wrist) with a 6F TIG catheter. The test showed severe disease in the left circumflex and right coronary arteries, as well as a patent (opened) stent in the left anterior descending artery. Lesions were found to be suitable for angioplasty. The patient was referred back to the cardiothoracic surgeons for further discussion regarding his treatment.

JR, a 62 year old male, presented with crescendo angina (increasing frequency of chest pain – acute coronary syndrome). His past medical background included chronic kidney disease, Type 2 Diabetes Mellitus, myocardial infarction (heart attack) and a coronary artery bypass graft (CABG). He was offered a coronary angiogram through the right femoral artery. The test revealed significant disease within the right coronary artery. The lesion was predilated with the PT XS balloon (balloon angioplasty) and Resolute Onyx 3.5x26mm (stent) was implanted concluding with a good result.

AT, a 55 year old female, underwent elective diagnostic coronary angiogram as a work up for renal transplantation. Her risk factors included obesity, diabetes and high blood pressure. She underwent a coronary angiogram with access through her right femoral artery with a 6F Impulse catheter. The test showed unobstructed (clean and opened) coronary arteries.

SG, a female aged 70, came in with exertional chest pain. She has a background of high cholesterol and high blood pressure. She was offered coronary angiogram through the right radial artery (in the wrist) with the use of a TIG 5F Diagnostic Catheter. The test revealed disease of the left main stem coronary artery and its branches, as well as an occluded right coronary artery. Following this, she was scheduled for a coronary artery bypass graft (CABG).

CT, a 64 year old male, presented with atypical chest pain. He had a medical background of type 2 diabetes mellitus and high cholesterol. His previous echocardiogram a few years ago showed good biventricular systolic function (good pumping action of the parts of the heart that pump blood to the rest of the body). A more recent ECG (electrocardiogram) showed left ventricular hypertrophy (thickening). He was offered a diagnostic coronary angiogram with the access point being through the right radial artery (in the wrist) using a 6F Impulse catheter. The test revealed mild disease within the left anterior descending artery.