Elective Coronary Intervention Assignment Help

Elective Coronary Intervention Assignment Help
Elective Coronary Intervention Assignment Help
What clinical and anatomic features weigh against a
reoperation (repeat CABG) in this patient?
(A) Patent internal mammary graft to the LAD artery
(B) Three patent grafts
(C) Bilateral severe carotid vascular disease
(D) Chronic renal insufficiency
(E) Risk of second CABG is approximately 3X higher
than first CABG
(F) All of the above
2 What clinical and anatomic features weigh against
PCI for this patient?
(A) Noncompliance causes concern for the use of
dual antiplatelet therapy, if patient were to
receive DES
(B) Noncompliance with statins and antihypertensive agents increases likelihood of adverse outcomes after PCI
(C) Chronic renal insufficiency increases risk of
bleeding and restenosis
(D) Multivessel disease increases likely dye load (and
attendant contrast-associated nephropathy) and
restenosis likelihood
(E) SVG disease is associated with decreased likelihood of procedural success and increased
likelihood of distal embolization with attendant
morbidity and/or mortality
(F) All of the above
3 How soon is the creatinine likely to peak from the
development of contrast-associated nephropathy?
(A) 1 day
(B) 2 days
(C) 3 days
(D) 5 days
(E) 1 week
4 Which of the following are established means
(supported by one or more randomized trials)
of reducing the likelihood of contrast-associated
nephropathy?
(A) Hydration with normal saline
(B) Keeping contrast dose to a minimum (<125 mL)
(C) Fenoldopam
(D) N-acetyl cysteine
(E) Dopamine infusion in ‘‘renal perfusion’’ dose
(3 years) SVG lesions, ‘‘where
technically feasible’’
(C) The Transluminal Extraction Catheter (TEC)
has been shown to reduce adverse events in this
kind of lesion
(D) Thrombectomy devices have been shown to be
superior to balloon angioplasty in SVG lesions
(E) Stents have been shown to be superior to balloon
angioplasty in SVG lesions
(F) A, C, and E
(G) A, B, and E
Elective Coronary Intervention Assignment Help
7 With regard to PCI of the SVG-PDA in this patient,
which of the following is likely to be correct?
(A) The posterior descending artery (PDA) is too
small for even the smallest BMS
(B) This is not likely the source of anterior or lateral
ischemia
(C) There is no ‘‘landing zone’’ for distal protection
(D) All are correct
8 What is the most evidence-based approach for this
patient?
(A) Smoking cessation clinic, if he will go
(B) Repeat CABG
(C) PCI of the SVG-PDA and SVG-OM, with
Percusurge Guardwire
(D) Optimize doses of β-blocker, ACE-I, and statins
(E) A and D
9 If you choose to call this Class II angina, refractory
to medical management (which assumes patient
compliance), what does the ACC/AHA/SCAI update
to the PCI Guideline recommend at the Class I level
(is recommended/should do)?
(A) PCI is reasonable in patients with CCS Class I
or II angina with one or more significant lesions
in one or two coronary arteries suitable for PCI
with a high likelihood of success and a low risk
of failure, morbidity, and mortality. The vessels
to be dilated must subtend a moderate to large
area of viable myocardium or be associated with
moderate to severe ischemia
(B) PCI is reasonable for patients with CCS Class I or
II angina, and recurrent stenosis after PCI with
a large area of viable myocardium or high-risk
criteria on noninvasive testing
(C) Use of PCI is reasonable for patients with
CCS Class I and II angina and significant
(>50%) left main stenosis who are candidates
for revascularization but are not candidates for
CABG
(D) None of the above
10 If you choose to call this Class II angina, refractory
to medical management (which assumes patient
compliance), what does the ACC/AHA/SCAI update
to the PCI Guideline recommend at the Class III level
(is not recommended/should not do)?
(A) Only a small area of viable myocardium at risk
(B) No objective evidence of ischemia
(C) Lesions that have a low likelihood of successful
dilatation
(D) Mild symptoms that are unlikely to be related
to myocardial ischemia
(E) Factors associated with increased morbidity or
mortality
(F) Left main disease and eligibility for CABG
(G) Insignificant disease (<50% stenosis)
(H) All of the above
Having hard time figuring how to do your assignment?
Hire our experts and have it done in no time!

Still stressed from student homework?
Get quality assistance from academic writers!
Open chat
1
You can contact our live agent via WhatsApp! Via + 1 9294730077

Feel free to ask questions, clarifications, or discounts available when placing an order.

Order your essay today and save 20% with the discount code HURRAY