Percutaneous Coronary Intervention for Acute Coronary Syndromes

Percutaneous Coronary Intervention for Acute Coronary Syndromes
Percutaneous Coronary Intervention for Acute Coronary Syndromes
1. 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
2. This LAD lesion involves the takeoff of a diagonal
branch. What are the two broad categories of
approach to bifurcation lesions with stents? (And,
what is the main caveat of one approach?)
3. What criteria favor attempting to stent only the main
branch (mother)?
(A) Small caliber of daughter branch (<2.0 mm)
(B) Small territory of daughter (would not graft if
sent for CABG)
(C) Extremely angulated takeoff of daughter
(D) All of the above
4. What types of two-vessel stenting have been used
with DES for bifurcation lesions?
(A) V stenting
(B) Culotte stenting
(C) Y stenting
(D) T stenting
(E) Double-barrel stenting
(F) Crush stenting
(G) Reverse crush stenting
(H) All of the above
16 In the contemporary lesion risk classification, what
feature of bifurcation lesions makes some of them
high-risk?
17 Relief of ischemia can be expected from which of the
following (assuming technically successful):
(A) CABG
(B) Increased medical therapy
(C) PCI
(D) CABG or PCI
(E) Enhanced external counterpulsation (EECP)
Percutaneous Coronary Intervention for Acute Coronary Syndromes
18 Three-vessel coronary disease including ostial location of LAD stenosis favor CABG, but this elderly
patient has a calcified ascending aorta, and serious concerns regarding adverse cerebral outcomes.
Which of the following are risk factors for CABG
associated CVA?
(A) UA
(B) Use of intra-aortic balloon counterpulsation
(C) Diabetes
(D) Known neurologic disease
(E) Proximal aortic atherosclerosis
(F) All of the above
19 Which risk factor is most important regarding postCABG CVA (highest risk of peri-operative CVA)?
(A) UA
(B) Use of intra-aortic balloon counterpulsation
(C) Diabetes
(D) Known neurologic disease
(E) Proximal aortic atherosclerosis
(F) All of the above
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