Lembo final lecture

Question 1

P2y12?

Answer 1

no additional testing

Question 2

radial us

Answer 2

shorter time to access

Question 3

tcp when to avoid cathing? plt transfusion

Answer 3

< 20K should give plts, if develop bleeding all bets off can give plts. UFH is perferred. more potent antiplts shouldnt be used.

No minimum plt count for diagnostic

if plt less than <50 K can reduce duration of dapt to 6 mo for. des, 2 weeks for poba and 1 mo bms.

Question 4

MS area for PTA

Answer 4

1.5 in abscence of LA thrombus or moderate to severe MR.

Question 5

MS PTA post question

Answer 5

sig V wave you are done with the procedure and need to refer to surgery
med in the mean time–> nipride. .

Question 6

Guidelines state guideline related DAPT length in ACS?

Answer 6

12 months in normal risk, 6 months guideline for high riskregardless

Question 7

how long to hold ac prior to a cath with noac

Answer 7

24 hours unless renally cleared then do 48 hours. (we do 48 hours regardless)

Question 8

LM disease 50% and RCA

Answer 8

do FFR and if + send to CABG. If < 70% without functional assessment should do some time of imaging IVUS < 6 mm2 or FFR +