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©2012 Baishideng Publishing Group Co., Limited. All rights reserved.
Percutaneous panvascular intervention in an unusual case of extensive atherosclerotic disease
Rajesh Vijayvergiya, Dheeraj Garg, Advanced Cardiac Centre, Department of Cardiology, Post Graduate Institute of Medical Education and Research, Chandigarh 160 012, India
Saroj K Sinha, Department of Gastroenterology, Post Graduate Institute of Medical Education and Research, Chandigarh 160 012, India
Author contributions: Vijayvergiya R and Garg D performed the percutaneous intervention; Sinha SK managed the mesenteric ischemia.
Correspondence to: Dr. Rajesh Vijayvergiya, MD, DM, FSCAI, FISES, Associate Professor, Advanced Cardiac Centre, Department of Cardiology, Post Graduate Institute of Medical Education and Research, Chandigarh 160 012, India. rajeshvijay999@hotmail.com
Telephone: +91-172-2756512 Fax: +91-172-2744401
Received: November 5, 2011
Revised: December 11, 2011
Accepted: December 18, 2011
Published online: February 26, 2012
Revised: December 11, 2011
Accepted: December 18, 2011
Published online: February 26, 2012
Abstract
It is common to see patients with atherosclerotic coronary disease and peripheral arterial disease in routine clinical practice. One needs to have a comprehensive and integrated multi-speciality approach and panvascular revascularization in such patients. We report a 54-year-old diabetic hypertensive male with extensive atherosclerotic coronary and peripheral arterial disease, who presented with congestive heart failure, claudication of both lower limbs and mesenteric ischemia. He underwent successful percutaneous panvascular revascularization of coronary, renal, mesenteric, aorto-iliac and superficial femoral arteries. Long-term patency of all the stents was also documented.
Keywords: Atherosclerosis, Aorto-iliac bifurcation, Coronary artery disease, Chronic mesenteric ischemia, Contrast induced nephropathy, C-reactive protein, Inferior mesenteric artery, Peripheral arterial disease, Stents