Primary angioplasty in lower GI bleeding patient with severe Anemia (Hb – 4 gm/dl)

The 52-year-old gentleman came with complaints of acute chest pain for the 1-hour history of bleeding per rectum for the last 1 week.
ECG is suggestive of Acute Inferior Wall Myocardial Infarction.his Haemoglobin is -4.1 gm/dl. As the patient has bleeding per rectum he can’t be thrombolyse. Hence he was posted for Primary Angioplasty. Angiography suggestive of Normal LAD and  LCX, Proximal RCA representative of 100% total thrombotic occlusion. He underwent thrombus aspiration with a thrombus aspiration catheter by Dr. Vaibhav Patil – Interventional Cardiologist in Pune. Angiography is suggestive of no residual thrombus, no dissection & TIMI III flow hence decided deferred stenting.
 
Acute Inferior Wall Myocardial InfarctionAcute Inferior Wall Myocardial Infarction
Acute Inferior Wall Myocardial Infarction

 

Acute Inferior Wall Myocardial Infarction
Acute Inferior Wall Myocardial Infarction
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