| Question AQ 022 |
| Balloon
dilation of the spahenous vein graft to the LAD was carried out. Shown
below is the indentation in the balloon that persisted at 6 atmospheres
of inflation pressure but was relieved at higher pressures. You can cycle
through the various cine views by clicking the "next cine" and
"prior cine" buttns. The latter button will appaer after you
move to the second cine. You will note a less than 20% residual stenosis
in the aorto-ostial lesion after high inflation pressures. The minimal
luminal diameter (MLD) was greater than 4.8 mm. Because of the smooth
appearance and the large MLD, stenting of th elesion was not carried out
by the cardiologist. |
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| Based upon the final angiographic view, the residual stenosis, large MLD and the patient's history, which ONE of the following is the BEST next step in the cardiac cath lab: |
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