A 80 year old patient MW is assigned by their treating internist for cardiac catheterization. He has a risk profile with regard to atherosclerosis, namely arterial hypertension and hypercholesterolemia. In the resting ECG is a left anterior hemiblock and during exercise , there is a heaping supraventricular extrasystoles , but no significant changes.
Secondary finding they reported in the anamnesis pain in the right hip when walking - it will probably be a wear and tear of the hip , coxarthrosis be , he says.
On physical examination, a much weaker pulse at the right bar falls on . It is then carried out the catheterization of the left bar from Judkins technique, a relevant CHD is not available. In the subsequent presentation of the right iliac artery , a subtotal occlusion of the common iliac artery shows kollateralisierter right immediately after the bifurcation .
The shutter can pass from the left antegrade and dilated with a 5.0 mm balloon catheter. Then from the right groin of a 6.0 mm diameter 18 mm long balloon -expanding stent is placed without any problems. Both bars are supplied with a sealing device and mobilizes the patient 3 hours after the procedure.
The patient is treated with drugs permanently and 75 mg Plavix for 6 months with 100 mg of ASA , in a clinical control, they reported that the pain in the right hip are gone.