Revaskularisasi Stenosis Saphenous Vein Graft (SVG) dengan Intervensi Koroner Perkutan (PCI)
Laporan Kasus
DOI:
https://doi.org/10.55175/cdk.v51i6.983Kata Kunci:
Bedah pintas arteri coroner, stent bersalut obat, intervensi koroner perkutan, stenosis cangkok vena saphenaAbstrak
Bedah pintas arteri koroner (CABG) adalah tata laksana paling ideal dan sering dilakukan pada penyempitan pembuluh darah koroner multivaskular, tetapi prognosis jangka panjangnya tidak terlalu baik. Seorang pria berusia 64 tahun dengan riwayat operasi cangkok arteri koroner 7 tahun yang lalu mengeluh nyeri dada berulang yang menjalar ke rahang, keluhan berkurang dengan obat isosorbid dinitrate. Hasil pemeriksaan fisik, rekaman jantung dan ekokardiografi masih dalam batas normal. Hasil laboratorium menunjukkan nilai nitrogen urea darah (BUN) kritis, sehingga perlu hemodialisis, pada angiografi didapatkan gambaran penyempitan pada semua saluran cangkok ataupun koroner asli. Pasien didiagnosis penyakit arteri koroner derajat III dan gagal ginjal. Dilakukan tindakan intervensi koroner perkutan menggunakan stent bersalut obat (drug eluting stent/DES) pada saluran cangkok vena saphena dari arteri koroner kanan, disertai pemberian antiplatelet ganda, beta-blocker nitrat, dan statin.
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Referensi
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