Case Sharing: A Case of Effective Lesion Modification by OAS for a Calcified Lesion in a Haemodialysis Patient with Repeated In-Stent Restenosis
Dr. Ryoko Nakamura, Kyoto City Hospital
Case
Male in his 70s
Chief complaint
Shortness of breath on exertion
Previous medical history
- In his 50s
- Diabetes mellitus
- In his 60s
- Cataract surgery, cerebral infarction
- In his 70s
- Dialysis induction, ALI, SAS, common bile duct stone, hemorrhagic gastric ulcer, ERCP for common bile duct stone, surgery for age-related macular degeneration, liver abscess, splenic infarction (conservative treatment), ERCP for recurrent common bile duct stone, SMA thrombosis, small bowel ileus (conservative treatment), colorectal adenoma EMR
Current medical history
Due to angina pectoris, the patient had repeated in-stent restenosis after PCI to the LAD 11 years ago at another hospital and 4 years ago at our department. He was admitted to our department because of shortness of breath on exertion.
Smoking history
Smoking cessation in his 60s (20 cigarettes/day × 30 years)
Coronary risk factors
Diabetes mellitus, smoking, CKD, dyslipidemia
Medication
- Montelukast sodium 10mg 1 tablet after breakfast
- Precipitated calcium carbonate 500mg 3 tablets 3 after each meal
- Daikenzhongtang 2.5g/package 3 for 3 packets after each meal
- Aspirin 100mg 1 tablet after breakfast
- Furosemide 40mg 1 tablet after breakfast
- Carvedilol 10mg 1.5 tablets 1 tablet after breakfast 0.5 tablets after dinner
- Atorvastatin calcium hydrate 10mg 1 tablet after dinner
- Bonoprazan fumarate 20mg 1 tablet after dinner
- Brotizolam 0.25mg 1 tablet before sleep
- Prasugrel hydrochloride 3.75mg 1 tablet after breakfast
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