د. ناصر القحطاني Nasser Alqahtani
@Nasser_Ghattar • 2,476 subscribers
أكاديمي، استشاري القلب وقسطرة القلب، Consultant Interventional Cardiology
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4 A.M. STEMI call. 45-year-old male with acute anterior STEMI activated through the STEMI pathway. Coronary angiography showed complete thrombotic occlusion of the LAD. Initial ballooning restored flow, and a drug-eluting stent was deployed successfully… or so we thought. Seconds later came one of the true nightmares in interventional cardiology: The stent was physically delivered. Deployment was confirmed. But fluoroscopy showed… no stent in the lesion. The LAD still looked unstented. Immediate full fluoroscopic search of the patient’s body was performed. No lost stent was seen anywhere. The table? Negative. The sheath? Negative. The guiding system inside the body? Negative. Unfortunately, stent boost was unavailable at that moment, and IVUS was not accessible. Multiple vigorous flushes of the guiding catheter failed to reveal the missing stent. At that point, the concern escalated dramatically — embolized stent? Lost in the system? Somewhere unseen? Decision was made to retrieve the entire system and physically inspect everything outside the patient. Still nothing. Finally, as a last attempt, the guiding catheter was carefully cut in small external segments. And there it was. The entire undeployed stent was trapped inside the OUTSIDE portion of the guiding catheter — beyond the fluoroscopy field — firmly stuck despite repeated flushing attempts. The relief in the cath lab at that moment was indescribable. A new stent was then successfully deployed with excellent final angiographic result. Lessons from the night: • Never trust assumptions in the cath lab • Lost stents can hide in unexpected places • Systematic troubleshooting saves lives — and saves operators from panic • Sometimes the solution is not high-tech… but persistence and careful thinking Interventional cardiology continues to humble us. #Cardiology #InterventionalCardiology #STEMI #PCI #CathLab #CoronaryIntervention #LAD #CardioTwitter #MedTwitter #STEMIPathway
د. ناصر القحطاني Nasser Alqahtani20,278 просмотров • 2 месяцев назад
الحمدلله ، سعيد جداً بنجاح البث المباشر هذا اليوم لعملية تركيب الصمام الاورطي (الابهر) بالقسطرة التداخلية يداً بيد مع الزميل والاخ العزيز د. عبدالله عسيري Dr/Abdullah Alyousef Asiri ، في مؤتمر طبي دولي كنا نمثل جمعية قسطرة القلب السعودية SACIS ومركز الأمير فيصل بن خالد لامراض القلب في أبها
د. ناصر القحطاني Nasser Alqahtani38,893 просмотров • 1 год назад
لماذا يصاب السعوديين بمرض تصلب الشرايين التاجية بكثرة؟ ولماذا تسبق إصابتهم بالسكتة القلبية أقرانهم في بلدان أخرى؟ بعد لقائي في قناة الإخبارية جاءتني بعض الطلبات والأسئلة، وسأحاول أن أوضح هنا أكثر. ومن وقت لآخر سأكتب عن مواضيع أمراض القلب قدر الامكان بهدف نشر الوعي. هنا ثريد يخص تصلب الشرايين، بإمكانك تفضيله وقراءته أي وقت
د. ناصر القحطاني Nasser Alqahtani45,330 просмотров • 3 лет назад
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