Loading video...

Video Failed to Load

Go Home

Do you #imagefirst your STEMI's cases? Trivial case. 57M - LAD STEMI while playing soccer Thrombectomy - TIMI 3 flow - IVUS - Stent - then following IVUS. We must strive & seek long-term results even in acute settings P.S.: this isn't good...

22,732 views • 3 years ago •via X (Twitter)

11 Comments

Evandro Martins F. MD's profile picture
Evandro Martins F. MD3 years ago

Here's what we did...

ksminnovation's profile picture
ksminnovation1 year ago

AI is transforming healthcare! A KSM-led study shows AI can detect Celiac disease 4 years earlier @TalPatalon @MedPredict

Syed Ali Naqvi's profile picture
Syed Ali Naqvi3 years ago

Excellent use of IVUS in STEMI. I do IVUS prior to direct stenting in STEMI cases. Usually post thrombectomy if heavy thrombus burden. Helps avoid a post dilatation if you size your stent well. Nice case 👍🏽

Gopala Krishna Koduru's profile picture
Gopala Krishna Koduru3 years ago

Needs POT

jabar's profile picture
jabar3 years ago

@luciotpadilla Was stent not undersized

Antonious Attallah, MD, FACC, FSCAI's profile picture
Antonious Attallah, MD, FACC, FSCAI3 years ago

Every single time…

Jorge A. Chavarria V. 🇨🇦 🇪🇸 🇨🇷.'s profile picture
Jorge A. Chavarria V. 🇨🇦 🇪🇸 🇨🇷.3 years ago

Yes friend. Imaging in every acs case. This scenario IMHO is mandatory because angio is very limited with thrombus, vasoconstriction, hypotension, patients charact. 30%+ the baseline lesion is less than 50% of stenosis too, in many cases you can treat medically or DEB 👉imaging

Tobias Kister, MD's profile picture
Tobias Kister, MD3 years ago

@KardiologieHH Why Thrombectomy? Class III. Stent and POT. No imaging. Keep it quick and simple in STEMI.

Evandro Martins F. MD's profile picture
Evandro Martins F. MD3 years ago

@KardiologieHH Interesting to see different approaches.

Rudi Pistulli 🇺🇦's profile picture
Rudi Pistulli 🇺🇦3 years ago

Very instructive case, thanks for sharing! Just postdilatation would have been my thing here. Integrillin when heavy thrombotic burden, very seldom thrombus aspiration.

Evandro Martins F. MD's profile picture
Evandro Martins F. MD3 years ago

I still do a lot of thrombus aspiration. In this case was enough to get TIMI 3 and patient got pain free.

Related Videos

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 Alqahtani

20,342 views • 5 months ago