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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...

22,728 次观看 • 3 年前 •via X (Twitter)

11 条评论

Evandro Martins F. MD 的头像
Evandro Martins F. MD3 年前

Here's what we did...

ksminnovation 的头像
ksminnovation1 年前

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

Syed Ali Naqvi 的头像
Syed Ali Naqvi3 年前

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 的头像
Gopala Krishna Koduru3 年前

Needs POT

jabar 的头像
jabar3 年前

@luciotpadilla Was stent not undersized

Antonious Attallah, MD, FACC, FSCAI 的头像
Antonious Attallah, MD, FACC, FSCAI3 年前

Every single time…

Jorge A. Chavarria V. 🇨🇦 🇪🇸 🇨🇷. 的头像
Jorge A. Chavarria V. 🇨🇦 🇪🇸 🇨🇷.3 年前

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 的头像
Tobias Kister, MD3 年前

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

Evandro Martins F. MD 的头像
Evandro Martins F. MD3 年前

@KardiologieHH Interesting to see different approaches.

Rudi Pistulli 🇺🇦 的头像
Rudi Pistulli 🇺🇦3 年前

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 的头像
Evandro Martins F. MD3 年前

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

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