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...

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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 👍🏽

Needs POT

@luciotpadilla Was stent not undersized

Every single time…

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

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

@KardiologieHH Interesting to see different approaches.

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

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