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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...

Evandro Martins F. MD

20,582 subscribers

22,712 görüntüleme • 3 yıl önce •via X (Twitter)

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Evandro Martins F. MD profil fotoğrafı

Evandro Martins F. MD3 yıl önce

Here's what we did...

ksminnovation profil fotoğrafı

ksminnovation1 yıl önce

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

Syed Ali Naqvi profil fotoğrafı

Syed Ali Naqvi3 yıl önce

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 profil fotoğrafı

Gopala Krishna Koduru3 yıl önce

Needs POT

jabar profil fotoğrafı

jabar3 yıl önce

@luciotpadilla Was stent not undersized

Antonious Attallah, MD, FACC, FSCAI profil fotoğrafı

Antonious Attallah, MD, FACC, FSCAI3 yıl önce

Every single time…

Jorge A. Chavarria V. 🇨🇦 🇪🇸 🇨🇷. profil fotoğrafı

Jorge A. Chavarria V. 🇨🇦 🇪🇸 🇨🇷.3 yıl önce

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 profil fotoğrafı

Tobias Kister, MD3 yıl önce

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

Evandro Martins F. MD profil fotoğrafı

Evandro Martins F. MD3 yıl önce

@KardiologieHH Interesting to see different approaches.

Rudi Pistulli 🇺🇦 profil fotoğrafı

Rudi Pistulli 🇺🇦3 yıl önce

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 profil fotoğrafı

Evandro Martins F. MD3 yıl önce

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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Inf STEMI. Mid PDA tight lesion. Pre dil. Check injection while stent positioning and then......

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