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

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Dr Imran Hanif Hashmi

2,938 subscribers

35,520 次观看 • 2 年前 •via X (Twitter)

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Dr Imran Hanif Hashmi 的头像
Dr Imran Hanif Hashmi2 年前

F/U of the case. Decided to fix the osteo proximal entry point with 4.0x28mm stent post dil with 5.0 balloon. Ivus evaluation of mid-distal segment. Contained IMH. Adequate MLA > 17mm. Good expennsion of stent at proximal segment So left the distal IMH as TIMI 3 flow and good MLA

Dr Imran Hanif Hashmi 的头像
Dr Imran Hanif Hashmi2 年前

Ivus from distal rca. Could see the transition zone btw normal vessel and IMH

Dr Imran Hanif Hashmi 的头像
Dr Imran Hanif Hashmi2 年前

Ivus from the proximal stented segment. Based on ivus findings decided to leave the IMH as it is.

Angel Caldera 的头像
Angel Caldera2 年前

Starts at the guide tip. The stent was likely pulled which with some resistance at the lesion, pull the guide into the vessel and finally the injection caused a hydraulic dissection .

Dr Imran Hanif Hashmi 的头像
Dr Imran Hanif Hashmi2 年前

Agreed.

Syed Ali Naqvi 的头像
Syed Ali Naqvi2 年前

Two overlapping 4.0 x 48 stat!! Post dil with a 4.5 NC! FMJ

Dr Imran Hanif Hashmi 的头像
Dr Imran Hanif Hashmi2 年前

Fixed the osteo proximal entry point 4.0x28. Post with 5.0. Ivus guided. Contained IMH at distal rca . MLA was >17. Left it Will share.

Dr. Pramod Kumar Kuchulakanti 的头像
Dr. Pramod Kumar Kuchulakanti2 年前

Great case and bail out. Just to add - I have learnt using 3DRC since my fellowship days at WHC, Washington DC. Very safe and can be taken deep into RCA, gives very good support as well.

Jeffrey Wilson, MD 的头像
Jeffrey Wilson, MD2 年前

Yikes. FMJ hope you got a few big stents available. Tip probably got caught on a plaque huh?

Dr Imran Hanif Hashmi 的头像
Dr Imran Hanif Hashmi2 年前

Fixed the osteo proximal entry point 4.0x28. Post with 5.0. Ivus guided. Contained IMH at distal rca . MLA was >17. Left it Will share.

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