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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

2,964 subscribers

35,604 Aufrufe • vor 2 Jahren •via X (Twitter)

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Profilbild von Dr Imran Hanif Hashmi
Dr Imran Hanif Hashmivor 2 Jahren

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

Profilbild von Dr Imran Hanif Hashmi
Dr Imran Hanif Hashmivor 2 Jahren

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

Profilbild von Dr Imran Hanif Hashmi
Dr Imran Hanif Hashmivor 2 Jahren

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

Profilbild von Angel Caldera
Angel Calderavor 2 Jahren

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 .

Profilbild von Dr Imran Hanif Hashmi
Dr Imran Hanif Hashmivor 2 Jahren

Agreed.

Profilbild von Syed Ali Naqvi
Syed Ali Naqvivor 2 Jahren

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

Profilbild von Dr Imran Hanif Hashmi
Dr Imran Hanif Hashmivor 2 Jahren

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.

Profilbild von Dr. Pramod Kumar Kuchulakanti
Dr. Pramod Kumar Kuchulakantivor 2 Jahren

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.

Profilbild von Jeffrey Wilson, MD
Jeffrey Wilson, MDvor 2 Jahren

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

Profilbild von Dr Imran Hanif Hashmi
Dr Imran Hanif Hashmivor 2 Jahren

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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