Video wird geladen...

Video konnte nicht geladen werden

Zur Startseite

Slow flow and no reflow remain major unresolved challenges after PCI, particularly in STEMI. Discover our State-of-the-Art review by Salvatore Brugaletta et al exploring the mechanisms, diagnosis, and current treatment strategies #STEMI #PCI #NoReflow #InterventionalCardiology

EuroInterventio's profile picture

EuroIntervention

36,531 subscribers

16,770 Aufrufe • vor 1 Monat •via X (Twitter)

#STEMI#PCI#NoReflow
LIVE

Anya Rossi• Live Now

Private livecam show

0 Kommentare

Keine Kommentare verfügbar

Kommentare vom Original-Post werden hier angezeigt

Ähnliche Videos

How to approach calcified coronary lesions in contemporary PCI? This State-of-the-Art review exploreD the role of intravascular imaging and available plaque modification strategies, offering a practical algorithm to guide treatment and optimise PCI results.
0:40

How to approach calcified coronary lesions in contemporary PCI? This State-of-the-Art review exploreD the role of intravascular imaging and available plaque modification strategies, offering a practical algorithm to guide treatment and optimise PCI results.

EuroIntervention

13,225 Aufrufe • vor 17 Tagen

My #interventionalcardiology Toolkit 🧰⚙️🪛 No-reflow: distal drug delivery with standard #PCI equipment 🔗 No-reflow is one of the most critical peri-procedural complications and the development of no-reflow can rapidly trigger cardiogenic shock. Emrullah Kiziltunc, Ender Ornek, Adnan Abaci and Mustafa Cetin from 🇹🇷 provide a step-by-step methodology to manage this situation. Reviewed by Manel Sabate. . #CardioEd #Cathlab Chiara De Biase Fadi Sawaya Salvatore Brugaletta
3:56

My #interventionalcardiology Toolkit 🧰⚙️🪛 No-reflow: distal drug delivery with standard #PCI equipment 🔗 No-reflow is one of the most critical peri-procedural complications and the development of no-reflow can rapidly trigger cardiogenic shock. Emrullah Kiziltunc, Ender Ornek, Adnan Abaci and Mustafa Cetin from 🇹🇷 provide a step-by-step methodology to manage this situation. Reviewed by Manel Sabate. . #CardioEd #Cathlab Chiara De Biase Fadi Sawaya Salvatore Brugaletta

PCRonline 🫀

24,193 Aufrufe • vor 1 Monat

TIMI Flow: A Key Indicator of Coronary Perfusion TIMI (Thrombolysis in Myocardial Infarction) flow grading is a crucial angiographic tool to assess blood flow in coronary arteries, particularly after an intervention like PCI. 🔹 TIMI 0 (No Flow) – Complete occlusion; no antegrade flow beyond the blockage. 🔹 TIMI 1 (Penetration without Perfusion) – Minimal flow beyond the occlusion but without adequate distal vessel opacification. 🔹 TIMI 2 (Partial Flow) – Delayed but complete filling of the distal vessel; flow is slower than normal. 🔹 TIMI 3 (Normal Flow) – Full, brisk perfusion with normal distal vessel filling, comparable to a non-diseased artery. TIMI 3 flow is the gold standard for successful reperfusion in PCI, improving outcomes in STEMI and other coronary syndromes. #Cardiology #TIMIFlow #CathLab
0:53

TIMI Flow: A Key Indicator of Coronary Perfusion TIMI (Thrombolysis in Myocardial Infarction) flow grading is a crucial angiographic tool to assess blood flow in coronary arteries, particularly after an intervention like PCI. 🔹 TIMI 0 (No Flow) – Complete occlusion; no antegrade flow beyond the blockage. 🔹 TIMI 1 (Penetration without Perfusion) – Minimal flow beyond the occlusion but without adequate distal vessel opacification. 🔹 TIMI 2 (Partial Flow) – Delayed but complete filling of the distal vessel; flow is slower than normal. 🔹 TIMI 3 (Normal Flow) – Full, brisk perfusion with normal distal vessel filling, comparable to a non-diseased artery. TIMI 3 flow is the gold standard for successful reperfusion in PCI, improving outcomes in STEMI and other coronary syndromes. #Cardiology #TIMIFlow #CathLab

CardiovascularCorner

18,450 Aufrufe • vor 1 Jahr

4 A.M. STEMI call. 45-year-old male with acute anterior STEMI activated through the STEMI pathway. Coronary angiography showed complete thrombotic occlusion of the LAD. Initial ballooning restored flow, and a drug-eluting stent was deployed successfully… or so we thought. Seconds later came one of the true nightmares in interventional cardiology: The stent was physically delivered. Deployment was confirmed. But fluoroscopy showed… no stent in the lesion. The LAD still looked unstented. Immediate full fluoroscopic search of the patient’s body was performed. No lost stent was seen anywhere. The table? Negative. The sheath? Negative. The guiding system inside the body? Negative. Unfortunately, stent boost was unavailable at that moment, and IVUS was not accessible. Multiple vigorous flushes of the guiding catheter failed to reveal the missing stent. At that point, the concern escalated dramatically — embolized stent? Lost in the system? Somewhere unseen? Decision was made to retrieve the entire system and physically inspect everything outside the patient. Still nothing. Finally, as a last attempt, the guiding catheter was carefully cut in small external segments. And there it was. The entire undeployed stent was trapped inside the OUTSIDE portion of the guiding catheter — beyond the fluoroscopy field — firmly stuck despite repeated flushing attempts. The relief in the cath lab at that moment was indescribable. A new stent was then successfully deployed with excellent final angiographic result. Lessons from the night: • Never trust assumptions in the cath lab • Lost stents can hide in unexpected places • Systematic troubleshooting saves lives — and saves operators from panic • Sometimes the solution is not high-tech… but persistence and careful thinking Interventional cardiology continues to humble us. #Cardiology #InterventionalCardiology #STEMI #PCI #CathLab #CoronaryIntervention #LAD #CardioTwitter #MedTwitter #STEMIPathway
2:08

4 A.M. STEMI call. 45-year-old male with acute anterior STEMI activated through the STEMI pathway. Coronary angiography showed complete thrombotic occlusion of the LAD. Initial ballooning restored flow, and a drug-eluting stent was deployed successfully… or so we thought. Seconds later came one of the true nightmares in interventional cardiology: The stent was physically delivered. Deployment was confirmed. But fluoroscopy showed… no stent in the lesion. The LAD still looked unstented. Immediate full fluoroscopic search of the patient’s body was performed. No lost stent was seen anywhere. The table? Negative. The sheath? Negative. The guiding system inside the body? Negative. Unfortunately, stent boost was unavailable at that moment, and IVUS was not accessible. Multiple vigorous flushes of the guiding catheter failed to reveal the missing stent. At that point, the concern escalated dramatically — embolized stent? Lost in the system? Somewhere unseen? Decision was made to retrieve the entire system and physically inspect everything outside the patient. Still nothing. Finally, as a last attempt, the guiding catheter was carefully cut in small external segments. And there it was. The entire undeployed stent was trapped inside the OUTSIDE portion of the guiding catheter — beyond the fluoroscopy field — firmly stuck despite repeated flushing attempts. The relief in the cath lab at that moment was indescribable. A new stent was then successfully deployed with excellent final angiographic result. Lessons from the night: • Never trust assumptions in the cath lab • Lost stents can hide in unexpected places • Systematic troubleshooting saves lives — and saves operators from panic • Sometimes the solution is not high-tech… but persistence and careful thinking Interventional cardiology continues to humble us. #Cardiology #InterventionalCardiology #STEMI #PCI #CathLab #CoronaryIntervention #LAD #CardioTwitter #MedTwitter #STEMIPathway

د. ناصر القحطاني Nasser Alqahtani

20,308 Aufrufe • vor 3 Monaten

The Modi government has rebuilt Bharat by presenting the nation with one engineering marvel after another in #11YearsOfInfraRevolution. The newly built state-of-the-art infrastructure projects have strengthened the unity of the nation by bringing the people closer and enabled the voluminous flow of trade and commerce at a speed never seen before.
2:28

The Modi government has rebuilt Bharat by presenting the nation with one engineering marvel after another in #11YearsOfInfraRevolution. The newly built state-of-the-art infrastructure projects have strengthened the unity of the nation by bringing the people closer and enabled the voluminous flow of trade and commerce at a speed never seen before.

Amit Shah

613,620 Aufrufe • vor 1 Jahr

🟩TIMI TIMI (Thrombolysis in Myocardial Infarction) flow is an angiographic grading system used to describe the degree of epicardial coronary blood flow after reperfusion therapy (thrombolysis or PCI) in acute myocardial infarction. It was developed by the TIMI study group to provide a standardized, reproducible way to assess coronary perfusion on angiography. TIMI flow grades 🟥TIMI 0: No perfusion There is no antegrade flow beyond the point of coronary occlusion. 🟪TIMI 1: Penetration without perfusion Contrast passes beyond the obstruction but fails to opacify the entire distal coronary bed and appears to stagnate. 🟦TIMI 2: Partial perfusion Contrast crosses the obstruction and opacifies the distal bed, but flow and/or clearance is slower than in normal or non-affected coronary segments. 🟩TIMI 3: Complete perfusion Normal antegrade flow with rapid filling and clearance of contrast in the distal coronary bed, comparable to an uninvolved vessel. Key point TIMI flow reflects epicardial coronary artery patency, not microvascular perfusion. Achieving TIMI 3 flow is strongly associated with better clinical outcomes after myocardial infarction. CardiovascularCorner
0:53

🟩TIMI TIMI (Thrombolysis in Myocardial Infarction) flow is an angiographic grading system used to describe the degree of epicardial coronary blood flow after reperfusion therapy (thrombolysis or PCI) in acute myocardial infarction. It was developed by the TIMI study group to provide a standardized, reproducible way to assess coronary perfusion on angiography. TIMI flow grades 🟥TIMI 0: No perfusion There is no antegrade flow beyond the point of coronary occlusion. 🟪TIMI 1: Penetration without perfusion Contrast passes beyond the obstruction but fails to opacify the entire distal coronary bed and appears to stagnate. 🟦TIMI 2: Partial perfusion Contrast crosses the obstruction and opacifies the distal bed, but flow and/or clearance is slower than in normal or non-affected coronary segments. 🟩TIMI 3: Complete perfusion Normal antegrade flow with rapid filling and clearance of contrast in the distal coronary bed, comparable to an uninvolved vessel. Key point TIMI flow reflects epicardial coronary artery patency, not microvascular perfusion. Achieving TIMI 3 flow is strongly associated with better clinical outcomes after myocardial infarction. CardiovascularCorner

CardiovascularCorner

10,986 Aufrufe • vor 7 Monaten

I have successfully completed the construction of a modern Model Primary Health Care Centre in Dagauda, Dambam Local Government Area of Bauchi State. This state-of-the-art facility is part of my broader commitment to strengthening healthcare delivery at the grassroots, particularly in our rural communities. It is fully equipped to provide essential health services, maternal and child care, immunization, and emergency treatment, ensuring that our people have access to quality healthcare close to their homes. #GreaterBauchi
0:41

I have successfully completed the construction of a modern Model Primary Health Care Centre in Dagauda, Dambam Local Government Area of Bauchi State. This state-of-the-art facility is part of my broader commitment to strengthening healthcare delivery at the grassroots, particularly in our rural communities. It is fully equipped to provide essential health services, maternal and child care, immunization, and emergency treatment, ensuring that our people have access to quality healthcare close to their homes. #GreaterBauchi

Senator Bala A. Mohammed

29,264 Aufrufe • vor 11 Monaten

One of our signature projects in the healthcare sector is the Enugu International Hospital, a 300-bed ultramodern facility being developed to strengthen access to quality and specialised healthcare services in Enugu State. The hospital is being equipped with advanced medical infrastructure, including cancer diagnosis, treatment, and other critical care services, to position it as a centre for excellence and a destination for advanced medical treatment within and beyond Nigeria. A productive state is built on a healthy population, and we remain committed to strengthening our healthcare system to ensure accessible, modern, and quality healthcare for all.
1:30

One of our signature projects in the healthcare sector is the Enugu International Hospital, a 300-bed ultramodern facility being developed to strengthen access to quality and specialised healthcare services in Enugu State. The hospital is being equipped with advanced medical infrastructure, including cancer diagnosis, treatment, and other critical care services, to position it as a centre for excellence and a destination for advanced medical treatment within and beyond Nigeria. A productive state is built on a healthy population, and we remain committed to strengthening our healthcare system to ensure accessible, modern, and quality healthcare for all.

Peter Ndubuisi Mbah

55,791 Aufrufe • vor 4 Monaten

Liberals are selling off Canada’s ports and airports. After Heathrow was privatized, Saudi Arabia, Qatar & China gained major stakes in the airport. Canadians deserve a full national security review before foreign state-owned entities gain control of our strategic infrastructure.
0:50

Liberals are selling off Canada’s ports and airports. After Heathrow was privatized, Saudi Arabia, Qatar & China gained major stakes in the airport. Canadians deserve a full national security review before foreign state-owned entities gain control of our strategic infrastructure.

Don Davies

19,580 Aufrufe • vor 3 Monaten

The executive governor of Katsina State, Dr Dikko Umaru Radda, Ph.D. CON. has today led security operatives to some banditry-infected areas in the state for an on-site assessment of the security situation in support of the current efforts by the security operatives to combat the insecurity menace in the state. This was shortly after presiding over the State’s Security Council Meeting today. Ya Allah make these efforts count and grant us peace and tranquility in our state, region and country at large.
1:22

The executive governor of Katsina State, Dr Dikko Umaru Radda, Ph.D. CON. has today led security operatives to some banditry-infected areas in the state for an on-site assessment of the security situation in support of the current efforts by the security operatives to combat the insecurity menace in the state. This was shortly after presiding over the State’s Security Council Meeting today. Ya Allah make these efforts count and grant us peace and tranquility in our state, region and country at large.

MS Ingawa

102,904 Aufrufe • vor 1 Jahr

I received the Manufactures association of Nigeria (MAN). Undoubtedly, the significance of the manufacturing sector in any state cannot be overstated. MAN plays a pivotal role in facilitating the transition from a mere seller of produce to an economy with value addition. I commend their resilience and determination in sustaining their presence in the manufacturing sector amid our country's challenges. In Plateau, we remain committed to enhancing the business environment, particularly for manufacturers, to flourish. We anticipate the return of the Coca-Cola production line to Jos, and we are committed to collaborating on any necessary actions. Additionally, we aim to eradicate double taxation, enhancing the cooperative opportunities. Our aspiration is to strengthen our partnership with MAN and accomplish more for our state.
4:19

I received the Manufactures association of Nigeria (MAN). Undoubtedly, the significance of the manufacturing sector in any state cannot be overstated. MAN plays a pivotal role in facilitating the transition from a mere seller of produce to an economy with value addition. I commend their resilience and determination in sustaining their presence in the manufacturing sector amid our country's challenges. In Plateau, we remain committed to enhancing the business environment, particularly for manufacturers, to flourish. We anticipate the return of the Coca-Cola production line to Jos, and we are committed to collaborating on any necessary actions. Additionally, we aim to eradicate double taxation, enhancing the cooperative opportunities. Our aspiration is to strengthen our partnership with MAN and accomplish more for our state.

Caleb Mutfwang

16,135 Aufrufe • vor 2 Jahren

“Mr. President, we love you, but we disagree with your statement that the flooding in Accra is not an engineering problem. There are many engineering challenges in the city, particularly concerning our drainage systems and bridges. The Klagon Bridge is one example, as the engineer chose to use culverts to channel water despite the volume and force of the flow.” — Ghanaian musician Kwaw Kese shares his views on the recurring floods in Greater Accra, arguing that engineering flaws and poor drainage infrastructure are major contributing factors.
4:10

“Mr. President, we love you, but we disagree with your statement that the flooding in Accra is not an engineering problem. There are many engineering challenges in the city, particularly concerning our drainage systems and bridges. The Klagon Bridge is one example, as the engineer chose to use culverts to channel water despite the volume and force of the flow.” — Ghanaian musician Kwaw Kese shares his views on the recurring floods in Greater Accra, arguing that engineering flaws and poor drainage infrastructure are major contributing factors.

𝐀𝐒𝐊

17,412 Aufrufe • vor 1 Monat

The Republic of Togo has been thrown into a state of turmoil amidst widespread agitations and protests over constitutional reforms that allow the current president, Faure Gnassingbé to remain in power indefinitely. Youth groups and activists have led the major protests, calling for his immediate resignation in the first ever protests since 2022, after a ban on mass demonstrations was imposed. A son of the former president of Togo, Gnassingbé Eyademéma, the 59-year old was sworn in after the death of his father in 2005 and has since ruled the nation. In May 2025 after a completion of his 20 years rule in February, he was sworn in as the first president of the Council of Ministers, a powerful role that has no official term limits and described by opposition figures as a ‘constitutional coup’.
0:15

The Republic of Togo has been thrown into a state of turmoil amidst widespread agitations and protests over constitutional reforms that allow the current president, Faure Gnassingbé to remain in power indefinitely. Youth groups and activists have led the major protests, calling for his immediate resignation in the first ever protests since 2022, after a ban on mass demonstrations was imposed. A son of the former president of Togo, Gnassingbé Eyademéma, the 59-year old was sworn in after the death of his father in 2005 and has since ruled the nation. In May 2025 after a completion of his 20 years rule in February, he was sworn in as the first president of the Council of Ministers, a powerful role that has no official term limits and described by opposition figures as a ‘constitutional coup’.

SIKAOFFICIAL🦍

313,096 Aufrufe • vor 1 Jahr

U.S. forces shot down two Iranian attack drones targeting commercial ships in the Strait of Hormuz just hours after President Trump said he had called off planned strikes on Iran. The incident comes as Washington and Tehran continue negotiating a potential agreement aimed at preventing Iran from obtaining a nuclear weapon. Iranian state media claims a draft deal includes sanctions relief, troop withdrawals, and the release of frozen funds, but major nuclear and economic issues remain unresolved and no final agreement has been signed, Max Gorden reports.
1:53

U.S. forces shot down two Iranian attack drones targeting commercial ships in the Strait of Hormuz just hours after President Trump said he had called off planned strikes on Iran. The incident comes as Washington and Tehran continue negotiating a potential agreement aimed at preventing Iran from obtaining a nuclear weapon. Iranian state media claims a draft deal includes sanctions relief, troop withdrawals, and the release of frozen funds, but major nuclear and economic issues remain unresolved and no final agreement has been signed, Max Gorden reports.

Fox News

282,065 Aufrufe • vor 2 Monaten

“This year’s mood is dampened by the abduct!0n of our children in Oyo and borno, we remain hopeful for their safe return. To b@nd!ts, k!dn@pp£rs, and sponsors of terror: surrender or face the full force of the Nigerian state. These windows of surrender will not remain open forever. No mercy will be shown to those who trade in the bluud of Nigerians” - President Tinubu
2:55

“This year’s mood is dampened by the abduct!0n of our children in Oyo and borno, we remain hopeful for their safe return. To b@nd!ts, k!dn@pp£rs, and sponsors of terror: surrender or face the full force of the Nigerian state. These windows of surrender will not remain open forever. No mercy will be shown to those who trade in the bluud of Nigerians” - President Tinubu

Oyindamola🙄

26,027 Aufrufe • vor 2 Monaten

Mayor Frey, unlike Texas, Louisiana and Utah, you and the state of Minnesota refuse to cooperate with ICE. Nearly 470 criminal illegal aliens have been released onto MN streets after your state ignored our detainers. Additionally, over 1,360 criminal illegal aliens remain in state custody, with no indication that our detainers will be honored. Texas, Louisiana and Utah do not ignore our immigration detainers.
1:36

Mayor Frey, unlike Texas, Louisiana and Utah, you and the state of Minnesota refuse to cooperate with ICE. Nearly 470 criminal illegal aliens have been released onto MN streets after your state ignored our detainers. Additionally, over 1,360 criminal illegal aliens remain in state custody, with no indication that our detainers will be honored. Texas, Louisiana and Utah do not ignore our immigration detainers.

U.S. Immigration and Customs Enforcement

142,791 Aufrufe • vor 7 Monaten

There's no such thing as a 'slow week' in elephant conservation. Habitats need constant protection, our herd of 80+ dependent elephants requires round-the-clock care, and emergencies are simply part of the work. But even by our standards, last week was exceptional. To read the full week in review, including detailed diary entries for each day, visit:
0:59

There's no such thing as a 'slow week' in elephant conservation. Habitats need constant protection, our herd of 80+ dependent elephants requires round-the-clock care, and emergencies are simply part of the work. But even by our standards, last week was exceptional. To read the full week in review, including detailed diary entries for each day, visit:

Sheldrick Wildlife Trust

12,255 Aufrufe • vor 1 Jahr