This didactic procedure concerns a patient adressed from neighboring hospital for acute anterior STEMI within the first hour. The coronary angiography has shown distal left main stenosis and Proximal LAD thrombotic occlusion.
This procedure show how to deal wih crossing difficulties during primary PCI as well as management of "no reflow phenomenon".
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Mahmood H. What about the origin of circumflex need any thing to be done for it ?
Chris Z. the origin of the Circumflex was disease free on IVUS and that is one of the reasons e did the IVUS. it had a bit of corinal shift but no need to do anything. did a POT. Good result
Hesham M. Why did you stent the left Main ? what was the cross sectional area of left main ?
Chris Z. stented the left main as the disease extended into the left main and as the lesion was osteal with disease in the left main better long term result. high probability of missing the osteun with osteal stent as well. the left main was assessed by ivus and the stent was post dilated to the appropriate size.
Abdulhakim D. Do you need relook after stabilization?
Hasan F. Fine
Maria B. No comment
Rocco Edoardo S. Well done. Why don’t performe final kissing balloon LM-CX, but only POT?
Ahmed B. This comment has been moderated
Ahmed B. I think that it was because the instability of the patient, the complicated procedure, I think the operator tried to be efficacious and objectively the result was satisfactory with provisional in this context
Osman Ã. Thank you
bassem J. youforget tomention the stent xiencesierra 4x28mmput inthLMC
Ahmed B. @bassem J i think it was mentionned in the description !!!
Osman Ã. Thank you
Mohamed A. Well done
lotfi R. hello i cant watch movie
what format or app should i use
thanks
Ahmed B. Hello , Do you use phone or computer?
Pecheux M. What about thé diagonal?
Ahmed B. I think operators just accepted the result in the context of unstable patient...
mike P. utter cowboy
balloon support in fresh lesion threatens mayhem
who is this guy ?
Segal D. well done!
Tekten T. Ok
Tekten T. Good job
Tekten T.
ahmed B. Nice case, But I have a question regarding the ballon inflation in the ostial lesion with the wired not secured distally. I think if a dissection could have happened it would have turned into disaster with the wire hanging infront of the lesion