Case 27: Manual of non-CTO coronary interventions: STEMI and shock

A patient presented with STEMI and underwent emergency coronary angiography that demonstrated LAD occlusion and an ulcerated lesion in the mid circumflex. The LAD was re-opened with balloon angioplasty followed by evaluation for surgery, but he was turned down for CABG. PCI of the circumflex lesion was complicated by no-reflow likely due to distal embolization. The patient subsequently had PEA arrest, treated with Lucas and VA-ECMO. This case highlights challenges associated with treatment of STEMI patients, including identifying the culprit lesion(s), preventing no reflow, and preventing and treating hemodynamic decompensation.

Видео Case 27: Manual of non-CTO coronary interventions: STEMI and shock канала Manos Brilakis