Best Practices in Cath Lab Management for STEMI Enduring-Case of STEMI in a Large Bifurcation Vessel

Case of STEMI in a Large Bifurcation Vessel

Video Transcription

Video Summary

The video presents a case study of a 51-year-old man who experienced a stent thrombosis three years after having a stent inserted. The patient, experiencing ST elevation myocardial infarction (STEMI), received immediate treatment. During the angioplasty procedure, challenges arose due to a bifurcation lesion and missing left anterior descending (LAD) artery. Various strategies, including wire escalation, thrombectomy, and stenting, were employed. Despite complications and ventricular fibrillation, the intervention restored flow to the diagonal artery. The case highlighted the importance of careful stent sizing and strategic treatment decisions in managing complex coronary lesions.

Asset Subtitle

Mauricio Cohen, MD, FSCAI

Keywords

stent thrombosis

STEMI

bifurcation lesion

angioplasty

coronary lesions