Bifurcation PCI in AMI Cardiogenic Shock-Bifurcation in AMI Cardiogenic Shock, Case 1

Video Transcription

Video Summary

The video describes the case of an 80-year-old patient who presented with right-sided neck pain and a history of TIA. The patient had an ECG showing possible ST elevation in leads III and AV-F with ST depressions in leads V1 to V3. The emergency department activated the cath lab and performed a CTA, which revealed no dissection or PE. The patient had ongoing symptoms and was taken to the cath lab, where it was discovered that he had left main disease, occlusion of the right coronary artery, and a culprit lesion in the mid circumflex artery. The procedure involved PCI with stents placed in the left main and circumflex arteries. The patient's hemodynamics improved, a balloon pump was used for support, and the patient was discharged the following day with no angina or hospitalizations. The case demonstrates the use of imaging, such as IVUS, to guide treatment decisions, the rationale for intervention versus medical management, and the importance of complete revascularization in certain patients.

Asset Subtitle

M. Baber Basir, DO, FSCAI

Keywords

80-year-old patient

neck pain

TIA

ST elevation

cath lab

PCI

IVUS