ECG: inferior wall STEMIOther lab data: all normal.CPK, CPK-MB, cardiac troponin-I: all within normal range. J121264745_001.mov
Bil. CAG: right dominant.
LM: 10-20% stenosis.
LAD: Mild AS change & -D myocardial bridge, -D1 & -D2 ostium 80% stenosis.
LCX: -M angioectasia with aneurysm formation, -D 90% stenosis.
RCA: Diffuse angioectasia and aneurysm formation, -P to -M acute totally occluded.
*Vessels to be treated: RCA. J121264745_039.mov J121264745_004.mov J121264745_050.mov
Pre-hospital wireless transfer ECG system helps to identify STEMI patients.
Manual aspiration thrombectomy has it¡¯s limitation.
Although Angiojet thrombectomy is not recommended routine use, it is helpful in high thrombus burden ACS patients.
DAPT with anti-coagulation and aggrastat is effective pharmacological thrombectomy.
IABP is also helpful to improve perfusion in high thrombus burden ACS case.