Lots of interesting abstracts and cases were submitted for TCTAP & AP VALVES 2020 Virtual. Below are accepted ones after thoroughly reviewed by our official reviewers. Don¡¯t miss the opportunity to explore your knowledge and interact with authors as well as virtual participants by sharing your opinion!
* The E-Science Station is well-optimized for PC.
We highly recommend you use a desktop computer or laptop to browse E-posters.
CASE20191115_020
| CORONARY - Acute Coronary Syndromes (STEMI, NSTE-ACS) | |
| Multivessel Disease in ST-Elevation Myocardial Infarction: Should We Stick on the Culprit Only Strategy? | |
| Muhammad Fadil1, Deri Arara2 | |
| M. Djamil General Hospital Padang, Indonesia1, M. Djamil Hospital, Indonesia2, | |
|
[Clinical Information]
- Patient initials or identifier number:
Mr. A, 71 years old
-Relevant clinical history and physical exam:
71-year-old male came to the hospital with a chief complain was chest pain since 3 hours before admission. the CAD risk factor was smoker. the physical examination was unremarkable with BP: 80/50 mmHg, HR 100 bpm, RR 24 tpm.
-Relevant test results prior to catheterization:
ECG: sinus tachycardia with ST elevation V2-V6, ST depression at II, III, aVF
High sensitivty troponin was positive  - Relevant catheterization findings:
|
|
|
[Interventional Management]
- Procedural step:
We performed PPCI using 6Fr SBS guiding catheter to LCA. From the CAg we found total occlusion at LAD. Then we advanced the wire through the LAD using ASAHI SION blue wire. After that we performed LCA graft and found multiple stenosis at LAD. After that we performed balloon inflation using 2.5x15 mm 10-14 atm at LAD.-LM. After that we advance the second wire to LCX. after that we inflated the balloon 2.75x15 mm at proximal LCX 10-14 atm. After that we put the DES 2.75x 18 mm to distal LM- proximal LCX 10 atm for 20 seconds. Then we inflated the 2.75x15 mm balloon to LM-proximal LAD 10-14 atm. After that we put DES 2.75x28 mm to LM-proximal LAD with 10 atm for 20 seconds. After that we switched the LAD and LCX wire and the we put a balloon stent to LAD and LCX. after that we inflated the balloon and performed the kissing baloon procedure. the result was TIMI flow 3 MBG 3.
 Media20.wmv Media21.wmv- Case Summary:
Multivessel disease in STEMI patient should be intervened during index hospitalization furthermore if the patient already in the cardiogenic shock condition. The procedure could be challenging but the intervention is mandatory.
|
|
0