Everything in moderation is essential in CTO and non-CTO lesions for example in STEMI patients who have dyspnea on the table and possible pre-Pulmonary edema, key is to avoid multi-vessel PCI in this emergency settings and focus on the culprit with minimal contrast use to avoid critical pulmonary edema that can have bad outcomes especially if the LV function is severely depressed.
@georgetouma54302 жыл бұрын
Manos great case! - we keep the concerto coils (large size) on shelf with a rebar or progreat microcatheter. Its exaxtly the same coil as the axium except they are not 0.014 and have fibrin strands. Only problem is you need to keep a progreat or rebar catheter and block and deliver requires 7F. Thrombin via a microcatheter and the blocking balloon to minimise back flow is a very good alternative in these cases as it will seal the perforation but allow repeat intervention in the future. Just a thought
@shangz02162 жыл бұрын
Thanks for the excellent case presentation.
@ahmedrashedbasyouny56652 жыл бұрын
Too much lessons to learn .... Very interesting case
@svijaykumarreddy12422 жыл бұрын
Good teaching points
@dobryi_chel2 жыл бұрын
Great case! In my clinic Unfortunately we have not impella, but we have ECMO. Can we use ECMO in case like this?