Case Summary A 60-year-old man presented with inferior STEMI. Right radial access was obtained and a 6-Fr Heartrail Ikari Left 3.5 guiding catheter was used to engage the RCA , which showed an occluded mid-RCA. A Sion Black wire was passed down the RCA and aspiration thrombectomy was performed using 6F Thrombuster II followed by … Continue reading Mini-culotte
Class #3: Mini-culotte
We discussed the following case: Case Summary: a 60-year-old man presented with inferior STEMI. Right radial access was obtained and a 6-Fr Heartrail Ikari Left 3.5 guiding catheter was used to engage the RCA , which showed an occluded mid-RCA. A Sion Black wire was passed down the RCA and aspiration thrombectomy was performed using 6F … Continue reading Class #3: Mini-culotte
Flush Occlusion
Case Summary A 67-year-old male presented with sudden onset of dyspnoea in context of diabetes and asthma. He was a delayed presentation, ambulance field transmission anterior STEMI and was found to be in acute pulmonary oedema, complete heart block and shock, requiring intubation. Bilateral femoral arterial access. Bilateral femoral arteriogran to document disease and vessel … Continue reading Flush Occlusion
Class #2: Flush Occlusion LAD (Anterior STEMI & Shock)
We discussed the following case: A 67-year-old male presented with sudden onset of dyspnoea in context of diabetes and asthma. He was a delayed presentation, ambulance field transmission anterior STEMI and was found to be in acute pulmonary oedema, complete heart block and shock, requiring intubation. Case Summary: Bilateral femoral arterial access. Bilateral femoral arteriogran to … Continue reading Class #2: Flush Occlusion LAD (Anterior STEMI & Shock)
PCI via LIMA
Case Summary PCI to LAD via LIMA through the left radial artery. A 6-Fr IM guide was used to engage the LIMA. As a result of severe tortuosity of the LIMA we encountered difficulty in advancing a Sion Blue wire down to the lesion which was distal to the LIMA-LAD anastomosis. We tried a Finecross … Continue reading PCI via LIMA
Class #1: PCI via LIMA
We discussed the following case today: PCI to LAD via LIMA and left radial artery Challenges encountered: Tortuous left subclavian and LIMA. Devices: Finecross, Caravel, Guide-liner Wires: Sion Blue, Sion, Suoh 3 Case Summary: a 6-Fr IM guide was used to engage the LIMA. As a result of severe tortuosity of the LIMA we encountered difficulty in advancing a Sion Blue wire … Continue reading Class #1: PCI via LIMA
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