Late Inferior MI and PCI
+ Featured Presentations
83-year old male with multivessel disease, with a 95% LAD/Diagonal Bifurcating Lesion and LVEF of 45%
Terumo Transradial Series Introduction
Starting a Successful Transradial Intervention Program
Transradial PCI Tips and Tricks
Transradial Intervention Can Better Manage QOL and Economics by Reducing Bleeding Complications
Transradial Intervention Is Necessary in the Modern Era
78-year old male with 80% Long Calcific LAD/Diagonal Bifurcating Lesion. LVEF 50%
Case: 87-year old female with heavily Calcified (90%) Left main and (80%) multiple LAD disease and LVEF of 50%
50 year old male with trifurcating LAD lesion involving first septal, first diagonal and mid LAD. LVEF 50%
85yr old male with multi-vessel disease and a left ventricular ejection fraction (LVEF) of 20%
Using IVUS and FFR to Diagnose and Treat Patients With Multivessel Disease
Practical Approaches for Management of STEMI
Peripheral CTA for the diagnosis of PVD
Primary AngioJet For Stent Thrombosis
Cardiovascular Imaging Today and Tomorrow
Emerging Technologies in CTA
Cardiac CTA and the Benefits of High CCM
CTA for Coronary Artery Calcium Scanning
+ Discussion
Presented By:
Late Inferior MI and PCI
Clinical review of treatment STEMI patient and successful removal of Thrombus
by Tejan Patel on 2009-09-20
I enjoyed your presentation. Rather than clot how about air embolism as it moved so nicely and final result was excellent without cut off. If it was clot it would be very hard to achieve final result without removing old clot. I had similar problem once, with aspiration catheter with co-pilot y adapter using aspiration catheter it sucks air from outside and we do not back bleed then air still in the guide results in air lock. Thanks, Tejan.
by morton kern on 2009-09-03
Thank you for your insightful comment. The manual aspiration catheters are very effective at thrombus aspiration but the potential to loose fragments is real as shown in our case. Our understanding is improved by reminding operators to let back bleeding empty the guide and wire connector of anything that got away. The angiojet works very well but takes longer to set up. Either device is appropriate and assists in better outcomes. M. Kern
by on 2009-08-17
I rather enjoyed Dr. Kern's presentation on the management of a thrombosed AMI and learned a lot about how this event is managed in his facility. But, I do have a question; if a Pronto (manual aspiration) was used to remove thrombus from the RCA post PTCA and part of that particular thrombus was dislodged and migrated downstream upon the following angiogram, shouldn't manual aspiration devices have their limitations? Shouldn't other devices such as AngioJet that is designed for larger thrombus laden lesions be considered? There was a LARGE segment of thrombus that Dr. Kern found in the Y-Connector of the guide system. I would hate to see that make it's way back to the patient. Overall, fantastic result Dr. Kern!!!