Primary PCI dilemmas: when imaging saves the day

Session comprising selected EuroPCR 2026 clinical cases submissions

Moderators: G. Guagliumi, S. Gunasekaran

Speakers: A. Esteves, M. Anwar, A. Barioli, M. Leoncini, M. Cankovic, T. Bhatia

Summary

This session highlights the pivotal role of imaging in resolving dilemmas during primary percutaneous coronary intervention (PCI). It presents complex cases illustrating challenges such as coronary compression, thrombus burden in large vessels, and culprit lesion identification, including the use of high-definition intravascular ultrasound (HD-IVUS) to reclassify culprit lesions in acute coronary syndrome (ACS).

Presentations available when logged in:

Hope for the best but prepare for the worst
A fragile heart
An unusual case of coronary compression: decision-making under pressure
Big vessel big thrombus
Where is the culprit?
When the culprit is not the obstruction - HD-IVUS guided reclassification of the culprit in ACS

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Primary PCI dilemmas: when imaging saves the day

Session comprising selected EuroPCR 2026 clinical cases submissions

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