NSTEMI (Non-ST-segment elevation myocardial infarction)

Find all the latest content on NSTEMI published on this website.

NSTEMI is considered one of the leading causes of morbidity and mortality and its definition and treatment remains challenging requiring specific, adapted responses. Understanding different biomarkers, becoming aware of emerging new agents used in adjunctive pharmacotherapy, keeping abreast of advances in imaging techniques as well as the use of invasive imaging and functional assessment is critical. Tools, devices and techniques, and complications such as different types of vascular access or bleeding risks, can also be found here…

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NSTEMI

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How to deal with spontaneous dissection?

28 Apr 2021 – From EuroPCR 2021

In this session, get acquainted with pull-back injection technique for urgent treatment of a SCAD, wonder about spontaneous coronary artery dissection, find out more about severely symptomatic extensive spontaneous coronary artery dissection, and be confronted with an unusual presentation for a STEMI.

EuroPCR 2021 How to deal with spontaneous dissection?

CTO anterograde approach

28 Apr 2021 – From EuroPCR 2021

This session aims at helping you choose the right equipment for successfull anterograde CTO crossing, how not to neglect active and passive supports in CTO, appreciate antegrade dissection and re-entry (ADR), and more!

EuroPCR 2021 CTO anterograde approach

Coronary dissection - Part 1

28 Apr 2021 – From EuroPCR 2021

This session will help you know how to manage an iatrogenic intramural haematoma, how to treat a large pseudoaneurysm following PCI in SCAD, how to dissect flow-limiting spontaneous coronary, and much more!

EuroPCR 2021 Coronary dissection - Part 1

How to easily load equipment onto small gauge guidewire?

19 Apr 2021

Using a standard syringe is a simple and cost-effective method to facilitate the loading of cath lab equipment onto a small gauge guidewire. This method has a fast learning curve and can be readily done...

Author

Shayef Gabasha
My toolkit: how to easily load equipment onto small gauge guidewire?

Complications during complex PCI

14 Apr 2021 – From EuroPCR 2021

Don't miss this session if you want to be prepared if you discover what you can least expect during complex PCI, or in case of uncommon complication during a complex PCI procedure.

EuroPCR 2021 Complications during complex PCI

Complications during radial access

14 Apr 2021 – From EuroPCR 2021

Watch this session to find out more about a life-threatening complication of radial access, together with a rare complication highlighting the need to respect the radial artery.

EuroPCR 2021 Complications during radial access

Role of imaging in enhancing PCI guidance

14 Apr 2021 – From EuroPCR 2021

Watch this session to find out more about the DK Culotte strategy regarding OCT-guided left-main bifurcation, to learn how to manage stent thrombosis at coronary bifurcation thanks to OCT guidance, and to follow ultra-low contrast PCI step by step, just to begin with!

EuroPCR 2021 Role of imaging in enhancing PCI guidance

A mix of complications in interventional cardiovascular medicine

14 Apr 2021 – From EuroPCR 2021

In this session, you will learn how to adopt the right method when bleeding challenges guidelines, retrieve a fractured driveshaft tip of orbital atherectomy system by micro basket, guide catheter delamination during left main stenting after TAVI, and much more!

EuroPCR 2021 A mix of complications

Stent dislodgement / Fracture - Part 2

14 Apr 2021 – From EuroPCR 2021

This session will help you learn more about bail out strategies in case of stent fracture, especially when facing calcified lesions, analyze post left main stenting sparkle in aorta, find out more about floating left anterior descending artery stents, and more!

EuroPCR 2021 Stent dislodgement / Fracture - Part 2

Stent dislodgement / Fracture - Part 1

14 Apr 2021 – From EuroPCR 2021

In this session, get the chance to examine an unusual case of deformation of ostial left main stent, learn how to manage stent dislodgement during primary PCI, get familiar with novel handling in stent dislodgement, and more!

EuroPCR 2021 Stent dislodgement / Fracture - Part 1

Challenging cases in difficult clinical scenarios

14 Apr 2021 – From EuroPCR 2021

Thanks to this session, you will know more about how to manage simultaneous myocardial infarction and arm ischemia, how to facilitate antegrade wiring of tortuous RCA thanks to sub-intimal dissection and stabilisation, how to guide the way when handling a difficult graft PCI, and more!

EuroPCR 2021 Challenging cases in difficult clinical scenarios

Nightmares in the cath lab: prevention is better than cure

14 Apr 2021 – From EuroPCR 2021

In this session, watch a case of emergency high-risk PCI following TAVI in bicuspid anatomy, discover an unconventional treatment for re-stenosis, study how to deal with an emergency LM PCI in a young patient with ACS, and much more!

EuroPCR 2021 Nightmares in the cath lab: prevention is better than cure

Impact of post-stenting fractional flow reserve on long-term clinical outcomes - The FFR-SEARCH Study

29 Apr 2021

The objective of this analysis was to prospectively investigate the clinical impact of post-PCI FFR values on long-term clinical outcomes.

M. Pighi

Reviewer

Michele Pighi
Impact of post-stenting fractional flow reserve on long-term clinical outcomes - The FFR-SEARCH Study

Uninterrupted oral anticoagulant therapy in patients undergoing unplanned percutaneous coronary intervention

13 Apr 2021

This large-scale analysis sought to compare interrupted and uninterrupted OAC therapy in patients taking OAC undergoing unplanned coronary angiography or PCI for suspected acute coronary syndrome.

Daniele Giacoppo

Reviewer

Daniele Giacoppo
Cumulative rate of outcomes

Identification of vulnerable plaques and patients by intracoronary near-infrared spectroscopy and ultrasound (PROSPECT II)

29 Mar 2021

This is the first prospective natural history study to evaluate the utility of comprehensive intravascular imaging with both IVUS and NIRS in predicting future adverse events following acute myocardial infarction.

Tara Jones

Reviewer

Tara Jones
Dr. Mirvat Alasnag

Reviewer

Mirvat Alasnag
CCT and NIRS imaging illustrating plaque consistency in a culprit lesion

High bleeding risk and clinical outcomes in East Asian patients undergoing percutaneous coronary intervention: the PENDULUM registry

25 Feb 2021

The study aimed to evaluate the validity of the Academic Research Consortium for High Bleeding Risk (ARC-HBR) criteria for East Asian patients undergoing contemporary percutaneous coronary intervention (PCI) from the PENDULUM registry.

Authors :

Masato Nakamura, Kazushige Kadota, Koichi Nakao, Yoshihisa Nakagawa, Junya Shite, Hiroyoshi Yokoi, Ken Kozuma, Kengo Tanabe, Raisuke Iijima, Atsushi Harada, Takeshi Kuroda, Yoshitaka Murakami
EuroIntervention: the PENDULUM registry

3-year outcomes of the ULTIMATE trial comparing intravascular ultrasound versus angiography-guided drug-eluting stent implantation

23 Feb 2021

ULTIMATE provides additional long-term randomised control data showing the benefit of IVUS guided PCI in an all-comers population.

Nicola Ryan

Reviewer

Nicola Ryan
ULTIMATE was a randomised control trial comparing IVUS vs DES implantation in 1,448 allcomers.

PCI optimisation in ACS patients

12 Dec 2020 – From GulfPCR-GIM 2020

Watch this session to learn through case examples how to optimise the treatment and results of ACS patients both at the short and long-term and to understand the importance of physiology assessment in ACS and the latest evidence from the field.

This session was originally presented during...

PCI optimisation in ACS patients

The EURO SHOCK Trial: Design, aims and objectives

19 Nov 2020

Randomised comparison of extra corporeal membrane oxygenation (ECMO) delivered after acute-PCI plus standard of care versus standard of care alone after acute PCI, in patients presenting with ACS and cardiogenic shock

Dr. Mirvat Alasnag

Reviewer

Mirvat Alasnag
The EURO SHOCK Trial: Design, aims and objectives

The impact of COVID-19 pandemic on interventional cardiologists in training

23 Oct 2020

In collaboration with EuroIntervention Journal

The authors decided to create a survey tailored for ICTs in order to assess the changes in their training. Capturing the essence of the responses may help to identify the most appropriate strategies to provide the highest standards and skills achievements in COVID-19...

The impact of COVID-19 pandemic on interventional cardiologists in training