ST-segment elevation myocardial infarction (STEMI)

Latest STEMI content in interventional cardiology - research, practice, and education

Treating STEMI brings into play a series of clinical and organisational protocols in constant evolution. Today, patients presenting with STEMI are best treated by early reperfusion strategies of which primary PCI is the preferred method. Keep up-to-date on the role of adjunctive pharmacotherapy, advances in imaging techniques and the use of invasive imaging and functional assessment. Tools, devices and techniques as well as complications, such as the different types of vascular access or bleeding risk can be found here as well…

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Fractional flow reserve-guided complete or culprit-only PCI in patients with ST-elevation myocardial Infarction - FULL REVASC

08 Apr 2024

Nicola Ryan provides her take on the FULL REVASC trial which was presented at ACC.24 in Atlanta and published Simultaneously in NEJM.

The FULL REVASC trial is a multicentre registry-based randomised control trial comparing FFR-guided complete revascularisation of non-culprit lesions versus culprit lesion PCI alone in patients presenting...

Nicola Ryan

Author

Nicola Ryan
FFR-guided complete or culprit-only PCI in patients with STEMI

Intravascular ultrasound-guided versus angiography-guided percutaneous coronary intervention in acute coronary syndromes: The multicenter, randomized, blinded, IVUS-ACS Trial

09 Apr 2024

Marco Spagnolo and Daniele Giacoppo report the main results of the IVUS-ACS trial presented by Shao-Liang Chen, from the Nanjing First Hospital, Nanjing Medical University, Nanjing, in a Featured Clinical Research session at ACC.24 in Atlanta and simultaneously published in The Lancet.(1)

Daniele Giacoppo

Author

Daniele Giacoppo
Marco Spagnolo

Author

Marco Spagnolo
IVUS-guided vs angiography-guided PCI in acute coronary syndromes

Preventive PCI or medical therapy alone for atherosclerotic coronary vulnerable plaques (PREVENT)

08 Apr 2024

Ali Nazmi Calik provides his take on the results of the PREVENT trial presented at ACC.24 in Atlanta.

Author

Ali Nazmi Calik
Preventive PCI or medical therapy alone for atherosclerotic coronary vulnerable plaques

Post-TAVI cardiac arrest associated to acute coronary occlusion: facing the storm to gain calm

26 Jan 2024

Observe this TAVI case featuring pulseless electrical activity due to an unforeseen acute occlusion of the right coronary artery, and discover the strategies employed to address and resolve this critical complication.

Authors :

Juan Guzmán Olea, Gonzalo Tolosa Dzul, Beatriz Villegas González, Jonathan Uribe González,  Guillermo Arenas Fonseca, Tomás Herrera Arzola, Rosa Gutiérrez Castañeda, Víctor Sustaita Cerda, Raúl Cruz Palomera, Arely Méndez Mercado, Darío Valencia González, Carlos Javier González Álvarez, Héctor Hugo Escutia Cuevas, Daniel Iván Pérez Vásquez, Gabriel Guzmán Olea.Specialty Hospital, Puebla, IMSS, México
Post-TAVI cardiac arrest associated to acute coronary occlusion: facing the storm to gain calm

Pretreatment with P2Y12 inhibitors in ST-segment elevation myocardial infarction - insights from the Bern-PCI Registry

26 Jan 2024

This study sought to compare outcomes between patients presenting with STEMI before and after the recent ESC guidelines for the management of ACS recommend against pre-treatment with P2Y12 inhibitors in STEMI patients.

Reviewer

Leonidas Koliastasis
Panagiotis Xaplanteris

Reviewer

Panagiotis Xaplanteris
Pretreatment with P2Y12 inhibitors in ST-segment elevation myocardial infarction - insights from the Bern-PCI Registry

Cardiovascular pot pourri

07 Dec 2023 – From GulfPCR-GIM 2023

In this selection of Clinical Case submissions to GulfPCR-GIM 2023, explore a wide variety of scenarios, such as a rare case of double primary ischemic stroke compounded by a myocardial infarction, and neoatherosclerosis leading to late stent failure.

Stuck between a rock and a hard place: when calcium is the enemy!

07 Dec 2023 – From GulfPCR-GIM 2023

Have you ever wondered what tools and techniques to use when faced with calcified lesions? Watch this session to discover various cases of severely calcified lesions: the use of IVUS guidance and rota-cut when faced with tough calcium, PCI of a stubborn fibrotic coronary lesion, as...

When complications storm through the cathlab: part 2

07 Dec 2023 – From GulfPCR-GIM 2023

The continuation of this session focuses on complications that may occur during PCI in the cathlab. Through the lens of these cases, be prepared about what type of complications one might face during PCI, and get updates on the latest guidelines and tools developed for emergencies.

Challenging structural interventions: part 2

07 Dec 2023 – From GulfPCR-GIM 2023

In this session, discover challenging structural interventions cases, such as the treatment of a large perm catheter related right atrial massa, transcatheter tricuspid valve-in-valve, post-TAVI severe hypotension, and more!

Challenging STEMI scenarios: part 2

07 Dec 2023 – From GulfPCR-GIM 2023

In this session, delve into intricate STEMI cases, featuring presentations on the challenges of primary PCI for left main, the significance of IVUS in STEMI patients during primary PCI, a compelling exploration of myocardial infarction in an anomalous coronary artery, and much more!