ST-segment elevation myocardial infarction (STEMI)

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

Treating STEMI brings into play a series of clinical and organizational 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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STEMI

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Device-related complications and innovative solutions

10 Oct 2025 – From AICT-AsiaPCR 2025

Examine a comprehensive overview of device-related complications encountered during interventional cardiology procedures and the innovative solutions designed to overcome these challenges. This session features diverse case studies including stent dislodgement, aorto-ostial calcified vessel interventions, balloon entrapment, and rare anatomical fistula closures, illustrating practical management strategies.

Best Clinical Cases of AICT-AsiaPCR 2025

10 Oct 2025 – From AICT-AsiaPCR 2025

This session showcases the best clinical cases from AICT-AsiaPCR 2025, highlighting complex scenarios such as post-trauma ST-elevations, transcatheter aortic valve implantation complexities, CTO-PCI in high-bleeding-risk patients, and challenging device retrievals. It emphasizes clinical decision-making and innovative interventional techniques in diverse cardiac pathologies.

Unusual presentations and diagnostic dilemmas

10 Oct 2025 – From AICT-AsiaPCR 2025

This session addresses unusual clinical presentations and diagnostic challenges encountered in cardiology practice. It features diverse cases including trauma-induced adrenal injury, acute chest pain in young patients, complex bifurcation stenting techniques, and intramural hematoma management, highlighting the importance of comprehensive evaluation and tailored interventional strategies.

Innovative imaging and guidance techniques

10 Oct 2025 – From AICT-AsiaPCR 2025

This session delves into innovative imaging and guidance techniques essential for managing complex coronary interventions. It encompasses challenging scenarios such as spontaneous coronary artery dissection, imaging-guided PCI fine-tuning complications, ruptured sinuses, and complex PCI in elderly patients with severe left ventricular dysfunction. The session also addresses...

Best Abstracts of AICT-AsiaPCR 2025

10 Oct 2025 – From AICT-AsiaPCR 2025

This session showcases the best abstracts from AICT-AsiaPCR 2025, presenting cutting-edge research and clinical advancements in interventional cardiology. Topics include comparative evaluations of FFR techniques, predictive imaging markers, mechanical support in cardiogenic shock, novel diagnostic approaches, access strategies, TAVR outcomes, thrombectomy impact, STEMI management insights, and...

Coronary interventions: access, devices and outcomes

10 Oct 2025 – From AICT-AsiaPCR 2025

This session delves into the latest developments in coronary interventions, highlighting advances in vascular access techniques, innovative devices, and clinical outcomes. Topics include endothelial progenitor cell dysfunction in restenosis, the efficacy of distal radial artery (DRA) puncture and sheathless catheters in underserved areas, the use of...

NSTEMI, complex ACS and anatomy

10 Oct 2025 – From AICT-AsiaPCR 2025

This session focuses on complex cases involving non-ST elevation myocardial infarction (NSTEMI), acute coronary syndromes (ACS), and challenging coronary anatomy. It presents unique clinical scenarios such as pediatric rescue PCI, management of significant distal lesions with proximal PCI, anatomical variations complicating interventions, mixed cardiovascular disease management,...

STEMI, thrombus and emergencies

10 Oct 2025 – From AICT-AsiaPCR 2025

Focused on STEMI and acute thrombotic emergencies, this session presents a series of challenging cases involving heavy thrombus burden, acute total occlusions, and complex primary angioplasty scenarios. It explores innovative approaches beyond stenting, the role of drug-coated balloons in plaque erosion, and strategic decision-making in managing...

PCR @ TCT 2025 - Get the international perspective!

15 Oct 2025

Thanks to the contribution of a team of interventional cardiologists from around the globe, get the international perspective on Late-breaking Clinical Trials and Science released at TCT 2025 - check out the list below.

PCRonline @ TCT 2025 - get the international perspective!

Large thrombus burden management in a young patient with inferior STEMI and multivessel disease

08 Oct 2025

A 51-year-old man with an inferior STEMI and multivessel disease was found to have a thrombotic sub-occlusion in the mid RCA. Angiography also revealed significant disease in the LAD. How would you manage this case?

Antonio Landi

Author

Antonio Landi
Andrea Milzi

Author

Andrea Milzi
Marco Valgimigli

Author

Marco Valgimigli
Large thrombus burden management in a young patient with inferior STEMI and multivessel disease