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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STEMI

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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

Challenging scenarios in STEMI patients

14 Apr 2021 – From EuroPCR 2021

In this session, you'll discover challenging STEMI cases: STEMI with cardiogenic shock and no vascular access for mechanical support, anterior STEMI with critical LMCA stenosis, double culprits STEMI, and much more!

EuroPCR 2021 Challenging scenarios in STEMI patients

Primary PCI: surprise, surprise!

14 Apr 2021 – From EuroPCR 2021

Thanks to this session, view an unusual posterior wall infarction, study a "nightmare" acute coronary syndrome case in the EP Lab, consider STEMI with lots of clots, and more! 

EuroPCR 2021 Primary PCI: surprise, surprise!

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

Giant right coronary artery aneurysm unmasked in the setting of STEMI: killing two birds with one stone

09 Apr 2021

Consult this Twitter case from Ricardo Sanz: an 80-year-old man presenting with inferior STEMI, primary PCI being complicated by the presence of a giant coronary aneurysm in the RCA that hindered the advancement of wires and material towards a small and hidden entry point. Creative off-label...

Ricardo Sanz-Ruiz

Author

Ricardo Sanz-Ruiz
Giant right coronary artery aneurysm unmasked in the setting of STEMI

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

How should I treat residual large right coronary thrombus in a recent-healed COVID-19 patient with ST-Segment Elevation myocardial infarction (STEMI)?

28 Apr 2021

A 44-year-old man, smoker, overweight, recently declared healed from COVID-19, was admitted to our institution for acute myocardial infarction with inferior ST-Segment elevation...

Author

Matteo Conte

Author

Carolina Moretti

Author

Marco Balducelli

Author

Matteo Aquilina

Author

Elisabetta Moscarella

Author

Paolo Calabrò

Author

Andrea Rubboli
How should I treat residual large right coronary thrombus in a recent-healed COVID-19 patient with STEMI?

Entrapment of the Impella heart pump in the mitral subvalvular apparatus

10 Feb 2021

A 47-year-old man presented with witnessed out-of-hospital cardiac arrest at his wedding and anterior ST-elevation myocardial infarction. Initial blood pressure was 90/60 mmHg with pulse of 115 beats/minute...

Authors :

N. Khalid, E. Shlofmitz, B.C. Case, R. Waksman
Entrapment of the Impella heart pump in the mitral subvalvular apparatus

Multimodality guided management of an unusual case of STEMI

22 Dec 2020

A 47-year-old woman without previous medical history was admitted for chest pain with ST-segment elevation in the inferolateral leads. Echocardiography showed inferior and infero-lateral wall hypokinesia with preserved global left ventricular function...

Multimodality guided management of an unusual case of STEMI