by Amin H. Karim MD
A 75 year old Caucasian female with HTN and Type II Diabetes Mellitus was admitted with few hours of chest pain. EG showed ST elevation in V1V2V3. STEMI team was called. She had no previous history of CAD. Had a negative EKG stress test just 6 months ago.
It took thrombus aspiration with Export catheter, IVUS, and placement of 3 stents totaling 80 mm to achieve this result
EKG stress test is not a reliable predictor of adverse coronary events. it can miss even severe coronary occlusive disease, as demonstrated above; Coronary Calcium score may have increased the sensitivity. The right coronary artery will be tackled two days after the myocardial infarction.
2 days after the LAD intervention, we tackled the RCA again requiring multiple stents to treat the multiple focal lesions; a total of 96 mm of stents were placed in the RCA.
GlobeMedic 