Anamolous RCA. inf STEMI. primary pci of Anamolous RCA.
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- čas přidán 13. 06. 2023
- Young male presented with inf STEMI. unable to locate RCA from rt radial access. switched to femoral access. Anamolous RCA arising from left aortic sinus. AL1,MP,AR2 failed to engage. AL2 used. nonselectuve inj showed total occlusion of rca. unable to engage selectively. free wiring used to cross in rca. GEC 6f wasn't crossed the 2nd bend of AL2. so 5.5f GEC used to engage the rca. then it was easy to deploy the stent timi III flow achieved.
Great case and wonderful result. The problem with AL2 is that it hooks non-selectively and ultimately volume of contrast is more. In this case, EBU 3/3.5 can also be tried.
Salam ar salamti ho tujh pe,Allah tujeh khair ka zariya banaey rakhy,tu logon ki takleefon ko rahat may badalta reh,tu issi kam k liye paida kiya gaya,apni takhleeq k maqsad ko na bholna,tujh se issi baray sawal hona,yehi teri ibaadat,farz namaz k baad.Allah ka quub chaheay tou apni ibaadat may jhol na aanay dyna.Allah tera Hami o Nasir ho,ameen ya Rub
G baba jan. Ap ki nigha ki zaroot ha
Very good job
JL4 radial route is your man
Excellent Case Sir. Masha Allah ❤❤
Using AL is much tricky and it's the beauty of your hand to handle it in such case.
I have done such cases with JL3.5 guide , that made a 360 degree loop ,engaged the RCA well and gave good support throughout the procedure.
I have seen many people using EBU as well.
Yes, AL, JL, EBU all are viable options.
Mashaa Allah , very nice case sir
Excellent job
Respect
Undersized JL catheter with guidelines support will be very useful.
Agreed
👍
Congratulations for doing such a nice case which drugs do you use in your lab for managing slow flow?
IC nitrate, adenosine, verapamil, and in extreme scenario adrenaline.
@@drimranhanifhashmi5442 we're generally using nicorandil, diltiazem and Adrenaline. nicorandil is generally hemodynamically neutral
AL 0.75 ?
AL 2