How should I treat residual large right coronary thrombus in a recent-healed #COVID19 patient with #STEMI?
View the treatment options retained by the authors as well as the opinion of a different team 😷🩺! @deharo_pierre@SpychajC@IllescasEdgar
https://t.co/googZyX8y8
Severe under expansion DES treated by intravascular lithotripsy (shockwave 4.0) and 3.5 OPN NC balloon.
Procedure guided by OCT.
@deharo_pierre@CuissetDr
@Adolfoferrero@deharo_pierre@CuissetDr@aphm_actu Due to a small anatomy and a constrained aspect of the prosthesis, we first use a 20mm balloon (22mm in backup).
The Atlas gold 20mm was enough to fracture the mitroflow and improve the gradients.
Mitroflow 21 valve-in-valve TAVI with Acurate Neo S.
- Coronary protection x 2.
- Cracking with Atlas gold 20mm >>>mean gradient 6mmHg vs 30mmHg.
- Left Main PCI with ‘chimney technique’
@deharo_pierre@CuissetDr@aphm_actu