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Stenting of the patent ductus arteriosus can be considered in neonatal period for improving oxygen saturation till corrective surgery. 2013 Dec;23(6):883-7. Beyond diagnostic right heart catheterization, palliative transcatheter interventions are useful both pre and post operatively in tetralogy of Fallot. Arch Med Sci Atheroscler Dis.
link] A 62 year old man with a history of hypertension, type 2 diabetes mellitus, and carotid artery stenosis called 911 at 9:30 in the morning with complaint of chest pain. The image on the left shows the LAD before intervention, and the red circled portion on the right indicates the stented region.
Jeffery Dormu was a double board certified vascular surgeon who was paid $13 million dollars by Medicare alone between 2013 and 2017. Dormu performed an aortogram of the bilateral lower extremity with bilateral iliac runoff, which revealed a 90% stenosis of the right superficial femoral artery and 100% occlusion of all three tibial vessels.
It was stented. Also, anterior MI could result from 1) ACS, but also from 2) severe ischemia due to combination of a hemodynamically significant LAD stenosis + severe hypotension during cardiac arrest. Current Emergency and Hospital Medicine Reports (2013) 1:4352. The troponin I peaked at 8.1. References : 1. J Electrocardiol.
7) The 2013 ACC/AHA STEMI guidelines consider this a “STEMI equivalent,” where thrombolytic therapy is not contraindicated (Evidence level B, no specific class of recommendation).(16) baseline LVH, demand ischemia secondary to respiratory failure, aortic stenosis, hemorrhagic shock). TIMI 0/1 flow).(61,62) Knotts et al.
So the patient was taken for emergent cath, showing: Culprit artery: LAD (100% stenosis, TIMI 0) requiring thrombectomy and stent. Queen of Hearts interpretation: Now the cardiologist considered it "STEMI"!
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