Ischemia Stents Thrombolysis 
Stroke: Vascular and Interventional Neurology
NOVEMBER 9, 2023
Rescue treatment with stenting, balloon angioplasty, and/or intraarterial thrombolysis or antiplatelets are often required to treat the underlying stenosis. 4 Recent literature has reported clinical benefits associated with rescue stenting in the setting of ICAD‐related MT‐refractory strokes.5
Dr. Smith's ECG Blog
MARCH 9, 2013
A stent was placed. For those who depend on echocardiogram to confirm the ECG findings of ischemia, this should be sobering. In this case, the duration of ischemia was so brief that there was no such evolution, and there was near-normalization. Ischemia may be so brief that Wellens' waves do not evolve 3. Lessons: 1.
EMS 12-Lead
AUGUST 14, 2022
A second 12 Lead ECG was recorded: This is a testament to the dynamic nature of coronary thrombosis and thrombolysis. One stent was deployed with restorative TIMI-0 flow. The patient verbalized spontaneous improvement just before 324mg ASA administration. But the lesion is still active! However, when the Troponin I returned 8.4
Dr. Smith's ECG Blog
MARCH 11, 2016
It was treated with and dual "kissing balloons" and drug eluting stents. Here is the post stent ECG: There is greater than 50% resolution of ST elevation (all but diagnostic of successful reperfusion) and Terminal T-wave inversion (also highly suggestive of successful reperfusion). TIMI flow is 0. Door to balloon time was 51 minutes.
Dr. Smith's ECG Blog
MARCH 14, 2025
He eventually underwent CAG, where a circumflex occlusion was stented. This case highlights how T-waves are very important in the assessment of ischemia and dynamic changes in acute coronary syndrome. I have often seen colleagues worry about T-wave inversions as a sign of ongoing ischemia.
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