15 results
Wraparound LAD on Cardiac Catheterization

Answer: Proximal “Wraparound” LAD

Here’s a beautiful angiogram shot after reperfusion. Follow the
Wraparound LAD on ... exactly why the ECG ... Catheterization #CathLab ... #cardiology #clinical ... #fluoroscopy #angiography
Focal Takotsubo Cardiomyopathy on Ventriculogram Angiography 

55 year old, severe chest pain after death of close
Ventriculogram Angiography ... close relative, ECG ... diagnosis was STEMI ... Angiogram #clinical #cardiology ... #cathlab #fluoroscopy
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Inpatient Cath Lab ... ASAP: STEMI NSTEMI ... low (1-2) risk, +ECG ... #Inpatient #CathLab ... catheterization #cardiology
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Thrombus seen on Angiography ... Anterior wall STEMI ... Cardiogenic shock, ECG ... LMCA #Angiogram #CathLab ... #fluoroscopy
LAD Coronary Artery Dissection on POCUS

Severe CP x 1 hour, Ant/Sept STEMI on EKG.  ED
LAD Coronary Artery ... hour, Ant/Sept STEMI ... on EKG. ... Dissection #POCUS #Echocardiogram ... PSAX #Clinical #Cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... ACTIVATE CATH LAB ... ultrasound and fluoroscopy ... IMPELLA Coronary Angiography
In July 2015 the ACC/AHA proposed and published an algorithm to help stratify cardiac arrest patients
emergent cath lab ... activation for coronary angiography ... ROSC #Comatose #CathLab ... #NSTEMI #Activation ... Stratfication #Management #Cardiology
Wraparound LAD STEMI on Cardiac Cath
47 year old with chest pain. Ectopic atrial rhythm with ST
Wraparound LAD STEMI ... all wraparound LAD ... #STEMI #clinical ... #cardiology #CardiacCath ... #CathLab #fluoroscopy
Proximal LAD Obstruction on Cardiac Catheterization

Here’s a great shot of the vessel being opened up at
Proximal LAD Obstruction ... see the proximal LAD ... Catheterization #Cathlab ... #Fluoroscopy #cardiology ... #clinical #STEMI
Kugel's collateral (or Kugel's Artery): 
Collateral through interatrial septum from RCA sinus node branch to distal
of an occluded CX ... Artery #clinical #cardiology ... #angiography #angiogram ... #coronary #cathlab ... #fluoroscopy