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Proximal LAD Obstruction on Cardiac Catheterization Here’s a great shot of the vessel being opened up at cath. You can see the proximal LAD obstruction, the guide wire through the length of the artery, and that reperfusion has been established. Sam Ghali, M.D. @EM_RESUS #Proximal #LAD #Obstruction #Cardiac #Catheterization #Cathlab #Fluoroscopy #cardiology #clinical #STEMI