左冠脉主干病变急诊行经皮冠脉介入治疗.pptVIP

Emergent PCI for LM Disease; General SituationYuan XX, male 75 yrs;Hypertension for 20 yrs, NIDDM for 10 yrs;2 yrs ago,had 2 DES in LAD (no detail) Severe chest pain, with heavy sweat on March 22,2008 8:30 am. With V2-V6 ST segment elevation.About 10:20 am, the emergent coronary angiogram was done.  HR: 89/min, BP: 110/75mmHg,PO2: 98%;;;;What’s the Strategy, next?PCI or emergent CABG ?;What we had done? Emergent PCI with IABP support;;;A morning 3 days later ;What’s the problem in this re-occluded: ;