急性心肌梗死左主干闭塞急诊pci一例.pptxVIP

Provisional Crush Stenting in Left Main Artery during Primary PCI in AMI Patient after CPRHistoryFemale, 53yrs.Chest pain followed by unconsciousness in a shopping center near our hospital 3 hrs ago.No history of HT, HL, DM or smoking.CPR with mechanical ventilation was performed in ambulance and emergency roomECG: ST segment elevation in leads of I, avl and V1-6.After consciousness and spontaneously breathing were recovered, mechanical ventilation was removed.Emergency angiography was performed:Stenosis of 90% in LM, and stenosis of 50% in ostial LAD and LCXNormal RCA without collateral flow