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Published on: February 26, 2013
Delayed Anterior Interventricular Vein Opacification Guides True-Lumen Wiring in Stump-Less LAD Occlusion
Qianfeng Xiong1, Shaoyong Chen1, Wenbo Li1
1Department of Cardiology, Fengcheng People's Hospital, The Affiliated Fengcheng Hospital of Yichun University, Fengcheng, Jiangxi Province, China.
Summary
Delayed opacification of the anterior interventricular vein (AIV) offers a fluoroscopic clue for navigating stump-less left anterior descending artery (LAD) occlusions during ST-segment elevation myocardial infarction (STEMI). This technique aids guidewire placement in challenging coronary interventions.
Area of Science:
- Cardiology
- Interventional Cardiology
- Medical Imaging
Background:
- Stump-less left anterior descending artery (LAD) occlusions in anterior ST-segment elevation myocardial infarction (STEMI) present significant guidewire access challenges.
- Identifying the correct entry point is difficult, especially when the occlusion is near a major diagonal branch.
Keywords:
ST‐segment elevation myocardial infarctionanterior interventricular veinleft anterior descending artery occlusion
