Difficult operation of late treatment for posterior wall myocardial infarction скачать в хорошем качестве

Difficult operation of late treatment for posterior wall myocardial infarction

Attempts to go through the occlusion zone by the coronary guidewire. The guidewire does not even enter the occlusion zone, the thrombus itself, but constantly jumps off to another neighboring artery. Retrograde filling of the lumen of an occluded artery circumflex Gradual advancement of the guidewire through the occlusion zone. Again the attempts are unsuccessful On the angiogram, the false path of the guidewire with contrasting the cavity is determined. After repeated attempts, the guidewire nevertheless passed through the occlusion zone and was led into the lumen of the lateral branch. Now it is necessary to bring it from the side branch into the lumen of the main branch. After the balloon, a good contrast of the main and lateral branches of the circumflex artery is noted. But we still see a strong contraction in the former occlusion area. Therefore, stenting in this area is necessary. The movement of the second coronary guidewire into the main branch of the circumflex artery. Stent implantation. Good result.