20.1 PCI in ACS patients: Manual of PCI

How to perform PCI in patients with acute coronary syndromes.

[ero]

Interventional cardiologist here in Florida in practice 8 years. I appreciate your videos. They have definitely helped many of my patients. Several of us routinely talk about your videos at the hospital.

[shangz]

Thanks for your educative presentation.

[kellyallen]

Thank you for another great video. I have a question. Typically ACS/STEMI patients are not fasted. They may receive pain relief en route to hospital. In prior videos you have mentioned delayed gastric emptying and possible delays in oral dosing of anti-platelet meds etc. If a patient becomes acutely unwell with a full stomach and is rushed to cath lab, does this increase risk of aspiration especially if they need to be shocked. My question therefore relates to management of the unfasted patient. E.g.. would it be safer to administer medication that speeds up gastric emptying and administer anti-platelet therapy IV? Thank you.

[januarmartha]

Sometimes after numerous thrombus aspirations, the thrombus is still visible and flow remains sluggish. How often do you use intracoronary/intravenous GPIIbIIIa? Do you defer stenting?