PMC9763004_01
(a) Case 1: strip lead II and V5 showed significant sinus bradycardia 40 per minute with 3 : 1 high-grade AV block. (b) Case 2: strip lead II showed ST-segment elevation in lead II with complete heart block. (c) Case 3: strip lead II and V5 revealed pacing rhythm with complete heart block. (d) Case 4: strip leads V1, II, and V5 demonstrate junctional rhythm and isorhythmic AV dissociation. (e) Case 7: ECG showed ST-segment elevation in inferior leads with complete heart block. (f) Case 9: strip lead II shows ST segment with first-degree AV block PR = 340 milliseconds.
CRIC2022-3621799.001.jpg
PMC9763004_09_CRIC2022-3621799.001.jpg
fig1
ECG showed sinus rhythm with first-degree AV block PR interval of 340 milliseconds with ST-segment elevation in inferior leads (Figure 1(f)), but he was hemodynamically stable.
Coronary angiography to the culprit lesion. Case 1: (a) left anterior oblique (LAO) projection for right coronary artery (RCA), a thrombotic occlusion to proximal segment; (b) successful PCI to RCA with drug-eluting stent DES, and distal microembolization to very distal RCA happened with TIMI II flow distally. Case 2: (c) left anterior oblique (LAO) projection for right coronary artery (RCA) severe thrombotic stenosis in the proximal segment with TIMI II flow; (d) successful thrombus aspiration and PCI was done to RCA with one drug-eluting stent DES, and TIMI III flow was achieved. Case 3: (e) an attempt with balloon angioplasty was done to the thrombotic stenosis in mid-RCA but failed to achieve TIMI III flow. Case 4: (f) caudal projection showing 100% thrombotic stenosis in distal left coronary circumflex LCx; (g) successful PCI to distal LCx with one drug-eluting stent (DES) with TIMI III flow. Case 5: (h) total mid-RCA occlusion; (i) successful PCI to mid-RCA with one DES insertion.
CRIC2022-3621799.002.jpg
PMC9763004_05_CRIC2022-3621799.002.jpg
fig2
Successful PPCI to mid-RCA with DES deployment without immediate complications (Figures 2(h) and 2(i)).
PMC9763004_02
(a) Case 1: strip lead II and V5 showed significant sinus bradycardia 40 per minute with 3 : 1 high-grade AV block. (b) Case 2: strip lead II showed ST-segment elevation in lead II with complete heart block. (c) Case 3: strip lead II and V5 revealed pacing rhythm with complete heart block. (d) Case 4: strip leads V1, II, and V5 demonstrate junctional rhythm and isorhythmic AV dissociation. (e) Case 7: ECG showed ST-segment elevation in inferior leads with complete heart block. (f) Case 9: strip lead II shows ST segment with first-degree AV block PR = 340 milliseconds.
CRIC2022-3621799.001.jpg
PMC9763004_09_CRIC2022-3621799.001.jpg
fig1
ECG showed sinus rhythm with first-degree AV block PR interval of 340 milliseconds with ST-segment elevation in inferior leads (Figure 1(f)), but he was hemodynamically stable.
Coronary angiography to the culprit lesion. Case 1: (a) left anterior oblique (LAO) projection for right coronary artery (RCA), a thrombotic occlusion to proximal segment; (b) successful PCI to RCA with drug-eluting stent DES, and distal microembolization to very distal RCA happened with TIMI II flow distally. Case 2: (c) left anterior oblique (LAO) projection for right coronary artery (RCA) severe thrombotic stenosis in the proximal segment with TIMI II flow; (d) successful thrombus aspiration and PCI was done to RCA with one drug-eluting stent DES, and TIMI III flow was achieved. Case 3: (e) an attempt with balloon angioplasty was done to the thrombotic stenosis in mid-RCA but failed to achieve TIMI III flow. Case 4: (f) caudal projection showing 100% thrombotic stenosis in distal left coronary circumflex LCx; (g) successful PCI to distal LCx with one drug-eluting stent (DES) with TIMI III flow. Case 5: (h) total mid-RCA occlusion; (i) successful PCI to mid-RCA with one DES insertion.
CRIC2022-3621799.002.jpg
PMC9763004_05_CRIC2022-3621799.002.jpg
fig2
Successful PPCI to mid-RCA with DES deployment without immediate complications (Figures 2(h) and 2(i)).
PMC9763004_03
(a) Case 1: strip lead II and V5 showed significant sinus bradycardia 40 per minute with 3 : 1 high-grade AV block. (b) Case 2: strip lead II showed ST-segment elevation in lead II with complete heart block. (c) Case 3: strip lead II and V5 revealed pacing rhythm with complete heart block. (d) Case 4: strip leads V1, II, and V5 demonstrate junctional rhythm and isorhythmic AV dissociation. (e) Case 7: ECG showed ST-segment elevation in inferior leads with complete heart block. (f) Case 9: strip lead II shows ST segment with first-degree AV block PR = 340 milliseconds.
CRIC2022-3621799.001.jpg
PMC9763004_09_CRIC2022-3621799.001.jpg
fig1
ECG showed sinus rhythm with first-degree AV block PR interval of 340 milliseconds with ST-segment elevation in inferior leads (Figure 1(f)), but he was hemodynamically stable.
Coronary angiography to the culprit lesion. Case 1: (a) left anterior oblique (LAO) projection for right coronary artery (RCA), a thrombotic occlusion to proximal segment; (b) successful PCI to RCA with drug-eluting stent DES, and distal microembolization to very distal RCA happened with TIMI II flow distally. Case 2: (c) left anterior oblique (LAO) projection for right coronary artery (RCA) severe thrombotic stenosis in the proximal segment with TIMI II flow; (d) successful thrombus aspiration and PCI was done to RCA with one drug-eluting stent DES, and TIMI III flow was achieved. Case 3: (e) an attempt with balloon angioplasty was done to the thrombotic stenosis in mid-RCA but failed to achieve TIMI III flow. Case 4: (f) caudal projection showing 100% thrombotic stenosis in distal left coronary circumflex LCx; (g) successful PCI to distal LCx with one drug-eluting stent (DES) with TIMI III flow. Case 5: (h) total mid-RCA occlusion; (i) successful PCI to mid-RCA with one DES insertion.
CRIC2022-3621799.002.jpg
PMC9763004_05_CRIC2022-3621799.002.jpg
fig2
Successful PPCI to mid-RCA with DES deployment without immediate complications (Figures 2(h) and 2(i)).
PMC9763004_04
(a) Case 1: strip lead II and V5 showed significant sinus bradycardia 40 per minute with 3 : 1 high-grade AV block. (b) Case 2: strip lead II showed ST-segment elevation in lead II with complete heart block. (c) Case 3: strip lead II and V5 revealed pacing rhythm with complete heart block. (d) Case 4: strip leads V1, II, and V5 demonstrate junctional rhythm and isorhythmic AV dissociation. (e) Case 7: ECG showed ST-segment elevation in inferior leads with complete heart block. (f) Case 9: strip lead II shows ST segment with first-degree AV block PR = 340 milliseconds.
CRIC2022-3621799.001.jpg
PMC9763004_09_CRIC2022-3621799.001.jpg
fig1
ECG showed sinus rhythm with first-degree AV block PR interval of 340 milliseconds with ST-segment elevation in inferior leads (Figure 1(f)), but he was hemodynamically stable.
Coronary angiography to the culprit lesion. Case 1: (a) left anterior oblique (LAO) projection for right coronary artery (RCA), a thrombotic occlusion to proximal segment; (b) successful PCI to RCA with drug-eluting stent DES, and distal microembolization to very distal RCA happened with TIMI II flow distally. Case 2: (c) left anterior oblique (LAO) projection for right coronary artery (RCA) severe thrombotic stenosis in the proximal segment with TIMI II flow; (d) successful thrombus aspiration and PCI was done to RCA with one drug-eluting stent DES, and TIMI III flow was achieved. Case 3: (e) an attempt with balloon angioplasty was done to the thrombotic stenosis in mid-RCA but failed to achieve TIMI III flow. Case 4: (f) caudal projection showing 100% thrombotic stenosis in distal left coronary circumflex LCx; (g) successful PCI to distal LCx with one drug-eluting stent (DES) with TIMI III flow. Case 5: (h) total mid-RCA occlusion; (i) successful PCI to mid-RCA with one DES insertion.
CRIC2022-3621799.002.jpg
PMC9763004_05_CRIC2022-3621799.002.jpg
fig2
Successful PPCI to mid-RCA with DES deployment without immediate complications (Figures 2(h) and 2(i)).
PMC9763004_05
Coronary angiography to the culprit lesion. Case 1: (a) left anterior oblique (LAO) projection for right coronary artery (RCA), a thrombotic occlusion to proximal segment; (b) successful PCI to RCA with drug-eluting stent DES, and distal microembolization to very distal RCA happened with TIMI II flow distally. Case 2: (c) left anterior oblique (LAO) projection for right coronary artery (RCA) severe thrombotic stenosis in the proximal segment with TIMI II flow; (d) successful thrombus aspiration and PCI was done to RCA with one drug-eluting stent DES, and TIMI III flow was achieved. Case 3: (e) an attempt with balloon angioplasty was done to the thrombotic stenosis in mid-RCA but failed to achieve TIMI III flow. Case 4: (f) caudal projection showing 100% thrombotic stenosis in distal left coronary circumflex LCx; (g) successful PCI to distal LCx with one drug-eluting stent (DES) with TIMI III flow. Case 5: (h) total mid-RCA occlusion; (i) successful PCI to mid-RCA with one DES insertion.
CRIC2022-3621799.002.jpg
PMC9763004_05_CRIC2022-3621799.002.jpg
fig2
Successful PPCI to mid-RCA with DES deployment without immediate complications (Figures 2(h) and 2(i)).
PMC9763004_06
Coronary angiography to the culprit lesion. Case 6: (a) complete thrombotic occlusion in the very proximal segment of right coronary artery (RCA) with TIMI 0 flow; (b) successful PCI to proximal to mid-RCA with one drug-eluting stent DES, and TIMI III flow was achieved. Case 7: (c) severe thrombotic stenosis in mid-RCA with complete occlusion in the distal part due to distal embolization from the proximal thrombotic lesion; (d) successful thrombus aspiration and PCI to mid-RCA with one DES, and TIMI III flow was achieved distally. Case 8: (e) left anterior oblique (LAO) projection for right coronary artery (RCA) showed severe stenosis in the proximal segment followed by thrombotic occlusion from mid to distal RCA segment; (f) successful PCI to the proximal and distal RCA with 2 drug-eluting stent DES, and TIMI III flow was achieved. Case 9: (g) severe thrombotic stenosis in mid-RCA segment with TIMI III flow, a large thrombus burden in mid-RCA; (h) successful thrombus aspiration and PCI to RCA with 2 overlapping drug-eluting stent DES, and TIMI III flow was achieved.
CRIC2022-3621799.003.jpg
PMC9763004_09_CRIC2022-3621799.003.jpg
fig3
PMC9763004_07
(a) Case 1: strip lead II and V5 showed significant sinus bradycardia 40 per minute with 3 : 1 high-grade AV block. (b) Case 2: strip lead II showed ST-segment elevation in lead II with complete heart block. (c) Case 3: strip lead II and V5 revealed pacing rhythm with complete heart block. (d) Case 4: strip leads V1, II, and V5 demonstrate junctional rhythm and isorhythmic AV dissociation. (e) Case 7: ECG showed ST-segment elevation in inferior leads with complete heart block. (f) Case 9: strip lead II shows ST segment with first-degree AV block PR = 340 milliseconds.
CRIC2022-3621799.001.jpg
PMC9763004_09_CRIC2022-3621799.001.jpg
fig1
ECG showed sinus rhythm with first-degree AV block PR interval of 340 milliseconds with ST-segment elevation in inferior leads (Figure 1(f)), but he was hemodynamically stable.
Coronary angiography to the culprit lesion. Case 6: (a) complete thrombotic occlusion in the very proximal segment of right coronary artery (RCA) with TIMI 0 flow; (b) successful PCI to proximal to mid-RCA with one drug-eluting stent DES, and TIMI III flow was achieved. Case 7: (c) severe thrombotic stenosis in mid-RCA with complete occlusion in the distal part due to distal embolization from the proximal thrombotic lesion; (d) successful thrombus aspiration and PCI to mid-RCA with one DES, and TIMI III flow was achieved distally. Case 8: (e) left anterior oblique (LAO) projection for right coronary artery (RCA) showed severe stenosis in the proximal segment followed by thrombotic occlusion from mid to distal RCA segment; (f) successful PCI to the proximal and distal RCA with 2 drug-eluting stent DES, and TIMI III flow was achieved. Case 9: (g) severe thrombotic stenosis in mid-RCA segment with TIMI III flow, a large thrombus burden in mid-RCA; (h) successful thrombus aspiration and PCI to RCA with 2 overlapping drug-eluting stent DES, and TIMI III flow was achieved.
CRIC2022-3621799.003.jpg
PMC9763004_09_CRIC2022-3621799.003.jpg
fig3
PMC9763004_08
Coronary angiography to the culprit lesion. Case 6: (a) complete thrombotic occlusion in the very proximal segment of right coronary artery (RCA) with TIMI 0 flow; (b) successful PCI to proximal to mid-RCA with one drug-eluting stent DES, and TIMI III flow was achieved. Case 7: (c) severe thrombotic stenosis in mid-RCA with complete occlusion in the distal part due to distal embolization from the proximal thrombotic lesion; (d) successful thrombus aspiration and PCI to mid-RCA with one DES, and TIMI III flow was achieved distally. Case 8: (e) left anterior oblique (LAO) projection for right coronary artery (RCA) showed severe stenosis in the proximal segment followed by thrombotic occlusion from mid to distal RCA segment; (f) successful PCI to the proximal and distal RCA with 2 drug-eluting stent DES, and TIMI III flow was achieved. Case 9: (g) severe thrombotic stenosis in mid-RCA segment with TIMI III flow, a large thrombus burden in mid-RCA; (h) successful thrombus aspiration and PCI to RCA with 2 overlapping drug-eluting stent DES, and TIMI III flow was achieved.
CRIC2022-3621799.003.jpg
PMC9763004_09_CRIC2022-3621799.003.jpg
fig3
PMC9763004_09
(a) Case 1: strip lead II and V5 showed significant sinus bradycardia 40 per minute with 3 : 1 high-grade AV block. (b) Case 2: strip lead II showed ST-segment elevation in lead II with complete heart block. (c) Case 3: strip lead II and V5 revealed pacing rhythm with complete heart block. (d) Case 4: strip leads V1, II, and V5 demonstrate junctional rhythm and isorhythmic AV dissociation. (e) Case 7: ECG showed ST-segment elevation in inferior leads with complete heart block. (f) Case 9: strip lead II shows ST segment with first-degree AV block PR = 340 milliseconds.
CRIC2022-3621799.001.jpg
PMC9763004_09_CRIC2022-3621799.001.jpg
fig1
ECG showed sinus rhythm with first-degree AV block PR interval of 340 milliseconds with ST-segment elevation in inferior leads (Figure 1(f)), but he was hemodynamically stable.
Coronary angiography to the culprit lesion. Case 6: (a) complete thrombotic occlusion in the very proximal segment of right coronary artery (RCA) with TIMI 0 flow; (b) successful PCI to proximal to mid-RCA with one drug-eluting stent DES, and TIMI III flow was achieved. Case 7: (c) severe thrombotic stenosis in mid-RCA with complete occlusion in the distal part due to distal embolization from the proximal thrombotic lesion; (d) successful thrombus aspiration and PCI to mid-RCA with one DES, and TIMI III flow was achieved distally. Case 8: (e) left anterior oblique (LAO) projection for right coronary artery (RCA) showed severe stenosis in the proximal segment followed by thrombotic occlusion from mid to distal RCA segment; (f) successful PCI to the proximal and distal RCA with 2 drug-eluting stent DES, and TIMI III flow was achieved. Case 9: (g) severe thrombotic stenosis in mid-RCA segment with TIMI III flow, a large thrombus burden in mid-RCA; (h) successful thrombus aspiration and PCI to RCA with 2 overlapping drug-eluting stent DES, and TIMI III flow was achieved.
CRIC2022-3621799.003.jpg
PMC9763004_09_CRIC2022-3621799.003.jpg
fig3