8. Technical Aspects of Invasive Strategy in ACS (Arabic Version)

We decided that this patient will enter coronary angipography. Are there any tips and tricks regarding:
1. Vascular access.
2. Use of additional tests as IVUS, OCT or FFR.
3. Modality of revascularization either PCI or CABG.

0:00 Intro
0:35 PCI
7:20 CABG
8:24 Spontaneous Coronary Dissection
11:14 Multivessel CAD & Cardiogenic Shock
13:49 Multivessel CAD & STEMI
16:43 Multivessel CAD & NSTE-ACS
22:32 Hybrid Revascularization

2023 ESC Guidelines for the Management of Acute Coronary Syndromes
https://www.escardio.org/Guidelines/C...


ESC Guidelines: ACS with Unstable Presentation (English Version)
   • 5. ACS with Unstable Presentation (En...  

RIVAL trial. Radial versus femoral access for coronary angiography and intervention in patients with acute coronary syndromes (RIVAL): a randomised, parallel group, multicentre trial
https://www.thelancet.com/journals/la...


MATRIX trial. Radial versus femoral access and bivalirudin versus unfractionated heparin in invasively managed patients with acute coronary syndrome (MATRIX): final 1-year results of a multicentre, randomised controlled trial
https://www.thelancet.com/journals/la...


SHOCK trial. Early Revascularization in Acute Myocardial Infarction Complicated by Cardiogenic Shock
https://www.nejm.org/doi/full/10.1056...


CULPRIT-SHOCK trial. PCI Strategies in Patients with Acute Myocardial Infarction and Cardiogenic Shock
https://www.nejm.org/doi/full/10.1056...


PEPCAD NSTEMI trial. Bare metal or drug-eluting stent versus drug-coated balloon in non-ST-elevation myocardial infarction
https://pubmed.ncbi.nlm.nih.gov/31659...


NORSTENT trial. Drug-Eluting or Bare-Metal Stents for Coronary Artery Disease
https://www.nejm.org/doi/full/10.1056...


FAME trial. Fractional Flow Reserve Versus Angiography for Multivessel Evaluation
https://www.acc.org/Latest-in-Cardiol...


COMPLETE trial. Complete Revascularization with Multivessel PCI for Myocardial Infarction
https://www.nejm.org/doi/full/10.1056...


FRAME-AMI: FFR vs. Angiography-Guided PCI in Patient With AMI, Multivessel Disease?
https://www.acc.org/Latest-in-Cardiol...