Unmasking Culprit Complex Infero-Posterior STEMI: Navigating Ad Hoc RCA CTO PCI.

Maruf Sarwar, Stephen D Adedokun, Keonmin Hwang, Mahesh Anantha Narayanan

Abstract readCase Reports

In one paragraph

Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Maruf SarwarSection of Internal Medicine, White River Health, Batesville, Arkansas, USA.

Stephen D AdedokunSection of Cardiovascular Disease, University of Tennessee Health and Science, Memphis, Tennessee, USA.

Keonmin HwangBelmont University Thomas F. Frist College of Medicine, Nashville, Tennessee, USA.

Mahesh Anantha NarayananSection of Cardiovascular Diseases, White River Health, Batesville, Arkansas, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients presenting with acute coronary syndrome with ST-segment elevation myocardial infarction require rapid and decisive interventions to restore blood flow to the affected myocardium, minimizing ischemic damage. This case report is particularly unique because it involves a patient presenting with ST-segment elevation myocardial infarction, where the culprit lesion was an occluded coronary artery graft with an extensive thrombus burden. The complexity of this case necessitated a strategic shift to revascularize the chronically occluded native vessel instead of the graft. This highlights the intricate decision-making and advanced interventional techniques required in managing such complex clinical scenarios.

Indexed as

ad hoc CTO PCIadvanced interventional techniqueschronic total occlusioncollateral circulationcoronary artery bypass graftdoor-to-balloon timedual angiographygraft occlusiongraft thrombosisinfero-posterior myocardial infarctionpercutaneous coronary interventionretrograde revascularizationreverse CART techniqueright coronary arteryright posterolateral branch occlusionsaphenous vein graft occlusionstentingST-segment elevation myocardial infarctionthrombectomytip-in technique

Identifiers

PMID39886396

DOI10.1016/j.jaccas.2024.102798

PMCPMC11775895

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.