CONGRESS ABSTRACT

Background Calcified coronary lesions (CCL) represent a major challenge during percutaneous coronary intervention (PCI), particularly when involving the left main coronary artery (LMCA). Severe coronary calcification is associated with suboptimal stent expansion, malapposition, increased rates of restenosis, and a higher incidence of procedural complications. In this setting, the use…

A 39-year-old man was admitted to emergency room for chest pain that had been ongoing for ten days. Blood pressure was 125/70 mmHg. Physical examination showed no signs of congestion or peripheral hypoperfusion Blood lactates level was 6,1 mmol/l. Electrocardiogram (image 1) revealed an inferior STEMI, right bundle block…

Cardiogenic shock (CS) is a life-threatening syndrome characterized by inadequate cardiac output, hypoperfusion and progressive organ dysfunction, with persistently high mortality despite advances in revascularization and critical care. In selected cases, mechanical circulatory support (MCS), including veno-arterial extracorporeal membrane oxygenation (VA-ECMO), is required. However, retrograde aortic flow during VA-ECMO…

Background Cardiogenic shock (CS) is a complex clinical condition associated with high mortality, characterized by severe impairment of cardiac output and systemic hypoperfusion. The venous-to-arterial carbon dioxide partial pressure difference (ΔPCO₂) has been proposed as an alternative marker of tissue hypoperfusion and microcirculatory dysfunction; however, its prognostic value in…

Background and aims : Cardiogenic shock is a severe, life-threatening condition often requiring VA-ECMO support. This study aimed to compare the safety and effectiveness of bivalirudin versus heparin anticoagulation in adults with cardiogenic shock on VA-ECMO. Methods : 29 consecutive patients were enrolled in this retrospective monocentre study between…

A 19-year-old woman was admitted to the Emergency Department for generalized tonic–clonic seizures after one week of fever. On admission she was comatose (GCS 3), hemodynamically stable, nonspecific abnormalities on ECG, and severe hypoglycaemia (5 mg/dL). Neurological status improved after intravenous glucose. Brain CT was unremarkable. Laboratory tests showed…