Search Our Scientific Publications & Authors

Publications
find publications by category +
Translate page:

Outcomes of cardiac catheterization and percutaneous coronary intervention for in-hospital ventricular tachycardia or fibrillation cardiac arrest.

Authors:
Thomas J Helton Vidya Nadig Sriharsha D Subramanya Venu Menon Stephen G Ellis Mehdi H Shishehbor

Catheter Cardiovasc Interv 2012 Aug 8;80(2):E9-14. Epub 2011 Dec 8.

Department of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio 44195, USA.

Objective: This study examined outcomes of patients with sudden cardiac death attributable to primary ventricular tachycardia (VT) or ventricular fibrillation (VF) that underwent cardiac catheterization with or without percutaneous coronary intervention (PCI).

Background: The decision to perform cardiac catheterization and PCI in resuscitated patients with sudden cardiac death remains controversial. Prior data suggest a potential benefit from percutaneous revascularization.

Methods: All patients with an in-hospital pulseless VT or VF cardiac arrest from August 2002 to February 2008 who underwent cardiac catheterization were included. Retrospective chart review was performed to obtain clinical, neurologic, and angiographic data. Primary endpoints were all-cause mortality and neurologic outcome.

Results: Two thousand and thirty-four patients had in-hospital cardiac arrest, of these 116 had pulseless VT or VF and were resuscitated and 93 (80%) underwent coronary angiography. The median time to follow-up was 1.3 years (IQR: 0.5-2.9 years). Obstructive coronary artery disease (CAD) was observed in 74 (79%) individuals, of whom 37 underwent PCI. Thirty-five patients with obstructive CAD (47%) died compared to 41% with nonobstructive CAD. In unadjusted and multivariable adjusted analysis PCI was not associated with lower mortality (adjusted hazard ratio: 1.54, 95% CI, 0.79-3.02, P = 0.20). No significant differences were noted in neurologic status at discharge (P = 0.49).

Conclusion: In this study, an aggressive revascularization strategy with PCI did not confer a survival advantage nor was it associated with improved neurologic outcomes. There was no suggestion of harm with PCI and further studies are necessary to identify potential subgroups that may benefit from revascularization.

Download full-text PDF

 Source
http://dx.doi.org/10.1002/ccd.23196DOI Listing
August 2012

Publication Analysis

Top Keywords

cardiac catheterization
16
cardiac arrest
12
sudden cardiac
8
ventricular tachycardia
8
cardiac death
8
patients in-hospital
8
cardiac
8
patients sudden
8
underwent cardiac
8
coronary intervention
8
catheterization percutaneous
8
percutaneous coronary
8
patients
5
pci
5
05-29 years
4
47% died
4
years obstructive
4
obstructive coronary
4
coronary artery
4
artery disease
4

Keyword Occurance

Similar Publications

Open resection for a large iatrogenic radial artery pseudoaneurysm. Case report.

Authors:
Jhon Jairo Berrio-Caicedo Juan Paulo Benítez Muriel Helio Fernando Espinosa Cadavid

Int J Surg Case Rep 2022 May 18;95:107218. Epub 2022 May 18.

Department of General Surgery, Universidad del Valle, Hospital Universitario del Valle, Cali, Colombia.

Introduction And Importance: We present the case in which a large symptomatic pseudoaneurysm (PSA), 6 × 5 cm, with one year of evolution on the path of the right radial artery (RRA) appeared after its punction and cannulation for performing cardiac catheterism in an atrial fibrillation (AF) indefinite anticoagulated patient. Diagnosis and surgical planning were consolidated only by using color duplex ultrasound (CDU), contrasted images were not indicated. The open surgical management was performed during a short-time supraclavicular blockade of peripheral nerves without stopping nor bridging anticoagulant therapy. Read More

View Article and Full-Text PDF
May 2022
Similar Publications

Recommendations for cardiovascular magnetic resonance and computed tomography in congenital heart disease: a consensus paper from the CMR/CCT working group of the Italian Society of Pediatric Cardiology (SICP) and the Italian College of Cardiac Radiology endorsed by the Italian Society of Medical and Interventional Radiology (SIRM) Part I.

Authors:
Aurelio Secinaro Lamia Ait-Ali Davide Curione Alberto Clemente Alberto Gaeta Andrea Giovagnoni Annalisa Alaimo Antonio Esposito Bertrand Tchana Camilla Sandrini Elena Bennati Emanuela Angeli Francesco Bianco Francesca Ferroni Francesca Pluchinotta Francesca Rizzo Francesco Secchi Gaia Spaziani Gianluca Trocchio Giuseppe Peritore Giovanni Puppini Maria Cristina Inserra Nicola Galea Nicola Stagnaro Paolo Ciliberti Placido Romeo Riccardo Faletti Simona Marcora Valentina Bucciarelli Luigi Lovato

Radiol Med 2022 May 24. Epub 2022 May 24.

Pediatric and Adult Cardiovascular, Thoraco-abdominal and Emergency Radiology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Via Massarenti 9, 40138, Bologna, BO, Italy.

Cardiovascular magnetic resonance (CMR) and computed tomography (CCT) are advanced imaging modalities that recently revolutionized the conventional diagnostic approach to congenital heart diseases (CHD), supporting echocardiography and often replacing cardiac catheterization. Nevertheless, correct execution and interpretation require in-depth knowledge of all technical and clinical aspects of CHD, a careful assessment of risks and benefits before each exam, proper imaging protocols to maximize diagnostic information, minimizing harm. This position paper, written by experts from the Working Group of the Italian Society of Pediatric Cardiology and from the Italian College of Cardiac Radiology of the Italian Society of Medical and Interventional Radiology, is intended as a practical guide for applying CCT and CMR in children and adults with CHD, wishing to support Radiologists, Pediatricians, Cardiologists and Cardiac Surgeons in the multimodality diagnostic approach to these patients. Read More

View Article and Full-Text PDF
May 2022
Similar Publications

Severe Coronary Artery Ectasia in a 31-Year-Old Presenting With an Inferior ST-Elevation Myocardial Infarction: A Case Report.

Authors:
Nicholas Venuti Andrew Mangano

Cureus 2022 Apr 21;14(4):e24340. Epub 2022 Apr 21.

Internal Medicine, Grand Strand Medical Center, Myrtle Beach, USA.

Coronary artery ectasia (CAE) is a rare dilation of the lumen in coronary arteries, either localized to one vessel or diffuse in multiple vessels. A 31-year-old white male with no significant past medical or cardiac history, presented with severe sudden onset chest pain, diaphoresis, shortness of breath, and nausea without vomiting. A 12 lead electrocardiogram (EKG) showed an ST elevation in the inferior leads with reciprocal changes, suggestive of myocardial infarction in the right coronary artery (RCA). Read More

View Article and Full-Text PDF
April 2022
Similar Publications

Abnormal Longitudinal Strain in Takotsubo Cardiomyopathy: A Case Report.

Authors:
Paramjit Kaur Syed S Fatmi Darius Aliabadi Saikiran Mandyam Sebastian T Tosto

Cureus 2022 Apr 19;14(4):e24289. Epub 2022 Apr 19.

Internal Medicine, Southeast Health Medical Center, Dothan, USA.

In recent years, the prognostic utility of global longitudinal strain (GLS) has evolved significantly in the evaluation and management of a wide array of cardiac conditions. Various studies have described the use of GLS in the evaluation of various cardiac pathologies, including heart failure, aortic stenosis, and acute myocardial infarction. Evaluation utilizing speckle-tracking echocardiography (Echo) has been shown to be sensitive in the assessment of global and regional myocardial function. Read More

View Article and Full-Text PDF
April 2022
Similar Publications

Duplex Ultrasound and Clinical Outcomes of Medical Management of Pediatric Lower Extremity Arterial Thrombosis.

Authors:
David L Warner Steven Summers Tana Repella Gregory J Landry Gregory L Moneta

J Vasc Surg 2022 May 20. Epub 2022 May 20.

Division of Vascular Surgery, Oregon Health & Science University.

Objectives: Natural history and duplex ultrasound (DU) findings of pediatric lower extremity arterial thrombosis (PLEAT) are not well defined. We describe acute and short-term DU findings of PLEAT to aid duplex interpretation and patient management.

Methods: From 8/2018 to 4/2021 children with suspected PLEAT were prospectively identified. Read More

View Article and Full-Text PDF
May 2022
Similar Publications
}