Search our Database of Scientific Publications and Authors

I’m looking for a

    1062 results match your criteria Cardiovascular Revascularization Medicine [Journal]

    1 OF 22

    Endovascular treatment of iliac and common femoral arteries disease by the transradial access: A prospective, feasibility study.
    Cardiovasc Revasc Med 2017 Aug 18. Epub 2017 Aug 18.
    Cardiovascular Department, San Luca Hospital, Lucca, Tuscany, Italy.
    Aim: To report feasibility and safety of endovascular interventions on iliac and common femoral arteries, using the transradial access (TRA).

    Methods: 100 consecutive patients (19 women; mean age 71, range 37-90years) with critical limb ischemia (30%) or claudication, and TASC A-D lesions in iliac or common femoral arteries, were prospectively enrolled, from January 2013 to June 2015, to be treated via the TRA. Exclusion criteria included no palpable radial arteries (RA) and the presence of a fistula for hemodialysis. Read More

    Post myocardial infarction left ventricular pseudoaneurysm.
    Cardiovasc Revasc Med 2017 Aug 18. Epub 2017 Aug 18.
    MedStar Heart & Vascular Institute, MedStar Washington Hospital Center, Washington, D.C., USA. Electronic address:
    Left ventricular pseudoaneurysm is a rare yet serious and challenging complication of myocardial infarction that requires a high index of suspicion as the clinical presentation is highly variable. We present a case of post infarction thrombosed left ventricular pseudoaneurysm in a patient who presented with non-specific complaints months after the initial cardiac injury. Multimodality imaging helped in characterizing the pseudoaneurysm and planning for definite therapy. Read More

    Feasibility of coronary fractional flow reserve with dual anti-platelet therapy in low risk coronary lesions without systemic anticoagulation-results of the SMART-FFR study.
    Cardiovasc Revasc Med 2017 Aug 18. Epub 2017 Aug 18.
    University of Texas San Antonio, Department of Internal Medicine, San Antonio, TX, United States.
    Background: Fractional flow reserve (FFR) is used to assess the functional significance of coronary artery stenoses. The optimal anti-thrombotic regimen for FFR has not been studied.

    Purpose: The goal of this study was to determine whether FFR could be safely performed in Type A coronary lesions, using only upstream dual anti-platelet therapy (DAT) with aspirin and clopidogrel, compared with DAT plus anticoagulation in low risk coronary lesions. Read More

    Coronary access following TAVI - Selective coronary engagement using balloon-assisted tracking of a guide catheter extension.
    Cardiovasc Revasc Med 2017 Jul 31. Epub 2017 Jul 31.
    Cardiology, The James Cook University Hospital, Middlesbrough, United Kingdom.
    performing percutaneous coronary intervention (PCI) following transcatheter aortic valve implantation (TAVI) will become more frequent with the increasing use of TAVI in lower surgical risk populations. The ideal management strategy for coronary artery disease (CAD) in the setting of TAVI is not well defined and CAD is often left untreated prior to TAVI. Engaging the coronary ostia through the TAVI side cells can be challenging; techniques for rapid coronary cannulation, especially in the acute setting, need to be developed. Read More

    The effect of pre-procedure sublingual nitroglycerin on radial artery diameter and Allen's test outcome - Relevance to transradial catheterization.
    Cardiovasc Revasc Med 2017 Jul 29. Epub 2017 Jul 29.
    Royal Stoke University Hospital, Stoke-on-Trent, United Kingdom.
    Background: The radial artery is increasingly used for cardiac procedures, but is a relatively small vessel that is prone to spasm when instrumented. Intra-arterial nitroglycerine has been shown to reduce radial spasm but first requires arterial access. We investigated the effect of pre-procedure sublingual nitroglycerin (NTG) on the diameter of the radial artery in a large cohort of patients. Read More

    Outcomes of transcatheter aortic valve replacement using a minimalist approach.
    Cardiovasc Revasc Med 2017 Aug 12. Epub 2017 Aug 12.
    University of Minnesota Fairview Medical Center, Minneapolis, MN, United States; Minneapolis VA Healthcare System, Minneapolis, MN, United States. Electronic address:
    Background: Transcatheter Aortic Valve Replacement (TAVR) is increasingly performed using a minimalist approach under monitored anesthesia care (MAC). The safety of this approach remains controversial and adoption has been low in the US.

    Methods: The study cohort was comprised of 130 patients (98% male) who underwent TAVR between 4/2015 and 4/2017 at the Minneapolis VA. Read More

    Novel paclitaxel-coated scoring ballon for de novo complex coronary lesions-first report.
    Cardiovasc Revasc Med 2017 Aug 12. Epub 2017 Aug 12.
    Interventional Cardiology, ASST Fatebenefratelli-Sacco, Milano, Italy; Fondazione Monasterio CNR-Regione Toscana, Italy. Electronic address:
    Drug-coated balloons (DCB) are being used for in-stent restenosis treatment and there is some preliminary experience in other coronary settings, including small vessels and side branches. Scoring balloons (SB) are a useful tool for the preparation of fibro-calcific lesions. Because of the controlled micro-dissections that SB induce, it has been hypothesized that they may have a role in helping paclitaxel deliverability inside the vessel wall. Read More

    Polymer-free Biolimus A9-coated stents in the treatment of de novo coronary lesions with short DAPT: 9-month angiographic and clinical follow-up of the prospective, multicenter BioFreedom USA clinical trial.
    Cardiovasc Revasc Med 2017 Jul 31. Epub 2017 Jul 31.
    MedStar Washington Hospital Center, United States.
    Background: BioFreedom is a polymer- and carrier-free drug-coated stent that delivers Biolimus A9 to the vessel wall. Our purpose was to evaluate the efficacy and safety of this DCS in patients with short-duration dual antiplatelet therapy.

    Methods: The BioFreedom US IDE feasibility trial was a single-arm, open-label, prospective study of patients requiring stenting of de novo lesions. Read More

    Evaluation of potential substrates for restenosis and thrombosis in overlapped versus edge-to-edge juxtaposed bioabsorbable scaffolds: Insights from a computed fluid dynamic study.
    Cardiovasc Revasc Med 2017 Aug 17. Epub 2017 Aug 17.
    Medtech Research Theme, National Heart Centre Singapore, Duke-NUS Medical School, Singapore.
    Background/purpose: Multiple BRSs and specifically the Absorb scaffold (BVS) (Abbott Vascular, Santa Clara, CA USA) have been often used to treat long diffuse coronary artery lesions. We evaluate by a computational fluid dynamic(CFD) study the impact on the intravascular fluid rheology on multiple bioabsorbable scaffolds (BRS) by standard overlapping versus edge-to-edge technique.

    Methods/materials: We simulated the treatment of a real long significant coronary lesion (>70% luminal narrowing) involving the left anterior descending artery (LAD) treated with a standard or edge-to-edge technique, respectively. Read More

    Comparison of regadenoson and nitroprusside to adenosine for measurement of fractional flow reserve: A systematic review and meta-analysis.
    Cardiovasc Revasc Med 2017 Jul 11. Epub 2017 Jul 11.
    Division of Cardiology, University of Arizona, Tucson, AZ, USA. Electronic address:
    Background: FFR is useful in defining the physiological significance of intermediate coronary stenosis and requires induction of maximal hyperemia and measurement of pressure proximal and distal to the stenosis. Hyperemia normally is induced by either IV or IC adenosine, a medication associated with short-term side effects. IV regadenoson and IC nitroprusside have been suggested as viable alternatives. Read More

    Prosthetic mitral valve paravalvular leak: A problem that requires dexterity.
    Cardiovasc Revasc Med 2017 Jul 24. Epub 2017 Jul 24.
    Lahey Hospital and Medical Center, Burlington, MA, United States; Cardiosolutions Inc., West Bridgewater, MA, United States.
    Prosthetic valve paravalvular leak (PVL) is a known and relatively common complication of surgical valve replacement, which may lead to significant morbidity. Patients with significant mitral valve replacement (MVR) PVL typically present with symptoms of heart failure and elevated filling pressures or with hemolytic anemia. Percutaneous closure of these leaks has become the preferred therapy. Read More

    Fractional flow reserve in below the knee arteries with critical limb ischemia and validation against gold-standard morphologic, functional measures and long term clinical outcomes.
    Cardiovasc Revasc Med 2017 Jul 18. Epub 2017 Jul 18.
    Semmelweis University of Budapest, Cardiac and Vascular Center, Budapest, Hungary.
    Introduction: The aim of this study was to assess the applicability of fractional flow reserve measurement (FFR) in below-the-knee (BTK) arteries and to evaluate its correlation with non-invasive functional parameters before and after angioplasty.

    Methods: We enrolled 39 patients with severe BTK arterial lesions. Inclusion criteria were critical limb ischemia (Rutherford 4-6) and angiographically proven arterial stenosis of the distal lower limb (percent diameter stenosis ≥70%). Read More

    Recurrent unexpected myocardial infarction in a young woman: Insights on spontaneous coronary artery dissection and multimodality imaging.
    Cardiovasc Revasc Med 2017 Jul 19. Epub 2017 Jul 19.
    Department of Cardiology, Caen University Hospital, 14000 Caen, France.
    A 45-year-old female was admitted for a transient anterior ST-segment elevation myocardial infarction (STEMI). Coronary angiogram showed a diffuse severe stenosis of the distal left anterior descending (LAD) coronary artery, which was managed medically. Three years later, a recurrent transient anterior STEMI led to a second coronary angiography showing a tubular stenosis of the mid-LAD with normal distal coronary bed. Read More

    Treatment of de novo coronary artery bifurcation lesions with drug coated balloons: A reappraisal according to the available scientific data.
    Cardiovasc Revasc Med 2017 Jul 11. Epub 2017 Jul 11.
    Section of Cardiovascular Diagnosis and Endoluminal Interventions, Rovigo General Hospital, Rovigo, Italy. Electronic address:
    The treatment of coronary artery bifurcation often represents a challenge for interventional cardiologist. Although several stenting techniques are available for the treatment of de novo coronary bifurcation lesions, over the last years, different studies have proposed and analysed the use of drug-coated balloon (DCB) in the treatment of coronary artery bifurcation lesions as an alternative treatment. To date, even considering those studies which have analysed a combined strategy (DCB+stenting) or a DCB-only approach, the evidences are scant and the results debatable. Read More

    Neurological recovery from multiple cardiac arrests due to acute massive pulmonary embolism managed by cardiopulmonary resuscitation and extracorporeal membrane oxygenation.
    Cardiovasc Revasc Med 2017 Jul 18. Epub 2017 Jul 18.
    King Abdullah International Medical Research Center/King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia.
    Cardiac arrest is one of the leading causes of death worldwide. Anoxic-ischemic encephalopathy resulting from cardiac arrest is the third leading cause of coma requiring admission to the intensive care unit (following trauma and drug overdose). In this article, we aim to report a case of multiple cardiac arrests due to acute massive pulmonary embolism managed by cardiopulmonary resuscitation (CPR) and extracorporeal membrane oxygenation (ECMO) with an excellent neurological recovery. Read More

    Comparison of outcomes in new-generation versus early-generation heart valve in transcatheter aortic valve implantation: A systematic review and meta-analysis.
    Cardiovasc Revasc Med 2017 Jul 13. Epub 2017 Jul 13.
    Detroit Medical Center/Wayne State University, Division of Cardiology, Detroit, United States.
    Background: New-generation (NG) valves for transcatheter aortic valve implantation (TAVI) has recently been widely used in real-world practice, yet its comparative outcomes with early-generation (EG) valves remain under-explored.

    Methods: An electronic literature search using PUBMED and EMBASE was conducted from inception to April 2017 for matched-cohort studies. Articles that compared the outcomes of NG vs. Read More

    Right ventricular infarction.
    Cardiovasc Revasc Med 2017 Jul 14. Epub 2017 Jul 14.
    Department of Cardiology, Maimonides Medical Center, Brooklyn, NY, USA.
    Coronary Heart Disease is a leading cause of morbidity and mortality worldwide. A great amount is known about left ventricular myocardial infarction. It was not until much later (1974) that right ventricular myocardial infarction was studied as a separate entity. Read More

    ST elevation myocardial infarction in patients with anomalous left main coronary artery: Case series and review of the literature.
    Cardiovasc Revasc Med 2017 Jul 14. Epub 2017 Jul 14.
    Department of Cardiovascular Medicine, John Hunter Hospital, Newcastle, Australia. Electronic address:
    Anomalous left main coronary artery is rare. We present four cases where anomalous left main coronary artery was diagnosed during emergent cardiac catheterization for ST elevation myocardial infarction. Procedural characteristics, technical challenges, and relevant literature are discussed. Read More

    "Ping-pong" technique for treating a balloon uncrossable chronic total occlusion.
    Cardiovasc Revasc Med 2017 Jul 11. Epub 2017 Jul 11.
    Second Department of Cardiology, Hellenic Red Cross Hospital of Athens, Greece.
    Balloon uncrossable lesions are a well-known challenge during chronic total occlusion (CTO) interventions. The technique of using two different catheters into the same coronary artery, the so-called "ping-pong" technique, is a technique described for treating complications during percutaneous coronary intervention (PCI), like perforations or rotational atherectomy burr entrapment. We describe a case where the "ping-pong" technique was successfully used to facilitate treatment of a balloon uncrossable CTO lesion. Read More

    Impact of sex on short term in-hospital outcomes with transcatheter edge-to-edge mitral valve repair.
    Cardiovasc Revasc Med 2017 Jul 10. Epub 2017 Jul 10.
    Department of Cardiology, North Shore University Hospital, Manhasset, NY, United States.
    Background And Aim Of The Study: Transcatheter edge-to-edge mitral valve repair with the mitraclip device for treatment of severe mitral regurgitation has been shown to be an effective treatment. However, the impact of sex on in-hospital outcomes has not been studied on a large scale with "real-world" patients. The aim of this study was to assess for disparities of sex in patients treated with mitraclip. Read More

    Percutaneous retrieval of a port-a-cath using a pigtail catheter combined with snaring technique.
    Cardiovasc Revasc Med 2017 Jul 8. Epub 2017 Jul 8.
    Interventional Cardiology Unit, Cardiology Division, Joan XXIII University Hospital, Universitat Rovira Virgili, Calle Dr Mallafré Guasch 4, 43007 Tarragona, Spain.
    We present a case of a 63-year-old woman who underwent chemotherapy for breast cancer through a port-a-cath inserted in left subclavian vein. The device was withdrawn one year later due to jugular vein thrombosis plus dysfunction of the device. A few years later a chest X-ray for scrutinizing dyspnea showed a catheter located in right heart chambers. Read More

    Double right coronary artery in primary PCI: Finding the hidden treasure….
    Cardiovasc Revasc Med 2017 Jul 5. Epub 2017 Jul 5.
    King's College Hospital, Cardiac Department, London, UK.
    Double Right Coronary Artery (RCA) is one of the rarest congenital coronary anomalies. Although it can be regarded as a benign condition in the vast majority of cases, it has been associated with acute and life-threatening presentations, including inferior ST-segment elevation myocardial infarction (STEMI), cardiogenic shock and complete heart block, tachyarrhythmias, or even sudden death. However, the role of a double RCA in these conditions is yet to be clarified as more recent data prove no statistically significant association between prevalence of significant atherosclerosis in anomalous coronary arteries in comparison to normal coronary arteries. Read More

    Transfemoral transcatheter aortic valve implantation for treatment of severe aortic regurgitation in a patient with previous aortic valve-sparing operation according to David.
    Cardiovasc Revasc Med 2017 Jul 5. Epub 2017 Jul 5.
    Dpt of Cardiology, Ca'Foncello Regional Hospital, Treviso, Italy.
    The regurgitation of the native aortic valve in patient with previous David operation may represent a clinical challenge because the morbidity and mortality risk of re-operation is not negligible. Here we describe the case of a patient suffering from late severe aortic regurgitation, many years after David operation, efficaciously treated with transfemoral transcatheter aortic valve implantation. To the best of our knowledge, this is the first description of such treatment in a patient with aortic regurgitation and previous David operation. Read More

    Very long-term serial luminal changes after sirolimus-eluting stent implantation and progression process of very late stent failure.
    Cardiovasc Revasc Med 2017 Jul 4. Epub 2017 Jul 4.
    Department of Cardiology, Kurashiki Central Hospital, Kurashiki, Japan.
    Background: Very long-term angiographic results after sirolimus-eluting stent (SES) implantation have not been clarified. This study investigated serial angiographic results of early (<1year), late (1-5years), and very late (>5years) follow-up after SES implantation and the progression process to very late SES failure.

    Methods: We analyzed 631 lesions undergoing serial coronary angiography at early, late, and very late follow-up after SES implantation. Read More

    Double right coronary artery and its clinical significance: Review of the literature.
    Cardiovasc Revasc Med 2017 Jul 8. Epub 2017 Jul 8.
    Division of Cardiovascular Medicine, Texas Tech University Health Sciences Center El Paso, El Paso, Texas, 79905, United States.
    Double right coronary artery is a very rare anomaly that is usually discovered incidentally during conventional coronary angiography. Double right coronary artery may have clinical implications in symptomatic patients requiring percutaneous coronary intervention and may be associated with other congenital abnormalities, myocardial ischemia and ventricular fibrillation in the absence of atherosclerosis. Here the reported cases in the literature are reviewed and a case of double right coronary artery with ischemia in inferior left ventricular wall is presented. Read More

    Transcatheter aortic valve replacement through transcaval aortic access in a patient with duplicated inferior vena cava and poor iliofemoral anatomy.
    Cardiovasc Revasc Med 2017 Jul 1. Epub 2017 Jul 1.
    Division of Cardiology, Prairie Heart Institute, Springfield, IL, United States.
    Transthoracic (transapical and transaortic) access is inferior compared with femoral artery access. Percutaneous transcaval aortic access is a reasonable alternative approach that is being used in transcatheter aortic valve replacement (TAVR) in patients with poor iliofemoral anatomy. Duplicated Inferior vena cava (DIVC) is an uncommon abnormality. Read More

    Intracoronary high-dose bolus tirofiban administration during complex coronary interventions: A United States-based case series.
    Cardiovasc Revasc Med 2017 Jun 22. Epub 2017 Jun 22.
    Piedmont Heart Institute, 275 Collier Road NW Suite 500, Atlanta, GA 30309, USA. Electronic address:
    The GP IIb/IIIa inhibitors (GPIs) rapidly provide therapeutic levels of platelet aggregation inhibition and serve as adjunct pharmacotherapy to oral P2Y12 inhibitors that exhibit a significant delay in onset of action for patients with Acute Coronary Syndrome (ACS). Intracoronary (IC) administration of the high dose bolus (HDB) tirofiban has not been extensively studied. Compared to intravenous delivery, IC administration can lead to higher local drug concentration and, therefore, provide instantaneous disruption of platelet aggregation in the culprit vessel. Read More

    Assessing the left main stem in the cardiac catheterization laboratory. What is "significant"? Function, imaging or both?
    Cardiovasc Revasc Med 2017 Jun 20. Epub 2017 Jun 20.
    Oxford Heart Center, John Radcliffe Hospital, Oxford, United Kingdom.
    Revascularization of significant Left Main Stem (LMS) disease improves clinical outcomes. This can be achieved through either Coronary Artery Bypass Grafting or Percutaneous coronary intervention. Defining a significant stenosis of the LMS can be challenging and debatable, as most data have been derived using angiographic assessment alone, with a threshold of 50% luminal stenosis used as a marker of functional significance. Read More

    The impact of care management information technology model on quality of care after Coronary Artery Bypass Surgery: "Bridging the Divides".
    Cardiovasc Revasc Med 2017 Jun 21. Epub 2017 Jun 21.
    Christiana Care Health System, Newark, DE, United States.
    Background: Reducing readmissions and improving metrics of care are a national priority. Supplementing traditional care with care management may improve outcomes. The Bridges program was an initial evaluation of a care management platform (CareLinkHub), supported by information technology (IT) developed to improve the quality and transition of care from hospital to home after Coronary Artery Bypass Surgery (CABG) and reduce readmissions. Read More

    Drug-coated balloon angioplasty for the management of recurring infrapopliteal disease in diabetic patients with critical limb ischemia.
    Cardiovasc Revasc Med 2017 Jun 20. Epub 2017 Jun 20.
    Interventional Radiology Unit, Foot & Ankle Clinic, Policlinico Abano Terme, Abano Terme, PD, Italy.
    Objective: To describe the 1-year outcomes of recurring infrapopliteal disease after endovascular revascularization with the Lutonix drug-coated balloons (LDCB) in diabetic patients with critical limb ischemia (CLI), and to benchmark our findings with previously published objective performance goals (OPG) addressing safety and efficacy of new catheter-based therapies for CLI.

    Methods: The present study was a retrospective, single-center, and single-arm trial of symptomatic diabetic patients with CLI, who underwent LDCB-angioplasty for recurring infrapopliteal disease. Acute procedural and technical success were recorded. Read More

    Comparison between catheter-based delivery of paclitaxel after bare-metal stenting and drug-eluting stents in coronary artery disease patients at high risk for in-stent restenosis.
    Cardiovasc Revasc Med 2017 May 31. Epub 2017 May 31.
    Department of Cardiovascular Medicine, Cairo University Hospital, Cairo, Egypt.
    Background: Drug eluting stents reduce the risk of in-stent restenosis but delay healing of the vascular wall. Recent data on late and very late stent thrombosis after drug-eluting stent (DES) implantation have raised concerns about the long-term safety. High lipophilicity of paclitaxel promotes rapid cellular uptake and prolongs its action. Read More

    Association between arterial access site and anticoagulation strategy on major bleeding and mortality: A historical cohort analysis in the Veteran population.
    Cardiovasc Revasc Med 2017 Jun 8. Epub 2017 Jun 8.
    VA Tennessee Valley Health Care System, Vanderbilt University Medical Center, United States, University of Louisville, Louisville, KY, VA North Texas Health Care System and UT Southwestern Medical Center, Dallas, TX.
    Background: Studies have shown reduction in major bleeding with trans-radial intervention (TRI) compared with trans-femoral intervention (TFI), and with use of bivalirudin compared with heparin+glycoprotein IIb/IIIa inhibitors (GPI). We compared major bleeding, mortality and the interaction between arterial access site and the anticoagulant used for PCI in Veterans.

    Methods: A retrospective cohort of 1192 consecutive patients who underwent PCI at a VA hospital between 2006 and 2012 was divided into TFI-heparin (n=192), TFI-bivalirudin (n=272), TRI-heparin (n=274) and TRI-bivalirudin (n=454) groups. Read More

    The beneficial effect of extracorporeal shockwave myocardial revascularization: Two years of follow-up.
    Cardiovasc Revasc Med 2017 May 10. Epub 2017 May 10.
    Department of Cardiology, University Hospital S. Giovanni Battista, Turin, Italy.
    Objectives: Despite the advancements achieved by revascularization technique and pharmacological therapies, the number of patients with refractory angina (RA) is still high, carrying together a poor prognosis. Experimental data and small clinical studies suggest that the use of extracorporeal shockwave myocardial revascularization (ESMR) might improve symptoms of angina in patients with RA. The aim of our study is to evaluate the efficacy of cardiac shock wave therapy in a long term follow-up of patients with coronary artery disease (CAD) otherwise not suitable for revascularization. Read More

    Contrast-induced acute kidney injury in interventional cardiology: Emerging evidence and unifying mechanisms of protection by remote ischemic conditioning.
    Cardiovasc Revasc Med 2017 Jun 6. Epub 2017 Jun 6.
    Heart and Vascular Institute, Center for Critical Care Nephrology, University of Pittsburgh School of Medicine, Pittsburgh, PA. Electronic address:
    Contrast-induced acute kidney injury (CI-AKI) is a common complication of many diagnostic and therapeutic cardiovascular procedures. It is associated with longer in-hospital stay, more complicated hospitalization course, and higher in-hospital morbidity and mortality. With increasing use of contrast media in various diagnostic and interventional procedures, the prevalence of CI-AKI is expected to rise. Read More

    Coronary bifurcation model created using a novel directional heat injury catheter.
    Cardiovasc Revasc Med 2017 Jun 7. Epub 2017 Jun 7.
    Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan. Electronic address:
    Objectives: The present study aimed to develop a swine coronary bifurcation model.

    Background: In human coronary bifurcation lesion, atherosclerotic plaques are usually observed in the lateral wall, whereas the flow divider regions are spared. There is currently no suitable coronary bifurcation animal model, on which a new stent can be tested. Read More

    ST segment elevation myocardial infarction in patients hospitalized for non-cardiac conditions.
    Cardiovasc Revasc Med 2017 May 31. Epub 2017 May 31.
    Division of Cardiovascular Medicine, University of Southern California, Los Angeles, CA. Electronic address:
    Background: Timely use of primary percutaneous coronary intervention (PCI) is the standard of care for patients with ST segment elevation myocardial infarction (STEMI). Most patients with STEMI present via emergency medical services or self-transport to the emergency department (ED) and relatively little is known about the minority of patients that develop STEMI while hospitalized for non-cardiac conditions. The objective of this study was to analyze treatment times and clinical outcome for in-hospital STEMI patients. Read More

    Trans-ulnar recanalization of a chronic radial artery occlusion.
    Cardiovasc Revasc Med 2017 Apr 23. Epub 2017 Apr 23.
    Interventional Cardiology Unit, ASST Nord Milano, Ospedale Bassini, Via Massimo Gorki, 50, Cinisello Balsamo, 20092Milan, Italy. Electronic address:
    Trans-ulnar access is a viable alternative approach by experienced operators when the radial and femoral arteries cannot be accessed or used to preserve the contralateral radial artery as possible vascular graft for coronary bypass surgery, hemodynamic monitoring, or shunt creation for hemodialysis. We report a challenging case of ipsilateral trans-ulnar recanalization of a chronic radial artery occlusion, which allowed us to perform a complex trans-ulnar PCI. Read More

    Safety and efficacy outcomes of second-generation everolimus-eluting stents in octogenarians compared to non-octogenarians.
    Cardiovasc Revasc Med 2017 Jun 1. Epub 2017 Jun 1.
    Department of Cardiovascular Medicine, Wakayama Medical University, Wakayama, Japan.
    Background: In patients ≥80 years of age, the use of second-generation cobalt-chromium everolimus-eluting stents (CoCr-EES) versus bare-metal stents has been shown to reduce myocardial infarction (MI) and target vessel revascularization (TVR) rates, without an increase in bleeding. However, safety and efficacy of CoCr-EES in octogenarians compared to younger populations are less certain. We aimed to compare the clinical outcomes between octogenarian and non-octogenarian patients undergoing percutaneous coronary intervention (PCI) with CoCr-EES. Read More

    Successful percutaneous retrieval of embolized transcatheter left atrial appendage closure device (Watchman) using a modified vascular retrieval forceps.
    Cardiovasc Revasc Med 2017 May 31. Epub 2017 May 31.
    Prairie Heart Institute, Springfield, IL.
    Transcatheter closure of the left atrial appendage (LAA) is increasingly considered as an alternative to oral anticoagulation in patients with previous major bleeding or at high-risk of bleeding. Device embolization with transcatheter LAA closure is a rare complication. Most cases are asymptomatic, but it can be life threatening. Read More

    Inadvertent anastomosis of the left internal mammary artery to the great cardiac vein.
    Cardiovasc Revasc Med 2017 May 19. Epub 2017 May 19.
    Multimodality Cardiovascular Imaging Laboratory, Department of Cardiology, Hofstra Northwell School of Medicine, 300 Community Drive, Manhasset, NY 11030, USA.
    We present an uncommon and underreported complication of coronary artery bypass graft surgery: erroneous anastomosis of the left internal mammary artery to the great cardiac vein. The iatrogenic aorto-coronary arteriovenous fistula with left-to-right shunting resulted in dilation of the coronary sinus, a supporting secondary finding. Factors predisposing to this inadvertent anastomosis include an intramyocardial segment of the left anterior descending coronary artery, demonstrated in this case, as well as epicardial fat and potentially fibrosis of the underlying myocardium. Read More

    Severe aortic stenosis in dextrocardia with situs invertus and anomalous single coronary ostium treated with transcatheter aortic valve replacement.
    Cardiovasc Revasc Med 2017 May 8. Epub 2017 May 8.
    Prairie Heart Institute, Springfield, IL, USA.
    Dextrocardia with situs inversus presents a unique anatomy with right-sided vascular system that may be associated with a number of additional cardiac and vascular malformations. A rare association is the presence of a single coronary artery ostium. To our knowledge, this is the first reported case of transcatheter aortic valve replacement using Edwards SAPIEN S3 valve in Dextrocardia patient with single coronary artery take off. Read More

    Impact of ranolazine on coronary microvascular dysfunction (MICRO) study.
    Cardiovasc Revasc Med 2017 Apr 22. Epub 2017 Apr 22.
    University of New Mexico Health Science Center, Albuquerque, NM, United States.
    Background: Patients with angina and coronary microvascular dysfunction, without evidence of structural or epicardial coronary disease (Type I CMVD) remain without evidence based treatment options. Previous work has demonstrated that ranolazine can improve angina frequency and stability among patients with Type 1 CMVD; however, the mechanism remains unclear. Therefore, the objective of this pilot project was to assess the impact of ranolazine on Type I CMVD as measured using an invasive tool to measure global resistance (index of microcirculatory resistance (IMR)). Read More

    1 OF 22