224,750 results match your criteria Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions[Journal]


Morphine in primary percutaneous coronary intervention-No pain, questionable gain.

Catheter Cardiovasc Interv 2020 Jul;96(1):89-90

Division of Cardiology and Cardiac Catheterization Laboratory, Tufts Medical Center, Boston, Massachusetts, USA.

The clinical impact of concurrently administered morphine and P2Y12 inhibitors in primary percutaneous coronary intervention (PCI) is not well understood. Large, randomized clinical trials are required to assess clinical outcomes with concurrent morphine and P2Y12 inhibitor use in ST-segment elevation myocardial infarction patients undergoing PCI. Based on the currently available pharmacologic data, cautious use of morphine in primary PCI would seem prudent. Read More

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http://dx.doi.org/10.1002/ccd.29091DOI Listing

Protek Duo Rapid Deployment cannulation utilized to bridge to durable heartware left ventricular assist device.

J Card Surg 2020 Jul 11. Epub 2020 Jul 11.

Division of Thoracic and Cardiovascular Surgery, Department of Surgery, University of Florida, Gainesville, Florida.

A 43-year-old gentleman was transferred for management of acute on chronic cardiogenic shock (left ventricular ejection fraction < 10%). Upon arrival, we inserted a left axillary intra-aortic balloon pump for hemodynamic support. He underwent an emergent left and right-heart catheterization which showed patent stents and coronaries, in the setting of severely elevated pulmonary artery and pulmonary capillary wedge pressure. Read More

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http://dx.doi.org/10.1111/jocs.14775DOI Listing

Giant right coronary artery aneurysm in the setting of the acute coronary syndrome: A case report.

J Card Surg 2020 Jul 11. Epub 2020 Jul 11.

Department of Cardiac Surgery, AlMana General Hospital, AL Khobar, Saudi Arabia.

Giant right coronary artery (RCA) aneurysm is a rare coronary artery pathology. We describe a 45-year-old gentleman who presented with unstable angina of recent onset. Diagnostic workup including chest computed tomography angiography and left heart catheterization demonstrated three-vessel coronary artery disease with giant proximal RCA aneurysm. Read More

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http://dx.doi.org/10.1111/jocs.14717DOI Listing

Emergency valve preserving ascending aorta replacement following iatrogenic right coronary artery dissection: A life-saving procedure.

J Card Surg 2020 Jul 11. Epub 2020 Jul 11.

Department of Cardiothoracic and Vascular Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

Iatrogenic aortocoronary dissection is a rare but potentially fatal complication of coronary catheterizations. Although the incidence is comparatively low, dissection often leads to procedure failure with increased risk of myocardial infarction and death. Iatrogenic aortocoronary dissection is principally caused by disruption of intima at the ostia of the right or left coronary artery during interventional procedures and appears as luminal filling defects, the persistence of contrast or intimal tear outside the coronary lumen. Read More

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http://dx.doi.org/10.1111/jocs.14772DOI Listing

Postoperative urinary retention following benign gynecologic surgery with a liberal vs. strict voiding protocol.

J Minim Invasive Gynecol 2020 Jul 8. Epub 2020 Jul 8.

Cedars-Sinai Department of Obstetrics & Gynecology. Los Angeles, CA.

Study Objective: Surgeons employ various methods for evaluating what is considered a common occurrence after gynecologic operations, postoperative urinary retention (POUR). Few have reported the incidence of POUR with a liberal voiding protocol (no requirement to void prior to discharge). The primary objective of this study is to evaluate the risk of POUR after benign gynecologic surgery, comparing a liberal voiding protocol to more strict voiding protocols. Read More

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http://dx.doi.org/10.1016/j.jmig.2020.07.002DOI Listing

Elevated plasma endocan and BOC in heart failure patients decrease after heart transplantation in association with improved hemodynamics.

Heart Vessels 2020 Jul 10. Epub 2020 Jul 10.

Department of Clinical Sciences Lund, Cardiology, Lund University, Lund, Sweden.

Background: The prevalence of heart failure (HF) is rising with ageing population and constitutes a major health problem globally. A common complication of HF is pulmonary hypertension (PH) which negatively impacts survival. A pathophysiological association between HF and PH with tumorigenic processes has been suggested. Read More

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http://dx.doi.org/10.1007/s00380-020-01656-3DOI Listing

Centrally inserted central catheters in preterm neonates with weight below 1500 g by ultrasound-guided access to the brachio-cephalic vein.

J Vasc Access 2020 Jul 10:1129729820940174. Epub 2020 Jul 10.

Neonatal Intensive Care Unit, Catholic University Hospital "A.Gemelli," Rome, Italy.

Objective: Central venous access in critically ill newborns can be challenging. Ultrasound-guided brachio-cephalic vein catheterization is a relatively new procedure, recently introduced in several neonatal intensive care units. The aim of this study is to evaluate the safety and feasibility of such a technique in preterm babies. Read More

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http://dx.doi.org/10.1177/1129729820940174DOI Listing

Comparison of continuous eversion and inverting subepithelial suture in transverse preputial island flap urethroplasty in proximal hypospadias repair: A retrospective study.

Int Braz J Urol 2020 Sep-Oct;46(5):772-777

Department of Urology, Beijing Children's Hospital Affiliated to Capital Medical University, Beijing, China.

Introduction: Transverse preputial island flap urethroplasty (TPIFU) is one of the most frequently performed technique for single-stage repair in proximal hypospadias. It was reported that the subepithelial urethroplasty would obviously decrease urethrocutaneous fistula (UF) complication after proximal TIP. But in the process of TPIFU, it had not been reported yet. Read More

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http://dx.doi.org/10.1590/S1677-5538.IBJU.2019.0484DOI Listing

Editorial Comment: Self-perception, quality of life and ease of catheterization in patients with continent urinary diversion with the mitrofanoff principle.

Int Braz J Urol 2020 Sep-Oct;46(5):752-753

Departamento de Cirurgia Pediátrica, Hospital Pequeno Príncipe, Curitiba, PR, Brasil.

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http://dx.doi.org/10.1590/S1677-5538.IBJU.2019.0388.1DOI Listing

Self-perception, quality of life and ease of catheterization in patients with continent urinary diversion with the mitrofanoff principle.

Int Braz J Urol 2020 Sep-Oct;46(5):743-751

Division of Urology, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana, Bogotá, Colombia.

Purpose: Continent urinary diversion (CUD) with the Mitrofanoff principle stands as an alternative to urethral catheterization by a route other than the urethra. The aim of the study was to determine self-perception of health-related quality of life (HRQoL), ease of catheterization and global and cosmetic outcomes in patient's dependent on Mitrofanoff catheterization.

Materials And Methods: Records of all patients who underwent CUD with the Mitrofanoff principle between 2012 to 2018 were reviewed. Read More

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http://dx.doi.org/10.1590/S1677-5538.IBJU.2019.0388DOI Listing

Right-to-Left Shunt Through Iatrogenic Atrial Septal Defect After MitraClip Procedure.

JACC Cardiovasc Interv 2020 Jul;13(13):1544-1553

Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California.

Objectives: The aim of this study was to investigate the incidence, characteristics, hemodynamic conditions, and clinical significance of right-to-left (R-L) shunt through an iatrogenic atrial septal defect (iASD) after the MitraClip procedure.

Background: R-L shunt through an iASD after the MitraClip procedure has not been well investigated.

Methods: From 2014 to 2017, 385 consecutive patients with mitral regurgitation underwent the MitraClip procedure. Read More

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http://dx.doi.org/10.1016/j.jcin.2020.03.056DOI Listing

Combined Transcatheter Tricuspid and Pulmonary Valve Replacement.

World J Pediatr Congenit Heart Surg 2020 Jul;11(4):432-437

Ahmanson/UCLA Adult Congenital Heart Disease Center, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.

Background: For patients with combined tricuspid and pulmonary valve disease, operative intervention carries high mortality risk. Published reports of combined transcatheter tricuspid and pulmonary valve replacement have been limited to single cases.

Methods: A retrospective chart review was performed including all patients undergoing combined transcatheter tricuspid and pulmonary valve replacement at the Ahmanson/UCLA Adult Congenital Heart Disease Center. Read More

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http://dx.doi.org/10.1177/2150135120918777DOI Listing

Invasive Hemodynamic Characteristics in Patients Undergoing Transcatheter Tricuspid Valve-In-Valve Implantation for Treatment of Tricuspid Stenosis.

World J Pediatr Congenit Heart Surg 2020 Jul;11(4):411-416

Ahmanson/UCLA Adult Congenital Heart Disease Center, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.

Background: We sought to describe invasive hemodynamic measurements in patients with tricuspid stenosis (TS) undergoing transcatheter tricuspid valve-in-valve (TVIV) implantation immediately pre- and postimplantation. Development of TS in patients who have undergone surgical tricuspid valve replacement with a bioprosthetic valve is a serious complication that leads to elevated right atrial (RA) pressures and decreased cardiac output. Transcatheter TVIV implantation is a viable alternative to surgical tricuspid valve replacement, but data on the hemodynamic consequences of TVIV for the treatment of severe TS are currently limited to echocardiographic assessment of Doppler-derived gradients. Read More

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http://dx.doi.org/10.1177/2150135120910366DOI Listing

One-year efficacy and safety of everolimus-eluting bioresorbable scaffolds in the setting of acute myocardial infarction.

PLoS One 2020 9;15(7):e0235673. Epub 2020 Jul 9.

Division of Cardiology, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, United States of America.

Background And Objectives: This study sought to compare clinical outcomes between bioresorbable scaffolds (BRS) and durable polymer everolimus-eluting metallic stents (DP-EES) in patients with acute myocardial infarction (AMI) undergoing successful percutaneous coronary intervention (PCI).

Methods: From March 2016 to October 2017, 952 patients with AMI without cardiogenic shock undergoing successful PCI with BRS (n = 136) or DP-EES (n = 816) were enrolled from a multicenter, observational Korea Acute Myocardial Infarction Registry.

Results: In the crude population, there was no significant difference in the 1-year rate of device-oriented composite endpoint (DOCE) and device thrombosis between the BRS and DP-EES groups (2. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0235673PLOS

Interaction between severe chronic kidney disease and acute kidney injury in predicting mortality after transcatheter aortic valve implantation: Insights from the Italian Clinical Service Project.

Catheter Cardiovasc Interv 2020 Jul 9. Epub 2020 Jul 9.

Cardiothoracic Department, ASST Spedali Civili di Brescia, Brescia, Italy.

Aims: We aim at exploring whether severe chronic kidney disease (CKD) may modify the impact of acute kidney injury (AKI) post-transcatheter aortic valve implantation (TAVI) on early, mid, and long-term mortality.

Methods And Results: The analysis included 2,733 TAVI patients from the Italian Clinical Service Project. The population was stratified in four groups according to the presence of baseline severe CKD and postprocedural AKI. Read More

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http://dx.doi.org/10.1002/ccd.28927DOI Listing

Incidence of Stress Cardiomyopathy During the Coronavirus Disease 2019 Pandemic.

JAMA Netw Open 2020 Jul 1;3(7):e2014780. Epub 2020 Jul 1.

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

Importance: The coronavirus disease 2019 (COVID-19) pandemic has resulted in severe psychological, social, and economic stress in people's lives. It is not known whether the stress of the pandemic is associated with an increase in the incidence of stress cardiomyopathy.

Objective: To determine the incidence and outcomes of stress cardiomyopathy during the COVID-19 pandemic compared with before the pandemic. Read More

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http://dx.doi.org/10.1001/jamanetworkopen.2020.14780DOI Listing

Poor prognosis of heart failure patients with in-hospital worsening renal function and elevated BNP at discharge.

ESC Heart Fail 2020 Jul 9. Epub 2020 Jul 9.

Division of Cardiology and Cardiac Catheterization Laboratories, Showa University Northern Yokohama Hospital, 35-1, Chigasaki-Chuo, Tsuzuki, Yokohama, 224-8503, Japan.

Aims: Our purpose was to investigate the association between the B-type natriuretic peptide (BNP) level at discharge, the occurrence of worsening renal function (WRF), and long-term outcomes in patients with heart failure (HF).

Methods And Results: We enrolled hospitalized acute HF patients. We divided patients into four groups on the basis of BNP <250 pg/mL (BNP-) or BNP ≥250 pg/mL (BNP+) at discharge and the occurrence of WRF during admission: BNP-/WRF-, BNP-/WRF+, BNP+/WRF-, and BNP+/WRF+. Read More

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http://dx.doi.org/10.1002/ehf2.12901DOI Listing

Comparison of the proximal and distal approaches for axillary vein catheterization under ultrasound guidance (PANDA) in cardiac surgery patients susceptible to bleeding: a randomized controlled trial.

Ann Intensive Care 2020 Jul 8;10(1):90. Epub 2020 Jul 8.

Department of Critical Care Medicine, Zhongshan Hospital, Fudan University, No. 180 Fenglin Road, Xuhui District, Shanghai, 200032, China.

Background: The present study aimed at comparing the success rate and safety of proximal versus distal approach for ultrasound (US)-guided axillary vein catheterization (AVC) in cardiac surgery patients susceptible to bleeding.

Methods: In this single-center randomized controlled trial, cardiac surgery patients susceptible to bleeding and requiring AVC were randomized to either the proximal or distal approach group for US-guided AVC. Patients susceptible to bleeding were defined as those who received oral antiplatelet drugs or anticoagulants for at least 3 days. Read More

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http://dx.doi.org/10.1186/s13613-020-00703-6DOI Listing

Comparative accuracy of non-invasive imaging versus right heart catheterization for the diagnosis of pulmonary hypertension: A systematic review and meta-analysis.

Int J Cardiol Heart Vasc 2020 Aug 1;29:100568. Epub 2020 Jul 1.

Thomas Jefferson University, PA, United States.

Background: Right heart catheterization (RHC) is the gold-standard in the diagnosis of pulmonary hypertension (PH) but at the cost of procedure-related complications. We sought to determine the comparative accuracy of RHC versus non-invasive imaging techniques such as computed tomography (CT), magnetic resonance imaging (MRI), and transthoracic echocardiography (TTE).

Methods: Pulmonary hypertension was defined as a mean pulmonary artery pressure (mPAP) of>20 mmHg. Read More

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http://dx.doi.org/10.1016/j.ijcha.2020.100568DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7334462PMC

Minimally Invasive Surfactant Therapy: An Analytical Report of Our Prospective Dubai Cohort.

Cureus 2020 Jun 5;12(6):e8455. Epub 2020 Jun 5.

Neonatology, Medeor Hospital, Dubai, ARE.

Introduction:  Type 2 pneumocytes of the respiratory epithelium secrete the endogenous surfactant, a detergent-like substance that lines the alveolar sacs of the lungs. The surfactant facilitates the gas exchange process across the alveolar membrane by preventing the collapse of the alveoli and thereby maintaining their distended state. Respiratory distress syndrome of the premature neonates is characterized by quantitative and/or qualitative defects of endogenous surfactant metabolic pathways. Read More

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http://dx.doi.org/10.7759/cureus.8455DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7336671PMC

Tricuspid regurgitation and in-hospital outcomes after transcatheter aortic valve replacement in high-risk patients.

J Thorac Dis 2020 May;12(5):2963-2970

Echocardiography Laboratory, Columbia University Division of Cardiology, Mount Sinai Heart Institute, Miami Beach, FL, USA.

Background: The prognostic impact of tricuspid regurgitation (TR) following transcatheter aortic valve replacement (TAVR) is uncertain, and the management of patients with severe aortic stenosis and significant TR undergoing TAVR is unclear.

Methods: Retrospective study investigating the role of TR severity on hospital outcomes in high risk patients with severe aortic stenosis undergoing TAVR.

Results: A total of 174 participants were included in the present study. Read More

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http://dx.doi.org/10.21037/jtd.2020.02.10DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7330359PMC

Repeat percutaneous recanalizations of a discontinuous pulmonary artery: A very "lucky" vessel.

Ann Pediatr Cardiol 2020 Apr-Jun;13(2):163-166. Epub 2020 Mar 20.

Pediatric Cardiology and GUCH Unit, Heart Hospital "G. Pasquinucci", Tuscany-National Council of Research Foundation "G. Monasterio", Massa, Italy.

Pulmonary artery (PA) discontinuity with ductal origin of a major pulmonary branch is a rare congenital anomaly that can be diagnosed as an isolated lesion or in association with major cardiac malformations. Arterial duct (AD) closure results in complete disappearance of the dependent PA, thus leading to the misdiagnosis of "congenital PA absence." Neonatal AD transcatheter recanalization is considered a cost-effective approach in view of later, lower-risk surgical recruitment of the disconnected PA. Read More

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http://dx.doi.org/10.4103/apc.APC_142_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7331843PMC

Comparison of computed tomography angiography versus cardiac catheterization for preoperative evaluation of major aortopulmonary collateral arteries in pulmonary atresia with ventricular septal defect.

Ann Pediatr Cardiol 2020 Apr-Jun;13(2):117-122. Epub 2020 Apr 21.

Department of Pediatrics, Columbia University Medical Center, New York, NY, USA.

Introduction: Pulmonary atresia with the ventricular septal defect is a rare congenital heart defect with high anatomic variability. The most important management question relates to the sources of pulmonary blood flow. The ability to differentiate between ductal dependence and major aortopulmonary collateral arteries is critical to achieving good outcomes and avoiding life-threatening hypoxia in the postneonatal period. Read More

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http://dx.doi.org/10.4103/apc.APC_94_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7331845PMC

Hematemesis in an eight-year-old female as a presenting symptom of portal vein thrombosis following neonatal umbilical vein catheterization.

Pediatr Neonatol 2020 Jun 20. Epub 2020 Jun 20.

Department of Pediatric Gastroenterology, AUMC, Location VU University Medical Center, Amsterdam, the Netherlands.

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http://dx.doi.org/10.1016/j.pedneo.2020.06.004DOI Listing

Changes in the Trend in Bladder Emptying Methods in Patients With Spinal Cord Injury: A 20-Year Single-Center Retrospective Study.

Ann Rehabil Med 2020 Jun 30;44(3):228-237. Epub 2020 Jun 30.

Department of Rehabilitation Medicine, National Rehabilitation Center, Seoul, Korea.

Objective: To review trends in bladder emptying methods over a 20-year period in patients with spinal cord injury (SCI) by severity according to the American Spinal Injury Association impairment scale (AIS).

Methods: Medical records of patients with SCI from 1994 to 1998 (group 1) and from 2012 to 2016 (group 2) were retrospectively reviewed. We classified bladder emptying methods according to the International Spinal Cord dataset. Read More

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http://dx.doi.org/10.5535/arm.19107DOI Listing

Operator-Controlled Comparison Between 5 French and 6 French Guiding Catheters for Percutaneous Intervention Using Transradial Approach.

Cureus 2020 Jun 2;12(6):e8406. Epub 2020 Jun 2.

Cardiology, Marshall University Joan C. Edwards School of Medicine, Huntington, USA.

Objective To compare 5 French (Fr) and 6 Fr guiding catheters regarding the volume of contrast administered, fluoroscopy time, and total procedure time during transradial percutaneous coronary intervention (PCI). Background Previous studies had compared 5 Fr and 6 Fr catheters and deemed 5 Fr catheters safe and effective. In this study, we retrospectively compared the 5 Fr catheter to 6 Fr catheter with an attempt to eliminate the effect of inter-operator skill level variability. Read More

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http://dx.doi.org/10.7759/cureus.8406DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7331902PMC

The role of ISCHEMIA in stable ischemic heart disease.

Cleve Clin J Med 2020 06 30;87(7):401-409. Epub 2020 Jun 30.

Department of Cardiovascular Medicine, Heart, Vascular & Thoracic Institute, Cleveland Clinic; Professor, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH

Although it is well established that adding early revascularization to optimal medical therapy reduces mortality and recurrent myocardial infarction in acute coronary syndrome, there is less convincing evidence to guide intervention in stable ischemic heart disease. This review summarizes the International Study of Comparative Health Effectiveness With Medical and Invasive Approaches (ISCHEMIA) trial, which investigated whether there is benefit from initial catheterization and possible revascularization in addition to optimal medical therapy in patients with at least moderate ischemia on stress testing. Read More

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http://dx.doi.org/10.3949/ccjm.87a.20033DOI Listing

Prehospital use of peripheral intravenous catheters and intraosseous devices: An integrative literature review of current practices and issues.

Australas Emerg Care 2020 Jul 4. Epub 2020 Jul 4.

School of Nursing, Midwifery and Paramedicine, University of the Sunshine Coast, Australia. Electronic address:

Introduction: Peripheral intravenous catheters and intraosseous devices have been widely used in the prehospital setting for a considerable period. Changes in technology and guidelines have led to an increase in situations where use of these devices in a prehospital setting is recommended. Despite being commonplace they are not without risk of harm to the patient. Read More

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http://dx.doi.org/10.1016/j.auec.2020.06.004DOI Listing

Transhepatic atrial septal defect closure: simple way to achieve haemostasis in a patient with important co-morbidities.

Cardiol Young 2020 Jul 8:1-3. Epub 2020 Jul 8.

M3C-Necker, Hôpital Universitaire Necker-Enfants malades, Université de Paris, Paris, France.

Percutaneous closure is the gold standard treatment for atrial septal defects, but the procedure can be complex in case of femoral thrombosis. Although unusual for congenital interventionists, transhepatic atrial septal defect closure is an attractive alternative to the internal jugular vein, especially when approaching the interatrial septum. Herein, we report the case of an adult patient with significant co-morbidities who had successful transhepatic atrial septal defect closure after a failed transjugular attempt. Read More

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http://dx.doi.org/10.1017/S1047951120001833DOI Listing

Cardiac Damage Staging in Aortic Stenosis: A Perspective From the Cardiac Catheterization Laboratory.

Can J Cardiol 2020 Mar 30. Epub 2020 Mar 30.

Institut universitaire de cardiologie et de pneumologie de Québec-Université Laval/Québec Heart & Lung Institute-Laval University, Québec City, Québec, Canada. Electronic address:

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http://dx.doi.org/10.1016/j.cjca.2020.03.033DOI Listing

Use of a Steerable Sheath for Antegrade Catheterization of a Supra-Aortic Branch of an Inner-Branched Arch Endograft via a Percutaneous Femoral Access.

J Endovasc Ther 2020 Jul 7:1526602820939936. Epub 2020 Jul 7.

German Aortic Center, Department of Vascular Medicine, University Heart & Vascular Center Hamburg, University Hospital Hamburg-Eppendorf, Hamburg, Germany.

To describe the use of a steerable sheath from a femoral access for antegrade catheterization of the left common carotid artery (LCCA) in an inner-branched arch endograft. This technique is demonstrated in a patient with residual aortic dissection after replacement of the ascending aorta for acute type A aortic dissection. He presented 4 years later with aneurysmal degeneration of the thoracoabdominal aorta and a proximal tear located in the aortic arch. Read More

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http://dx.doi.org/10.1177/1526602820939936DOI Listing

5-Year prognostic value of the right ventricular strain-area loop in patients with pulmonary hypertension.

Eur Heart J Cardiovasc Imaging 2020 Jul 6. Epub 2020 Jul 6.

Department of Physiology, Research Institute for Health Sciences, Radboud University Medical Center, Philips van Leijdenlaan 15, 6525 EX Nijmegen, The Netherlands.

Aims: Patients with pre-capillary pulmonary hypertension (PH) show poor survival, often related to right ventricular (RV) dysfunction. In this study, we assessed the 5-year prognostic value of a novel echocardiographic measure that examines RV function through the temporal relation between RV strain (ϵ) and area (i.e. Read More

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http://dx.doi.org/10.1093/ehjci/jeaa143DOI Listing

The Predictive Strength of Students' Self-Efficacy, Problem Solving Skills to Perform Catheter Care.

J Korean Acad Nurs 2020 Jun;50(3):411-418

Department of Public Health Nursing, Faculty of Health Sciences, Balikesir University Cagıs Campus, Balikesir, Turkey.

Purpose: The aim of this study was to determine the predictive strength of students' self-efficacy, problem-solving skills, and other characteristics in performing intravenous practices and monitor phlebitis and infiltration.

Methods: This cross-sectional study was carried out with 736 third and fourth-year students studying at the Health Sciences Faculties of Balikesir and Sakarya universities. The data were collected using the Self-Efficacy Scale, Problem-Solving Inventory and Catheter Care and Infiltration Monitoring Questionnaire. Read More

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http://dx.doi.org/10.4040/jkan.20002DOI Listing

Evolutionary de Winter pattern: from de Winter ECG to STEMI-A case report.

BMC Cardiovasc Disord 2020 Jul 6;20(1):324. Epub 2020 Jul 6.

Department of Coronary Care Unit, Beijing Royal Integrative Medicine Hospital, No. 1, Wangfu street, Changping District, Beijing, 102200, P.R. China.

Background: De Winter pattern is associated with acute occlusion in the left anterior descending coronary artery combined with upsloping ST-segment depression at the J point in leads V through V without ST-segment elevation. The ECG changes in this case were illustrated by an up-sloping ST-segment depression in the V to V leads, followed by tall and symmetrical T waves. Changes from de Winter to ST-segment elevation myocardial infarction (STEMI) are rare. Read More

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http://dx.doi.org/10.1186/s12872-020-01611-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7339449PMC

A simplified technique for converting antegrade femoral access to retrograde access for catheterization.

Vascular 2020 Jul 6:1708538120939730. Epub 2020 Jul 6.

Division of Cardiovascular Medicine, University of Toledo, Toledo, USA.

Objectives: Femoral access conversion is sometimes required in clinical practice. Various techniques have been reported to convert a retrograde femoral access to antegrade access with a high success rate. However, despite paucity of data, converting an antegrade access to retrograde access is quite challenging with a potentially higher risk of technical failure or loss of access. Read More

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http://dx.doi.org/10.1177/1708538120939730DOI Listing

Ultrasound-Guided Percutaneous Antegrade Varicocele Embolization with Cyanoacrylate Glue as an Alternative to the Standard Retrograde Approach.

Diagnostics (Basel) 2020 Jun 25;10(6). Epub 2020 Jun 25.

Department of Radiology, Section of Vascular and Image-Guided Therapy, François-Mitterrand University Hospital, 14 Rue Paul Gaffarel, BP 77908, 21079 Dijon, France.

We report a case of a 29-year-old male referred to our hospital for endovascular treatment of a left-sided painful varicocele. Standard retrograde embolization via the left renal vein was not possible because of the presence of a left circum-aortic renal vein making the catheterization of the testicular vein not feasible. The patient was successfully treated via ultrasound-guided percutaneous antegrade access of the testicular vein at the inguinal level with subsequent cyanoacrylate glue embolization as a minimally invasive alternative to surgical therapy. Read More

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http://dx.doi.org/10.3390/diagnostics10060432DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7345746PMC

Successful superselective embolization with n-butyl cyanoacrylate for hemorrhage from superficial femoral artery branches following blunt trauma: Three case reports.

Medicine (Baltimore) 2020 Jul;99(27):e20467

Department of Surgery, Trauma Center, Eulji University Hospital, Cheongju, Republic of Korea.

Introduction: In blunt traumatic superficial femoral arterial (SFA) injuries, hemorrhage from the branches without injury to the main artery is rare, but can lead to serious complications, such as compartment syndrome affecting the clinical outcomes. Although open surgical repair has been the standard approach to peripheral vascular injuries, endovascular treatment has become more refined and is now an alternative to open surgery, which potentially involves lower morbidity and mortality rates. However, management of arterial injuries, especially when they involve simple bleeding from small branches of the main artery, can be challenging, and the best treatment options for such injuries remains controversial. Read More

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http://dx.doi.org/10.1097/MD.0000000000020467DOI Listing

Recent advances in nonoperating room anesthesia for cardiac procedures.

Curr Opin Anaesthesiol 2020 Aug;33(4):601-607

aDepartment of Anesthesia, National University Hospital, Singapore bDepartment of Anesthesia and Pain Management, Toronto General Hospital, Totonto, Canada.

Purpose Of Review: The number of complex procedures performed in the cardiac catheterization laboratory (CCL) is rapidly increasing. Because of their complexity, they frequently require the assistance of an anesthesiologist. The CCL is primarily designed to facilitate a percutaneous cardiac intervention; therefore, it might be a challenging workplace for an anesthesiologist. Read More

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http://dx.doi.org/10.1097/ACO.0000000000000894DOI Listing

Interventional radiology for the obstetric patient.

Curr Opin Anaesthesiol 2020 Aug;33(4):566-570

Department of Anesthesiology, Leuven University Hospital, Leuven, Belgium.

Purpose Of Review: To discuss the recent results of the use of interventional radiology modalities treating postpartum hemorrhage (PPH).

Recent Findings: PPH still is a leading cause of maternal morbidity and mortality. An important risk factor for the development of PPH is the placenta accreta spectrum. Read More

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http://dx.doi.org/10.1097/ACO.0000000000000884DOI Listing

Standard procedures in nonoperating room anesthesia.

Curr Opin Anaesthesiol 2020 Aug;33(4):539-547

Department of Anesthesiology, Nonoperating Room Anesthesia, Yale University School of Medicine, New Haven, Connecticut, USA.

Purpose Of Review: This article provides an overview of standard procedures currently performed in nonoperating room anesthesia (NORA) and highlights anesthetic implications.

Recent Findings: Novel noninvasive interventional procedures remain on the rise, accelerating demand for anesthesia support outside the conventional operating room. The field of interventional oncology has introduced a variety of effective minimally invasive therapies making interventional radiology gain a major role in the management of cancer. Read More

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http://dx.doi.org/10.1097/ACO.0000000000000898DOI Listing

Trends of Clinical Outcomes and Health Care Resource Use in Heart Failure in the United States.

J Am Heart Assoc 2020 Jul 4:e016782. Epub 2020 Jul 4.

Department of Cardiovascular Medicine Mayo Clinic Rochester MN.

Background Heart failure (HF) imparts a significant clinical and economic burden on the health system in the United States. Methods and Results We used the National Inpatient Sample database between September 2002 and December 2016. We examined trends of comorbidities, inpatient mortality, and healthcare resource use in patients admitted with acute HF. Read More

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http://dx.doi.org/10.1161/JAHA.120.016782DOI Listing

Transcatheter aortic valve implantation (TAVI) in cardiogenic shock: TAVI-shock registry results.

Catheter Cardiovasc Interv 2020 Jul 6. Epub 2020 Jul 6.

Interventional Cardiology Unit, Department of Cardiac, Thoracic and Vascular Sciences and Public Health, University of Padua, Padua, Italy.

Objectives: Aim of this study is to evaluate safety, feasibility, and mid-term outcome of transcatheter aortic valve implantation (TAVI) in cardiogenic shock (CS).

Background: Balloon aortic valvuloplasty in patients with severe aortic valve stenosis (SAS) complicated by CS is indicated but associated with a grim prognosis. TAVI might be a more reasonable treatment option in this setting but data are scant. Read More

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http://dx.doi.org/10.1002/ccd.29112DOI Listing

Evaluation of a Novel 3D-Printed Urinary Catheterization Simulation Model in Undergraduate Medical Teaching.

Cureus 2020 May 31;12(5):e8377. Epub 2020 May 31.

Urology, Memorial University of Newfoundland and Labrador, St. John's, CAN.

Introduction Urinary catheter insertion is a mandatory procedure taught during medical school. It is imperative that learners are provided the opportunity to practice the procedure, as an improper catheterization technique can result in urethral trauma and contribute to urinary tract infections. Simulation training offers the advantage of avoiding patient harm while allowing learners to feel comfortable to learn from their mistakes, resulting in increased user confidenceand shortening the learning curve for basic procedures. Read More

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http://dx.doi.org/10.7759/cureus.8377DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7328704PMC

The impact of oral nicorandil pre-treatment on ST resolution and clinical outcome of patients with acute ST-segment elevation myocardial infarction undergoing primary coronary angioplasty: A randomized placebo controlled trial.

J Cardiovasc Thorac Res 2020 8;12(2):90-96. Epub 2020 May 8.

Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.

Literature has shown the effects of intravenous/intracoronary nicorandil on increased myocardial salvage in patients with ST-segment elevation myocardial infarction (STEMI) treated with mechanical reperfusion. However, the possible cardioprotective effect of oral nicorandil on the clinical outcome prior to primary coronary angioplasty is not well documented. Our aim was to assess the effect of oral nicorandil on primary percutaneous coronary intervention (PPCI). Read More

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http://dx.doi.org/10.34172/jcvtr.2020.16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7321000PMC

Cardiovascular disease management during the coronavirus disease 2019 pandemic.

Int J Med Sci 2020 29;17(10):1340-1344. Epub 2020 May 29.

Department of Internal Medicine, Kaohsiung Municipal Siaogang Hospital, Kaohsiung, Taiwan.

Based on clinical presentation, pathophysiology, high infectivity, high cardiovascular involvement, and therapeutic agents with cardiovascular toxicity of coronavirus disease 2019 (COVID-19), regular cardiovascular treatment is being changing greatly. Despite angiotensin-converting enzyme 2 serving as the portal for infection, the continuation of clinically indicated renin-angiotensin-aldosterone blockers is recommended according to the present evidence. Fibrinolytic therapy can be considered a reasonable option for the relatively stable ST segment elevation myocardial infarction (STEMI) patient with suspected or known COVID-19. Read More

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http://dx.doi.org/10.7150/ijms.46484DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7330658PMC

Evaluation and Comparison of Quantitative Right Ventricular Strain Assessment by Cardiac Magnetic Resonance in Pulmonary Hypertension Using Feature Tracking and Deformable Registration Algorithms.

Acad Radiol 2020 Jul 2. Epub 2020 Jul 2.

Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430000, China. Electronic address:

Rationale And Objective: Deformable registration algorithms (DRA) has been used to detect left ventricular myocardial changes, however, its clinical utility in right ventricular (RV) function has not been evaluated. In this study, we aim to evaluate and compare quantitative RV strain assessment by cardiac magnetic resonance in pulmonary hypertension (PH) using feature tracking (FT) and DRA.

Materials And Methods: Thirty patients were confirmed to have PH using right heart catheterization, and 16 healthy controls were evaluated with cardiac magnetic resonance. Read More

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http://dx.doi.org/10.1016/j.acra.2020.06.015DOI Listing