158,811 results match your criteria Percutaneous Absess Drainage


Antegrade versus Retrograde Techniques for Chronic Total Occlusions (CTO): A Review and Comparison of Techniques and Outcomes.

Expert Rev Cardiovasc Ther 2021 May 4. Epub 2021 May 4.

Division of Cardiology, Henry Ford Hospital, Detroit, MI.

: As the field of chronic total occlusion percutaneous coronary intervention has evolved, technical approaches have evolved and been refined.: In this review, we discuss the major techniques utilized in modern CTO PCI including antegrade wiring, antegrade dissection re-entry, retrograde wiring, and retrograde dissection re-entry. Retrograde techniques have been extensively studied in comparison to antegrade techniques. Read More

View Article and Full-Text PDF

Platelet-Lymphocyte ratio is a predictor for the development of no-reflow phenomenon in patients with ST-segment elevation myocardial infarction after thrombus aspiration.

J Clin Lab Anal 2021 May 4:e23795. Epub 2021 May 4.

Department of Cardiology, Tepecik Training and Research Hospital, Izmir, Turkey.

Backround: We aimed to evaluate the utility of the preprocedural platelet-lymphocyte ratio (PLR) for predicting the no-reflow phenomenon after thrombus aspiration during percutaneous coronary intervention (PCI) in patients with ST-segment elevation myocardial infarction (STEMI).

Method: We retrospectively analyzed postprocedural thrombolysis in myocardial infarction (TIMI) flow grades and myocardial blush grades (MBG) of 247 patients who underwent a PCI procedure with thrombus aspiration.We divided these patients into two groups according to whether they had no-reflow (TIMI < 3, MBG < 2) or not (TIMI 3, MBG ≥ 2). Read More

View Article and Full-Text PDF

Diagnosis and Management of Stable Angina: A Review.

JAMA 2021 May;325(17):1765-1778

Division of Cardiology, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas.

Importance: Nearly 10 million US adults experience stable angina, which occurs when myocardial oxygen supply does not meet demand, resulting in myocardial ischemia. Stable angina is associated with an average annual risk of 3% to 4% for myocardial infarction or death. Diagnostic tests and medical therapies for stable angina have evolved over the last decade with a better understanding of the optimal use of coronary revascularization. Read More

View Article and Full-Text PDF

Routine Screening with Contrast Echocardiography in Apical Infarctions? A case report.

Acta Biomed 2021 Apr 30;92(S1):e2021053. Epub 2021 Apr 30.

Parma University Hospital.

A a 80-year-old male underwent routine transthoracic echocardiography the day after primary percutaneous revascularization procedure for ST-elevation myocardial infarction. When ultrasound contrast  was injected, regular contrast-enhancement of the left ventricle (LV) excluded the presence of thrombus. A second echocardiogram, performed four months later, showed a hyperechoic image in the LV apex, which was confirmed after contrast injection as a thrombus. Read More

View Article and Full-Text PDF

PFO percutaneous closure: indications, safety issues and prognosis.

Minerva Cardiol Angiol 2021 May 4. Epub 2021 May 4.

Department of Cardiovascular and Pulmonary Sciences, Catholic University of the Sacred Heart, Rome, Italy.

View Article and Full-Text PDF

Transcatheter mitral valve interventions: pre-procedural planning and intra-procedural guidance.

Minerva Cardiol Angiol 2021 May 4. Epub 2021 May 4.

Cardiovascular Imaging Unit, San Raffaele Hospital, Milan, Italy -

Mitral regurgitation is the most prevalent valve disease worldwide. Percutaneous mitral valve interventions are emerging as alternative options for high-risk patients with severe mitral regurgitation not eligible for conventional surgery. Accurate patient selection is based on a detailed pre-procedural multimodality imaging evaluation. Read More

View Article and Full-Text PDF

Tricuspid valve in congenital heart disease: multimodality imaging and electrophysiological considerations.

Minerva Cardiol Angiol 2021 May 4. Epub 2021 May 4.

Department of Women's and Children's Health, University of Padua, Padua, Italy -

The tricuspid valve (TV) has been neglected for many years. Only recently, new studies demonstrated the prognostic role of the tricuspid valve lesions. In addition to that, new interventional approaches offer the possibility to non-invasively treat tricuspid valve disease. Read More

View Article and Full-Text PDF

Impact of coronary stenting on top of medical therapy and of inclusion of periprocedural infarctions on hard composite endpoints in patients with chronic coronary syndromes: a meta-analysis of randomized controlled trials.

Minerva Cardiol Angiol 2021 May 4. Epub 2021 May 4.

IRCCS Ospedale Policlinico San Martino, Italian IRCCS Cardiovascular Network, Genoa, Italy -

Background: Composite endpoints are pivotal when assessing rare outcomes over relatively short follow-ups. Most randomized controlled trials (RCTs) comparing percutaneous coronary intervention (PCI) with stent implantation to optimal medical therapy (OMT) in chronic coronary syndromes (CCS) patients included both hard and soft outcomes in their primary endpoint, with periprocedural myocardial infarctions (MIs) systematically allocated to the PCI arm. We metaanalysed the above RCTs for composite hard endpoints, with and without periprocedural MIs. Read More

View Article and Full-Text PDF

Transcatheter mitral valve repair in a high-surgical risk patient with severe degenerative mitral regurgitation using the novel DragonFly™ Transcatheter Repair device-First in man implantation in China.

Catheter Cardiovasc Interv 2021 May 4. Epub 2021 May 4.

Department of Cardiology, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.

Transcatheter repair of mitral regurgitation (MR) by edge-to-edge therapy has become increasingly accepted for patients with severe MR at high or prohibitive surgical risk in primary or degenerative mitral regurgitation (DMR). The technological approach has evolved from the initial transcatheter edge-to-edge device to improve on its acute reduction in MR and durability of results, particularly in complex primary pathology. In this study, we reported the first case of DragonFly™ Transcatheter Valve Repair device in a patient with severe DMR. Read More

View Article and Full-Text PDF

Interposition Technique for Pulmonary Valve Replacement.

World J Pediatr Congenit Heart Surg 2021 May;12(3):411-413

Division of Cardiovascular Surgery, 8404Children's National Health System, Washington, DC, USA.

Background: Stented bioprosthesis implant at surgical pulmonary valve replacement (PVR) ideally should be 25 to 27 mm to facilitate future percutaneous PVR. This often requires accommodating 35 to 37 mm diameter sewing ring in the pulmonary position and requires anterior patch augmentation of the right ventricular outflow tract (RVOT). We present a novel "interposition" technique of PVR that allows upsizing the valve without RVOT patch augmentation. Read More

View Article and Full-Text PDF

Transaxillary Approach for Surgical Repair of Simple Congenital Cardiac Lesions: Pitfalls, and Complications.

World J Pediatr Congenit Heart Surg 2021 May;12(3):337-343

Department of Pediatric Cardiology, 29286Amrita Institute of Medical Sciences and Research Centre, Edappally, Kochi, India.

Background: In the treatment of simple congenital cardiac lesions, percutaneous and cosmetic surgical approaches have steadily gained prominence. Surgically, right vertical axillary approach is sparsely used despite superior cosmesis and less pain and blood product usage. Knowledge of potential pitfalls could lead to its more widespread acceptance. Read More

View Article and Full-Text PDF

Application of Spinal Robotic Navigation Technology to Minimally Invasive Percutaneous Treatment of Spinal Fractures: A Clinical, Non-Randomized, Controlled Study.

Orthop Surg 2021 May 4. Epub 2021 May 4.

Department of Orthopedics, Chinese PLA General Hospital, Beijing, China.

Objective: To introduce a new robotic navigation system that assists pedicle screw implantation and verify the accuracy and stability of the system.

Methods: Pedicle screw placements were performed on the thoracic vertebrae (T)9-Lumbar vertebrae (L)5 thoracolumbar vertebrae of cadavers using robotic guidance. The operative duration, puncture success, correction, and correction time were assessed. Read More

View Article and Full-Text PDF

Percutaneous Endoscopic Lumbar Discectomy for Lumbar Disc Herniation Using an Endoscopic Staining: A Technical Note.

Orthop Surg 2021 May 4. Epub 2021 May 4.

Department of Spine Surgery, the 1st Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.

Symptomatic lumbar disc herniation (LDH) is widely treated using percutaneous endoscopic lumbar discectomy (PELD). In the present PELD surgery, performing decompression under endoscope still takes a long time to explore the rupture site of annulus fibrosus, resulting in prolonged operation time and over-invasion of the undegenerated annulus fibrosus. A wide range of intraoperative exploration also induces an iatrogenic injury of the normal annulus fibrosus, even aggravating intervertebral disc degeneration, which may lead to early postoperative recurrence in severe case. Read More

View Article and Full-Text PDF

Outcomes following PCI in CABG candidates during the COVID-19 pandemic: The prospective multicentre UK-ReVasc registry.

Catheter Cardiovasc Interv 2021 May 4. Epub 2021 May 4.

Department of Cardiovascular Sciences and the NIHR Leicester Biomedical Research Centre, Glenfield Hospital, University of Leicester, Leicester, UK.

Objectives: To describe outcomes following percutaneous coronary intervention (PCI) in patients who would usually have undergone coronary artery bypass grafting (CABG).

Background: In the United Kingdom, cardiac surgery for coronary artery disease (CAD) was dramatically reduced during the first wave of the COVID-19 pandemic. Many patients with "surgical disease" instead underwent PCI. Read More

View Article and Full-Text PDF

Clinical outcomes of percutaneous coronary intervention for chronic total occlusion in prior coronary artery bypass grafting patients.

Catheter Cardiovasc Interv 2021 May 4. Epub 2021 May 4.

Keele Cardiovascular Research Group, Centre for Prognosis Research, Institute for Primary Care and Health Sciences, Keele University, Keele, UK.

Objective: To compare the clinical characteristics and outcomes in patients with stable angina who have undergone chronic total occlusion (CTO) percutaneous coronary intervention (PCI) in native arteries with or without prior coronary artery bypass grafting (CABG) surgery in a national cohort.

Background: There are limited data on outcomes of patients presenting with stable angina undergoing CTO PCI with previous CABG.

Methods: We identified 20,081 patients with stable angina who underwent CTO PCI between 2007-2014 in the British Cardiovascular Intervention Society database. Read More

View Article and Full-Text PDF

Prognostic implications of calculated Apo-lipoprotein B in patients with segment elevation myocardial infarction undergoing primary percutaneous coronary intervention: Outcome is tied to lower cut-points.

Clin Cardiol 2021 May 4. Epub 2021 May 4.

Research center at department of Cardiology, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.

Background: Debates still surround using lipoproteins including Apo-B in risk assessment, management, and prognosis of patients with coronary artery disease. During an acute ST-segment elevation myocardial infarction, Apo-B might help to achieve incremental prognostic information.

Objective: We sought to determine the potential prognostic utility of calculated Apo-B in a cohort of patients with STEMI undergoing primary PCI. Read More

View Article and Full-Text PDF

A Prospective, observational, Italian multi-center registry of self-aPposing® cOronary Stents in patients presenting with ST-segment Elevation Myocardial InfarcTION: The iPOSITION registry.

Cardiol J 2021 May 4. Epub 2021 May 4.

Interventional Cardiology Unit, "SS. Annunziata" Hospital, Chieti, Italy.

Background: Primary percutaneous coronary intervention (pPCI) in ST-segment elevation myocardial infarction (STEMI) can be challenging for high thrombus burden and catecholamine-induced vasoconstriction. The Xposition-S stent was designed to prevent stent undersizing and minimize strut malapposition. We evaluated 1-year clinical outcomes of a nitinol, self-apposing®, sirolimus-eluting stent, pre-mounted on a novel balloon delivery system, in de novo lesions of patients presenting with STEMI undergoing pPCI. Read More

View Article and Full-Text PDF

The impact of tricuspid annular geometry on outcome after percutaneous edge-to-edge repair for severe tricuspid regurgitation.

Cardiol J 2021 May 4. Epub 2021 May 4.

Klinik für Innere Medizin I, Universitätsklinikum Jena, Am Klinikum 1, 07747 Jena, Germany.

Background: Percutaneous tricuspid repair using the edge-to-edge technique is a novel treatment option. More data are needed to better understand which aspects predict a favorable outcome METHODS: Twenty high-risk patients (78.6 ± 8. Read More

View Article and Full-Text PDF

[Interventions for pancreatitis].

Radiologe 2021 May 3. Epub 2021 May 3.

Abteilung für Diagnostische und Interventionelle Radiologie, Sana Klinikum Hof GmbH, Akademisches Lehrkrankenhaus der Friedrich-Alexander-Universität Erlangen-Nürnberg, Eppenreuther Straße 9, 95032, Hof/Saale, Deutschland.

Approximately 20% of patients with acute pancreatitis develop complications that require surgical or radiological intervention. Radiology plays a central role, not only for imaging (course of the disease, detection of superinfection and their related complications, and development of necrosis) but also for the treatment of vascular and nonvascular complications. In the treatment of severe or necrotizing pancreatitis, a multidisciplinary staged approach with minimally invasive therapies such as endoscopic or percutaneous drainage should be used. Read More

View Article and Full-Text PDF

Comparative evaluation of upper versus lower calyceal approach in percutaneous nephrolithotomy (PCNL) for managing renal calculi.

J Pak Med Assoc 2021 Feb;71(2(B)):602-607

College of Physicians and Surgeons of Pakistan, Karachi.

Objective: To compare upper versus lower calyceal approaches in percutaneous nephrolithotomy for managing renal calculi.

Methods: The retrospective study was conducted in the Department of Urology, The Kidney Centre Post-Graduate Training Institute, Karachi, and comprised data of patients who underwent percutaneous nephrolithotomy from January 2014 to January 2015. Patients were divided into upper pole puncture group A and lower pole puncture group B. Read More

View Article and Full-Text PDF
February 2021

Influence of body mass index on the management and outcomes of acute myocardial infarction-cardiogenic shock in the United States, 2008-2017.

Cardiovasc Revasc Med 2021 Apr 30. Epub 2021 Apr 30.

Section of Interventional Cardiology, Division of Cardiovascular Medicine, Department of Medicine, Emory University School of Medicine, Atlanta, GA, United States of America. Electronic address:

Background: There are limited data on influence of body mass index (BMI) on outcomes of acute myocardial infarction-cardiogenic shock (AMI-CS).

Methods: Adult AMI-CS admissions from 2008 to 2017 were identified from the National Inpatient Sample and stratified by BMI into underweight (<19.9 kg/m), normal-BMI (19. Read More

View Article and Full-Text PDF

Safety and Effectiveness of Bivalirudin for Perioperative Anticoagulation in a Patient With Hemophilia A Undergoing Percutaneous Coronary Intervention.

Am J Med Sci 2020 Dec 26. Epub 2020 Dec 26.

Cardiovascular Department, First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, PR China; Key Laboratory of Environment and Genes Related to Diseases, Ministry of Education, Xi'an, PR China. Electronic address:

View Article and Full-Text PDF
December 2020

Atrial fibrillation evolution and rhythm control strategy following left appendage closure: new insights from the prospective FLAAC registry.

BMC Cardiovasc Disord 2021 May 3;21(1):227. Epub 2021 May 3.

Inserm, CIC 1430, Henri Mondor University Hospital, Creteil, France.

Background: Percutaneous left atrial appendage (LAA) closure is an alternative to oral anticoagulation (OAC) for atrial fibrillation (AF) patients with high thromboembolism risk, particularly with contraindications to OAC. The LAA itself could possess proarrhythmogenic properties. As patients undergoing LAA closure could be candidates for cardioversion or ablation, we aimed to evaluate AF disease progression following LAA closure and the outcome of patients undergoing a rhythm control strategy after the procedure. Read More

View Article and Full-Text PDF

Percutaneous endovascular abdominal aortic aneurysm repair with monitored anesthesia care decreases operative time but not pulmonary complications.

Vascular 2021 May 3:17085381211012908. Epub 2021 May 3.

Vascular & Endovascular Surgery, University of Miami & Miami VAMC, Miami, FL, USA.

Objectives: To report our experience and compare the results of percutaneous endovascular aortic aneurysm repair (PEVAR) performed under monitored anesthesia care (MAC) to PEVAR under general anesthesia (GA).

Methods: A retrospective review of patients who underwent non-emergency endovascular abdominal aortic aneurysm repair (EVAR) was completed. Patients were excluded if they had a complex repair, including fenestrated, branched, or parallel endografting. Read More

View Article and Full-Text PDF

Electrochemical Biosensor Based on HRP/TiC/Nafion Film for Determination of Hydrogen Peroxide in Serum Samples of Patients with Acute Myocardial Infarction.

ACS Biomater Sci Eng 2021 May 3. Epub 2021 May 3.

School of Pharmacy, Nanjing Medical University, Nanjing, Jiangsu 211166, China.

Hydrogen peroxide (HO) has been reported to mediate a variety of physiological and pathological processes in living systems. In this work, a biosensor for determination of HO was prepared by using an HRP/TiC/Nafion film-modified glassy carbon electrode (GCE). TiC nanosheets with remarkable conductivity and high specific surface area were chosen as carriers for HRP. Read More

View Article and Full-Text PDF

Percutaneous injection of ethanol for thyroid nodule treatment: a comparative study.

Arch Endocrinol Metab 2021 Apr 29. Epub 2021 Apr 29.

Faculdade de Medicina da Bahia (UFBA), Salvador, BA, Brasil.

Objective: Percutaneous ethanol injection (PEI) is an alternative to surgery for the treatment of thyroid nodules (TNs). However, size reductions of treated (TTNs) and untreated TN (UTNs) have not been compared. Volumetric reductions in TTNs with PEI were evaluated by comparing TTNs and UTNs in the same patient, and independent variables predicting good post-PEI outcomes were analyzed. Read More

View Article and Full-Text PDF

A meta-analysis and cost-minimization analysis of bivalirudin versus heparin in high-risk patients for percutaneous coronary intervention.

Pharmacol Res Perspect 2021 May;9(3):e00774

Department of Pharmacy, Xijing Hospital, Fourth Military Medical University, Xi'an, China.

This meta-analysis was performed to compare the safety, efficacy, and pharmacoeconomic of bivalirudin versus heparin in high-risk patients for percutaneous coronary interventions (PCI). Earlier meta-analysis comparing bivalirudin and heparin during PCI demonstrated that bivalirudin caused less bleeding with more stent thrombosis. However, little data were available on the safety of bivalirudin versus heparin in high-risk patients for PCI. Read More

View Article and Full-Text PDF

Safety and efficacy outcomes at 1 year after MitraClip therapy for percutaneous mitral valve repair in patients with severe mitral regurgitation: the Egyptian experience.

Egypt Heart J 2021 May 3;73(1):42. Epub 2021 May 3.

Department of Cardiology, Faculty of Medicine, Zagazig University, Zagazig, 44519, Egypt.

Background: Our aim was to assess safety and efficacy outcomes at 1 year after MitraClip for percutaneous mitral valve repair in patients with severe mitral regurgitation. Twenty consecutive patients with significant MR (GIII or GIV) were selected according to the AHA/ACC guidelines from June 2016 to June 2019 and underwent percutaneous edge-to-edge mitral valve repair using MitraClip with a whole 1 year follow-up following the procedure. The primary acute safety endpoint was a 30-day freedom from any of the major adverse events (MAEs) or rehospitalization for heart failure. Read More

View Article and Full-Text PDF

Surgical retrieval of broken, inflated angioplasty balloon catheter within intracoronary stent: A real emergency.

Ann Card Anaesth 2021 Jan-Mar;24(1):111-113

Department of CTVS, Navaloka Hospitals PLC, No.23, Deshamanya H K Dharmdasa Mawatha Colombo 00200, Sri Lanka.

A 54-year old, hypertensive female patient underwent percutaneous coronary angioplasty (PTCA) followed by stenting of calcified chronic totally occluded right coronary artery. The post dilation balloon catheter got stuck and snapped during manipulations in inflated position within the stent, which could not be retrieved by nonsurgical interventions. Emergency surgery was performed to retrieve the stent along with an inflated balloon, followed by vein patch closure of arteriotomy and reversed saphenous vein graft anastomosis to right coronary artery and left anterior descending artery on cardiopulmonary bypass. Read More

View Article and Full-Text PDF

Percutaneous Microwave Ablation of Desmoid Fibromatosis.

Korean J Radiol 2021 Apr 23. Epub 2021 Apr 23.

Department of Diagnostic Imaging, Virgen de las Nieves University Hospital, Granada, Spain.

Objective: To demonstrate the feasibility of percutaneous microwave ablation in desmoid fibromatosis with respect to tumor volume control and improvement in the quality of life.

Materials And Methods: Twelve microwave ablations were performed in 9 patients with a histological diagnosis of desmoid fibromatosis between January 2010 and January 2019. The study population included 6 female and 3 male, with an age range of 21-76 years (mean = 46. Read More

View Article and Full-Text PDF