135,988 results match your criteria Percutaneous Liver Biopsy


Percutaneous endoscopic gastrostomy in older patients with and without dementia: survival and ethical considerations.

J Gastroenterol Hepatol 2018 Dec 14. Epub 2018 Dec 14.

Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, The Netherlands.

Background And Aim: Notwithstanding multiple recommendations in guidelines, percutaneous endoscopic gastrostomy (PEG)-tube placement is still performed in patients with dementia. In this study we aim to investigate survival in patients with and without dementia after (PEG)-tube placement.

Methods: We conducted a retrospective multicenter study in four different hospitals in The Netherlands. Read More

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December 2018

Rendezvous within biloma technique combining percutaneous and endoscopic approaches: a novel biliary recanalization method.

Endoscopy 2018 Dec 14. Epub 2018 Dec 14.

Department of Gastroenterology and Hepatology, Kindai University Faculty of Medicine, Osaka-Sayama, Japan.

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December 2018

Reverse rendezvous with endoscopic retrograde cholangiography and percutaneous transhepatic cholangio drainage: who meets whom?

Endoscopy 2018 Dec 14. Epub 2018 Dec 14.

Radiologische Universitätsklinik, Universitätsklinikum Tübingen, Tübingen, Germany.

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December 2018

Fracture of a Transcatheter Atrial Septal Defect Occluder Device Causing Mitral Valve Perforation.

Ann Thorac Surg 2018 Dec 11. Epub 2018 Dec 11.

Department of Thoracic Surgery, University Hospital Zurich, Zurich, Switzerland; Department of Cardiovascular Surgery, University Hospital Zurich, Zurich, Switzerland.

Transcatheter atrial septal defect (ASD) device closure has gained increasing popularity over the past decades due to shorter hospital stay and the absence of skin scars. However, concern about the seriousness of device-related complications is accumulating. We report a case of device fracture in a young asymptomatic woman almost 4 years after percutaneous secundum ASD closure, resulting in mitral valve perforation. Read More

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December 2018
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Osseointegrated Percutaneous Prosthetic System for the Treatment of Patients With Transfemoral Amputation: A Prospective Five-year Follow-up of Patient-reported Outcomes and Complications.

J Am Acad Orthop Surg 2018 Dec 13. Epub 2018 Dec 13.

From the Centre for Advanced Reconstruction of Extremities (C.A.R.E.), Sahlgrenska University Hospital, Department of Orthopaedics, Institute for Clinical Sciences, The Sahlgrenska Academy, University of Gothenburg, Mölndal, Sweden (Dr. Brånemark, Dr. Hagberg, Mrs. Kulbacka-Ortiz, and Dr. Berlin), International Centre for Osseointegration Research, Education and Surgery (iCORES), Department of Orthopaedics, University of California, San Francisco, CA (Dr. Brånemark), and the Sahlgrenska University Hospital, Department of Orthopaedics, Institute for Clinical Sciences, The Sahlgrenska Academy, University of Gothenburg, Mölndal, Sweden (Dr. Rydevik).

Introduction: Direct skeletal attachment of prostheses has previously been shown to improve patient-reported outcome (PRO) measures of individuals with transfemoral amputation (TFA) at 2-year follow-up. This prospective study reports the outcomes at 5-year follow-up.

Methods: A total of 51 patients (55 legs) with TFA were included in a prospective study. Read More

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December 2018

Repair of tricuspid papillary muscle rupture after percutaneous coronary intervention.

Authors:
Shinji Kanemitsu

Multimed Man Cardiothorac Surg 2018 Dec 6;2018. Epub 2018 Dec 6.

Department of Thoracic and Cardiovascular Surgery Mie University Graduate School of Medicine 2-174 Edobashi, Tsu, Mie 514-8507, Japan.

Papillary muscle rupture is a rare complication after myocardial infarction and almost all cases occur in the mitral valve papillary muscle. Tricuspid regurgitation development after right ventricular myocardial infarction caused by papillary muscle rupture is extremely rare.  In this video tutorial we present a 70-year-old man with massive tricuspid regurgitation caused by papillary muscle rupture after percutaneous stenting of the right coronary artery. Read More

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December 2018

Is the SYNTAX Score II applicable in all percutaneous coronary intervention patients?

Catheter Cardiovasc Interv 2018 Dec 14. Epub 2018 Dec 14.

Cardiovascular Institute, Fuwai Hospital and National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.

Objectives: This study aimed to assess the risk stratification value of the SYNTAX Score II (SS II) in consecutive PCI patients and to analyze whether the predictive ability of SS II was consistent in patients with complex and non-complex coronary artery disease.

Background: SS II was designed for patients with complex coronary artery disease and has been validated by a number of studies in such patients.

Methods: The SS II for PCI was assessed in 10,072 consecutive patients who underwent PCI in Fuwai Hospital from January to December 2013. Read More

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December 2018

An update on the management and outcomes of cancer patients with severe aortic stenosis.

Catheter Cardiovasc Interv 2018 Dec 14. Epub 2018 Dec 14.

Department of Cardiology, The University of Texas MD Anderson Cancer Center, Houston, Texas.

Objectives: We compared the outcomes of aortic valve replacement (AVR) by transcatheter (TAVR) and surgical (SAVR) routes with those of optimal medical management in patients with cancer and severe aortic stenosis (AS).

Background: Cancer therapy requires optimal cardiac output; however, the treatment of AS in cancer patients is not established.

Methods: Cancer patients with severe AS during January 2009 through February 2018 at a large cancer center were identified. Read More

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December 2018

Open Microsurgical Dorsal Root Ganglion Lead Placement.

Neuromodulation 2018 Dec 14. Epub 2018 Dec 14.

Department of Stereotactic and Functional Neurosurgery, Heinrich-Heine University, Düsseldorf, Germany.

Introduction: Dorsal root ganglion stimulation (DRG) is a new but well-established neuromodulation technique allowing new indications and superiority to pre-existing stimulation techniques such as spinal cord stimulation in selected pain etiologies. Previous surgical procedures in the implantation area pose a challenge for the percutaneous technique and are therefore considered contraindications for DRG stimulation surgery. We describe the successful open DRG electrode placement in two patients with previous surgeries suffering from severe radiculopathy due to foraminal stenosis. Read More

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December 2018

Patients' narratives of their patient participation in the myocardial infarction pathway.

J Adv Nurs 2018 Dec 14. Epub 2018 Dec 14.

Clinic of medicine and rehabilitation, Møre og Romsdal Hospital Trust, Ålesund, Norway.

Aim: To explore how patients in areas without local percutaneous coronary intervention facilities experience patient participation in different phases of the myocardial infarction pathway.

Background: Acute treatment of myocardial infarction often involves percutaneous coronary intervention. In Norway, this treatment is centralized at certain hospitals; thus, patients often require long-distance transportation and experience frequent hospital transfers. Read More

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December 2018

Left atrial appendage occlusion using a Watchman device in a transplanted heart with biatrial anastomosis.

Catheter Cardiovasc Interv 2018 Dec 13. Epub 2018 Dec 13.

Division of Cardiology, Department of Medicine, Rush University Medical Center, Chicago, Illinois.

A percutaneous left atrial appendage (LAA) occlusion using a Watchman device was performed in a patient with prior biatrial anastomosis orthotopic heart transplant (OHT). Due to the anatomical changes following biatrial anastomosis, transesophageal echocardiography (TEE) imaging and transseptal puncture become technically challenging. We describe how the standard LAA views on TEE were obtained for device sizing, and how the transseptal puncture was modified to cross the scarred septum. Read More

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December 2018

Optimal medical therapy vs. coronary revascularization for patients presenting with chronic total occlusion: A meta-analysis of randomized controlled trials and propensity score adjusted studies.

Catheter Cardiovasc Interv 2018 Dec 13. Epub 2018 Dec 13.

Department of Cardiology and Angiology II, University Heart Center Freiburg, Bad Krozingen, Germany.

Introduction: The optimal management of patients with coronary chronic total occlusions (CTO) remains controversial. This meta-analysis aims to compare percutaneous coronary intervention of CTO (CTO-PCI) versus optimal medical therapy (OMT) in CTO patients.

Methods: A literature search with highly specific terms was conducted using MEDLINE, EMBASE, and Web of Science to identify most relevant randomized controlled trials (RCTs) and observational studies with propensity score matching (PSM) evaluating differences in between CTO-PCI versus OMT. Read More

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December 2018
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An alternative treatment strategy for large vessel coronary perforations.

Catheter Cardiovasc Interv 2018 Dec 13. Epub 2018 Dec 13.

Minneapolis Heart Institute and Minneapolis Heart Institute Foundation, Abbott Northwestern Hospital, Minneapolis, Minnesota.

The standard treatment for large vessel coronary perforations is implantation of a covered stent. Antegrade attempts for crossing a right coronary artery chronic total occlusion resulted in guidewire and microcatheter exit with pericardial bleeding. A balloon was inflated proximal to the perforation site to achieve temporary hemostasis. Read More

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December 2018

Ex-vivo percutaneous bypass: Limb perfusion in the setting of occlusive large bore sheath.

Catheter Cardiovasc Interv 2018 Dec 13. Epub 2018 Dec 13.

St. John Hospital and Medical Center, Detroit, Michigan.

Successful cardiac catheterization procedure begins with safe vascular access and ends with effective hemostasis after equipment removal. These new and advanced technologies in the cath lab require large-bore arterial accesses. Large-bore sheaths are associated with blood flow obstruction resulting in limb ischemia. Read More

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December 2018

Clinical characteristics and short-term outcomes in patients with acute cholecystitis over aged >80 years.

Geriatr Gerontol Int 2018 Dec 14. Epub 2018 Dec 14.

Division of Gastroenterology and Hepatology, Department of Internal Medicine, The Jikei University School of Medicine, Tokyo, Japan.

Aim: We investigated the clinical characteristics and short-term outcomes in acute cholecystitis (AC) patients aged ≥80 years. We therefore sought to determine the ideal treatment for elderly patients with AC.

Methods: We retrospectively evaluated 253 patients with AC. Read More

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December 2018

Inferring sleep stage from local field potentials recorded in the subthalamic nucleus of Parkinson's patients.

J Sleep Res 2018 Dec 13:e12806. Epub 2018 Dec 13.

Department of Physiology and Biophysics, University of Colorado School of Medicine, Aurora, Colorado.

Parkinson's disease (PD) is highly comorbid with sleep dysfunction. In contrast to motor symptoms, few therapeutic interventions exist to address sleep symptoms in PD. Subthalamic nucleus (STN) deep brain stimulation (DBS) treats advanced PD motor symptoms and may improve sleep architecture. Read More

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December 2018

Percutaneous patent foramen ovale closure during live case demonstrations.

Catheter Cardiovasc Interv 2018 Dec 12. Epub 2018 Dec 12.

Department of Cardiology, University Hospital of Bern, Bern, Switzerland.

Background: Live case demonstrations serve as an educational tool for interventional techniques in cardiology. The aim of this study was to assess the safety and technical success of percutaneous patent foramen ovale (PFO) closure during live case demonstrations.

Methods: All patients who had undergone percutaneous PFO closure with Amplatzer devices during live case demonstrations at our institution were consecutively included in this retrospective analysis. Read More

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December 2018

Effects of body position during cardiopulmonary exercise testing with right heart catheterization.

Physiol Rep 2018 Dec;6(23):e13945

Division of Cardiology, Department of Medicine, Kyorin University Hospital, Mitaka, Tokyo, Japan.

Cardiopulmonary exercise testing (CPX) with right heart catheterization (RHC) widely used for early diagnosis and evaluation of pulmonary vascular disease in patients with pulmonary arterial hypertension and early stage heart failure with preserved ejection fraction, who display normal hemodynamics at rest. The aim of this study was to investigate that whether body position affects pulmonary hemodynamics, pulmonary arterial wedge pressure (PAWP), and CPX parameters during invasive CPX. Seventeen patients (58 ± 14 years; 5/12 male/female) with chronic thromboembolic pulmonary hypertension treated with percutaneous transluminal pulmonary angioplasty and near-normal pulmonary artery pressure (PAP) underwent invasive CPX twice in supine and upright position using a cycle ergometer with 6 months interval. Read More

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December 2018

Generation of patient-derived tumor xenografts from percutaneous tumor biopsies in children with bone sarcomas.

Pediatr Blood Cancer 2018 Dec 11:e27579. Epub 2018 Dec 11.

Texas Children's Cancer & Hematology Centers, Houston, Texas.

One of the limitations of performing percutaneous biopsies in patients with bone sarcomas is the small amount of tumor that can be obtained for research purposes. Here, we describe our experience developing patient-derived tumor xenografts (PDXs) using percutaneous tumor biopsies in children with bone sarcomas. We generated 14 bone sarcoma PDXs from percutaneous tumor biopsies. Read More

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December 2018

Addressing the empty pelvic syndrome following total pelvic exenteration: does mesh reconstruction help?

Colorectal Dis 2018 Dec 7. Epub 2018 Dec 7.

Department of Colorectal Surgery, Royal Prince Alfred Hospital, Sydney, Australia.

Aim: Perineal wound complications and pelvic abscesses remain a major source of morbidity after total pelvic exenteration. The void created in the pelvis after these multi-visceral resections leads to fluid accumulation and translocation of bowel within the pelvic cavity, which may increase the risk of pelvic abscess, perineal fluid discharge with perineal wound dehiscence and prolonged ileus. This study describes a novel technique using degradable synthetic mesh with overlying omentum to preclude small bowel and fill the empty space after total pelvic exenteration, and aimed to investigate the rate of pelvic abscess and perineal wound-related complications in this group. Read More

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December 2018

Successful percutaneous closure of post myocardial infarction left ventricular ruptured pseudoaneurysm after failed surgical repair.

J Cardiol Cases 2014 Apr 7;9(4):154-157. Epub 2014 Feb 7.

Adult Cardiology Department, Prince Salman Heart Center, King Fahad Medical City, Riyadh, Saudi Arabia.

Left ventricular pseudoaneurysms occur as a consequence of left ventricular free wall rupture contained by pericardium. This clinical situation is an uncommon but lethal complication of acute myocardial infarction. Surgery usually is the preferred therapeutic option but is associated with significant perioperative risk. Read More

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A case of hypertrophic obstructive cardiomyopathy with aortic stenosis.

J Cardiol Cases 2014 Apr 15;9(4):129-133. Epub 2014 Jan 15.

Department of Cardiovascular Medicine, Chiba University Hospital, Chiba, Japan.

A 78-year-old woman complained of experiencing dyspnea (New York Heart Association II) and faintness. Echocardiography revealed she had asymmetric left ventricular hypertrophy, and a dynamic left ventricular outflow tract (LVOT) obstruction due to systolic anterior motion of the mitral valve. It also revealed calcification of the noncoronary cusp and a high-flow velocity in the LVOT (6. Read More

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Nonobstructive angioscopy in patient with atherosclerotic renal artery stenosis.

J Cardiol Cases 2014 Jan 13;9(1):18-21. Epub 2013 Dec 13.

Cardiovascular Center, Amagasaki Central Hospital, 1-12-1 Shio-e, Amagasaki, Hyogo 661-0976, Japan.

Few applications of angioscopy for evaluating atherosclerosis of the abdominal aorta have been described. We report the demonstration of atherosclerotic yellow plaque by nonobstructive angioscopy in a patient with left renal artery stenosis. Computed tomography angiography showed stenosis in one of the left renal arteries in a 65-year-old man who presented with renal impairment and hypertension. Read More

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January 2014

Fulminant myocarditis in a patient with severe coronary artery disease.

J Cardiol Cases 2014 Jan 12;9(1):15-17. Epub 2013 Dec 12.

Department of Cardiology and Nephrology, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507, Japan.

A 55-year-old man complaining of fever and exertional dyspnea was admitted for coronary angiography to differentiate between fulminant myocarditis and acute coronary syndrome. He had been treated for 17 years for angina pectoris. His electrocardiogram demonstrated ST segment changes in almost all leads. Read More

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January 2014

Therapeutic dilemmas in the treatment of acute coronary syndrome as manifestation of essential thrombocythaemia.

J Cardiol Cases 2013 Nov 13;8(5):168-171. Epub 2013 Oct 13.

Department of Cardiovascular Diseases and Intensive Care, Clinic of Internal Medicine, University Hospital Centre Osijek, Ivica Bošnjak, Huttlerova 4, 31 000 Osijek, Croatia.

Essential thrombocythemia (ET), a chronic myeloproliferative disease, is characterized by an increased number of platelets and risk of vascular thrombosis. A case of a patient treated for ET who had acute myocardial infarction (MI) and reinfarction within a month is presented. A 55-year-old male patient was hospitalized because of subacute inferolateral non-ST-segment-elevation MI, without risk factors for cardiovascular diseases. Read More

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November 2013

Saccular aneurysm and stenosis of the left anterior descending artery presenting with acute coronary syndrome. What is the best treatment: CABG or PCI?

J Cardiol Cases 2013 Oct 31;8(4):129-130. Epub 2013 Aug 31.

Department of Medicine, Division of Cardiovascular Diseases, University of Tennessee Health Science Center, 6283 Common Oaks Crt # 106, Memphis, TN 38120, USA.

Treatment of coronary artery aneurysms (CAAs) can either take the way of a close regular follow up with antiplatelet and anticoagulation therapy, percutaneous coronary intervention with possible stenting, or reach the extent of doing coronary artery bypass grafting. The severity of coexistent coronary artery stenosis, symptomatology, embolization to distal coronary beds, and increasing measurements over time are key players to decide whether to proceed with surgery in patients with CAAs. < (i) Coronary artery aneurysms (CAAs) are defined as luminal dilation 50% larger than that of the adjacent reference segment. Read More

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October 2013

New coronary aneurysm formation and malapposition after zotarolimus-eluting stent implantation in Kawasaki disease.

J Cardiol Cases 2013 Sep 7;8(3):118-120. Epub 2013 Aug 7.

Department of Cardiology and Nephrology, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507, Japan.

Coronary artery involvement is the most important complication of Kawasaki disease. Coronary artery bypass surgery has been performed for ischemic heart disease caused by Kawasaki disease, however, long-term coronary graft patency is not satisfactory. Therefore, percutaneous coronary intervention (PCI) has its role in Kawasaki disease-related coronary artery disease. Read More

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September 2013

A case of osteopetrosis with severe aortic stenosis treated by transcatheter aortic valve implantation.

J Cardiol Cases 2013 Sep 15;8(3):113-115. Epub 2013 Jul 15.

Department of Cardiology, Sakakibara Heart Institute, Tokyo, Japan.

Osteopetrosis is a rare hereditary disease characterized by osteoclast dysfunction and consequently diminished bone resorption and disturbed bone building and remodeling, resulting in abnormally dense and brittle bones. Pathologic fractures are common in patients with osteopetrosis. We report a case of benign adult form of osteopetrosis with severe aortic stenosis (AS) and coronary artery disease (CAD). Read More

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September 2013

A patient with anomalous right coronary artery originating from the left anterior descending artery who underwent complex percutaneous coronary intervention: A case report.

J Cardiol Cases 2013 Jul 19;8(1):e46-e48. Epub 2013 Apr 19.

Adana Numune Training and Research Hospital, Department of Cardiology, Adana 01170, Turkey.

An anomalous right coronary artery (RCA) arising from the left anterior descending artery (LAD) is an extremely rare coronary anomaly. A 71-year-old patient presented with severe exertional angina for 10 days. Coronary angiography revealed that an anomalous RCA originated from the proximal LAD. Read More

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Trans-radial primary percutaneous coronary intervention in dextrocardia using double inversion technique.

J Cardiol Cases 2013 Jul 24;8(1):e31-e33. Epub 2013 Apr 24.

Department of Cardiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.

Percutaneous coronary intervention in patients with dextrocardia presents several challenges due to abnormal location of the heart, mirror image pattern of aortic arch and its branches, and abnormal coronary origin and orientation. The challenges involve appropriate choice of vascular access, guiding catheters, engagement technique, acquisition and interpretation of radiological orientation of coronary anatomy, and appropriate radiological angles and views. We report a patient with dextrocardia and situs inversus who presented with acute ST segment elevation myocardial infarction and was successfully treated with trans-radial primary percutaneous coronary intervention using "double inversion technique. Read More

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Deceived incidence of acute coronary syndrome by measurement of FFR: Diagnostic gap of vulnerable plaque between physiology and morphology.

J Cardiol Cases 2013 Jul 8;8(1):e7-e8. Epub 2013 Apr 8.

Division of Cardiology, Nippon Medical School, Tokyo, Japan.

A 67-year-old male was admitted because of acute myocardial infarction (AMI). An emergent coronary angiography showed a total occlusion in the left anterior descending artery, and a stent was deployed. Moderate lesion stenosis was found in the right coronary artery (RCA). Read More

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Importance of multi-detector computed tomography for percutaneous coronary intervention in a patient with type V dual left anterior descending artery.

J Cardiol Cases 2012 Oct 11;6(4):e100-e102. Epub 2012 Jul 11.

Department of Cardiology and Hematology, Fukushima Medical University, 1 Hikarigaoka, Fukushima 960-1295, Japan.

A 58-year-old woman came to our hospital because of chest pain. Multi-detector computed tomography (MDCT) showed type V dual left anterior descending artery (LAD) and a 90% stenosis in segment 1 of the right coronary artery. Two days after examination, she was admitted to our hospital because of recurrent chest pain. Read More

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October 2012

Defining a role of intravascular ultrasound in percutaneous coronary intervention.

J Cardiol Cases 2012 Sep 10;6(3):e91-e92. Epub 2012 Jul 10.

Department of Cardiovascular Medicine, School of Medicine, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku, Kitakyushu 807-8555, Japan.

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September 2012

Sweet's syndrome as a dermatological manifestation of underlying coronary artery disease.

J Cardiol Cases 2012 Jul 10;6(1):e8-e12. Epub 2012 Apr 10.

Department of Pathology, Hurley Medical Center, Flint, MI, USA.

We report an unusual case of a 50-year-old female with no significant past medical history who reported with a sudden eruption of painful erythematous papules accompanied by fever. Clinical and pathological findings were consistent with acute febrile neutrophilic dermatosis (or Sweet's syndrome). Two weeks later, she complained of chest pain and was diagnosed with non-ST elevation myocardial infarction. Read More

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Implantation of a MitraClip between two previously implanted MitraClips to treat recurrent severe mitral regurgitation.

J Cardiol Cases 2017 Feb 17;15(2):50-52. Epub 2016 Nov 17.

Department of Cardiology, Deutsches Herzzentrum München, Technische Universität München, Munich, Germany.

We first describe the implantation of a MitraClip (Abbott Vascular, Abbott Park, IL, USA) between 2 previously implanted MitraClips to treat recurrent mitral regurgitation (MR). An 82-year-old male patient presented with dyspnea New York Heart Association NYHA class III due to recurrent severe MR 18 months after primarily successful implantation of 2 MitraClips. The initial procedure was performed to treat severe MR due to prolapse and flail of the anterior leaflet and resulted in mild MR after implantation of 2 MitraClips. Read More

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February 2017

Percutaneous closure of aortic pseudoaneurysm in a young female with atrial septal occluder.

J Cardiol Cases 2017 Feb 18;15(2):39-42. Epub 2016 Nov 18.

Godbole Hospital, Thane, Maharashtra, India.

This case report represents a novel technique for the treatment of a pseudoaneurysm of the aorta. Pseudoaneurysm of the aorta has been reported in patients post heart surgery. This case report is about a patient who had a pseudoaneurysm most probably following tuberculosis. Read More

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February 2017

Salvage transcatheter aortic valve implantation for severe acute aortic regurgitation complicating percutaneous transluminal aortic valvuloplasty.

J Cardiol Cases 2016 Dec 7;14(6):174-176. Epub 2016 Sep 7.

Department of Cardiology, Sakakibara Heart Institute, Tokyo, Japan.

With the advent of transcatheter aortic valve implantation (TAVI), percutaneous transluminal aortic valvuloplasty (PTAV) has experienced a recent renaissance. The roles of PTAV range widely from bridging to definitive therapy to palliation. In general, PTAV is performed without major trouble, but fatal complications including acute aortic regurgitation (AR) are occasionally encountered. Read More

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December 2016

A case of coronary subclavian vertebral steal syndrome successfully treated with stenting to the stenosis of left subclavian artery.

J Cardiol Cases 2016 Nov 6;14(5):157-160. Epub 2016 Sep 6.

Department of Cardiology, Harasanshin Hospital, Fukuoka, Japan.

Coronary subclavian vertebral steal syndrome (CSVSS) is a rare but important complication of coronary artery bypass graft surgery (CABG) when an internal mammary artery (IMA) is used. This syndrome is defined as a retrograde flow from coronary artery via the IMA and the vertebral artery to the subclavian artery due to a proximal subclavian artery stenosis. We describe a case of a 64-year-old female who underwent CABG, complaining of dyspnea and chest pain by exercise of left arm, and dizziness when she turned her face to the left. Read More

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November 2016

A case of fulminant myocarditis treated with very long-term support by cardiopulmonary support system.

J Cardiol Cases 2016 Nov 6;14(5):141-144. Epub 2016 Aug 6.

Cardiovascular Center, Munakata Suikokai General Hospital, Fukutsu, Japan.

Fulminant myocarditis (FM) sometimes causes severe left ventricular dysfunction and lethal arrhythmias leading to cardiogenic shock and critical conditions. Thus, mechanical circulation support with intra-aortic balloon pumping and/or a cardiopulmonary support system (CPS) is sometimes needed to save lives. The special recommended therapies for FM for that classified as class I (evidence level C) in the guidelines of the Japanese Circulation Society are intra-aortic balloon pumping, CPS, percutaneous cardiac pacing, and a left ventricular assist device (LVAD), and they are well established in evidence-based medicine. Read More

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November 2016

Large hematoma over the puncture site of percutaneous transluminal coronary angioplasty as a presenting sign of severe dengue infection.

J Cardiol Cases 2016 Nov 12;14(5):139-140. Epub 2016 Aug 12.

Department of Cardiology, R.G. Kar Medical College, Kolkata, West Bengal, India.

Dengue fever is a common arboviral infection all over the world. It is endemic in the tropical and subtropical areas of the world with periodic epidemics in these areas. In its severe form dengue patients may develop life-threatening bleeding manifestations. Read More

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November 2016

Impella CP-assisted balloon aortic valvuloplasty.

J Cardiol Cases 2016 Aug 12;14(2):49-51. Epub 2016 Apr 12.

Division of Cardiology, Mercy Hospital and Medical Center, Chicago, IL, USA.

Percutaneous ventricular assist device (PVAD) use in balloon aortic valvuloplasty (BAV) has been performed sporadically. The PVAD used was TandemHeart. A few cases were reported using Impella 2. Read More

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Chronic total occlusions of the right coronary and left anterior descending coronary arteries in a young adult patient with antiphospholipid syndrome.

J Cardiol Cases 2016 Aug 11;14(2):46-48. Epub 2016 Apr 11.

Department of Cardiology, Kanazawa Medical University, Ishikawa, Japan.

A 36-year-old male appeared to have an old myocardial infarction on electrocardiogram, and coronary angiography (CAG) was performed. The CAG showed total occlusions of the right coronary artery and left anterior descending artery. He was successfully treated with drug-eluting stent implantation for both occluded coronary arteries. Read More

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Progressive coronary aneurysms in Behçet disease, a journey through surgical and percutaneous treatment: A case report.

J Cardiol Cases 2016 Jul 14;14(1):32-34. Epub 2016 Apr 14.

Heart Center, King Faisal Hospital and Research Center, Riyadh, Saudi Arabia.

Behçet disease is a systemic autoimmune disease that causes inflammation within the vascular tree. Coronary arteries are rarely involved with stenosis, arteritis or aneurysm formation. Treatment is mainly directed to reduce the burden of inflammation systemically with steroid and immunosuppressive medications. Read More

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A case of pregnancy-associated acute myocardial infarction with refractory ventricular fibrillation and heart failure.

J Cardiol Cases 2016 Jul 31;14(1):13-16. Epub 2016 Mar 31.

Department of Cardiology, Internal Medicine, Shinshu University School of Medicine, Matsumoto, Japan.

Acute myocardial infarction (AMI) is rare among women of childbearing age. Spontaneous coronary artery dissection (SCAD), a rare cause of AMI, is the leading cause of pregnancy-associated acute myocardial infarction (PAMI), and is associated with critical complications, including pump failure, ventricular arrhythmias, and sudden death. Optimal treatment strategies for SCAD and PAMI remain unclear. Read More

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Complete recovery of the right ventricle from a large intramyocardial hematoma complicating percutaneous coronary intervention.

J Cardiol Cases 2016 Jun 2;13(6):175-177. Epub 2016 Mar 2.

Cardiology Department, Heart Hospital, Tampere University Hospital, Tampere, Finland.

Right ventricular (RV) intramyocardial hematoma is a potentially life-threatening condition that can complicate percutaneous coronary intervention (PCI). Natural course of RV hematoma and long-term recovery of the affected myocardium have not been described. We present a case of a 70-year-old male with large RV hematoma caused by distal guidewire perforation during PCI of the right coronary artery. Read More

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Editorial: Percutaneous mitral valvotomy: Balloon made in Japan still dominates the world.

Authors:
Nozomi Watanabe

J Cardiol Cases 2016 Jun 8;13(6):169-170. Epub 2016 Apr 8.

Miyazaki Medical Association Hospital Cardiovascular Center, Miyazaki, Japan.

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An unusual case of cardiogenic shock late following surgical aortic valve replacement.

J Cardiol Cases 2016 May 24;13(5):162-164. Epub 2016 Feb 24.

Cardiology Department, Bolognini Hospital, Seriate, Italy.

The present case describes a rare but potentially life-threatening complication following surgical aortic valve replacement (AVR): iatrogenic coronary ostial stenosis (ICOS). The incidence of ICOS is estimated to be between 0.3% and 5% of all AVR and it generally occurs within 6 months after the procedure. Read More

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Three-dimensional reconstruction of optical coherence tomography for improving bifurcation stenting.

J Cardiol Cases 2016 May 14;13(5):137-138. Epub 2016 Mar 14.

Division of Cardiology, Department of Medicine and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Japan.

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The impact of three-dimensional optical coherence tomography and kissing-balloon inflation for stent implantation to bifurcation lesions.

J Cardiol Cases 2016 May 16;13(5):133-136. Epub 2016 Jan 16.

Department of Cardiology, Miyazaki Medical Association Hospital, Miyazaki, Japan.

The rates of restenosis and stent thrombosis after the therapeutic stent deployment for bifurcation lesions are still comparably high after the introduction of the new-generation drug-eluting stents (DESs), because of the various factors including their morphology. We experienced a case of a successful percutaneous coronary intervention using three-dimensional optical coherence tomography (3D OCT) with a single stent deployment to a bifurcation lesion of the left anterior descending artery (LAD) and left circumflex artery (LCx) with a following kissing-balloon inflation (KBI). The 3D OCT, after the inflation of the jailed ostium of the LCx following the stent deployment to the LAD crossing the LCx, could clearly demonstrate a stent deformation and incomplete apposition at an opposite site of the LCx, which may cause high rates of restenosis and stent thrombosis. Read More

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Imaging essentials before transcatheter closure of an atrial septal defect: Detection of an unusual contraindication.

J Cardiol Cases 2016 Apr 6;13(4):109-111. Epub 2016 Feb 6.

Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, Karnataka, India.

Currently there are few contraindications to transcatheter closure of secundum atrial septal defects (ASDs). Known device-related complications of percutaneous ASD closure are worsening of aortic regurgitation and cardiac erosion. Interference of a septal occluder with anatomic variant coronaries is a rare but important complication that can result in post-interventional fatalities. Read More

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