135,847 results match your criteria Percutaneous Radiofrequency Ablation of Liver Tumors


Simultaneous operative repair of pectus excavatum and concurrent congenital heart defects.

Interact Cardiovasc Thorac Surg 2018 Dec 11. Epub 2018 Dec 11.

Department of Cardiothoracic Surgery, Hunan Children's Hospital, Changsha, China.

Objectives: The aim of this study is to describe an effective surgical strategy for the treatment of children with pectus excavatum (PE) and concurrent congenital heart defect (CHD).

Methods: We retrospectively reviewed the medical records of all children (n = 16) who underwent simultaneous repair of PE with concurrent CHD at the Hunan Children's Hospital from July 2007 to December 2017. Among them, 7 patients had a simple atrial septal defect (ASD); 4 patients had a simple ventricular septal defect (VSD); 3 patients had both VSD and ASD; 1 patient had VSD, ASD and patent ductus arteriosus; and 1 patient had VSD complicated by pulmonary hypertension. Read More

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December 2018
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Efficacy of Minimally Invasive Intervention in Patients with Acute Cerebral Infarction.

J Cardiovasc Pharmacol 2018 Dec 4. Epub 2018 Dec 4.

Department of Neurosurgery, Shanxi Provincial People's Hospital, Taiyuan City, Shanxi Province, China.

Our aim was to explore the efficacy of minimally invasive intervention in patients with acute cerebral infarction (ACI). Seventy patients with ACI were randomized into either an experimental group or a control group. In addition to the regular treatment, patients in the control group also received intravenous thrombolysis with urokinase, while patients in the other group underwent percutaneous transluminal cerebral angioplasty and stenting. Read More

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December 2018

Incidence, Characteristics, and Outcomes of Myocardial Infarction in Patients With Peripheral Artery Disease: Insights From the EUCLID Trial.

JAMA Cardiol 2018 Dec 12. Epub 2018 Dec 12.

Stanford Center for Clinical Research, Department of Medicine, Stanford University School of Medicine, Stanford, California.

Importance: Patients with peripheral artery disease (PAD) are at high risk for myocardial infarction (MI).

Objective: To characterize the incidence and types of MI in a PAD population, identify factors associated with MI, and determine the association of MI with cardiovascular mortality and acute limb ischemia.

Design, Setting, And Participants: The Study Comparing Cardiovascular Effects of Ticagrelor and Clopidogrel in Patients With Peripheral Artery Disease (EUCLID) was a double-blind randomized clinical trial conducted at 811 sites in 28 countries that randomized 13 885 patients with symptomatic PAD to monotherapy with ticagrelor or clopidogrel. Read More

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December 2018

Does Ipsilateral-Dependent Positioning During Percutaneous Lung Biopsy Decrease the Risk of Pneumothorax?

AJR Am J Roentgenol 2018 Dec 12:1-6. Epub 2018 Dec 12.

1 Department of Radiology, Cochin Hospital, Descartes University, 27 rue du Faubourg Saint Jacques, 75 014 Paris, France.

Objective: The purpose of this study is to determine whether placing patients in an ipsilateral-dependent position during percutaneous CT-guided transthoracic biopsy reduces the pneumothorax rate.

Materials And Methods: Between July 2013 and August 2017, a total of 516 patients (317 men and 199 women; mean age, 66.4 years) underwent core needle biopsies performed using 17- and 18-gauge needles. Read More

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December 2018

US-GUIDED PERCUTANEOUS CORE LIVER BIOPSY: ANALYSIS OF 171 CASES FROM A SINGLE ONCOLOGY SERVICE.

Arq Gastroenterol 2018 Jul-Sep;55(3):208-211

Universidade Estadual do Ceará (UECE), Faculdade de Medicina, Fortaleza, CE, Brasil.

Background: Though strongly suggestive of metastasis, focal lesions on liver scans of oncological patients require histological confirmation for the prescription of adequate treatment.

Objective: To evaluate the safety and efficacy of US-guided percutaneous core liver biopsy.

Methods: Descriptive, cross-sectional study based on secondary data from 171 patients submitted to US-guided percutaneous core liver biopsy at the diagnostic radiology service of the Ceará Cancer Institute (ICC, Brazil) between February 2010 and March 2015. Read More

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December 2017
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Concurrent computed tomography-guided radioactive iodine-125 seeds percutaneous interstitial implantation and chemotherapy for treatment of cervical lymph node metastases.

J Cancer Res Ther 2018 Dec;14(Supplement):S1163-S1169

Department of Neurology, People's Hospital of LinZi District, Affiliated to Binzhou Medical College, Zibo, China.

Aim: The study aimed to evaluate the effect of concurrent computed tomography (CT)-guided percutaneous interstitial implantation of iodine-125 (I) seeds and chemotherapy on cervical lymph nodes metastasis.

Methods: The prospective randomized study included 82 cases with cervical lymph nodes metastasis who were admitted to our hospital from January 2010 to June 2012. All the subjects were randomly divided into the concurrent I implantation and chemotherapy group (n = 48) and chemotherapy-only group (n = 34) according to the treatment strategy. Read More

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December 2018

Percutaneous transhepatic cholangial drainage combined with percutaneous endoscopic jejunostomy for maintaining nutrition state in patients with advanced ampullary neoplasms.

J Cancer Res Ther 2018 Dec;14(Supplement):S1158-S1162

Department of General Surgery, The Second Affiliated Hospital of Kunming Medical University, Kunming 650101, Yunnan, China.

Purpose: To investigate the role of percutaneous transhepatic cholangial drainage (PTCD) combined with percutaneous endoscopic jejunostomy (PEJ) in maintaining the nutrition state in patients with advanced ampullary neoplasms.

Materials And Methods: Sixty patients who suffered from advanced ampullary neoplasms and could not tolerate internal drainage operation or biliary stent placement were enrolled. After PTCD, PEJ was implemented, and then the enteral nutrient solution + bile were instilled through PEJ tube for enteral nutrition support. Read More

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December 2018

Comparison of In-Hospital Bleeding and Cardiovascular Events with High-Dose Bolus Tirofiban and Shortened Infusion to Short-Duration Eptifibatide as Adjunctive Therapy for Percutaneous Coronary Intervention.

Am J Cardiol 2019 Jan 26;123(1):44-49. Epub 2018 Sep 26.

Department of Pharmacy Services, Mayo Clinic, Rochester, Minnesota.

Potent platelet inhibition is one of the most important medical interventions to prevent ischemic complications during and after percutaneous coronary intervention (PCI). Practice has evolved with the introduction of potent oral P2Y inhibitors that provide quick, effective platelet inhibition, and the need for routine glycoprotein IIb/IIIa inhibitors (GPIs) has decreased. Additionally, a shorter duration of GPI infusion has been shown to be safe with adequate oral antiplatelet loading, but clinical outcome data are limited to eptifibatide. Read More

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January 2019
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Relation of Length of Stay to Unplanned Readmissions for Patients Who Undergo Elective Percutaneous Coronary Intervention.

Am J Cardiol 2019 Jan 27;123(1):33-43. Epub 2018 Sep 27.

Keele Cardiovascular Research Group, Keele University, Stoke-on-Trent, United Kingdom; Royal Stoke University Hospital, Stoke-on-Trent, United Kingdom. Electronic address:

The cost of inpatient percutaneous coronary interventions (PCI) procedure is related to length of stay (LOS). It is unknown, how LOS may be associated with readmission rates and costs of index PCI and readmissions in elective PCI. This study aims to evaluate rates, predictors, causes, and costs associated with 30-day unplanned readmissions according to lLOS in patients, who underwent elective PCI. Read More

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January 2019

Comparison of One-Year Survival After Acute Coronary Syndrome in Patients ≥75 Years of Age With Versus Without Living With Spouse.

Am J Cardiol 2019 Jan 27;123(1):1-6. Epub 2018 Sep 27.

Department of Cardiovascular Medicine, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China. Electronic address:

Patients with acute coronary syndrome (ACS) face high postevent mortality. This study aims to evaluate the impact of living without spouse on 1-year mortality of ACS patients. This retrospective study enrolled a total of 600 consecutive patients (≥75 years of age) with ACS hospitalized in our hospital between January 2013 and December 2016. Read More

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January 2019

Management of Acute Gallstone Cholangitis after Roux-en-Y Gastric Bypass with Laparoscopic Transgastric Endoscopic Retrograde Cholangiopancreatography.

Obes Surg 2018 Dec 11. Epub 2018 Dec 11.

Service de Chirurgie Générale et Endocrinienne, CHU Lille, Hôpital Huriez, Rue Michel Polonowski, 59000, Lille, France.

Background: The incidence of biliary lithiasis is increased after bariatric surgery due to rapid weight loss [1]. Trans-oral endoscopic management in cases of common bile duct gallstone complication is not possible in patients with Roux-en-Y gastric bypass (RYGB) due to the modified anatomy. Access to the biliary tree after RYGB with a classical direct surgical approach of common bile duct and choledocoscopy can be used, but may be complicated in situations of acute cholangitis because of the fragility of common duct, or in cases of previous cholecystectomy. Read More

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December 2018

Percutaneous microwave ablation of renal angiomyolipomas in tuberous sclerosis complex to improve the quality of life: preliminary experience in an Italian center.

Radiol Med 2018 Dec 11. Epub 2018 Dec 11.

Diagnostic and Interventional Radiology Department, ASST Santi Paolo e Carlo, San Paolo Hospital, University of Milan, Via A di Rudinì 8, 20142, Milan, Italy.

Aim: To evaluate efficacy, safety and quality of life of the patients with renal angiomyolipomas (AMLs) associated with tuberous sclerosis complex (TSC) treated with percutaneous microwave ablation (MWA).

Materials And Methods: Nine patients (7 females and 2 males; mean age 27.6 years, range 23-34), with 10 renal AMLs with a mean size of 6. Read More

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December 2018

Transgraft sac Embolization Combined with Graft Reinforcement for Refractory Mixed-Type Endoleak.

Cardiovasc Intervent Radiol 2018 Dec 11. Epub 2018 Dec 11.

Department of Radiology, Wakayama Medical University, 811-1 Kimiidera, Wakayama-shi, Wakayama, 641-8510, Japan.

An 80-year-old female underwent EVAR 4 years ago. She presented type II endoleak with sac expansion from 68 to 80 mm during 3-year follow-up after EVAR. Although she underwent translumbar percutaneous sac embolization, the AAA sac continued to enlarge, suggesting mixed-type endoleak including type I, II, and III. Read More

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December 2018

The Dipyridamole Added to Dual Antiplatelet Therapy in Cerebral Infarction After First Acute Myocardial Infarction: A Nationwide, Case-Control Study.

Front Neurol 2018 27;9:1003. Epub 2018 Nov 27.

Department of Critical Care Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.

No previous study has compared the impact of dipyridamole-based triple antiplatelet therapy on secondary stroke prevention and long-term outcomes to that of dual antiplatelet therapy (DAPT) in patients with acute myocardial infarction (AMI) and previous stroke. This study aimed to evaluate the impact of dipyridamole added to DAPT on stroke prevention and long-term outcomes in patients with cerebral infarction after first AMI. This nationwide, case-control study included 75,789 patients with cerebral infarction after first AMI. Read More

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November 2018

Recent advances in ultrasound-based transdermal drug delivery.

Int J Nanomedicine 2018 20;13:7749-7763. Epub 2018 Nov 20.

School of Chemistry, Monash University, Clayton, VIC 3800, Australia,

The transdermal transport of pharmaceuticals possesses various advantageous properties over conventional drug administration techniques such as oral delivery and hypodermic injections. However, the stratum corneum persists as the main barrier, which impedes percutaneous transport. The ultrasound-based transdermal delivery of therapeutics is one of the techniques that are being investigated to overcome this obstacle. Read More

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November 2018

Angioplasty and stenting for below the knee ulcers in diabetic patients: protocol for a systematic review.

Syst Rev 2018 Dec 11;7(1):228. Epub 2018 Dec 11.

Division of Vascular and Endovascular Surgery, Department of Surgery, Escola Paulista de Medicina, Universidade Federal de São Paulo, Rua Borges Lagoa 754, São Paulo, 04038-001, SP, Brazil.

Background: The worldwide incidence and prevalence of diabetes mellitus (DM) are increasing. DM has a high social and economic burden due to its complications and associated disorders. Peripheral arterial disease (PAD) is closely related to DM. Read More

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December 2018

Supra-costal tubeless percutaneous nephrolithotomy is not associated with increased complication rate: a prospective study of safety and efficacy of supra-costal versus sub-costal access.

BMC Urol 2018 Dec 11;18(1):112. Epub 2018 Dec 11.

From the Division of Urology, Department of Surgery, Changhua Christian Hospital, 135, Nanxiao St., Changhua City, Changhua County, 500, Taiwan.

Background: To assess the morbidities of tubeless percutaneous nephrolithotomy (PCNL) using supra-costal access and re-evaluate traditional concept of increased complications with supra-costal access.

Methods: From January 2010 to December 2014, a single surgeon performed 118 consecutive one-stage fluoroscopic guided PCNL's for complex renal and upper ureteral stone. Our definition for complex renal stone is defined as partial or complete staghorn stone, multiple renal stones in more than 2 calyxes, obstructive uretero-pelvic stone > 2 cm, and a renal stone in single functional kidney. Read More

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December 2018

Recurrent ventricular tachycardia from severe aortic stenosis improves after percutaneous aortic balloon valvuloplasty and transcatheter aortic valve replacement.

J Cardiol Cases 2014 Jun 16;9(6):236-238. Epub 2014 Apr 16.

Henry Ford Heart and Vascular Institute, Henry Ford Hospital, Detroit, MI, USA.

We report a case of recurrent ventricular tachycardia from severe aortic stenosis that improved after percutaneous aortic balloon valvuloplasty and transcatheter aortic valve replacement. The electrocardiographic features of the arrhythmia were compatible with ventricular tachycardia originating from the left ventricle. Myocardial ischemia and electrolyte abnormalities were ruled out. Read More

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June 2014
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Early stent thrombosis after superficial femoral artery stenting successfully treated with transcatheter rheolytic thrombectomy in a patient with reduced aspirin responsiveness.

J Cardiol Cases 2014 May 21;9(5):196-199. Epub 2014 Feb 21.

Centro Cardiologico Monzino, IRCCS, Department of Cardiovascular Sciences, Milan, Italy.

Purpose: To describe a case of early superficial femoral artery (SFA) thrombosis after stenting in an aspirin low-responsive patient successfully treated with percutaneous mechanical thrombectomy.

Clinical And Interventional Summary: Early SFA stent thrombosis occurred in a 65-year-old man treated with multiple stent implantation for chronic total occlusion of the left SFA. The potential cause for thrombosis was a suboptimal PTA [percutaneous transluminal angioplasty] result characterized by no-flow limiting residual linear dissection left untreated and which was associated with low responsiveness to aspirin. Read More

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Exit of CrossBoss between stent struts within chronic total occlusion to subintimal space: Completion of case via retrograde approach with rendezvous in coronary.

J Cardiol Cases 2014 May 6;9(5):183-186. Epub 2014 Feb 6.

Department of Cardiology, Trent Cardiac Centre, City Campus, Nottingham University Hospitals NHS Trust, Nottingham, United Kingdom.

We present a case of successful percutaneous revascularization of a chronic total coronary occlusion due to in-stent restenosis. The CrossBoss catheter (BridgePoint Medical, Minneapolis, MN, USA) was used initially because it is reported to be effective in this setting with a low risk of exiting occluded stents. To the best of our knowledge, this is the first reported case of a CrossBoss penetrating through stent struts into the subintimal space. Read More

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Takotsubo cardiomyopathy triggered by lateral wall ST-segment elevation myocardial infarction.

J Cardiol Cases 2014 Mar 7;9(3):117-120. Epub 2014 Jan 7.

Division of Cardiovascular Medicine, Koseiren Tsurumi Hospital, Beppu, Japan.

We herein report the case of a 72-year-old female with a lateral wall acute myocardial infarction (MI) complicated by takotsubo cardiomyopathy (TC). The patient presented with "severe" chest pain lasting for one hour. She did not experience any obvious emotional or physical stress preceding the chest pain. Read More

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Acute myocardial infarction caused by left anterior descending artery occlusion presenting as inferior ST elevation and anterior ST depression.

J Cardiol Cases 2014 Feb 12;9(2):67-70. Epub 2013 Dec 12.

Department of Cardiology, Cardiovascular Center, National Hospital Organization Kumamoto Medical Center, Kumamoto, Japan.

We report a case of acute myocardial infarction caused by left anterior descending artery occlusion presenting as ST elevation in the inferior leads and ST depression in the precordial leads, suggesting an involvement of the right coronary artery (RCA). However, coronary angiography (CAG) showed a complete occlusion of the proximal left anterior descending (LAD) coronary artery and collaterals from the left circumflex coronary artery and the RCA. Although he underwent primary percutaneous coronary intervention (PCI), he had chest pain at four days after primary PCI. Read More

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February 2014

Post-operative simultaneous very late two-vessel drug eluting stent thrombosis with sparing of bare metal stent in a Jehovah's witness after clopidogrel withdrawal.

J Cardiol Cases 2014 Feb 13;9(2):57-60. Epub 2013 Dec 13.

Department of Surgery/Anesthesiology, University of South Florida, Tampa, FL, USA.

Very late stent thrombosis is a feared complication after drug-eluting stent (DES) implantation. Several factors related to the patient, generation and type of the deployed stent, procedure, and premature antiplatelet withdrawal are known to contribute to this complication. Herein, we describe a case of a Jehovah's witness patient who developed simultaneous two-vessel 1st generation DES thrombosis 5. Read More

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February 2014

A case of a young, healthy woman with spontaneous coronary artery dissection associated with oral contraceptive use: Long-term residual dissection of the coronary artery.

J Cardiol Cases 2013 Dec 29;8(6):179-182. Epub 2013 Oct 29.

Department of Cardiology, National Hospital Organization, Kure Medical Center Chugoku Cancer Center, 3-1 Aoyama-cho, Kure, Hiroshima 737-0023, Japan.

Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome, typically affecting young, healthy women, particularly during the peripartum period. Oral contraceptive use is also recognized as a risk factor for SCAD. In the present report, we describe a case of a young woman with an anterior wall myocardial infarction caused by SCAD of the left anterior descending artery (LAD). Read More

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December 2013

Successful coronary intervention for spontaneous coronary dissection in a patient with fibromuscular dysplasia.

J Cardiol Cases 2013 Nov 2;8(5):158-160. Epub 2013 Oct 2.

Department of Cardiology and Renal Medicine, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku, Kitakyushu 807-8556, Japan.

Spontaneous coronary artery dissection (SCAD) is a reported rare cause of acute coronary syndrome (ACS) and sudden death among middle-aged women. Some institutes have recently reported fibromuscular dysplasia (FMD) concomitant with SCAD. Therefore, a survey of the presence of comorbid FMD in SCAD patients is important to obtain a definitive diagnosis and for the prediction of possible SCAD recurrence. Read More

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November 2013

Successful deployment of a dislodged sirolimus-eluting stent with a small-balloon technique.

J Cardiol Cases 2013 Nov 26;8(5):155-157. Epub 2013 Sep 26.

KLEs Dr. Prabhakar Kore Hospital & Medical Research Centre, Nehru Nagar, Belgaum 590010, Karnataka, India.

Stent dislodgement is a rare but recognized and potentially serious complication of percutaneous coronary intervention. Stent dislodgement was more frequent in the past when stents were manually crimped onto the balloon. Newer and improved balloon-mounted stents with better radio-opacity have reduced the incidence of stent dislodgement but do not completely eliminate it. Read More

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November 2013

Enhanced stent visualization systems during PCI: A case series and review of literature.

J Cardiol Cases 2015 Jul 29;12(1):1-5. Epub 2015 Mar 29.

Cardiovascular Institute, Azienda Ospedaliera Universitaria S.Anna, Cona FE, Italy.

Enhanced stent visualization systems increase the amount and quality of information during percutaneous coronary interventions. When compared to imaging techniques such as intravascular ultrasound and optical coherence tomography, enhanced stent visualization systems are easy-to-use, as well as time and cost saving. They are useful during stent implantation, overlap, assessment of integrity, and expansion. Read More

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Abrupt change in the shape of a left ventricular mural thrombus after intra-aortic balloon pump-supported percutaneous coronary intervention in recent myocardial infarction.

J Cardiol Cases 2015 May 9;11(5):144-146. Epub 2015 Mar 9.

Department of Cardiovascular Medicine, Wakayama Medical University, Wakayama, Japan.

A 77-year-old woman was diagnosed with congestive heart failure and broad anterior acute myocardial infarction that had occurred 10 days prior to her presentation in our hospital. A flat and immobile thrombus was widely attached to the luminal surface of the left ventricular antero-apical wall with dyskinetic motion. For treatment-resistant heart failure, the patient underwent percutaneous coronary intervention (PCI), with intravenous heparin, supporting an intra-aortic balloon pump. Read More

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Aortic valve replacement in patients with protruding coronary artery stents.

J Cardiol Cases 2014 Dec 22;10(6):213-215. Epub 2014 Aug 22.

Department of Cardiovascular Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan.

We present two cases of aortic valve replacement (AVR) in patients with protruding coronary artery stents from the coronary ostia. In the first case, an 87-year-old female was referred for AVR due to severe aortic stenosis (AS). During the operation, we found stents protruding from the left and the right coronary ostia into the aortic root. Read More

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December 2014

Successful percutaneous intervention of proximal left anterior descending artery in a case of single coronary artery trunk.

J Cardiol Cases 2014 Dec 19;10(6):205-207. Epub 2014 Aug 19.

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

Congenital coronary anomalies are mostly asymptomatic, detected accidentally during invasive or non-invasive imaging. One of the least encountered of such anomalies is single coronary ostium. Considering the fact that the whole myocardium is perfused by a single coronary vessel, performing percutaneous coronary stenting is a challenge for interventional cardiologists with some authors even considering it as a contraindication. Read More

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December 2014

STEMI complicated with serum sodium of 113 mmol/L from syndrome of inappropriate antidiuretic hormone secretion: How worse could it be?

J Cardiol Cases 2014 Nov 14;10(5):190-192. Epub 2014 Aug 14.

Albert Einstein Medical Center, Philadelphia, PA, USA.

Hyponatremia commonly occurs in acute coronary syndrome and has been recognized as a worse prognostic indicator in patients with ST-segment elevation myocardial infarction (STEMI). However STEMI with preexisting hyponatremia from syndrome of inappropriate antidiuretic hormone secretion (SIADH) has never been described in the literature. We describe a case of 59-year-old woman who presented with STEMI and received emergent percutaneous coronary intervention who also had SIADH with the lowest serum sodium measurement of 113 mmol/L. Read More

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November 2014

Editorial: Spontaneous coronary artery dissection: Left-off clinical phenotype in acute coronary syndrome.

Authors:
Yoshiyuki Furuse

J Cardiol Cases 2014 Nov 11;10(5):188-189. Epub 2014 Sep 11.

Division of Cardiovascular Medicine, Endocrinology and Metabolism, Department of Molecular Medicine and Therapeutics, Faculty of Medicine, Tottori University, Yonago, Japan.

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November 2014

Percutaneous coronary intervention strategy for acute coronary syndrome caused by spontaneous coronary artery dissection for relieving ongoing ischemia-Case series and literature review.

J Cardiol Cases 2014 Nov 5;10(5):184-187. Epub 2014 Aug 5.

Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan.

Although spontaneous coronary artery dissection (SCAD) is one of the causes of acute coronary syndrome (ACS) or sudden cardiac death, its standard management, especially primary percutaneous coronary intervention (PCI) in ACS patients with ongoing ischemia, has not been established. We experienced three ACS patients with SCAD who were treated with a different strategy of primary PCI. Each PCI strategy led to different clinical and procedural results. Read More

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November 2014

Intravascular ultrasound-guided bail-out therapy in a case of acute myocardial infarction with iatrogenic coronary artery spiral dissection.

J Cardiol Cases 2014 Oct 5;10(4):155-158. Epub 2014 Aug 5.

Cardiovascular Center, International University of Health and Welfare, Mita Hospital, Tokyo, Japan.

A 54-year-old man with suspected vasospastic angina returned to the hospital 2 weeks later with symptoms of acute myocardial infarction. Emergent coronary angiography (CAG) showed an occlusive lesion just beyond the bend of the proximal right coronary artery segment. The selected 7F AL1. Read More

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October 2014

Transcatheter mitral paravalvular leakage closure: A beautiful last resort.

J Cardiol Cases 2014 Oct 23;10(4):147-149. Epub 2014 Jul 23.

Department of Cardiology, St. Antonius Hospital, Nieuwegein, The Netherlands.

We describe a case of a 54-year-old patient with rheumatic heart valve disease who was treated with double valve replacement (both aortic and mitral) twice. Two months after the second operation she developed a severe mitral paravalvular leakage (PVL) leading to cardiogenic shock for which she was hospitalized in the intensive care unit. Multiple weaning efforts proved to be unsuccessful because of persistent hemodynamic instability caused by the severe PVL. Read More

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October 2014

A case of ventricular septal rupture associated with major septal branch occlusion after percutaneous coronary intervention.

J Cardiol Cases 2014 Oct 17;10(4):140-143. Epub 2014 Jul 17.

Department of Cardiovascular Surgery, Shizuoka City Shizuoka Hospital, Shizuoka, Japan.

A 67-year-old man underwent elective percutaneous coronary intervention (PCI) of the left anterior descending artery. The major septal branch became occluded during coronary stenting. The patient developed dyspnea 19 days later. Read More

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October 2014

Percutaneous reconstruction of aortic isthmus atresia using coronary total occlusion technique.

J Cardiol Cases 2014 Oct 22;10(4):121-124. Epub 2014 Jul 22.

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

Aortic isthmus atresia is an extreme form of coarctation presenting in adults and usually calls for surgical correction. In this report, we present our initial experience with the first four cases successfully treated percutaneously using dedicated coronary total occlusion wires and techniques. < This case series shows a technique to cross totally occluded coarctation using the coronary chronic total occlusion technique which has not been described in the literature till date. Read More

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October 2014

Abolished ischemic tricuspid regurgitation by revascularization of left anterior descending artery: The role of collateral circulation.

J Cardiol Cases 2014 Jul 1;10(1):9-12. Epub 2014 May 1.

Department of Cardiology, CHA Bundang Medical Center, CHA University, Seongnam, Republic of Korea.

A 74-year-old man presented with recent inferior wall myocardial infarction. The right ventricle (RV) was strikingly dilated and akinetic along the free wall compatible with right ventricular infarction. Accordingly, severe functional tricuspid regurgitation (TR) was detected. Read More

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Very late stent thrombosis after paclitaxel-eluting stent implantation with full neointimal tissue coverage visualized by optical coherence tomography.

J Cardiol Cases 2013 Jun 25;7(6):e168-e170. Epub 2013 Mar 25.

Division of Cardiology, Department of Internal Medicine, and Memorial Heart Center, Iwate Medical University, 19-1 Uchimaru, Morioka, Iwate 020-8505, Japan.

We present findings of a very late stent thrombosis (VLST) involving paclitaxel-eluting stents (PESs) that were fully covered by thin neointima, visualized by optical coherence tomography (OCT) in a patient receiving dual antiplatelet therapy. A 69-year-old Japanese man had been treated with 2 overlapping PESs for chronic coronary artery disease in the proximal right coronary artery. A follow-up coronary computed tomography angiography showed no restenosis in the stent site, and the result of stress myocardial perfusion imaging showed no ischemic changes. Read More

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June 2013
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Coronary stent embolization to the left ventricle and its management.

J Cardiol Cases 2013 Jun 30;7(6):e158-e160. Epub 2013 Mar 30.

Department of Cardiology, Ankara Education and Research Hospital, Altındağ, Ankara 06340, Turkey.

We present a rare case of coronary stent embolization to the left ventricle during percutaneous coronary intervention. Fortunately we retrieved it successfully by a snare loop catheter. The approach to stents that move to the left ventricle is not clear. Read More

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June 2013
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Impella 2.5 in a patient with left main coronary artery occlusion.

J Cardiol Cases 2013 May 5;7(5):e142-e144. Epub 2013 Mar 5.

Department of Cardiac Surgery, Deutsches Herzzentrum Berlin (DHZB, German Heart Institute Berlin), Berlin, Germany.

Short-term assist devices have been indicated in many clinical settings mostly as a bridge to the next step. In this article, we report a case of cardiogenic shock due to acute occlusion of left main coronary artery who was scheduled to be transferred from Iran to Germany for the next treatment (permanent assist device implantation). Impella 2. Read More

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A case of fractured guide wire perforating the coronary artery and ascending aorta during percutaneous coronary intervention.

J Cardiol Cases 2013 May 13;7(5):e137-e141. Epub 2013 Feb 13.

Division of Cardiovascular Surgery, Nagoya City East Medical Center, Nagoya, Japan.

We experienced a rare and serious case of fractured hydrophilic guide wire necessitating surgical intervention during percutaneous coronary intervention (PCI) for a tortuous and calcified stenosis in the proximal right coronary artery. An 85-year-old female presented to our hospital and was diagnosed as having unstable angina. A 0. Read More

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Acute coronary syndrome in a young woman with antithrombin III deficiency.

J Cardiol Cases 2013 Apr 4;7(4):e101-e103. Epub 2013 Jan 4.

Department of Cardiology B, Ibn Sina Hospital, University Mohamed V, Rabat, Morocco.

Acute coronary syndrome due to antithrombin III deficiency has been rarely reported. We describe a case of a 30-year-old woman, with no conventional risk factors, presenting with an extensive myocardial infarction. Coronary angiography revealed a simultaneous thrombosis of the left anterior descending artery and the circumflex artery, thrombus aspiration was performed, and the result of percutaneous coronary intervention was satisfactory. Read More

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Various morphologies of bidirectional ventricular tachycardia caused by aconite "Torikabuto" poisoning.

J Cardiol Cases 2013 Feb 29;7(2):e42-e44. Epub 2012 Dec 29.

Tokyo Medical and Dental University, Tokyo, Japan.

A 43-year-old man presented with nausea. The patient developed ventricular fibrillation (VF), which was refractory to antiarrhythmic drugs and defibrillation. A coronary angiogram showed no coronary artery stenosis. Read More

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February 2013

Origin of all three coronaries separately from right sinus of valsalva - A rare anomaly.

J Cardiol Cases 2013 Jan 6;7(1):e18-e20. Epub 2012 Oct 6.

Department of Cardiovascular Sciences, Sheth V.S. General Hospital, Smt. N.H.L. Municipal Medical College, Gujarat University, Ahmedabad, Gujarat 380006, India.

Anomalous coronary artery origin from opposite sinus is uncommon and separate origin of all three coronary arteries from right sinus of valsalva is exceptionally rare. The anomaly may cause ischemia due to atherosclerosis or due to altered ostial configuration, its exit angulations from the aorta, route of the artery, and intussuception. Various imaging modalities such as echocardiography, coronary angiography, computed tomography, and magnetic resonance imaging have been used to diagnose origin and course of anomalous coronary arteries. Read More

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January 2013

Coronary rupture after stent deployment in a patient under chronic immunosuppressive therapy.

J Cardiol Cases 2012 Nov 11;6(5):e145-e149. Epub 2012 Aug 11.

1st Department of Cardiology, Hippokration Hospital, Medical School, National & Kapodistrian University of Athens, 13 Astypaleas, Anoixi, Attiki 14569, Greece.

Coronary rupture during cardiac catheterization and angioplasty is an uncommon but serious complication. Predisposing factors to this dreadful complication are not well defined. We present a case of coronary artery rupture during an urgent percutaneous intervention in a patient under chronic immunosuppressive therapy with corticosteroids and azathioprine, despite intravascular ultrasound (IVUS) guidance. Read More

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November 2012

Guidewire-induced iatrogenic coronary arteriovenous fistula: An accidental meeting.

Authors:
Yoshio Kobayashi

J Cardiol Cases 2012 Oct 1;6(4):e124-e125. Epub 2012 Sep 1.

Department of Cardiovascular Science and Medicine, Chiba University Graduate School of Medicine, 1-8-1 Inohana, Chuo-ku, Chiba 260-8677, Japan.

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October 2012

Successful management of iatrogenic coronary arteriovenous fistula developed during chronic total occlusion intervention.

J Cardiol Cases 2012 Oct 3;6(4):e96-e99. Epub 2012 Jun 3.

Cardiovascular Center, Korea University Guro Hospital, 80, Guro-dong, Guro-gu, Seoul 152-703, Republic of Korea.

There have been some reports of iatrogenic coronary arteriovenous fistula (AVF) developing during percutaneous coronary intervention (PCI). PCI for chronic total occlusion (CTO) is more challenging due to a higher rate of procedural failure and increased risk of periprocedural complications. Recently, the coronary CTO guidewire has made rapid strides and revolutionized the procedure to increase high success rates for CTO revascularization. Read More

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October 2012

Effective delayed percutaneous coronary intervention for advanced atrial ventricular block in patients with recent myocardial infarction.

J Cardiol Cases 2012 Sep 12;6(3):e84-e87. Epub 2012 Jul 12.

The Department of Internal Medicine, Division of Cardiology, Memorial Heart Center, Iwate Medical University, 19-1 Uchimaru, Morioka, Iwate 020-8505, Japan.

We present a case of effective late reperfusion for atrio-ventricular conduction recovery in a patient with recent myocardial infarction complicated by advanced atrio-ventricular block (AVB). A 50-year-old Japanese man was transferred to our hospital with a recent diagnosis of myocardial infarction 44 h after onset. We performed emergent coronary angiography on Day 5 because he developed bradycardia with two to one advanced AVB resistant to atropine without chest pain or ST-T changes. Read More

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September 2012

Successful percutaneous flow redirection to the juvenile patient of fulminant myocarditis treated with percutaneous cardio-pulmonary support.

J Cardiol Cases 2012 Aug 13;6(2):e55-e58. Epub 2012 Jun 13.

Department of Cardiovascular Medicine and Advanced Cardiovascular Center, Shinshu University Graduate School of Medicine, 3-1-1 Asahi, Matsumoto 390-8621, Japan.

Percutaneous cardio-pulmonary support (PCPS) system is a powerful life support system for acute circulation failure. This life support system requires more than a fourteen-French cannula to the artery. Insertion with such a large tube sometimes induces damage to the peripheral circulation. Read More

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