42,138 results match your criteria Percutaneous Transluminal Coronary Angioplasty


Coronary aneurysm formation after paclitaxel-coated balloon angioplasty for in-stent restenosis of first-generation sirolimus-eluting stent implanted 9 years ago.

Cardiovasc Interv Ther 2019 Jan 12. Epub 2019 Jan 12.

Department of Cardiology, Cardiovascular Center, Ogikubo Hospital, 3-1-24, Imagawa, Suginami-ku, Tokyo, 167-0035, Japan.

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http://dx.doi.org/10.1007/s12928-019-00570-4DOI Listing
January 2019

Patients' preferences for coronary revascularization: a systematic review.

Patient Prefer Adherence 2019 24;13:29-35. Epub 2018 Dec 24.

Escola Nacional de Saúde Pública, ENSP, FIOCRUZ, Rio de Janeiro, Brazil,

Aims: Current recommendations regarding the best treatment option for coronary revascularization are usually based on composite outcomes that were not selected or weighed with patients thence they may fail in representing patients' preferences adequately. This systematic review aimed to appraise existing literature surrounding stated preference (SP) regarding coronary revascularization.

Methods And Results: Studies related to SP regarding coronary revascularization were searched on Medline, Embase and Lilacs databases. Read More

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http://dx.doi.org/10.2147/PPA.S188268DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6309018PMC
December 2018

Achieving Health Equity by Normalizing Cardiac Care.

Health Equity 2018 28;2(1):404-411. Epub 2018 Dec 28.

Santa Barbara Actuaries, Inc., Santa Barbara, California.

It is well known that minority patients, and particularly African Americans undergo lower rates of cardiac procedures than the white population, even when covered by equivalent insurance. We analyzed the rates of percutaneous transluminal coronary angioplasty (PTCA) for acute myocardial infarction (AMI) and for intermediate coronary syndrome (ICS), and rates of transcatheter aortic valve replacement for aortic stenosis in the 2012-2013 Medicare Limited Data Set (5% sample) file. Although blacks have similar prevalence rates for AMI and ICS, they experience lower PTCA rates when compared with that of white patients (10. Read More

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http://dx.doi.org/10.1089/heq.2018.0067DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323589PMC
December 2018

Plaque modification of severely calcified coronary lesions via orbital atherectomy: Single-center observations from a complex Veterans Affairs cohort.

Health Sci Rep 2018 Dec 27;1(12):e99. Epub 2018 Oct 27.

Division of Cardiology Emory University and Atlanta Veterans Affairs Medical Center Atlanta GA USA.

Background: Orbital atherectomy (OA) is a known alternative to other atherectomy devices. However, some complex patient demographics (eg, left ventricular ejection fraction <25%) were excluded from the first-in-human trial (ORBIT I) and the pivotal FDA device approval trial (ORBIT II) which evaluated the safety and efficacy of OA in severely calcified de novo coronary lesions. This single-operator cohort study aimed to examine the impact of OA on a real-world complex Veterans Affairs patient subset. Read More

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http://doi.wiley.com/10.1002/hsr2.99
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http://dx.doi.org/10.1002/hsr2.99DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6295613PMC
December 2018
1 Read

A Case of Severe Advanced Takayasu Arteritis with Acute Myocardial Infarction as First Manifestation.

Curr Health Sci J 2018 Jan-Mar;44(1):80-84. Epub 2018 Jan 29.

Emergency Institute for Cardiovascular Diseases "Prof. Dr. C.C. Iliescu", Bucharest, Romania.

We present the case of a 53-year-old female who presented in the emergency room accusing chest pain, dyspnea to moderate physical strain and physical asthenia. The clinical exam highlighted the absence of pulse in the left upper limb, weak pulse at upper right and lower limbs. The angiography revealed severe coronary lesions, bilateral subclavian occlusion, bilateral renal artery occlusion, infrarenal aortic occlusion. Read More

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http://dx.doi.org/10.12865/CHSJ.44.01.14DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6295189PMC
January 2018

Medication Adherence and its Related Factors in Patients Undergoing Coronary Artery Angioplasty.

J Caring Sci 2018 Dec 1;7(4):213-218. Epub 2018 Dec 1.

Department of Psychology, Islamic Azad University of Guilan, Rasht, Iran.

Percutaneous Coronary Intervention (PCI) has no effect on coronary artery atherosclerosis, thus the modification of physiological risk factors seems essential to prevent coronary artery disease (CAD). Then PCI patients have to receive multiple drug therapies in an attempt to prevent the recurrence of cardiac events. In spite of the evidence based on medication adherence to prevent post-PCI CAD development, medication adherence is the main concern for health care system. Read More

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http://dx.doi.org/10.15171/jcs.2018.032DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6311628PMC
December 2018
2 Reads

Unstable angina: trends and characteristics associated with length of hospitalization in the face of diminishing frequency-an evidence of a paradigm shift.

Ann Transl Med 2018 Dec;6(23):454

Department of Medicine, Division of Cardiology, Westchester Medical Center and New York Medical College, Valhalla, NY, USA.

Background: Unstable angina (UA) has been one of the most common presentations of acute coronary syndrome. The numbers of admitted UA patients have been diminishing in the recent past. However, we are seeing higher costs and higher length of inpatient stay. Read More

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http://dx.doi.org/10.21037/atm.2018.11.10DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6312815PMC
December 2018
1 Read

Endovascular therapy for subclavian artery restenosis due to stent strut protrusion with high-resolution angioscopy and three-dimensional optical frequency domain imaging.

J Cardiol Cases 2018 Dec 14;18(6):181-184. Epub 2018 Oct 14.

Department of Cardiovascular Medicine, Yao Municipal Hospital, Yao, Osaka, Japan.

A 47-year-old female patient was admitted with a complaint of severe chest pain on effort. She had a history of effort angina treated using coronary artery bypass with left internal thoracic arterial bypass to the left ascending coronary artery. She also had left subclavian and vertebral arterial stenoses, which were treated with balloon-expandable stents. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18785409183008
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http://dx.doi.org/10.1016/j.jccase.2018.07.010DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6306554PMC
December 2018
3 Reads

Manipal lifestyle modification score to predict major adverse cardiac events in postcoronary angioplasty patients.

Indian Heart J 2018 Dec 31;70 Suppl 3:S353-S358. Epub 2018 Oct 31.

Department of Cardiology, Kasturba Medical College and Hospital, Manipal Academy of Higher Education, Manipal-576104, India.

Background: Lifestyle modification (LSM) such as prudent diet, physical activity, avoidance of smoking, and maintaining a healthy weight may considerably decrease the risk for coronary artery disease.

Objective: The primary objective of this study was to develop a new LSM scoring system and investigate the correlation between adherence to LSM and incidence of major adverse cardiac events (MACEs) at 12-month follow-up.

Method: A total of 1000 consecutive patients who underwent percutaneous transluminal coronary angioplasty (PTCA) were included in this prospective single-center study. Read More

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http://dx.doi.org/10.1016/j.ihj.2018.10.411DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6309872PMC
December 2018

Coronary angioplasty in spontaneous coronary artery dissection-Strategy and outcomes.

Indian Heart J 2018 Nov - Dec;70(6):843-847. Epub 2018 Jan 9.

Department of Cardiology, Government Medical College, Thiruvananthapuram, Kerala, 695011, India.

Objective: To study the clinical, angiographic and technical characteristics of patients with spontaneous coronary artery dissection (SCAD) undergoing percutaneous coronary intervention (PCI).

Methods: This was a retrospective single center study where patients with angiographically confirmed SCAD undergoing PCI over a period of 4 years (2013-2017) were analyzed. We also sought to identify the clinical and angiographic predictors of procedural failure during PCI. Read More

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http://dx.doi.org/10.1016/j.ihj.2018.01.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6306396PMC
January 2019

Antiphospholipid syndrome combined with acute coronary syndrome: Case report.

Medicine (Baltimore) 2018 Dec;97(51):e13613

Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.

Rationale: Antiphospholipid syndrome (APS) combined with acute coronary syndrome (ACS) is rarely reported.

Patient Concerns: One male patient with APS was admitted to our hospital, who had recent unstable angina (UA).

Diagnosis: The preliminary diagnosis of ACS and UA (BraunwaldiB) was then made. Read More

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http://dx.doi.org/10.1097/MD.0000000000013613DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6320188PMC
December 2018
3 Reads

[Coronary restenosis].

Herz 2018 Dec 19. Epub 2018 Dec 19.

Katholisches Klinikum Mainz, Mainz, Deutschland.

Coronary restenosis is the answer of the arterial wall to a mechanical violation through balloon angioplasty, bare-metal (BM) stent implantation or rotational atherectomy through repeated narrowing. It has great clinical and prognostic relevance and occurs in approximately 30% of non-coated stents and in 10% of coated coronary stents. The wound healing process that precedes restenosis includes inflammatory reactions, cellular proliferation and remodeling of the arterial wall, where protein synthesis of the extracellular matrix is initiated. Read More

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http://dx.doi.org/10.1007/s00059-018-4777-0DOI Listing
December 2018

Treatment of Simultaneous Thromboembolism of the Right and Left Coronary Arteries with Thrombus Aspiration in a Patient with a Prosthetic Mitral Valve.

J Heart Valve Dis 2018 Jan;27(1):107-109

Department of Cardiology, Şişli Hamidiye Etfal Education and Research Hospital, Istanbul, Turkey.

Prosthetic heart valve thrombosis is a rare, difficult-to-treat condition that increases morbidity and mortality by leading to systemic embolism. Clinically, it presents mainly in the form of stroke, though an embolism be observed in many systems. Acute coronary syndrome, which is rarely observed in patients with a prosthetic heart valve, mostly occurs as non-ST segment elevation myocardial infarction (MI). Read More

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January 2018

Comparison of 2 Different Drug-Coated Balloons in In-Stent Restenosis: The RESTORE ISR China Randomized Trial.

JACC Cardiovasc Interv 2018 Dec;11(23):2368-2377

Catheterization Laboratories, Fu Wai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences, Beijing, China. Electronic address:

Objectives: The aim of the present study was to evaluate the angiographic efficacy, clinical safety, and effectiveness of the Restore paclitaxel-coated balloon in a randomized trial designed to enable the approval of the new device in China.

Background: Drug-coated balloon (DCB) angioplasty offers an effective treatment for in-stent restenosis. Restore is a new DCB with a SAFEPAX shellac-ammonium salt excipient that can avoid drug washing off during catheter delivery to the target lesion site. Read More

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http://dx.doi.org/10.1016/j.jcin.2018.09.010DOI Listing
December 2018
1 Read

Interventional Approach to Left Main Coronary Artery Dissection.

Cureus 2018 Oct 4;10(10):e3410. Epub 2018 Oct 4.

Cardiology, Staten Island University Hospital / Northwell Health, Staten Island, USA.

A left main coronary artery (LMCA) iatrogenic dissection is a rare but potentially life-threatening complication of coronary angioplasty. It can range from a simple tear in the artery wall to a severe dissection, causing complete blood flow obstruction. We report the case of a 63-year-old male patient who was presented to our catheterization laboratory following a positive stress test. Read More

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http://dx.doi.org/10.7759/cureus.3410DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6281447PMC
October 2018

Successful Percutaneous Transluminal Coronary Angioplasty of Heavily Calcified Coronary Vessels Using Non-Compliant (NC) Balloon Dilatations at Higher Pressures.

J Coll Physicians Surg Pak 2018 Dec;28(12):976-977

Department of Interventional Cardiology, Hearts International Hospital, The Mall, Rawalpindi, Pakistan.

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http://dx.doi.org/10.29271/jcpsp.2018.12.976DOI Listing
December 2018
1 Read

Patient-specific finite element model of coronary artery stenting.

Curr Pharm Des 2018 Dec 3. Epub 2018 Dec 3.

Nanobiotechnology Research Center, Baqiyatallah University of Medical Sciences, Tehran. Iran.

Background: Although several clinical and numerical studies have been conducted on plaque vulnerability assessment, it still remains a critical target for investigation. The stresses whether because of the blood pressure or stenting induce within plaque and arterial layers inside an atherosclerotic artery might exceed from their yield stresses and trigger plaque rupture or arterial layer injury. This study is aimed at conducting a comparative study to understand the vulnerability of the plaques, i. Read More

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http://dx.doi.org/10.2174/1381612825666181204115124DOI Listing
December 2018

Successful treatment of drug-induced esophageal ulcer in a patient with chronic heart failure: A case report.

Medicine (Baltimore) 2018 Nov;97(48):e13380

Department of Gastroenterology and Hepatology.

Rationale: Although esophageal compression due to cardiomegaly may be a risk factor of drug-induced esophageal injuries (DIEIs), the causal relationship between the two conditions has not been fully demonstrated.

Patient Concerns: We present a case of a drug-induced esophageal ulcer caused by left atrial enlargement in a 44-year-old woman with end-stage hypertrophic cardiomyopathy. Upper gastrointestinal endoscopy showed a deep, circumferential ulcer in the middle thoracic esophagus. Read More

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http://dx.doi.org/10.1097/MD.0000000000013380DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6283205PMC
November 2018
5 Reads

Outcomes with drug-coated balloons in small-vessel coronary artery disease.

Catheter Cardiovasc Interv 2018 Nov 29. Epub 2018 Nov 29.

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

Background: Percutaneous coronary intervention (PCI) of small-vessel coronary artery disease (SVD) is associated with increased risk of restenosis. The use of drug-coated balloons (DCBs) in SVD has received limited study.

Objectives: To assess the outcomes of DCB in the treatment of SVD compared with the standard of care. Read More

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http://doi.wiley.com/10.1002/ccd.27996
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http://dx.doi.org/10.1002/ccd.27996DOI Listing
November 2018
7 Reads

Percutaneous coronary intervention in a rare case of Type V dual LAD.

J Cardiol Cases 2018 Nov 31;18(5):153-155. Epub 2018 Jul 31.

Department of Cardiology, Topiwala National Medical College, Mumbai, India.

Congenital coronary anomalies are rare and reported to occur in 0.64-1.3% of patients undergoing coronary angiography. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18785409183006
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http://dx.doi.org/10.1016/j.jccase.2018.07.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6218384PMC
November 2018
7 Reads

Branch ostial optimization treatment and optimized provisional t-stenting with polymeric bioresorbable scaffolds: Ex-vivo morphologic and hemodynamic examination.

Medicine (Baltimore) 2018 Oct;97(43):e12972

Department of Cardiology, Fujian Medical University Union Hospital.

The optimal side-branch (SB) ostium treatment after provisional side-branch scaffolding remains a subject of debate in bioresorbable vascular scaffold (BVS) era. In this study, we evaluated a novel optimized provisional T-stenting technique (OPT) and assessed its feasibility by comparison with T and small protrusion technique (TAP).Two provisional SB scaffolding techniques (OPT, n = 5; TAP, n = 5) were performed using polymeric BVS in a bifurcated phantom. Read More

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http://dx.doi.org/10.1097/MD.0000000000012972DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6221742PMC
October 2018
7 Reads

Revascularization of coronary chronic total occlusions with subintimal tracking and reentry followed by deferred stenting: Experience from a high-volume referral center.

Catheter Cardiovasc Interv 2018 Nov 9. Epub 2018 Nov 9.

Department of Medicine Division of Cardiology, University of Washington, Seattle, Washington.

Objectives: To determine whether a variation of an abandoned antegrade percutaneous coronary intervention (PCI) technique, termed subintimal tracking and reentry (STAR), could be a safe and effective strategy to contend with complex coronary chronic total occlusions (CTO) when other strategies fail.

Background: Complex CTOs require advanced techniques such as the retrograde approach, which is associated with higher complication rates than antegrade strategies.

Methods: The medical records of 32 consecutive patients who underwent deferred stenting following STAR (DSS) between January 2015 and May 2017 at a high-volume referral center were retrospectively reviewed. Read More

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http://doi.wiley.com/10.1002/ccd.27783
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http://dx.doi.org/10.1002/ccd.27783DOI Listing
November 2018
11 Reads

Coronary artery aneurysm formation after drug-coated balloon treatment of de novo lesions: Two case reports.

Medicine (Baltimore) 2018 Nov;97(45):e13208

Department of Cardiology, Beijing Hospital, National Center of Gerontology, Dong Dan, Beijing, China.

Rationale: The safety and efficacy of drug-coated balloon (DCB) technology have primarily been proven in the treatment of coronary in-stent restenosis. Whereas increasing evidences show that DCB use was feasible in certain de novo coronary lesions. In 2012, Vassilev reported the 1st case in which a coronary aneurysm formed after a DCB was used to treat drug-eluting stent (DES) restenosis. Read More

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http://dx.doi.org/10.1097/MD.0000000000013208DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250548PMC
November 2018
7 Reads

Primary Causes of Hospitalizations and Procedures, Predictors of In-hospital Mortality, and Trends in Cardiovascular and Cerebrovascular Events Among Recreational Marijuana Users: A Five-year Nationwide Inpatient Assessment in the United States.

Cureus 2018 Aug 23;10(8):e3195. Epub 2018 Aug 23.

Neurology, University of Kentucky, Lexington, USA.

Background Recent trends in the legalization of marijuana in many states are increasing the popularity of recreational marijuana use. Since current data on hospitalizations in marijuana users is sparse, we evaluated the primary reasons for admissions, procedures and associated healthcare burden in hospitalized recreational marijuana users. Methods The National Inpatient Sample (NIS) for the years 2010-2014 was queried for the hospitalizations with a history of recreational marijuana usage using applicable ICD-9 CM codes. Read More

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http://dx.doi.org/10.7759/cureus.3195DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6200442PMC
August 2018
6 Reads

Endovascular Interventions Permit Isolation of Endothelial Colony-Forming Cells from Peripheral Blood.

Int J Mol Sci 2018 Nov 2;19(11). Epub 2018 Nov 2.

Federal State Budgetary Institution "Research Institute for Complex Issues of Cardiovascular Diseases", 650002 Kemerovo, Russia.

Background: Isolation of endothelial colony-forming cells (ECFCs) is difficult due to the extremely low concentration of their precursors in the peripheral blood (PB). We hypothesized that mechanical injury to the arterial wall during percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) may increase the release of circulating ECFC precursors and induce their growth in vitro.

Methods: PB samples from patients with coronary artery disease were collected before, immediately after, and 24 h after the surgery in the CABG group. Read More

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http://www.mdpi.com/1422-0067/19/11/3453
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http://dx.doi.org/10.3390/ijms19113453DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6274882PMC
November 2018
4 Reads

An unusual case of guide wire fracture during percutaneous transluminal coronary angioplasty.

Indian J Med Res 2018 Aug;148(2):238-239

Department of Cardiology, Faculty of Medicine, Ufuk University, Ankara, Turkey.

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http://dx.doi.org/10.4103/ijmr.IJMR_1951_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206768PMC

Novel Use of GuideLiner with a Low-Profile Balloon for the Retrieval of Disrupted Balloon Catheter.

Int Heart J 2018 Nov 25;59(6):1454-1457. Epub 2018 Oct 25.

Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine.

We report a case of successful percutaneous retrieval of an unexpectedly disrupted balloon catheter using GuideLiner and a low-profile balloon. The procedure and the mechanism of this novel technique were described in detail with ex-vivo testing. This case demonstrated the utility of the combination of GuideLiner and low-profile balloon as a bail-out for intravascular foreign body. Read More

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https://www.jstage.jst.go.jp/article/ihj/advpub/0/advpub_17-
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http://dx.doi.org/10.1536/ihj.17-646DOI Listing
November 2018
4 Reads

Drug-Coated Balloon-Only Percutaneous Coronary Intervention for the Treatment of De Novo Coronary Artery Disease: A Systematic Review.

Cardiol Ther 2018 Dec 27;7(2):127-149. Epub 2018 Oct 27.

Clinical Academic Group, St George's University Foundation Hospitals NHS Trust, London, UK.

Percutaneous coronary intervention (PCI) with a drug coated balloon (DCB) is a novel treatment which seeks to acutely dilate a coronary stenosis and deliver an anti-proliferative drug to the vessel wall (reducing the risk of re-stenosis), without implanting a drug eluting stent (DES). In this study, we performed a systematic review of stentless DCB-only angioplasty in de novo coronary artery disease. We identified 41 studies examining the effects of DCB-only PCI in a variety of clinical scenarios including small vessels, bifurcations, calcified lesions, and primary PCI. Read More

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http://link.springer.com/10.1007/s40119-018-0121-2
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http://dx.doi.org/10.1007/s40119-018-0121-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6251821PMC
December 2018
3 Reads

Up to 15-Year Survival of Men and Women after Percutaneous Coronary Intervention Paid by the Brazilian Public Healthcare System in the State of Rio de Janeiro, 1999-2010.

Arq Bras Cardiol 2018 Oct 18;111(4):553-561. Epub 2018 Oct 18.

Instituto do Coração Edson Saad, Faculdade de Medicina, Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ - Brasil.

Background: Percutaneous coronary intervention (PCI) is the most frequently used invasive therapy for ischemic heart disease (IHD). Studies able to provide information about PCI's effectiveness should be conducted in a population of real-world patients.

Objectives: To assess the survival rate of IHD patients treated with PCI in the state of Rio de Janeiro (RJ). Read More

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http://www.gnresearch.org/doi/10.5935/abc.20180184
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http://dx.doi.org/10.5935/abc.20180184DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6199519PMC
October 2018
4 Reads

Massive coronary artery air embolism due to an unusual cause.

Interv Med Appl Sci 2018 Jun;10(2):95-97

First Department of Cardiology, AHEPA Hospital, Aristotle University, Thessaloniki, Greece.

A 46-year-old man underwent angioplasty of a restenotic bifurcation lesion of the circumflex artery. The procedure required repeated balloon exchanges and during the last balloon inflation, no balloon was visualized. A test injection revealed a massive coronary air embolism due to expulsion of air that had accumulated in the guiding catheter shaft. Read More

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https://www.akademiai.com/doi/10.1556/1646.10.2018.16
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http://dx.doi.org/10.1556/1646.10.2018.16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6167623PMC
June 2018
6 Reads

High-Speed Rotational Atherectomy Versus Modified Balloons Prior to Drug-Eluting Stent Implantation in Severely Calcified Coronary Lesions.

Circ Cardiovasc Interv 2018 Oct;11(10):e007415

Department of Cardiology, Heart Center, Segeberger Kliniken, Bad Segeberg, Germany (M.A.-W., R.T., V.G., A.A., M.A., D.S.S., G.R.).

Background: Balloon dilatation or debulking seems to be essential to allow successful stent implantation in calcified coronary lesions. Compared with standard balloon predilatation, debulking using high-speed rotational atherectomy (RA) is associated with higher initial procedural success albeit with higher in-stent late lumen loss at intermediate-term follow-up. Whether modified (scoring or cutting) balloons (MB) could achieve similar procedural success compared with RA is not known. Read More

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https://www.ahajournals.org/doi/10.1161/CIRCINTERVENTIONS.11
Publisher Site
http://dx.doi.org/10.1161/CIRCINTERVENTIONS.118.007415DOI Listing
October 2018
8 Reads

Intravascular Brachytherapy for the Management of Repeated Multimetal-Layered Drug-Eluting Coronary Stent Restenosis.

Circ Cardiovasc Interv 2018 Oct;11(10):e006832

Division of Cardiology, Cardiac Catheterization Laboratory (M.J.V., S.B., U.B., S.K., A.C., S.C., A.K., S.S.), Mount Sinai Hospital, New York, NY.

Background: Because of the widespread acceptance of percutaneous coronary intervention with drug-eluting stents as an effective treatment strategy for in-stent restenosis, it is common to encounter multimetal layer stent restenosis in the recent years. This study aimed to evaluate the clinical outcomes of such patients treated with intravascular brachytherapy (IVBT) in comparison with other percutaneous options.

Methods And Results: We enrolled patients who underwent percutaneous coronary intervention during the period between 2011 and 2015 for recurrent drug-eluting stents in-stent restenosis with at least 2 layers of stents at the lesion site. Read More

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http://dx.doi.org/10.1161/CIRCINTERVENTIONS.118.006832DOI Listing
October 2018
6.220 Impact Factor

The effects of stenting on coronary endothelium from a molecular biological view: Time for improvement?

J Cell Mol Med 2019 Jan 23;23(1):39-46. Epub 2018 Oct 23.

Department of Cardiology, Pneumology, Angiology, and Internal Intensive Medicine, University Hospital Aachen, Aachen, Germany.

Coronary artery stenting following balloon angioplasty represents the gold standard in revascularization of coronary artery stenoses. However, stent deployment as well as percutaneous transluminal coronary angioplasty (PTCA) alone causes severe injury of vascular endothelium. The damaged endothelium is intrinsically repaired by locally derived endothelial cells and by circulating endothelial progenitor cells from the blood, leading to re-population of the denuded regions within several weeks to months. Read More

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http://dx.doi.org/10.1111/jcmm.13936DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6307786PMC
January 2019
1 Read

Refractory In-Stent Restenosis: Improving Outcomes by Standardizing Our Approach.

Curr Cardiol Rep 2018 Oct 22;20(12):140. Epub 2018 Oct 22.

Section of Interventional Cardiology, MedStar Washington Hospital Center, 110 Irving St., NW, Suite 4B-1, Washington, DC, 20010, USA.

Purpose Of Review: This review will focus on our approach for the treatment of refractory in-stent restenosis.

Recent Findings: The discovery of bare metal stents over three decades ago set a milestone in the evolution of percutaneous coronary intervention, which is currently the most widely performed procedure for the treatment of symptomatic coronary disease. However, the broad utilization of stents resulted in the new phenomenon of in-stent restenosis (ISR). Read More

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http://link.springer.com/10.1007/s11886-018-1076-6
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http://dx.doi.org/10.1007/s11886-018-1076-6DOI Listing
October 2018
5 Reads

Spontaneous hematoma of the rectus sheath following percutaneous transluminal coronary angioplasty and stent placement.

Pan Afr Med J 2018;30:88. Epub 2018 May 30.

Dermatology Division, Department of Medical Clinics, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil.

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http://dx.doi.org/10.11604/pamj.2018.30.88.15000DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6191267PMC
December 2018
1 Read

Deflated Balloon-Facilitated Direct Stenting in Primary Angioplasty (The DBDS Technique): A Pilot Study.

Cardiol Res 2018 Oct 7;9(5):284-292. Epub 2018 Oct 7.

Department of Cardiology, Shree Krishna Hospital, Kashipur, UK, India.

Background: Several studies and meta-analyses have shown that direct stenting (DS) may improve clinical outcomes in patients with acute ST-elevation myocardial infarction (STEMI). But in most cases, the thrombolysis in myocardial infarction (TIMI) flow remains ≤ 1 after wire placement. We used deflated balloon to facilitate DS in patients with totally occluded culprit arteries. Read More

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http://dx.doi.org/10.14740/cr770wDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6188044PMC
October 2018
1 Read

[Which elderly with stable angina should be referred for cardiac surgery?]

Ann Cardiol Angeiol (Paris) 2018 Dec 17;67(6):429-438. Epub 2018 Oct 17.

Unité cardiologique de la Reine-Blanche, 555, avenue Jacqueline-Auriol, 45770 Saran, France.

The choice of revascularization of coronary patients, if it is well codified in the general population, remains in the elderly subject a daily dilemma for the clinician. We report 4 clinical cases (80 years and over) elective for coronary artery bypass or percutaneous coronary transluminal angioplasty (PTCA). No randomized studies dedicated to this population are available. Read More

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http://dx.doi.org/10.1016/j.ancard.2018.09.018DOI Listing
December 2018

Plaque modification of severely calcified coronary lesions by scoring balloon angioplasty using Lacrosse non-slip element: insights from an optical coherence tomography evaluation.

Cardiovasc Interv Ther 2018 Oct 19. Epub 2018 Oct 19.

Department of Cardiology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara, 634-8522, Japan.

Percutaneous coronary intervention (PCI) for heavily calcified lesions is challenging because these lesions are resistant to balloon dilatation and stenting. Lacrosse non-slip element (NSE) may have the potential to dilate heavily calcified lesions. We aimed to investigate predictors of successful lesion modification using Lacrosse NSE angioplasty via optical coherence tomography (OCT)-guided PCI. Read More

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http://dx.doi.org/10.1007/s12928-018-0553-6DOI Listing
October 2018

Drug-coated balloons for the treatment of symptomatic intracranial atherosclerosis: initial experience and follow-up outcome.

J Neurointerv Surg 2018 Oct 18. Epub 2018 Oct 18.

Department of Neurology, Shandong Provincial Qianfoshan Hospital, Shandong University, Jinan, China.

Background: The optimal treatment for patients with symptomatic severe intracranial atherosclerotic disease is not well established. Angioplasty and stenting have been attempted, with controversial results, mainly attributed to perioperative complications and a high incidence of restenosis or in-stent restenosis. Drug-coated balloons (DCBs) have shown encouraging results for coronary and peripheral artery disease, without convincing data for intracranial vasculature. Read More

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http://jnis.bmj.com/lookup/doi/10.1136/neurintsurg-2018-0142
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http://dx.doi.org/10.1136/neurintsurg-2018-014237DOI Listing
October 2018
20 Reads

The modified balloon crush technique: A simplified approach to optimizing final kissing balloon inflation.

Medicine (Baltimore) 2018 Oct;97(42):e12808

Heart Institute, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.

This study aimed to investigate the feasibility and safety of the modified balloon crush technique.The conventional crush technique accompanies difficult and suboptimal final kissing balloon inflation (FKI)In a single-center percutaneous coronary intervention registry, 515 patients with 515 bifurcation lesions were treated with the modified balloon technique (n = 70) or the conventional crush technique (n = 445). In contrast to the conventional crush technique, where the implanted side branch (SB) stent is crushed by expansion of the main branch (MB) stent, the modified balloon crush technique uses balloon crushing and additional SB ballooning across the crushed SB stent before MB stenting to facilitate FKI. Read More

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http://dx.doi.org/10.1097/MD.0000000000012808DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6211915PMC
October 2018
1 Read

Remote ischemic preconditioning of the heart: Combining lower limb ischemia and electronic stimulation of the gastrocnemius muscle.

Clin Hemorheol Microcirc 2018 Oct 9. Epub 2018 Oct 9.

Kreiskrankenhaus Wolgast, Department of Internal Medicine, Wolgast, Germany.

Background: Remote ischemic preconditioning (RIPC) has been demonstrated to induce potent cardioprotection in individuals experiencing coronary ischemia. A protocol combining limb ischemia and electronic muscle stimulation of the ischemic skeletal muscle (RIPC+), performed in advance of coronary artery occlusion, was superior in terms of infarct size reduction when compared to RIPC alone.

Methods: This study was performed to evaluate the benefit of RIPC + in humans compared to a standard RIPC protocol and a control group. Read More

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http://dx.doi.org/10.3233/CH-189303DOI Listing
October 2018
1 Read

Vascular Intervention: From Angioplasty to Bioresorbable Vascular Scaffold.

Adv Exp Med Biol 2018 ;1097:181-189

Departments of Neurosurgery and of Biomedical Engineering, Yale University, New Haven, CT, USA.

Coronary artery disease (CAD) is the leading cause of mortality and morbidity worldwide. Clinically, CAD can be potentially managed through surgical artery bypass. However, due to the highly invasive nature, surgical intervention has been gradually replaced by percutaneous transluminal coronary angioplasty and recently by percutaneous coronary revascularization using metallic stents. Read More

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http://dx.doi.org/10.1007/978-3-319-96445-4_9DOI Listing
January 2018
2 Reads

The Safety of Bypass to Percutaneous Coronary Intervention Facility by Basic Life Support Providers in Patients with ST-Elevation Myocardial Infarction in Prehospital Setting.

J Emerg Med 2018 Dec 9;55(6):792-798. Epub 2018 Oct 9.

Regional Paramedic Program for Eastern Ontario, Ottawa, Ontario, Canada; Department of Emergency Medicine, University of Ottawa, Ontario, Canada; Ottawa Hospital Research Institute, The Ottawa Hospital, Ottawa, Ontario, Canada.

Background: Most patients transferred from a non-percutaneous coronary intervention (PCI) facility for primary PCI do not meet target reperfusion times. Direct transportation of patients with ST-elevation myocardial infarction (STEMI) from the scene by advanced life support (ALS) paramedics has been shown to improve reperfusion times and outcomes.

Objective: The aim of this study was to determine whether it is safe to bypass the closest hospital and transport by basic life support (BLS) provider to a PCI facility. Read More

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http://dx.doi.org/10.1016/j.jemermed.2018.09.006DOI Listing
December 2018
4 Reads

Antegrade fenestration and re-entry: The legacy continues.

Catheter Cardiovasc Interv 2018 Sep;92(3):505-506

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

Subintimal guidewire entry during antegrade wiring attempts can be approached with various techniques, such as: (a) withdraw and redirect the guidewire; (b) parallel wire technique; (c) re-entry using the Stingray system or guidewires; or (d) using the retrograde approach Antegrade fenestration and re-entry is a creative novel technique for antegrade re-entry that uses balloon angioplasty at the distal cap to create fenestrations between the false lumen and the distal true lumen, followed by advancement of a soft-polymer jacketed guidewire through the fenestrations to achieve distal true lumen re-entry Antegrade fenestration and re-entry is an intuitive, simple, and low-cost technique, but balloon inflation may cause subintimal hematoma that could hinder re-entry. Additional study is needed to refine how antegrade fenestration and re-entry should optimally be performed and to better understand its strengths and shortcomings. Read More

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http://doi.wiley.com/10.1002/ccd.27802
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http://dx.doi.org/10.1002/ccd.27802DOI Listing
September 2018
8 Reads

Coronary Artery Bypass Grafting with Arterial Grafts in Patients with Kawasaki Disease Affecting the Coronary Artery: a Korean Single-Center Study.

J Korean Med Sci 2018 Oct 17;33(42):e267. Epub 2018 Sep 17.

Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Background: This study aimed to review the long-term clinical outcomes and graft patency of coronary artery bypass grafting (CABG) using arterial grafts in patients with Kawasaki disease (KD) affecting the coronary artery.

Methods: Twenty patients with KD who underwent CABG from January 2002 to June 2014 were enrolled. There were 4 male (20%) and 16 female (80%) patients with ages at operation ranging from 2 to 42 years (median, 17. Read More

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https://synapse.koreamed.org/DOIx.php?id=10.3346/jkms.2018.3
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http://dx.doi.org/10.3346/jkms.2018.33.e267DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6179982PMC
October 2018
2 Reads

Transcoronary pacing : Reliability during myocardial ischemia and after implantation of a coronary stent.

Med Klin Intensivmed Notfmed 2018 Oct 9. Epub 2018 Oct 9.

Department of Medicine I, Carl von Basedow-Klinikum Saalekreis gGmbH, Merseburg, Germany.

Background: Transcoronary pacing is a useful therapeutic option for the treatment of unheralded bradycardias in the setting of percutaneous coronary interventions (PCI).

Objectives: In the present study, we investigated the influence of stent implantation and transient myocardial ischemia on the feasibility of transcoronary pacing in a porcine model.

Methods: 7 adult pigs underwent a percutaneous coronary intervention with implantation of a coronary stent under general anaesthesia in an animal catheterization laboratory. Read More

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http://dx.doi.org/10.1007/s00063-018-0492-0DOI Listing
October 2018

Prospective, large-scale multicenter trial for the use of drug-coated balloons in coronary lesions: The DCB-only All-Comers Registry.

Catheter Cardiovasc Interv 2018 Oct 2. Epub 2018 Oct 2.

Innere Medizin III, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Germany.

Objectives: This prospective, observational all-comers registry assessed the safety and efficacy of a Drug Coated Balloon-only strategy (DCB-only) in patients with coronary lesions.

Background: Data regarding the performance of a DCB-only approach, especially in patients with previously untreated de-novo coronary artery disease (CAD), are still limited.

Methods: This study was conducted as an international, multicenter registry primarily enrolling patients with de-novo CAD. Read More

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http://doi.wiley.com/10.1002/ccd.27724
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http://dx.doi.org/10.1002/ccd.27724DOI Listing
October 2018
16 Reads
2.110 Impact Factor

Support with a twist: New approaches in CTOs and complex lesions.

Authors:
Richard R Heuser

J Cardiol Cases 2018 Jan 4;17(1):12-15. Epub 2017 Oct 4.

University of Arizona College of Medicine, Phoenix, AZ, USA.

One-third of patients undergoing coronary angiography have coronary chronic total occlusions (CTOs) with the incidence increasing with age. Successful recanalization of a CTO is associated with a reduction in the future need for coronary artery bypass graft surgery (CABG), improvement in left ventricular function, and angina status as well as long-term survival. Success rates for treating CTOs with conventional techniques have remained unchanged over time averaging 65%-70% in experienced hands, well below the success rates for non-occlusive coronary lesions. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18785409173009
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http://dx.doi.org/10.1016/j.jccase.2017.08.013DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6149635PMC
January 2018
1 Read

Three-year follow-up optical coherence tomography of under-expanded drug-eluting stent in-stent restenosis treated with ABSORB bioresorbable vascular scaffold following ultra-high pressure pre-dilatation.

J Cardiol Cases 2018 Jan 10;17(1):4-8. Epub 2017 Nov 10.

National University Heart Centre, Singapore.

The management of in-stent restenosis continues to be a common challenge in modern interventional cardiology. Drug-eluting stents have emerged to be an effective treatment following bare-metal stent in-stent restenosis as compared with drug-coated balloon angioplasty and repeat bare-metal stenting. The addition of another metallic layer is however undesirable and may limit further treatment options. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18785409173009
Publisher Site
http://dx.doi.org/10.1016/j.jccase.2017.08.015DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6146415PMC
January 2018
1 Read