42,931 results match your criteria Percutaneous Transluminal Coronary Angioplasty


Late lumen enlargement after drug-coated balloon angioplasty for de novo coronary artery disease.

Cardiovasc Interv Ther 2020 Jul 9. Epub 2020 Jul 9.

Department of Cardiology, Hiratsuka Kyosai Hospital, 9-11 Oiwake, Hiratsuka, Kanagawa, Japan.

We aimed to identify predictors of late lumen enlargement (LLE) after drug-coated balloon (DCB) angioplasty for de novo coronary lesions. LLE, which is defined as an increase in the luminal diameter of the vessel from the immediate postprocedural measurement to follow-up measurements, is frequently observed after DCB angioplasty for de novo coronary artery disease. No predictors of LLE are known. Read More

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http://dx.doi.org/10.1007/s12928-020-00690-2DOI Listing

Study protocol of a pilot study on sirolimus-coated balloon angioplasty in salvaging clotted arteriovenous graft.

CVIR Endovasc 2020 Jul 5;3(1):34. Epub 2020 Jul 5.

Department of Renal Medicine, Singapore General Hospital, Academia, Level 3, 20 College Road, Singapore, 169856, Singapore.

Background: In arteriovenous graft (AVG) for haemodialysis, the primary cause of failure is venous stenosis of the graft-vein junction from neointimal hyperplasia (NIH), resulting in thrombosis. While interventions to salvage clotted AVG are known to have high clinical success rates, long-term patency rates have been suboptimal. Drug-coated balloon (DCB) has been used to treat stenosed arteriovenous access in recent years with encouraging results but data on its effect in clotted AVG is unavailable. Read More

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http://dx.doi.org/10.1186/s42155-020-00123-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7335758PMC

Three-year outcome with drug-coated balloon percutaneous coronary intervention in coronary Takayasu arteritis: A case review.

Catheter Cardiovasc Interv 2020 Jul 4. Epub 2020 Jul 4.

Cardiology Clinical Academic Group, St George's Hospital, London, UK.

We describe the first long-term follow-up of a young patient with active Takayasu arteritis who presented with an acute coronary syndrome, treated endovascularly with percutaneous coronary intervention without stenting. A drug-coated balloon was used with high-resolution coronary imaging guidance in the form of optical coherence tomography on a critical ostial left anterior descending coronary artery lesion. A repeat procedure was undertaken after 4 months confirming a durable coronary angioplasty result and the patient remained symptom-free beyond 3 years. Read More

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http://dx.doi.org/10.1002/ccd.29099DOI Listing

The Original Coronary "Full Metal Jacket": A 30-Year Journey.

J Invasive Cardiol 2020 Jul;32(7):E186-E189

111 S. 11th Street, Suite 6210, Philadelphia, PA 19107 USA.

This report provides a 30-year follow-up on a noteworthy case first described by Fischman et al in the September/ October 1989 issue of the Journal of Invasive Cardiology. The original article provided the first-known report of extensive intracoronary stenting, deployed in tandem, now colloquially referred to as a "full metal jacket" (FMJ). This case was especially notable at the time of publication for demonstrating that the FMJ stenting technique could provide substantial angiographic improvement following suboptimal result with balloon angioplasty. Read More

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Triple-Guidewire Technique for Treating Stent Underexpansion in Severely Calcified Coronary Artery Lesions.

Tex Heart Inst J 2020 Apr;47(2):155-159

Sanford Cardiovascular Institute, Sanford Heart Hospital, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota 57105.

Stent underexpansion, a potential complication of percutaneous coronary intervention in severely calcified and stenotic coronary arteries, may result in in-stent thrombosis and restenosis. Different balloon-based and atheroablative techniques have been proposed to reduce the risk of these complications. We describe a simple triple-guidewire technique that we used to treat stent underexpansion in 2 elderly men. Read More

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http://dx.doi.org/10.14503/THIJ-18-6622DOI Listing

Robotic-Assisted Percutaneous Coronary Intervention Through Transradial Approach: Experience in 4 Patients with Complex Lesions.

Tex Heart Inst J 2020 Apr;47(2):144-148

Department of Internal Medicine, Sanford Cardiovascular Institute, Sanford USD Medical Center, University of South Dakota-Sanford School of Medicine, Sioux Falls, South Dakota 57105.

Robotic-assisted percutaneous coronary intervention can reduce the exposure of interventional cardiologists to radiation and minimize the risk of occupational orthopedic injuries from wearing heavy protective aprons. The PRECISE (Percutaneous Robotically-Enhanced Coronary Intervention) study showed the efficacy and safety of robotic-assisted procedures for relatively low-risk lesions in single coronary arteries. Several reports have described robotic-assisted treatment of complex high-risk lesions, mostly through the transfemoral approach. Read More

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http://dx.doi.org/10.14503/THIJ-17-6350DOI Listing

Impact of lesion preparation strategies on outcomes of left main PCI: The EXCEL trial.

Catheter Cardiovasc Interv 2020 Jun 27. Epub 2020 Jun 27.

Clinical Trials Center, Cardiovascular Research Foundation, New York, New York, USA.

Objectives: We examined outcomes according to lesion preparation strategy (LPS) in patients with left main coronary artery (LMCA) percutaneous coronary intervention (PCI) in the EXCEL trial.

Background: The optimal LPS for LMCA PCI is unclear.

Methods: We categorized LPS hierarchically (high to low) as: (a) rotational atherectomy (RA); (b) cutting or scoring balloon (CSB); (c) balloon angioplasty (BAL); and d) direct stenting (DIR). Read More

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http://dx.doi.org/10.1002/ccd.29116DOI Listing

Direct Stenting Versus Balloon Pre-Dilatation In Elective Percutaneous Coronary Intervention.

J Ayub Med Coll Abbottabad 2020 Apr- Jun;32(2):259-262

Department of Cardiology, Ayub Teaching Hospital, Abbottabad, Pakistan.

Background: Stents are now deployed in almost 95% of all percutaneous coronary interventions (PCIs). Recent advances in balloon and stent technology has improved the technique of direct stent (DS) strategy, i.e. Read More

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Effects of intraaortic balloon counterpulsation on translesional coronary hemodynamics.

Catheter Cardiovasc Interv 2020 Jun 20. Epub 2020 Jun 20.

Division of Cardiology, Veterans Administration Long Beach Health Care System, Long Beach, California, USA.

The intraaortic balloon pump (IABP) provides counterpulsation by displacing a 40-50 cc blood volume during diastole augmenting diastolic pressure. The rapid deflation of the balloon timed to the initiation of systole reduces the afterload of ventricular ejection and thus peak systolic pressure. As a direct result, IABP increases mean arterial pressure (MAP) and peak diastolic pressure while reducing systolic pressure and myocardial work. Read More

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http://dx.doi.org/10.1002/ccd.29064DOI Listing

Kounis syndrome following angioplasty of the superficial femoral artery with paclitaxel coated balloon.

Ann Vasc Surg 2020 Jun 16. Epub 2020 Jun 16.

Department of Vascular Surgery,Prince of Wales Hospital,Sydney,New South Wales,Australia.

Drug-coated balloons (DCB) are used widely as a form of endovascular treatment for peripheral arterial disease, to improve patency by reducing neointimal hyperplasia and re-stenosis. We present a rare case of acute coronary syndrome secondary to anaphylaxis following inflation of a paclitaxel coated DCB used to treat a recurrent superficial femoral artery (SFA) stenosis. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.010DOI Listing

Procedural and 1-year clinical outcomes of orbital atherectomy for treatment of coronary in-stent restenosis: A single-center, retrospective study.

Catheter Cardiovasc Interv 2020 Jun 18. Epub 2020 Jun 18.

Division of Cardiology, Mount Sinai Hospital and Icahn School of Medicine at Mount Sinai, New York, New York, USA.

Objectives: We evaluated the procedural and 1-year clinical outcomes of orbital atherectomy (OA) for treatment of coronary in-stent restenosis (ISR).

Background: The optimal treatment for ISR remains uncertain. While rotational and laser atherectomy have been used as neointimal debulking techniques for ISR, there have been few reports on OA for ISR. Read More

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http://dx.doi.org/10.1002/ccd.28983DOI Listing
June 2020
2.107 Impact Factor

[Impact of the COVID-19 pandemic on admissions for acute coronary syndrome: review of the literature and single-center experience].

G Ital Cardiol (Rome) 2020 Jul;21(7):502-508

Dipartimento Cardiovascolare - AUSL Romagna, U.O.C. Cardiologia, Ospedale S. Maria delle Croci, Ravenna.

During the early phase of the lockdown following the COVID-19 pandemic, an alarm on the impact on cardiology admissions for cardiac causes, particularly in the field of acute coronary syndromes (ACS), has emerged. In order to evaluate this trend, we analyzed the literature data published since the beginning of the COVID-19 pandemic to date, in addition to our intensive cardiac care unit (ICCU) experience. This analysis showed (i) a reduction of the overall ICCU admissions up to 50%; (ii) a 40-50% reduction of ACS admissions, greater for non-ST-elevation myocardial infarction (NSTEMI) than for ST-elevation myocardial infarction (STEMI); (iii) a reduction greater than 50% of coronary angiography and percutaneous coronary angioplasty; (iv) a higher time delay of STEMI; and (v) a higher number of ICCU admissions for non-primarily cardiac problems. Read More

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http://dx.doi.org/10.1714/3386.33635DOI Listing

Management of adults with coarctation of aorta.

World J Cardiol 2020 May;12(5):167-191

Department of Cardiovascular Diseases, Mayo Clinic, Scottsdale, AZ 85259, United States.

Coarctation of the aorta (CoA) is a relatively common congenital cardiac defect often causing few symptoms and therefore can be challenging to diagnose. The hallmark finding on physical examination is upper extremity hypertension, and for this reason, CoA should be considered in any young hypertensive patient, justifying measurement of lower extremity blood pressure at least once in these individuals. The presence of a significant pressure gradient between the arms and legs is highly suggestive of the diagnosis. Read More

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http://dx.doi.org/10.4330/wjc.v12.i5.167DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7284000PMC

Clinical case of successful treatment of internal carotid artery dissection during aneurysm embolization in acute period of subarachnoid hemorrhage.

Radiol Case Rep 2020 Aug 7;15(8):1173-1179. Epub 2020 Jun 7.

Medical Faculty, Saint-Petersburg State University, Saint-Petersburg, Russian Federation.

Artery dissection during embolization of an intracranial aneurysm is not a frequent complication. In most cases, the tactics of treatment are limited to the appointment of anticoagulants or balloon angioplasty. We present a clinical case of successful treatment of a woman of 47 years. Read More

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http://dx.doi.org/10.1016/j.radcr.2020.05.038DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7286932PMC

Left main coronary interventions: A practical guide.

Cardiovasc Revasc Med 2020 May 20. Epub 2020 May 20.

The Spencer B. King III Catheterization Laboratory, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.

Coronary artery bypass surgery has been the accepted treatment for left main coronary artery disease for over 50 years. Balloon angioplasty was later used then abandoned because of deaths likely due to restenosis or thrombotic occlusion. However, rapid innovations in drug-eluting stent designs leading to more biocompatible thin strut platforms with optimal drug elution profiles and further advances in modern pharmacotherapy involving potent P2Y inhibitors combined with utilization of intracoronary imaging and physiologic assessment for procedural planning and optimization have transformed percutaneous interventions into successful alternatives to coronary artery bypass graft surgery (CABG) in selected LM anatomic territories. Read More

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http://dx.doi.org/10.1016/j.carrev.2020.05.014DOI Listing

Durable polymer everolimus-eluting stents: history, current status and future prospects.

Expert Rev Med Devices 2020 Jun 30:1-12. Epub 2020 Jun 30.

Clinic Cardiovascular Institute, Department of Cardiology, Hospital Clinic, Institut d'Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), University of Barcelona , Barcelona, Spain.

Introduction: Coronary percutaneous interventions have evolved from plain old balloon angioplasty (POBA) to stent implantation, which itself evolved from bare-metal stents (BMS) to the new biodegradable stents which try to restore endothelial function. Currently, the most commonly used stent is the everolimus-eluting stent.

Areas Covered: This review will cover the current status of durable polymer everolimus-eluting stent, its history, and future perspectives. Read More

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http://dx.doi.org/10.1080/17434440.2020.1784005DOI Listing

An unusual treatment of coronary injury following radiofrequency ablation in a 5-year-old child: systemic steroid usage.

Pacing Clin Electrophysiol 2020 Jun 16. Epub 2020 Jun 16.

Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Center, Training and Research Hospital, Department of Pediatric Cardiology/Electrophysiology, University of Health Sciences, Istanbul, Turkey.

Radiofrequency catheter ablation (RFCA) procedure is performed for many tachyarrhythmias. We performed successful RFCA in a 5-year-old child for supraventricular tachyarrhythmia and Wolff-Parkinson-White Syndrome. Acute circumflex artery (CxA) occlusion occurred due to RFCA. Read More

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http://dx.doi.org/10.1111/pace.13986DOI Listing

The Use of Point-of-Care Ultrasound to Accurately Measure Cardiac Output in Flight.

Air Med J 2020 May - Jun;39(3):218-220. Epub 2020 Jan 14.

Mercy St. Vincent Medical Center, Toledo, OH; Department of Emergency Medicine, The Ohio State University, Columbus, OH.

Cardiac point-of-care ultrasound (POCUS) is a quick and accurate tool to assess a patient's cardiovascular and hemodynamic status by measuring the E-point septal separation (EPSS) and left ventricular ejection fraction. The case presented here highlights the potential for increased use of POCUS to guide resuscitation in the prehospital setting and during critical care transport. A 56-year-old male presented to a rural emergency department with chest pain and was found to have an inferior STelevation myocardial infarction (STEMI). Read More

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http://dx.doi.org/10.1016/j.amj.2019.12.008DOI Listing
January 2020

The Effect of Foot Reflexology Applied Before Coronary Angiography and Percutaneous Transluminal Coronary Angioplasty on Anxiety, Stress, and Cortisol Levels of Individuals: A Randomized Controlled Trial.

J Cardiovasc Nurs 2020 Jun 9. Epub 2020 Jun 9.

Birgül Vural Doğru, PhD, RN Assistant Professor, Internal Medicine Nursing Department, Faculty of Nursing, Mersin University, Mersin, Turkey. Fisun Şenuzun Aykar, PhD, RN Professor, Internal Medicine Nursing Department, Faculty of Nursing, Ege University, Izmir, Turkey. Yasemin Yıldırım, PhD, RN Professor, Internal Medicine Nursing Department, Faculty of Nursing, Ege University, Izmir, Turkey. Oğuz Yavuzgil, MD, PhD Professor, Cardiology Department, Faculty of Medicine, Ege University, Izmir, Turkey. Eser Sözmen, MD, PhD Professor, Medical Biochemistry Department, Faculty of Medicine, Ege University, Izmir, Turkey. Hikmet Memmedov, PhD Medical Biochemistry Department, Faculty of Medicine, Ege University, Izmir, Turkey.

Background: Coronary angiography and percutaneous transluminal coronary angioplasty procedures cause anxiety and stress in individuals.

Objective: The aim of this study was to determine the effect of foot reflexology applied before coronary angiography and percutaneous transluminal coronary angioplasty on the anxiety, stress, and cortisol levels of individuals.

Methods: A simple randomized trial design was used. Read More

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http://dx.doi.org/10.1097/JCN.0000000000000700DOI Listing

Ultrasound monitoring of magnet-guided delivery of mesenchymal stem cells labeled with magnetic lipid-polymer hybrid nanobubbles.

Biomater Sci 2020 Jul 12;8(13):3628-3639. Epub 2020 Jun 12.

Department of Ultrasound in Medicine, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, 200120, China.

Restenosis remains a pressing clinical problem that occurs in patients undergoing revascularization procedures, such as coronary artery bypass surgery and percutaneous transluminal angioplasty. Previous reports have proved that mesenchymal stem cells (MSCs) could effectively reduce the restenosis resulting from intimal hyperplasia following vascular injury. However, non-invasive delivery of MSCs and real-time monitoring of their retention at the site of vascular injury still remain a significant challenge. Read More

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http://dx.doi.org/10.1039/d0bm00473aDOI Listing

Coronary artery double stenting techniques and their results in complex left main bifurcation disease.

Future Cardiol 2020 Jun 11. Epub 2020 Jun 11.

California Northstate University, College of Medicine, 9700 W Taron Dr, Elk Grove, CA 95757, USA.

Complex left main (LM) bifurcation disease seems to be better approached by a planned double stent technique. Medline search for articles including randomized trials, prospective series, large registries and retrospective studies >50 patients has been performed. : Double kissing crush demonstrated its superiority over culotte stenting and cross over, while other techniques such as the T-stenting and T-stent and Protrusion have not been extensively reported in LM setting. Read More

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http://dx.doi.org/10.2217/fca-2019-0081DOI Listing

Clinical and epidemiological characteristics of acute myocardial infarction in a referral peruvian hospital.

Rev Peru Med Exp Salud Publica 2020 Jan-Mar;37(1):74-80. Epub 2020 Jun 8.

PRA Health Sciences, Lima, Perú.

To determine the epidemiological and clinical characteristics of patients with acute myocardial infarc tion, a descriptive study was conducted in 175 patients in a referral hospital in Lima. The average age of the patients was 68.7 ± 10. Read More

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http://dx.doi.org/10.17843/rpmesp.2020.371.4527DOI Listing

Accordion effect: A red herring during percutaneous angioplasty of arteriovenous dialysis access.

J Vasc Access 2020 Jun 10:1129729820927248. Epub 2020 Jun 10.

Department of Nephrology, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India.

Accordion or concertina effect is the angiographic appearance of pseudostenosis caused by interaction of a stiff guidewire with a tortuous vessel during endovascular procedures. This phenomenon may often mislead the interventionist into performing unnecessary and potentially harmful procedures in a bid to treat the 'stenotic' lesion. The resolution of 'stenosis' on withdrawal of the guidewire clinches the diagnosis. Read More

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http://dx.doi.org/10.1177/1129729820927248DOI Listing

Comparison of Atherectomy to Balloon Angioplasty and Stenting for Isolated Femoropopliteal Revascularization.

Ann Vasc Surg 2020 Jun 6. Epub 2020 Jun 6.

Division of Vascular and Endovascular Surgery, Department of Surgery, Yale University School of Medicine, New Haven, CT. Electronic address:

Background: The use of atherectomy for lower extremity revascularization is increasing despite concerning reports about its long-term safety and effectiveness. This study compares the outcomes of atherectomy to percutaneous transluminal angioplasty (PTA) and stenting for treatment of isolated femoropopliteal disease.

Methods: All patients undergoing endovascular treatment of isolated femoropopliteal lesions in the Vascular Quality Initiative (2009-2018) were identified. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.05.019DOI Listing

Risk Factors for Postoperative Hypotension and Hypertension following Carotid Endarterectomy.

Ann Vasc Surg 2020 Jun 2. Epub 2020 Jun 2.

Department of Surgery, Lenox Hill Hospital, Northwell Health, New York, NY.

Background: Patients undergoing carotid endarterectomy (CEA) often experience postoperative hemodynamic changes that require intravenous medications for hypo- and hypertension. Prior studies have found these changes to be associated with increased risks of 30-day mortality, stroke, myocardial infarction (MI), and length of stay (LOS). Our aim is to investigate preoperative risk factors associated with the need for postoperative intravenous medications for blood pressure control. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.05.057DOI Listing

Severity of Coronary Artery Disease in Prediabetic Patients Undergoing Elective Coronary Angiography.

Cureus 2020 May 1;12(5):e7913. Epub 2020 May 1.

Medicine, Bahauddin Zakariya University, Multan, PAK.

Introduction Our objective was to determine the severity frequency of coronary artery disease (CAD) in prediabetes patients undergoing coronary angiography (CAG) in a catheterization laboratory. Materials and methods This descriptive comparative study was conducted on patients who were planned for elective CAG in the hospital from January 2019 to November 2019. The study includes patients age ≥40 years undergoing elective CAG with or without percutaneous coronary intervention/percutaneous transluminal coronary angioplasty. Read More

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http://dx.doi.org/10.7759/cureus.7913DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7263710PMC

Intravascular imaging to guide lithotripsy in concentric and eccentric calcific coronary lesions.

Cardiovasc Revasc Med 2020 Apr 16. Epub 2020 Apr 16.

Structural Interventional Cardiology, Careggi University Hospital, Florence, Italy. Electronic address:

Background: Calcified coronary lesions still represent a challenge for coronary angioplasty, with sub-optimal acute PCI results causing more frequent late stent failure.

Purpose: The study aimed at the evaluation of the immediate procedural outcome in a real-world consecutive population of a selective use of lithotripsy based on the intravascular imaging assessment with IVUS or OCT.

Methods And Results: Thirty-one calcified stenoses (28 patients) out of a total of 455 lesions (370 patients) treated between November 2018 and May 2019 received IVL under intravascular imaging guidance. Read More

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http://dx.doi.org/10.1016/j.carrev.2020.04.016DOI Listing

Double-balloon technique for retrograde venous ethanol ablation of ventricular arrhythmias in the absence of suitable intramural veins.

Heart Rhythm 2020 May 26. Epub 2020 May 26.

Division of Cardiac Electrophysiology, Department of Cardiology, Houston Methodist DeBakey Heart and Vascular Center, Houston Methodist Hospital, Houston, Texas. Electronic address:

Background: Venous ethanol infusion via an occlusive balloon has been used as a bailout approach to treat ablation-refractory ventricular arrhythmias (VAs). Unfavorable venous anatomy (lack of intramural veins at the targeted site or collateral vein-ethanol shunting) limits its efficacy. Blocking collateral flow with a second balloon may optimize myocardial ethanol delivery. Read More

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http://dx.doi.org/10.1016/j.hrthm.2020.05.027DOI Listing

Embolic ST-elevation Myocardial Infarction from Candida Endocarditis.

Cureus 2020 Apr 25;12(4):e7833. Epub 2020 Apr 25.

Cardiology, MedStar Washington Hospital Center, Washington, USA.

Infective endocarditis in intravenous drug users is uncommon in left-sided native valves. Adding to the rarity, in this case, is endocarditis from Candida species complicated by ST-elevation myocardial infarction. Embolic myocardial infarction has worse outcomes as compared to other etiologies, and the management of septic embolic myocardial infarction is rather challenging. Read More

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http://dx.doi.org/10.7759/cureus.7833DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7250518PMC

Differential Effects of Drug-Coated Balloon Angioplasty for In-Stent Restenosis.

J Am Coll Cardiol 2020 Jun;75(21):2679-2681

Department of Cardiovascular Medicine, Regional Cardiocerebrovascular Center, Wonkwang University Hospital, Iksan, Korea.

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http://dx.doi.org/10.1016/j.jacc.2020.04.005DOI Listing

Drug-Coated Balloon Angioplasty Versus Drug-Eluting Stent Implantation in Patients With Coronary Stent Restenosis.

J Am Coll Cardiol 2020 Jun;75(21):2664-2678

Department of Cardiology, Deutsches Herzzentrum München, Technische Universität München, Munich, Germany; Dublin Cardiovascular Research Institute, Mater Private Hospital, Dublin, Ireland; School of Pharmacy and Biomolecular Sciences, Royal College of Surgeons in Ireland, Dublin, Ireland.

Background: In patients with coronary in-stent restenosis (ISR) requiring reintervention, it is unclear if the choice of treatment should depend on whether the restenotic stent was a bare-metal stent (BMS) or a drug-eluting stent (DES).

Objectives: This study aimed to assess the comparative efficacy and safety of the 2 most frequently used treatments - angioplasty with drug-coated balloon (DCB) and repeat stenting DES - in patients with BMS-and DES-ISR.

Methods: The DAEDALUS (Difference in Antirestenotic Effectiveness of Drug-Eluting Stent and Drug-Coated Balloon Angioplasty for the Occurrence of Coronary In-Stent Restenosis) study was a pooled analysis of individual patient data from all 10 existing randomized clinical trials comparing DCB angioplasty with repeat DES implantation for the treatment of coronary ISR. Read More

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http://dx.doi.org/10.1016/j.jacc.2020.04.006DOI Listing
June 2020
16.503 Impact Factor

Evaluation of Psychological Stress Parameters in Coronary Patients by Three Different Questionnaires as Pre-Requisite for Comprehensive Rehabilitation.

Brain Sci 2020 May 22;10(5). Epub 2020 May 22.

Department of Cardiology, "Victor Babes" University of Medicine and Pharmacy, 300041 Timisoara, Romania.

Background: Negative psychological conditions are common in patients with cardiovascular diseases. Although depression has been scrutinized over the years in these patients, only recently has anxiety emerged as another important risk factor. The purpose of this study was to compare the parameters of psychological stress in a population of coronary patients with and without myocardial revascularization procedures and to analyze lifestyle and socio-economic contributors to the state of health of these patients before inclusion in a comprehensive individualized rehabilitation program. Read More

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http://dx.doi.org/10.3390/brainsci10050316DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7288090PMC

Factors associated with the use of bare metal stents in patients with ST elevation myocardial infarction.

Cardiovasc Revasc Med 2020 May 15. Epub 2020 May 15.

Division of Cardiovascular Medicine, University of Southern California, Los Angeles, CA, United States of America. Electronic address:

Background: Drug eluting stents (DES) are used in the majority of patients undergoing percutaneous coronary intervention (PCI). Factors associated with the use of bare metal stents (BMS) for patients undergoing primary PCI for ST elevation myocardial infarction (STEMI) have not been adequately explored. The objective of this study was to evaluate factors associated with BMS use in STEMI patients undergoing primary PCI. Read More

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http://dx.doi.org/10.1016/j.carrev.2020.05.008DOI Listing

The Choice of Antithrombotic Therapy in a Patient with New-Onset Atrial Fibrillation and High Coronary Thrombotic risk.

J Atr Fibrillation 2019 Oct-Nov;12(3):2184. Epub 2019 Oct 31.

Department of Cardiovascular and Respiratory Science- Azienda Ospedaliera Universitaria Policlinico Umberto I of Rome.

Current guidelines are mandatory in the choice of anticoagulant and/or antiplatelet therapy in patients with atrial fibrillation undergoing percutaneous transluminal coronary angioplasty and in patients with coronary artery disease and previous percutaneous transluminal coronary angioplasty that develop atrial fibrillation. However, in the real world there are crossroads with multiple choices, especially taking into account patient's peculiar characteristics and risk factors, which sometimes are not well represented in the guidelines. The reported clinical case focuses on the choice of anticoagulation therapy in a patient with chronic and severe coronary artery disease and new diagnosis of atrial fibrillation who, considering his specifically high coronary thrombotic risk, probably should continue antiplatelet therapy. Read More

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http://dx.doi.org/10.4022/jafib.2184DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7237098PMC
October 2019

Coronary artery perforation into the upper gastrointestinal cavity due to gastric ulceration.

Catheter Cardiovasc Interv 2020 May 19. Epub 2020 May 19.

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

An 82-year-old man who had previously undergone a proximal gastrectomy with jejunal interposition surgery for stomach cancer was transferred to our hospital for massive hematemesis and hypotension. His electrocardiogram showed ST-segment elevation in lead ΙΙ, ΙΙΙ, aVF, which confirmed inferior myocardial infarction. Due to active hematemesis, upper endoscopy was performed initially. Read More

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http://dx.doi.org/10.1002/ccd.28945DOI Listing

Diurnal Variation in Outcomes of Percutaneous Coronary Intervention.

Cureus 2020 Apr 15;12(4):e7677. Epub 2020 Apr 15.

Internal Medicine, Shifa College of Medicine, Shifa Tameer-E-Millat University, Islamabad, PAK.

Objectives To determine whether the outcomes differ during regular hours as compared to off hours in patients with acute myocardial infarction who undergo primary percutaneous coronary intervention. Methods We conducted a prospective, interventional study of patients who presented to a specialized cardiac care center. Patients who satisfied the inclusion and exclusion criteria were included in the study. Read More

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http://dx.doi.org/10.7759/cureus.7677DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7228788PMC

Impact of electrocardiographic morphology on clinical outcomes in patients with non-ST elevation myocardial infarction receiving coronary angiography and intervention: a retrospective study.

PeerJ 2020 7;8:e8796. Epub 2020 May 7.

Division of Cardiology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan.

Background: The impact of electrocardiography (ECG) morphology on clinical outcomes in patients with non-ST segment elevation myocardial infarction (NSTEMI) receiving percutaneous coronary intervention (PCI) is unknown. This study investigated whether different ST morphologies had different clinical outcomes in patients with NSTEMI receiving PCI.

Methods: This retrospective study analyzed record-linked data of 362 patients who had received PCI for NSTEMI between January 2008 and December 2010. Read More

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http://dx.doi.org/10.7717/peerj.8796DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7211404PMC

Drug-Coated Balloons versus Everolimus-Eluting Stents in Patients with In-Stent Restenosis: A Pair-Wise Meta-Analysis of Randomized Trials.

Cardiovasc Ther 2020 21;2020:1042329. Epub 2020 Jan 21.

Department of Internal Medicine, Guizhou Orthopedics Hospital, Guiyang, China.

Objective: This study aimed to compare the effectiveness of drug-coated balloons (DCB) with everolimus-eluting stents (EES) in the treatment of in-stent restenosis (ISR) and the differential relative effect of DCB in patients with drug-eluting stents (DES)-ISR and bare metal stents (BMS)-ISR.

Background: The efficiency and safety of DCB and EES need to be assessed for the treatment of ISR.

Methods: A systematic literature search was conducted using PubMed and EMBASE to identify all relevant studies. Read More

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http://dx.doi.org/10.1155/2020/1042329DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7204349PMC

Clinical and Angiographic Outcomes With Drug-Coated Balloons for De Novo Coronary Lesions: A Meta-Analysis of Randomized Clinical Trials.

J Am Heart Assoc 2020 May 15;9(10):e016224. Epub 2020 May 15.

Cardiology Department Hospital Universitario de La Princesa IIS-IP CIBER-CV Universidad Autónoma de Madrid Spain.

Background The role of drug-coated balloons (DCBs) in the treatment of de novo coronary lesions is not well established. Methods and Results Electronic databases and major conference proceedings were searched for randomized controlled trials that compared DCBs with stents or angioplasty for de novo coronary lesions. The primary outcome was target lesion revascularization. Read More

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http://dx.doi.org/10.1161/JAHA.120.016224DOI Listing
May 2020
2.882 Impact Factor

[Jiangsu Province Coronary Artery Bypass Grafting Registry study: a report of 4 661 patients in 13 centers].

Zhonghua Wai Ke Za Zhi 2020 May;58(5):350-355

Department of Cardiovascular Surgery, Nanjing Hospital Affiliated to Nanjing Medical University, Nanjing First Hospital, Nanjing Cardiovascular Hospital, Nanjing 210006, China.

To examine the overall status of the Jiangsu Province Coronary Artery Bypass Grafting Registry database. The patients date of Jiangsu Province Coronary Artery Bypass Grafting Registry database from October 2017 to December 2019 was collected retrospectively.Risk factors, history, cardiac function (New York Heart Association class), extent of coronary artery lesion, European system for cardiac operative risk evaluation Ⅱ (EuroSCORE Ⅱ), cardiopulmonary bypss, arterial grafts, the numbers and flow of grafts and postoperative major adverse cardiac and cerebrovascular event(MACCE) information were analyzed. Read More

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http://dx.doi.org/10.3760/cma.j.cn112139-20200205-00063DOI Listing

[Hybrid coronary revascularization for the treatment of coronary artery disease].

Authors:
D M Shi H Y Han

Zhonghua Wai Ke Za Zhi 2020 May;58(5):341-344

12th Ward, Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart Lung and Blood Vessel Disease,Beijing Key Laboratory of Precision Medicine of Coronary Atherosclerotic Disease, Clinical Center for Coronary Heart Disease, Capital Medical University,Beijing 100029, China.

Hybrid coronary revascularization (HCR) combines the respective strengths of coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) for selected patients with multivessel coronary artery disease. HCR includes the minimally invasive direct coronary artery bypass of a left internal thoracic artery graft to the left anterior descending artery (LAD) with stenting of non-LAD lesions with PCI, in onestop or staged hybrid procedures.HCR can prove superiority to conventional CABG in clinical complications. Read More

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http://dx.doi.org/10.3760/cma.j.cn112139-20200125-00047DOI Listing

POT-sideDCB-POT: A novel technique for treating coronary bifurcation lesions.

Hellenic J Cardiol 2020 May 7. Epub 2020 May 7.

Department of Interventional Cardiology, Henry Dunant Hospital Center, Athens, Greece.

The rePOT technique is a novel and easily applied approach for coronary bifurcations. Drug-Coated Balloon (DCB) angioplasty is increasingly being utilized in management of small vessels and coronary bifurcation lesions. Herein, we propose a new approach for treating coronary bifurcation lesions with the application of DCB to treat the side-branch in addition to the rePOT technique: the POT-sideDCB-POT technique. Read More

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http://dx.doi.org/10.1016/j.hjc.2020.04.017DOI Listing

Shockwave intravascular lithoplasty for the treatment of calcified carotid artery stenosis: A very early single-center experience.

Catheter Cardiovasc Interv 2020 May 7. Epub 2020 May 7.

Cardiovascular Department, Humanitas Gavazzeni, Bergamo, Italy.

Endovascular treatment of calcified carotid disease represents one of the main challenges for the interventionalists. Plaque calcium load is one of the most important factors affecting the risk of procedural complications. A new tool called Shockwave intravascular lithotripsy (S-IVL; Shockwave Medical, Inc. Read More

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http://dx.doi.org/10.1002/ccd.28963DOI Listing

Door-to-balloon time and mortality in patients with ST-elevation myocardial infarction undergoing primary angioplasty.

Eur Heart J Qual Care Clin Outcomes 2020 May 6. Epub 2020 May 6.

Department of Cardiovascular Medicine, Lady Davis Carmel Medical Center, and the Ruth and Bruce Rappaport Faculty of Medicine, Technion, Israel Institute of Technology, Haifa, Israel.

Aims: The evidence are not conclusive that a small incremental increase in door-to-balloon (D2B) time leads to a significant increase in death of ST-elevation myocardial (STEMI) patients. In a previous study we described a quality improvement intervention that reduced D2B time in 333 patients with STEMI. The aim of the current study was to compare mortality rates of the patients, before and after the intervention. Read More

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http://dx.doi.org/10.1093/ehjqcco/qcaa037DOI Listing

Subacute stent thrombosis in a patient with type 2 diabetes and clopidogrel resistance: A case report
.

Int J Clin Pharmacol Ther 2020 Apr 30. Epub 2020 Apr 30.

Objective: Clopidogrel has become the mainstay oral antiplatelet regimen for recurrent ischemic event prophylaxis after acute coronary syndromes or stent placement. Stent thrombosis is considered a multifactorial problem that mostly occurs due to clopidogrel resistance. We report a case of subacute stent thrombosis in a CYP2C19*2 reduced-function allele carrier. Read More

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http://dx.doi.org/10.5414/CP203547DOI Listing

Combinatorial therapy of sirolimus and heparin by nanocarrier inhibits restenosis after balloon angioplasty .

Nanomedicine (Lond) 2020 May 28;15(12):1205-1220. Epub 2020 Apr 28.

Department of Bioengineering, Clemson University, SC 29634, USA.

To develop poly(lactide-co-glycolide)-graft-polyethylenimine (PgP) as a dual drug-delivery carrier for sirolimus (SR) and heparin (Hep) to inhibit restenosis after balloon angioplasty. SR was loaded in the hydrophobic core and negatively charged Hep complexed with the positively charged hydrophilic shell of PgP. SR- and Hep-loaded PgP was tested on rat aortic smooth muscle cells and injured porcine coronary arteries after balloon angioplasty . Read More

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http://dx.doi.org/10.2217/nnm-2020-0028DOI Listing

Retrograde Approach to Chronic Total Occlusion Percutaneous Coronary Intervention.

Circ Cardiovasc Interv 2020 May 27;13(5):e008900. Epub 2020 Apr 27.

Minneapolis Heart Institute, Abbott Northwestern Hospital, MN (M.M., I.X., M.N.B., E.S.B.).

The retrograde approach has increased the success rate of chronic total occlusion percutaneous coronary intervention but has also been associated with a higher risk of complications. The retrograde approach is usually performed in complex lesions, in which the antegrade approach is not feasible or has failed previously. Using a systematic 10-step approach can maximize the likelihood of success and minimize the risks of retrograde chronic total occlusion interventions. Read More

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http://dx.doi.org/10.1161/CIRCINTERVENTIONS.119.008900DOI Listing

Optimal Medical Treatment vs. Invasive Approach in Patients with Significantly Obstructive Coronary Artery Disease and Ischemia.

Arch Med Res 2020 Jul 20;51(5):413-418. Epub 2020 Apr 20.

Departamento de Cardiología Nuclear, Instituto Nacional de Cardiología, Ciudad de México, México; Physiology Department, School of Medicine, Universidad Nacional Autonoma de Mexico, Mexico City, Mexico. Electronic address:

Introduction: Stable ischemic heart disease (SIHD) is a condition that develops in subjects after myocardial infarction. Evidence suggests that optimal medical treatment (OMT) is not inferior to intervention (INT) using percutaneous coronary intervention (PCI) or coronary artery bypass graft (CABG).

Aim: To compare clinical outcomes in subjects with SIHD who only received OMT and those who received INT+OMT. Read More

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http://dx.doi.org/10.1016/j.arcmed.2020.04.002DOI Listing