43,354 results match your criteria Percutaneous Transluminal Coronary Angioplasty

Anesthetic management of lung transplantation in a patient with end-stage COVID-19 pneumonia: A case report.

Medicine (Baltimore) 2021 Jun;100(25):e26468

Department of Anaesthesia, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, P. R. China.

Rationale: The COVID-19 pandemic is spreading around the world and the leading cause of death is rapidly progressive respiratory failure because of lung damage and consolidation. Lung transplantation is the last line of treatment for chronic end-stage lung diseases. There were several cases of lung transplantation reported in patients with COVID-19 pneumonia. Read More

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Acute coronary occlusion after surgical replacement of the aortic valve treated with emergency off-pump coronary artery bypass grafting.

J Card Surg 2021 Jun 18. Epub 2021 Jun 18.

Bristol Heart Institute, University Hospital of Bristol and Weston NHS Foundation Trust, Bristol, UK.

Acute coronary occlusion after surgical replacement of the aortic valve is a rare but potentially fatal event. Due to its rarity, there is no univocal treatment with the percutaneous approach being the most commonly used for its promptness and ease of use. Only a few cases have been treated with coronary artery bypass grafting (CABG) and, to the best of our knowledge, none has been reported with the use of off-pump CABG (OPCABG). Read More

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Safety and usefulness of a novel short track sliding balloon catheter.

Catheter Cardiovasc Interv 2021 Jun 17. Epub 2021 Jun 17.

Division of Cardiology, Department of Internal Medicine, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, South Korea.

Objectives: To evaluate the safety and technical utility of the short track sliding (STS) balloon catheter.

Background: An STS balloon catheter is designed to ensure a low profile at the shaft and perform distal anchoring using a single guidewire. However, its clinical practice with the STS balloon catheter has not been reported. Read More

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Modified double guiding catheter 'Ping Pong' technique to treat large coronary perforation: a case report.

Eur Heart J Case Rep 2021 May 16;5(5):ytab173. Epub 2021 May 16.

5 Hospital Drive, Level 2 Pharmacy, National Heart Centre Singapore 169609.

Background : Despite improvement in available tools and techniques, procedural complications like coronary perforation can occur during percutaneous coronary intervention (PCI). Severe proximal coronary perforations are usually caused by balloon and vessel size mismatch but can also occur with appropriately sized balloons or stents if the coronary vessel has very eccentric calcification or if there is negative remodelling of the vessel.

Case Summary : A 74-year-old man with a history of type II diabetes mellitus, hypertension, and chronic coronary syndrome (previous PCI 10 years before) presented with unstable angina of 2 weeks of duration. Read More

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[Forensic expert evaluation problems of early and late complications of interventional methods of treating coronary heart disease (systematic literature review)].

Kardiologiia 2021 May 31;61(5):82-88. Epub 2021 May 31.

I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow.

This article focuses on current concepts of ischemic heart disease, its interventional treatment, pathomorphology of early and late postoperative complications, and forensic aspects in evaluation of restenosis of a stented blood vessel. Read More

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Acute coronary syndrome because of a scorpion sting in a patient with chronic coronary syndrome: A case report and review of the literature.

Turk Kardiyol Dern Ars 2021 Jun;49(4):328-333

Department of Cardiology, Balıkesir University School of Medicine, Balıkesir, Turkey.

The occurrence of acute coronary syndrome (ACS) following a scorpion sting has been very rarely reported in literature, and most of the cases presented had a normal coronary angiogram. The possible pathogenetic mechanisms include imbalance in blood pressure and coronary spasm caused by a combination of sympathetic excitation with subsequent thrombosis of coronary vessels developed after the release of vasoactive, inflammatory, and thrombogenic substances contained in the scorpion venom. In this report, we present a case of a scorpion sting complicated by ACS, called Kounis syndrome (KS). Read More

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Drug-delivering devices in the urinary tract: A systematic review.

Arab J Urol 2021 Mar 3;19(2):191-204. Epub 2021 Mar 3.

Endourological Society, Ureteral Stent Research Group.

Objective: : To systematically review the use of drug-eluting stents (DES) and drug-coated balloons (DCB) in urology.

Materials And Methods: The systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. PubMed, Scopus, Web of science and Cochrane Library online databases were searched in February 2019. Read More

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Optimizing the diagnosis and assessment of chronic thromboembolic pulmonary hypertension with advancing imaging modalities.

Pulm Circ 2021 Apr-Jun;11(2):20458940211007375. Epub 2021 May 24.

Cardiothoracic Imaging, University of California San Diego, La Jolla, CA, USA.

Imaging is key to nearly all aspects of chronic thromboembolic pulmonary hypertension including management for screening, assessing eligibility for pulmonary endarterectomy, and post-operative follow-up. While ventilation/perfusion scintigraphy, the gold standard technique for chronic thromboembolic pulmonary hypertension screening, can have excellent sensitivity, it can be confounded by other etiologies of pulmonary malperfusion, and does not provide structural information to guide operability assessment. Conventional computed tomography pulmonary angiography has high specificity, though findings of chronic thromboembolic pulmonary hypertension can be visually subtle and unrecognized. Read More

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Outcomes of Percutaneous Coronary Intervention in Patients with Spontaneous Coronary Artery Dissection.

J Interv Cardiol 2021 15;2021:6686230. Epub 2021 May 15.

Division of Cardiology, Vancouver General Hospital, University of British Columbia, Vancouver, Canada.

Objectives: To compare outcomes of percutaneous coronary intervention (PCI) in spontaneous coronary artery dissection (SCAD) patients versus conservative therapy.

Background: SCAD is an important cause of myocardial infarction (MI) in young-to-middle-aged women. Percutaneous coronary intervention (PCI) is often pursued, but outcomes compared to conservative therapy are unclear. Read More

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Percutaneous coronary intervention of severely/moderately calcified coronary lesions using single-burr rotational atherectomy: A retrospective study.

Anatol J Cardiol 2021 Jun;25(6):395-401

Department of Cardiology, Fortis Hospital; Kolkata-India.

Objective: This study evaluates the safety and efficacy of percutaneous coronary intervention in moderately and severely calcified coronary lesions, which are either not crossed or dilated using a Scoreflex balloon at nominal pressure, using single-burr rotational atherectomy (burr-artery ratio, ≤0.6) followed by scoring balloon dilatation (balloon-artery ratio, 0.9). Read More

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Crop Circles in Optical Coherence Tomography.

J Invasive Cardiol 2021 Jun;33(6):E490

Department of Cardiology, Liverpool Hospital, Elizabeth & Goulburn St, Liverpool NSW 2170, Australia.

A 57-year-old woman with a history of idiopathic thrombocytopenia presented with chest pain and inferior ST-segment elevation myocardial infarction following percutaneous coronary intervention to a distal right coronary artery stenosis. A right femoral artery angiogram showed an acute stent thrombosis. After blood flow was restored with intracoronary thrombectomy and balloon angioplasty, optical coherence tomography was performed using DragonFly Optis (Abbott Vascular). Read More

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Latest Developments in Robotic Percutaneous Coronary Intervention.

Surg Technol Int 2021 06 3;38. Epub 2021 Jun 3.

Department of Cardiology, University of Giessen, Giessen, Germany.

Interventional cardiovascular medicine has seen constant progress over the last few decades. Since the first angiograms and percutaneous transluminal coronary angioplasty were carried out, this progress has been tremendous and has led to a substantial decline in cardiovascular morbidity and mortality. The purpose of this article is to report and review the latest developments and evidence in robotics-assisted percutaneous coronary intervention (rPCI) and its potential future applications, opportunities, and limitations. Read More

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ST-Segment Elevation Acute Myocardial Infarction Complicated by Cardiogenic Shock: Early Predictors of Very Long-Term Mortality.

J Clin Med 2021 May 21;10(11). Epub 2021 May 21.

Centro Cardiologico Monzino IRCCS, 20138 Milan, Italy.

Background: Cardiogenic shock (CS) is the leading cause of in-hospital mortality in ST-segment elevation myocardial infarction (STEMI). Only limited data are available on the long-term outcome of STEMI patients with CS undergoing contemporary treatment. We aimed to investigate long-term mortality and its predictors in STEMI patients with CS and to develop a risk score for long-term mortality prediction. Read More

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Successful Retrieval of Entrapped Guide Extension Catheter in the Right Coronary Artery with Heavy Calcifications.

Int Heart J 2021 ;62(3):682-686

Department of Cardiovascular Medicine, Okamura Memorial Hospital.

Usage of an optimal guide extension catheter often helps successful outcomes in complex percutaneous coronary intervention. Here, we report a case of successfully retrieving a guide extension catheter entrapped by a coronary stent in the middle RCA. The guide extension catheter was retrieved by anchoring with the stent delivery balloon. Read More

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[Evaluation and percutaneous treatment of severely calcified coronary lesions].

G Ital Cardiol (Rome) 2021 Jun;22(6):480-489

Dipartimento di Scienze Mediche e Chirurgiche, Università degli Studi, Catanzaro.

Patients with severely calcified coronary lesions undergoing percutaneous revascularization have a substantial risk of adverse outcomes, both during the procedure and in the long term. Over the last decade, a renewed interest has been observed about devices for plaque modification and lesion preparation, new technologies have been introduced in clinical practice and well-known devices have undergone technical and procedural improvements. The available tools for intravascular imaging allow a detailed evaluation of the calcific plaques within all the layers of the vessel wall. Read More

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Long-term outcomes of peripheral arterial disease patients with significant coronary artery disease undergoing percutaneous coronary intervention.

PLoS One 2021 19;16(5):e0251542. Epub 2021 May 19.

UCLA Medical Center, Los Angeles, California, United States of America.

Background: Patients with peripheral arterial disease (PAD) have known to a high risk of cardiac mortality. However, the effectiveness of the routine evaluation of coronary arteries such as routine coronary angiography (CAG) in PAD patients receiving percutaneous transluminal angioplasty (PTA) is unclear.

Methods: A total of 765 consecutive PAD patients underwent successful PTA and 674 patients (88. Read More

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Clinical implication of quantitative flow ratio to predict clinical events after drug-coated balloon angioplasty in patients with in-stent restenosis.

Clin Cardiol 2021 May 19. Epub 2021 May 19.

Department of Cardiology, Tongji Hospital, Tongji University School of Medicine, Shanghai, China.

Background: The association between the quantitative flow ratio (QFR) and adverse events after drug-coated balloon (DCB) angioplasty for in-stent restenosis (ISR) lesions has not been investigated.

Hypothesis: Post-procedural QFR is related to adverse events in patients undergoing DCB angioplasty for ISR lesions.

Methods: This retrospective study included data from patients undergoing DCB angioplasty for drug-eluting stent (DES) ISR between January 2016 and February 2019. Read More

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Rotational Atherectomy in Sub-Acute Anterior STEMI with Cardiogenic Shock.

Int Med Case Rep J 2021 11;14:289-293. Epub 2021 May 11.

Department of Cardiology and Vascular Medicine, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada - Dr. Sardjito Hospital, Yogyakarta, Indonesia.

Rotational atherectomy (RA) is a proven technique to modify a heavily calcified coronary lesion if balloon angioplasty failed. RA is frequently avoided in ST-elevation myocardial infarction (STEMI) as it may increase the risk of slow or no-reflow. It is also considered to be relatively contraindicated in lesions with a visible thrombus, by its manufacturer. Read More

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Association of Postangioplasty Femoropopliteal Dissections With Outcomes After Drug-Coated Balloon Angioplasty in the Femoropopliteal Arteries.

J Endovasc Ther 2021 May 18:15266028211016441. Epub 2021 May 18.

Division of Cardiology, Rocky Mountain Regional VA Medical Center, University of Colorado, Denver, CO, USA.

Purpose: Balloon angioplasty for the treatment of femoropopliteal lesions is often complicated by postangioplasty dissections. While dissections are known to affect patency and reintervention after balloon angioplasty, the association between dissections and major adverse limb event (MALE) after drug-coated balloon (DCB) angioplasty remains uncertain. Thus, the postangioplasty dissection and bailout stenting patterns were investigated. Read More

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Can machine learned algorithms further illuminate intracoronary imaging in PCI and improve the human touch?

EuroIntervention 2021 May;17(1):18-19

Bristol Heart Institute, University Hospitals Bristol & Weston NHS Foundation Trust, Bristol, United Kingdom.

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Percutaneous coronary intervention in a 4-month-old infant for stenosis of both coronary arteries after arterial switch operation for transposition of the great arteries.

Cardiol Young 2021 May 17:1-3. Epub 2021 May 17.

Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

We present a case of percutaneous coronary intervention in a 4-month-old infant with both severe coronary stenosis and acute heart failure after arterial switch operation for transposition of the great arteries. Under extracorporeal membrane oxygenation, balloon angioplasty of the left coronary artery with a 2.0 × 15-mm balloon and stent implantation on the right coronary artery with a 2. Read More

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Myocardial infarction in a patient with single coronary artery - rare but real.

J Cardiol Cases 2021 May 7;23(5):246-249. Epub 2020 Dec 7.

Clinic for Internal Medicine III (Cardiology, Angiology, and Intensive Care Medicine), Saarland University Hospital, Kirrberger Str. 100, Gebäude 41, 66421 Homburg, Saar, Germany.

A 53-year-old woman was referred to our hospital with acute coronary syndrome. The coronary angiography demonstrated a single coronary artery. Culprit lesion was a subtotal occlusion of the proximal left anterior descending coronary artery, which was recanalized and treated with drug-coated balloon angioplasty. Read More

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Outcomes of Balloon Angioplasty and Stenting for Symptomatic Intracranial Atherosclerotic Stenosis at a High Volume Center.

Acta Neurochir Suppl 2021 ;132:63-67

Department of Strokology, Stroke Center, St. Marianna University Toyoko Hospital, Kawasaki, Japan.

Purpose: This study investigated the periprocedural complication rates, long-term outcome, and restenosis of endovascular treatment for intracranial atherosclerotic stenosis (ICS) at our hospital.

Methods: We retrospectively analyzed the clinical data of 217 patients comprising 256 endovascular treatments for high-grade symptomatic ICS. The lesion was located in the internal carotid artery in 77, the middle cerebral artery in 111, the basilar artery in 29, and the vertebral artery in 39. Read More

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January 2021

Five Hours of Resuscitation With 150 Electrical Shocks and Complete Recovery.

Cureus 2021 Apr 2;13(4):e14255. Epub 2021 Apr 2.

Cardiology, Carmel Medical Center, Haifa, ISR.

Background: Myocardial ischemia may lead to lethal arrhythmias. Treatment of these arrhythmias without addressing the cause of ischemia may be futile. The length of resuscitation is an important parameter for determining when to stop resuscitation but with shockable rhythms and reversible cause of the cardiac arrest, the decision to terminate resuscitation is complex. Read More

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A homogenized constrained mixture model of restenosis and vascular remodelling after balloon angioplasty.

J R Soc Interface 2021 May 5;18(178):20210068. Epub 2021 May 5.

Biomechanics Section, Mechanical Engineering Department, KU Leuven, Celestijnenlaan 300, 3001 Leuven, Belgium.

Restenosis is one of the main adverse effects of the treatment of atherosclerosis through balloon angioplasty or stenting. During the intervention, the arterial wall is overstretched, causing a cascade of cellular events and subsequent neointima formation. This mechanical stimulus and its mechanobiological effects can be reproduced in biomechanical simulations. Read More

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

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

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

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

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Adverse Childhood Experiences and the Risk of Coronary Heart Disease in Adulthood: Examining Potential Psychological, Biological, and Behavioral Mediators in the Whitehall II Cohort Study.

J Am Heart Assoc 2021 May 3;10(10):e019013. Epub 2021 May 3.

Department of Psychiatry McGill University Montreal Canada.

Background This study investigated potential psycho-bio-behavioral mediators of the association between adverse childhood experiences (ACEs) and the risk of coronary heart disease (CHD) in adulthood. Methods and Results Participants were 5610 British civil servants (mean age, 55.5; 28% women) from the Whitehall II cohort study without CHD at baseline in 1997 to 1999 (wave 5) when retrospective data on the number of ACEs were collected via questionnaire (range, 0-8). Read More

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A Rare Case of Cerebral Venous Thrombosis and Disseminated Intravascular Coagulation Temporally Associated to the COVID-19 Vaccine Administration.

J Pers Med 2021 Apr 8;11(4). Epub 2021 Apr 8.

Department of Medicine of Precision, School of Medicine, "Luigi Vanvitelli" University of Campania, 80147 Naples, Italy.

Globally, at the time of writing (20 March 2021), 121.759.109 confirmed COVID-19 cases have been reported to the WHO, including 2. Read More

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