7,098 results match your criteria lesion revascularization

Three-Year Results from the Venovo Venous Stent Study for the Treatment of Iliac and Femoral Vein Obstruction.

Cardiovasc Intervent Radiol 2021 Sep 20. Epub 2021 Sep 20.

Becton Dickinson Peripheral Interventions, Tempe, AZ, USA.

Purpose: To assess safety and patency of the Venovo venous stent for the treatment of iliofemoral vein obstruction.

Materials And Methods: Twenty-two international centers enrolled 170 patients in the VERNACULAR study (93 post-thrombotic syndrome; 77 non-thrombotic iliac vein lesions). Primary outcome measures were major adverse events at 30 days and 12-month primary patency (freedom from target vessel revascularization, thrombotic occlusion, or stenosis > 50%). Read More

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September 2021

Comparison of angiographic and intravascular ultrasound vessel measurements in infra-popliteal endovascular interventions: The below-the-knee calibration study.

Cardiovasc Revasc Med 2021 Sep 16. Epub 2021 Sep 16.

Cardiology, NC Heart and Vascular Research, LLC, UNC School of Medicine, Raleigh, NC, USA. Electronic address:

Background: Endovascular revascularization (ER) via percutaneous transluminal angioplasty (PTA) and stenting are viable options for revascularization in below-the-knee (BTK) peripheral arterial disease. Two-dimensional angiography has been the standard of practice for estimating vessel size and selecting treatment devices during ER. However, in other vascular territories, intravascular ultrasound (IVUS) offers better visualization of the lumen dimensions. Read More

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September 2021

Percutaneous coronary intervention versus coronary artery surgery for left main disease according to lesion site: A meta-analysis.

J Thorac Cardiovasc Surg 2021 Aug 21. Epub 2021 Aug 21.

Department of Cardiothoracic Surgery, Weill Cornell Medicine, New York, NY.

Background: Comparative data after percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) for unprotected left main coronary artery (ULMCA) disease according to lesion site (ostial/shaft vs distal) are scant. The aim of this meta-analysis was to investigate outcomes after PCI or CABG for ULMCA disease according to lesion site.

Methods: Randomized controlled trials (RCTs) and adjusted observational studies that compared PCI versus CABG in patients with ULMCA disease and reported outcomes according to lesion site were systematically identified. Read More

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Long-term (beyond 5 years) clinical impact of Xience everolimus-eluting stent implantation.

Health Sci Rep 2021 Sep 8;4(3):e365. Epub 2021 Sep 8.

Department of Cardiology Nagoya Heart Center Nagoya Japan.

Objects: We aim at examining the long-term clinical outcome after Xience everolimus-eluting stent (X-EES) implantation.

Background: Long-term clinical outcomes beyond 5 years after X-EES implantation remain unclear.

Methods: This retrospective study has collected data from 1184 consecutive patients, corresponding to 1463 lesions, who were treated with X-EES alone in the Nagoya Heart Center between January 2010 and December 2013. Read More

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September 2021

Impact of Hyperinsulinemia on Long-Term Clinical Outcomes of Percutaneous Coronary Intervention in Patients without Diabetes Who Have Acute Myocardial Syndrome.

Diabetes Metab Syndr Obes 2021 7;14:3949-3957. Epub 2021 Sep 7.

Department of Cardiology, Qinhuangdao First Hospital, Hebei Medical University, Qinhuangdao, Hebei Province, People's Republic of China.

Background And Objectives: Hyperinsulinemia plays a key role in the development of cardiovascular impairment in patients with metabolic syndrome. The aim of this study was to evaluate the influence of hyperinsulinemia on long-term clinical outcomes of percutaneous coronary intervention (PCI) in patients without diabetes mellitus who have acute myocardial syndrome (ACS).

Methods: Between March 2016 and January 2019, we enrolled 468 patients with ACS and without diabetes mellitus who received primary PCI. Read More

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September 2021

The importance of proximal optimization technique with intravascular imaging guided for stenting unprotected left main distal bifurcation lesions: The Milan and New-Tokyo registry.

Catheter Cardiovasc Interv 2021 Sep 14. Epub 2021 Sep 14.

Interventional Cardiology Unit, EMO-GVM Centro Cuore Columbus, Milan, Italy.

Objectives: This study evaluated the 5-years outcomes of intracoronary imaging-guided proximal optimization technique (POT) for percutaneous coronary intervention (PCI) in patients with unprotected left main distal bifurcation lesions (ULMD).

Background: The long-term effects of POT with intracoronary imaging guide in PCI for ULMD have been unclear.

Methods: Between January 2005 and December 2015, we identified 1832 consecutive patients who underwent DES implantation for ULM distal bifurcation lesions. Read More

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September 2021

Trans-lesional fractional flow reserve gradient as derived from coronary CT improves patient management: ADVANCE registry.

J Cardiovasc Comput Tomogr 2021 Sep 2. Epub 2021 Sep 2.

Department of Radiology, St. Paul's Hospital and University of British Columbia, Vancouver, British Columbia, Canada; Department of Cardiology, Fiona Stanley Hospital, Harry Perkins Institute of Medical Research, University of Western Australia, Perth, Australia.

Background: The role of change in fractional flow reserve derived from CT (FFR) across coronary stenoses (ΔFFR) in guiding downstream testing in patients with stable coronary artery disease (CAD) is unknown.

Objectives: To investigate the incremental value of ΔFFR in predicting early revascularization and improving efficiency of catheter laboratory utilization.

Materials: Patients with CAD on coronary CT angiography (CCTA) were enrolled in an international multicenter registry. Read More

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September 2021

Ten-Year Trends in Coronary Bifurcation Percutaneous Coronary Intervention: Prognostic Effects of Patient and Lesion Characteristics, Devices, and Techniques.

J Am Heart Assoc 2021 Sep 13;10(18):e021632. Epub 2021 Sep 13.

Division of Cardiology Department of Internal Medicine Ajou University Hospital Suwon Republic of Korea.

Background Despite advances in devices and techniques, coronary bifurcation lesion remains a challenging lesion subset in the field of percutaneous coronary intervention (PCI). We evaluate 10-year trends in bifurcation PCI and their effects on patient outcomes. Methods and Results We analyzed 10-year trends in patient/lesion characteristics, devices, PCI strategy, stent optimization techniques, and clinical outcomes using data from 5498 patients who underwent bifurcation PCI from 2004 to 2015. Read More

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September 2021

Slip Clip after successful microsurgery of a blister aneurysm: Should bypass always be the first option?

J Cerebrovasc Endovasc Neurosurg 2021 Sep 13. Epub 2021 Sep 13.

Division of Neurosurgery, Department of Surgery, Santa Casa de São Paulo School of Medical Sciences. São Paulo (SP), Brazil.

Blood Blister-like aneurysms are intracranial non-saccular aneurysms with higher rupture risk due to its fragile wall. Diagnosis is performed in the acute phase of a subarachnoid hemorrhage. There are several treatment options based on reconstructive or deconstructive techniques. Read More

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September 2021

Fractional flow reserve-guided treatment in coronary artery disease: Clinical practice.

Adv Clin Exp Med 2021 Sep 9. Epub 2021 Sep 9.

Department of Heart Diseases, Wroclaw Medical University, Poland.

The assessment of functional severity of moderate coronary stenoses is challenging. Coronary angiography remains the standard technique for diagnosis, although, due to its limitations, it is frequently insufficient to detect relevant myocardial ischemia. Fractional flow reserve (FFR) is defined as the ratio between the mean hyperemic coronary artery pressure distal to the lesion and mean pressure in the aorta. Read More

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September 2021

Safety and efficacy of the polymer-free and polymer-coated drug-eluting stents in patients undergoing percutaneous coronary intervention.

Catheter Cardiovasc Interv 2021 Sep 12. Epub 2021 Sep 12.

Department of Cardiology, Detroit Medical Center, Heart Hospital, Detroit, Michigan, USA.

Introduction: The relative safety and efficacy of polymer-free (PF) versus polymer-coated (PC) drug-eluting stents (DES) in patients with angina or acute coronary syndrome (ACS) undergoing percutaneous coronary intervention has received limited study.

Method: Digital databases were queried to identify relevant studies. Major adverse cardiovascular events (MACE) and secondary outcomes were compared using a random effect model to calculate unadjusted odds ratios (OR). Read More

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September 2021

The invasive intracoronary imaging assessment of left main coronary artery disease.

Med Ultrason 2021 Sep 11. Epub 2021 Sep 11.

"Iuliu Hatieganu" University of Medicine and Pharmacy, 1st Medical Department, Cluj-Napoca, Romania.

Left main coronary artery disease is associated with an unfavorable prognosis. Evidence-based decision making regarding the optimal revascularization strategy in patients with left main disease has become a challenge, in view of the recently published data. An improvement in outcomes following left main percutaneous interventions could be achieved by reducing the rate of repeat target lesion revascularization through stent optimization techniques. Read More

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September 2021

Predictors of Recurrent Ischemic Events in Patients With ST-Segment Elevation Myocardial Infarction.

Am J Cardiol 2021 Sep 7. Epub 2021 Sep 7.

Department of Medicine, Surgery and Dentistry, University of Salerno, Baronissi (Salerno), Italy; Vascular Pathophysiology Unit, IRCCS Neuromed, Pozzilli, Isernia, Italy.

Little is known about the predictors recurrent ischemic events in patients with ST-segment elevation myocardial infarction (STEMI). This study aimed at investigating the predictors of recurrent myocardial infarction (MI) at long-term follow-up in a real-world STEMI cohort. All consecutive STEMI patients who underwent emergent coronary angiography and primary percutaneous coronary intervention between February 2013 and June 2019 at our institution were included. Read More

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September 2021

Comparison of long-term clinical outcomes among zotarolimus-, everolimus-, and biolimus-eluting stents in acute myocardial infarction patients with renal impairment.

Cardiol J 2021 Sep 7. Epub 2021 Sep 7.

Chonnam National University Hospital, 42 Jaebongro, Donggu, 61487 Gwangju, Korea, Republic Of.

Background: It is important to determine the best drug-eluting stent (DES) for acute myocardial infarction (AMI) in patients with renal impairment. In this studythe outcomes of everolimus-eluting stents (EESs), zotarolimus-eluting stents (ZESs) and biolimus-eluting stents (BESs) were evaluated.

Methods: From the Korea Acute Myocardial Infarction-National Institutes of Health registry, a total of 1,470 AMI patients with renal impairment undergoing percutaneous coronary intervention (PCI) were enrolled (816 with EES, 345 with ZES, and 309 with BES). Read More

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September 2021

Long-term clinical outcomes after drug eluting stent implantation with and without stent overlap.

Catheter Cardiovasc Interv 2021 Sep 6. Epub 2021 Sep 6.

Deutsches Herzzentrum München, Technische Universität München, Munich, Germany.

Objective: The aim of this study was to investigate the impact of drug eluting stent (DES) overlap on clinical outcomes after percutaneous coronary intervention (PCI).

Background: While the use of overlapping bare metal stent has been associated with an increased risk of adverse clinical events, the long-term impact of DES overlap on clinical outcomes is not certain at present. Similarly, the effect of different DES generations and polymer types on DES overlap associated clinical outcomes has not previously been comprehensively elucidated. Read More

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September 2021

Prevalence, predictors, and outcomes of in-stent restenosis with calcified nodules.

EuroIntervention 2021 Aug 31. Epub 2021 Aug 31.

Department of Cardiology, Kurashiki Central Hospital, Kurashiki, Japan.

Background: Calcified nodules (CN) has been reported to be associated with stent failure including in-stent restenosis (ISR). However, there is no systematic study of this condition.

Aims: We aimed to clarify the prevalence, predictors, and midterm results of ISR lesions with CN. Read More

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The additive value of copeptin for early diagnosis and prognosis of acute coronary syndromes.

Am J Emerg Med 2021 Aug 30;50:413-421. Epub 2021 Aug 30.

Cardiology Department, Assiut University Heart Hospital, Egypt.

Background: One promising biomarker that has received substantial interest for the evaluation of suspected acute coronary syndromes (ACS) is copeptin. Therefore, our goal was to assess the additive value of copeptin for early diagnosis and prognosis of Non-ST segment acute coronary syndromes (NSTE-ACS).

Methods: The study included ninety patients with suspected ACS. Read More

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A study of unprotected left main intervention in the ACS population 2013-2018.

Indian Heart J 2021 Jul-Aug;73(4):492-496. Epub 2021 Jul 1.

Cardiology Department, Aayush Hospitals, Vijayawada, Andhra Pradesh, India. Electronic address:

Objectives: Our objectives were to evaluate the outcomes of left main percutaneous coronary interventions in Acute Coronary Syndrome population.

Methods: This is a retrospective& observational study. Primary endpoint is a composite of death, stent thrombosis/MI, target lesion revascularization. Read More

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Venovo Venous Stent in Treating Iliac Vein Compression: A Single-Center Experience.

J Invasive Cardiol 2021 Sep;33(9):E677-E680

Midwest Cardiovascular Research Foundation, 1622 E. Lombard Street, Davenport, IA 52803 USA.

Background: The Venovo venous stent (BD/Bard Peripheral Vascular) is indicated to treat iliofemoral veno-occlusive disease. We present our own experience with the Venovo venous stent in treating iliac vein compression (ILVC).

Methods: In this retrospective cohort, we included consecutive patients treated with the Venovo venous stent for ILVC at our center. Read More

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September 2021

Nano-crush technique in narrow angle (<70˚) bifurcation - bench test, computed tomographic reconstruction, fluid dynamics, and clinical outcomes.

Minerva Cardiol Angiol 2021 Sep 2. Epub 2021 Sep 2.

Department of Cardiology, Fortis Hospital Anandapur, Kolkata, West Bengal, India.

Background: Bifurcation stenting techniques are still refining and under testing. Nano-crush is a novel technique which allow minimum protrusion of side branch struts at the ostium. To demonstrate the efficacy of Nano-crush technique in narrow-angle bifurcation (<70˚) using bench test model, 3D reconstruction of the stent structure, computational fluid dynamics study and a clinical follow-up. Read More

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September 2021

High-Risk Percutaneous Coronary Intervention of Native Coronary Arteries Without Mechanical Circulatory Support in Acute Coronary Syndrome Without Cardiogenic Shock.

Am J Cardiol 2021 Aug 28. Epub 2021 Aug 28.

Section of Interventional Cardiology, MedStar Washington Hospital Center, Washington, District of Columbia. Electronic address:

Widespread utilization of mechanical circulatory support (MCS) for high-risk percutaneous coronary intervention (PCI) remains controversial, with a lack of randomized supporting evidence and associated risk of device-related complications. We investigated whether high-risk PCI of native coronary arteries without elective MCS in patients with acute coronary syndrome (ACS) is safe and feasible. We performed a single-center, retrospective analysis for ACS patients meeting American College of Cardiology high-risk criteria: unprotected left main disease, last remaining conduit, ejection fraction <35%, 3-vessel coronary artery disease, severe aortic stenosis, or severe mitral regurgitation. Read More

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Percutaneous Femoropopliteal Bypass: 2-Year Results of the DETOUR System.

J Endovasc Ther 2021 Aug 31:15266028211034862. Epub 2021 Aug 31.

Cleveland Clinic, Cleveland, OH, USA.

Purpose: This study investigated the 2-year safety and effectiveness of the PQ Bypass DETOUR system as a percutaneous femoropopliteal bypass.

Materials And Methods: Seventy-eight patients with 82 long-segment femoropopliteal lesions were enrolled in this prospective, single-arm, multicenter study. The DETOUR system deployed Torus stent grafts directed through a transvenous route. Read More

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Comparative effectiveness of endovascular treatment modalities for de novo femoropopliteal lesions in intermittent claudication: A network meta-analysis of randomized controlled trials.

Int J Cardiol 2021 Aug 27. Epub 2021 Aug 27.

Department of Vascular Surgery, The Second Xiangya Hospital of Central South University, Changsha, Hunan, China; Department of Vascular Surgery, Fuwai Hospital, Chinese Academy of Medical Science, Peking Union Medical College, Beijing, China. Electronic address:

Purpose: To evaluate the most effective endovascular treatment modalities for de novo femoropopliteal lesions in intermittent claudication (IC) in terms of technical success, primary patency, target lesion revascularization (TLR) and all-cause mortality through network meta-analysis of randomized controlled trials.

Methods: Medical databases were searched on December 3, 2020. 16 studies (3265 patients) and 7 treatments were selected. Read More

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Foreign Body Removal and Revascularization of Teeth with Periapical Radiolucency: 18 Months' Follow-Up.

J Pharm Bioallied Sci 2021 Jun 5;13(Suppl 1):S886-S889. Epub 2021 Jun 5.

Department of Conservative Dentistry and Endodontics, Vinayaka Mission's Sankarachariyar Dental College, Vinayaka Mission's Research Foundation (Deemed to be University), Salem, Tamil Nadu, India.

Revascularization of the dental pulp is an emerging regenerative endodontic approach in which a new tissue is formed inside the root canal by induction of blood clot, allowing the continuation in the development of root. In this case report, the effective management of previously fractured immature tooth with the presence of foreign body (wire) inside the canal and radiographic periapical radiolucency had been described. A 17-year-old patient with immature fractured upper left lateral incisor with radiographic evidence of foreign body (wire) inside the canal was treated with removal of wire by H file followed by revascularization protocol that used working length determination, 5. Read More

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Technical Success and Mid-Term Outcomes of Endovascular Revascularization of Tibio-Peroneal Trunk Lesions.

J Clin Med 2021 Aug 16;10(16). Epub 2021 Aug 16.

Department of Radiology, Medical Imaging Center, University of Groningen, University Medical Center Groningen, 9700 RB Groningen, The Netherlands.

Tibio-peroneal trunk (TPT) lesions are usually categorized as 'complex' in anatomical classifications, which leads to the perception that endovascular therapy (EVT) will be challenging and the outcome most likely poor. This multicenter, retrospective cohort study investigates the efficacy of the EVT of TPT lesions in patients with chronic limb threatening ischemia (CLTI) or an infrapopliteal bypass at risk. The primary endpoint was limb-salvage. Read More

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The Global Limb Anatomic Staging System (GLASS) for CLTI: Improving Inter-Observer Agreement.

J Clin Med 2021 Aug 4;10(16). Epub 2021 Aug 4.

Department of Vascular Surgery, UCSF Medical Center, San Francisco, CA 94143, USA.

Objective: The 2020 Global Vascular Guidelines aim at improving decision making in Chronic Limb-Threatening Ischemia (CLTI) by providing a framework for evidence-based revascularization. Herein, the Global Limb Anatomic Staging System (GLASS) serves to estimate the chance of success and patency of arterial pathway revascularization based on the extent and distribution of the atherosclerotic lesions. We report the preliminary feasibility results and observer variability of the GLASS. Read More

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Expression of miR-1-3p, miR-16-5p and miR-122-5p as Possible Risk Factors of Secondary Cardiovascular Events.

Biomedicines 2021 Aug 20;9(8). Epub 2021 Aug 20.

Department of Interventional Cardiology, Institute of Cardiology, Jagiellonian University Medical College, John Paul II Hospital, 31-202 Krakow, Poland.

Ischemic event in one arterial territory increases the risk of a subsequent ischemic event. Circulating microRNAs (miRs) emerge as a potential clinical tool to assess risk of subsequent atherothrombotic events such as cardiovascular death (CVD), myocardial infarction (MI) and ischemic stroke (IS). In this prospective study, we searched for athero-specific miRs related to cardiovascular event risk in patients with symptomatic coronary, carotid lesion, or both territories involvements. Read More

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Transradial dual-balloon protection system for subclavian artery stenting: "Balloon Switching" technique and literature review.

Eur J Radiol 2021 Aug 19;143:109907. Epub 2021 Aug 19.

Department of Neurosurgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto 390-8621, Japan.

Purpose: Endovascular treatment for subclavian artery (SA) occlusive disease is well established; however, a potential risk remains for posterior circulation embolism, which can be life threatening. To reduce the risk of vertebral artery (VA) embolism, we have devised a transradial dual-balloon protection system referred to as the balloon switching technique. Herein, we describe a patient with left SA stenosis who successfully underwent SA stenting using the balloon switching technique. Read More

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Incidence of cardiac interventions and associated cardiac arrest outcomes in patients with nonshockable initial rhythms and no ST elevation post resuscitation.

Resuscitation 2021 Aug 23;167:188-197. Epub 2021 Aug 23.

University of Arizona Sarver Heart Center, Tucson, AZ, United States. Electronic address:

Background: Out of Hospital Cardiac arrest (OHCA) survivors with ST elevation (STE) with or without shockable rhythms often benefit from coronary angiography (CAG) and, if indicated, percutaneous coronary intervention (PCI). However, the benefits of CAG and PCI in OHCA survivors with nonshockable rhythms (PEA/asystole) and no STE are debated.

Methods: Using the International Cardiac Arrest Registry (INTCAR 2. Read More

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Comparison of Prosthetic and Vein Bypass with Nitinol Stents in Long Femoropopliteal Lesions.

Ann Vasc Surg 2021 Aug 23. Epub 2021 Aug 23.

Department of Vascular Surgery, Medical University of Innsbruck, Innsbruck, Tyrol, Austria; Department of Cardiac, Vascular and Endovascular Surgery, Paracelsus Medical University Salzburg, Salzburg, Austria. Electronic address:

Background: Guidelines for the treatment of long femoropopliteal lesions are not based on a high level of evidence and recent randomized controlled trials (RCTs) challenge vein bypass (VBP) as the recommended therapy. This study compared prosthetic (PTFE) bypass, VBP and angioplasty with nitinol stents in long femoropopliteal lesions.

Methods: Pooled data from a RCT and a retrospective database with the same inclusion criteria were analyzed with primary and secondary patency as well as freedom from target lesion revascularization (TLR) as primary endpoints. Read More

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