1,241 results match your criteria totally occluded


Incidence and impact of totally occluded culprit coronary artery in patients with non-ST segment elevation myocardial infarction acute coronary syndrome.

Egypt Heart J 2021 Apr 7;73(1):36. Epub 2021 Apr 7.

Department of Cardiology, Faculty of Medicine, Alexandria University, Alexandria, Egypt.

Background: Significance of totally occluded culprit coronary artery in patients presenting with non-ST segment elevation myocardial infarction (NSTEMI) is underestimated. The aim of the study was to evaluate the incidence and impact of totally occluded culprit artery on in-hospital and 6 months follow-up outcomes of NSTEMI acute coronary syndrome (ACS) patients.

Results: We collected retrospectively data of 500 NSTEMI patients who presented to our hospital from June 2016 to June 2017. Read More

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Left atrial appendage closure device implantation via transhepatic vascular access: a case report.

Eur Heart J Case Rep 2020 Dec 2;4(6):1-5. Epub 2020 Dec 2.

Aventura Hospital and Medical Center, Aventura, FL, USA.

Background: In patients with non-valvular atrial fibrillation, an estimated 90% of thrombi are located in the left atrial appendage. The WATCHMAN device is a left atrial appendage closure device that is an alternative therapeutic option to reduce the risk of systemic embolization in patients who are intolerant of long-term oral anticoagulation. It can be deployed in the left atrial appendage using a transseptal approach via the femoral vein. Read More

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December 2020

Sudden death in a 39-year-old woman due to three-vessel coronary artery disease: A case report and literature review.

Med Sci Law 2021 Jan;61(1_suppl):150-154

Department of Diagnostics and Public Health - Legal Medicine and Forensic Pathology Unit, University of Verona, Italy.

Coronary atherosclerosis may be underestimated in previously asymptomatic and apparently healthy young people, although it has been reported in various epidemiological studies. Between 7% and 21% of sudden cardiac deaths in previously asymptomatic people aged <45 years are due to three-vessel coronary artery disease. So, clinical services need to vigilant for this condition. Read More

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January 2021

Pathological evaluation 18 years after bare-metal stent implantation in the superficial femoral artery.

J Cardiol Cases 2021 Feb 28;23(2):94-97. Epub 2020 Oct 28.

Kansai Rosai Hospital Cardiovascular Center, Amagasaki, Japan.

Bare-metal stents (BMSs) have been generally applied for the treatment of peripheral artery disease in patients with femoropopliteal disease. However, very long-term pathological findings after BMS implantation have not been elucidated to date. We experienced an autopsy case in which we performed a pathological evaluation 18 years after BMS implantation in the right superficial femoral artery. Read More

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February 2021

Total Radial Artery Occlusion Following Transradial Access: Complete Recanalization via the Anatomical Snuffbox.

Methodist Debakey Cardiovasc J 2020 Oct-Dec;16(4):314-317

HOUSTON CARDIOLOGY CONSULTANTS, HOUSTON, TEXAS.

Radial artery occlusion (RAO) is a common complication of procedures requiring transradial access. While radial artery occlusion is most often asymptomatic, there is an elevated prevalence of ischemia in patients with inadequate palmar arch blood supply. Furthermore, treatment options for RAO remain severely limited. Read More

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February 2021

Angled microcatheter assisted antegrade dissection re-entry technique for tortuous totally occluded coronary arteries.

Cardiovasc Revasc Med 2021 Jan 7. Epub 2021 Jan 7.

Division of Cardiovascular Medicine, University of Massachusetts Medical School, Worcester, MA, USA.

Background: Subacute total occlusion in the setting of a tortuous vessel can be a therapeutic challenge. we demonstrate a safe and successful approach to deploy drug eluting stent of this complex lesion by using angled microcatheter.

Case Presentation: A 61-year-old male with multiple atherosclerotic risk factors diagnosed with NSTEMI secondary to subacute total occlusion of the mid right coronary artery (RCA) with collaterals filling from septal perforators arising from mid left anterior descending artery. Read More

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January 2021

Frequency of Thrombolysis in Myocardial Infarction III Flow in Patients With Primary Percutaneous Coronary Intervention: Not All Culprit Vessels Are Completely Occluded in ST Elevation Myocardial Infarction.

Cureus 2020 Dec 12;12(12):e12036. Epub 2020 Dec 12.

Cardiology, National Institute of Cardiovascular Diseases, Karachi, PAK.

Background ST elevation myocardial infarction (STEMI) is classically characterized by total occlusion of the culprit coronary artery. However during primary percutaneous coronary intervention (PCI) thrombolysis in myocardial infarction (TIMI) 0 flow is not observed in all patients' culprit arteries in angiographic views. This study was conducted to find out the frequency of TIMI flow in acute STEMI patients in view of the above concept. Read More

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December 2020

A case report of a transcarotid transcatheter aortic valve implantation with concomitant carotid endarterectomy.

Eur Heart J Case Rep 2020 Dec 24;4(6):1-6. Epub 2020 Nov 24.

Department of Interventional Cardiology, Galway Clinic, Royal College of Surgeons in Ireland Affiliated Hospitals, Doughiska, Galway H91 HHT0, Ireland.

Background: Transcarotid transcatheter aortic valve implantation (TAVI) is a worthwhile substitute in patients who might otherwise be inoperable; however, it is applied in <10% of TAVI cases. In patients with established carotid artery stenosis, the risk of complications is increased with the transcarotid access route.

Case Summary: We report a case of concomitant transcarotid TAVI and carotid endarterectomy (CEA) in a patient with bovine aortic arch and previous complex infrarenal EndoVascular Aortic Repair (EVAR). Read More

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December 2020

Outcome of manual thrombus aspiration for patients undergoing primary PCI for acute STEMI showing large thrombus burden.

Egypt Heart J 2021 Jan 12;73(1). Epub 2021 Jan 12.

Department of Cardiology, Faculty of Medicine, Ain Shams University, Abbasia, Cairo, Egypt.

Background: Routine thrombus aspiration during primary PCI does not improve clinical outcomes. Although recent guidelines for management of patient presented by ST-elevation myocardial infarction treated by primary PCI does not recommend routine use of thrombus aspiration and ranking it as class III recommendation. However, there is remaining uncertainty about rule of TA in group of patients presented by STEMI and their initial coronary angiogram shows large thrombus burden as there is a logical rationale for greater benefit, and still, there are no clear guidelines for management of this group of patients; the aim of this study is to evaluate the in-hospital and short-term outcome of using manual thrombus aspiration in STEMI patients undergoing primary PCI and showing large thrombus burden. Read More

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January 2021

Use of a totally occluded graft as a conduit for retrograde native artery recanalization.

Hellenic J Cardiol 2021 Jan 8. Epub 2021 Jan 8.

Minneapolis Heart Institute and Minneapolis Heart Institute Foundation, Minneapolis, United States.

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January 2021

Rescue permanent LVIS stenting with post-stenting angioplasty after failed mechanical thrombectomy for refractory internal carotid artery occlusion at the paraclinoid segment: two-case report.

Chin Neurosurg J 2021 Jan 11;7(1). Epub 2021 Jan 11.

Stroke Center, Changhai Hospital, Navy Medical University, Shanghai, China.

Background: Previous studies indicated the effectiveness of permanent stenting when dealing with retriever-failed refractory large vascular occlusion (LVO). Variety types of stents were implanted permanently to achieve recanalization. Low-profile visualized intraluminal support (LVIS) is generally used as a supportive device for embolization of intracranial aneurysm. Read More

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January 2021

Quantification of the errors associated with marker occlusion in stereophotogrammetric systems and implications on gait analysis.

J Biomech 2021 Jan 2;114:110162. Epub 2020 Dec 2.

Dept. Of Industrial Engineering - DIN, University of Bologna, Italy.

Optoelectronic stereophotogrammetric systems (OSSs) represent the standard for gait analysis. Despite widespread, their reported accuracy in nominal working conditions shows a variability of several orders of magnitude, ranging from few microns to several millimetres. No clear explanation for this variability has been provided yet. Read More

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January 2021

Acute coronary syndrome following arteriovenous fistula creation in a post CABG patient: A steal phenomenon from coronary artery to subclavian artery.

Semin Dial 2021 Jan 22;34(1):89-93. Epub 2020 Nov 22.

Cardiovascular Intervention Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.

A 70-year-old man with a history of coronary artery bypass grafting 15 years back and arteriovenous (AV) fistula creation in the left arm 1 month back presented with acute coronary syndrome (ACS). He had not received dialysis before his referral. We felt the most likely etiology for these complaints was increased cardiac oxygen demand from an increased cardiac output related to the newly formed left AV fistula. Read More

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January 2021

A case report of a unique aorto-bifemoral graft infection and its treatment.

J Surg Case Rep 2020 Nov 10;2020(11):rjaa382. Epub 2020 Nov 10.

Department of Internal Medicine (Infectious Diseases), TOBB ETU University, Ankara, TURKIYE.

In this study, we report a unique case of aorto-bifemoral graft infection, which developed in a 47-year-old male patient after endovascular aortic aneurysmal repair (EVAR) and extra anatomic axillo-femoral bypass. The patient had previously been treated by EVAR for an infrarenal abdominal aortic aneurysm. Earlier, the EVAR was blocked by a thrombosis and treated with an extra-anatomic axillo femoral bypass, which then became occluded. Read More

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November 2020

Acute progressive stroke with middle cerebral artery occlusion caused by idiopathic hypereosinophilic syndrome: a case report.

BMC Neurol 2020 Oct 1;20(1):361. Epub 2020 Oct 1.

Department of Neurology, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Traditional Chinese Medicine), 54 Youdian Road, Hangzhou, 310006, Zhejiang Province, China.

Background: Idiopathic hypereosinophilic syndrome (IHES) is associated with various organ system dysfunctions. Neurologic abnormalities have been previously noted in this syndrome. Cerebral infarction secondary to occlusion of large cerebral artery is rarely reported. Read More

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October 2020

Drug-eluting balloon treatment in femoropopliteal in-stent restenosis of different lengths.

Turk Gogus Kalp Damar Cerrahisi Derg 2020 Jul 28;28(3):460-466. Epub 2020 Jul 28.

Department of Cardiovascular Surgery, Pamukkale University, Faculty of Medicine, Denizli, Turkey.

Background: In this study, we present one-year results of drugeluting balloon treatment of femoropopliteal in-stent restenosis.

Methods: A total of 62 patients (48 males, 14 females; mean age 64.2±9. Read More

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Prevalence and clinical significance of totally occluded infarct-related arteries in patients with non-ST-segment elevation acute coronary syndromes.

Int J Cardiol 2021 Feb 13;324:1-7. Epub 2020 Sep 13.

Cardiology and Cardiovascular Surgery Division, Hospital Universitario Virgen Macarena, Seville, Spain; Cardiovascular Research and Clinical Trials Unit, Cardiology and Cardiovascular Surgery Division, Hospital Universitario Virgen Macarena. Seville. Spain.

Background Seemingly conflicting findings exist regarding the prognostic impact of totally occluded infarct-related arteries (oIRA) in non-ST elevation acute coronary syndromes (NSTE-ACS). Methods Retrospective analysis of prospective multicenter registry data comprising a single-center NSTE-ACS cohort, aimed at assessing the impact of occluded (TIMI flow 0/1) versus patent culprit vessels (pIRA, TIMI flow 2/3) on the composite endpoint of all-cause death and cardiogenic shock events at 30 days. Results Of 568 patients, 183 (32. Read More

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February 2021

Percutaneous coronary interventions on vein graft bifurcation lesions presenting as an acute coronary syndrome.

Catheter Cardiovasc Interv 2020 Aug 26. Epub 2020 Aug 26.

Department of Cardiology, St. Louis University School of Medicine, St Louis, Missouri.

Interventions on graft bifurcation lesions are uncommon, especially in the setting of acute coronary syndromes (ACS). We described three cases of graft bifurcation intervention where we tailored our approach based on lesion characteristics, anatomy, and angulation to achieve excellent angiographic and clinical outcomes. In case 1, shared ostia of saphenous vein graft (SVG) to Diagonal (D) and Radial graft to Obtuse Marginal (OM) was severely stenosed. Read More

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Multistage Strategy With Perfusion SPECT and CT Pulmonary Angiogram in Balloon Pulmonary Angioplasty for Totally Occluded Lesions in CTEPH.

EuroIntervention 2020 Jul 21. Epub 2020 Jul 21.

Department of Cardiovascular Medicine, Faculty of Medical Sciences, Kyushu University, Japan.

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Retrograde recanalization of native right coronary artery chronic total occlusion (CTO) through left coronary artery CTO after bypass graft failure: A case report.

Medicine (Baltimore) 2020 Jul;99(28):e20850

Department of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Disease, Shanghai, China.

Rationale: With the development and standardization of modern chronic total occlusions (CTOs) recanalization technique, percutaneous coronary intervention has become a promising treatment alternative to surgery after bypass graft failure. Treatment of a native coronary CTO lesion is preferable to treatment of a saphenous vein graft (SVG) CTO supplying the same territory; however, technical expertise is required.

Patient Concerns: This is a 69-year-old male with prior history of coronary artery bypass grafting presented with severe dyspnea at mild exertion (NYHA III) of 2 months duration. Read More

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Three-Year Sustained Clinical Efficacy of Drug-Coated Balloon Angioplasty in a Real-World Femoropopliteal Cohort.

J Endovasc Ther 2020 10 25;27(5):693-705. Epub 2020 Jun 25.

Universitäts-Herzzentrum Freiburg-Bad Krozingen, Bad Krozingen, Germany.

To report the 36-month outcomes from the prospective, multicenter, single-arm IN.PACT Global Study ( identifier NCT01609296) evaluating the performance of the IN.PACT Admiral drug-coated balloon (DCB) in real-world patients with femoropopliteal occlusive disease. Read More

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October 2020

Triple-Access Retrograde Chronic Total Occlusion Intervention Through Vein Graft and Epicardial Collaterals.

J Invasive Cardiol 2020 Jun;32(6):E172-E173

1st Cardiology Department, Athens Red Cross Hospital, 1 Athanasaki St 11521, Athens, Greece.

Based on the patient's symptoms and examination, a decision was made to recanalize his totally occluded RCA via retrograde approach through the SVG to the OM. Due to inadequate visualization of the epicardial collaterals and distal RCA via SVG, triple-access was used and injection via left main. In selected CTO cases, triple access may facilitate the retrograde approach, allowing optimal collateral visualization. Read More

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Surviving Case of a Blowout-Type Left Ventricular Free Wall Rupture During Percutaneous Coronary Intervention for a Lateral Acute Myocardial Infarction.

Int Heart J 2020 May 15;61(3):606-610. Epub 2020 May 15.

Division of Cardiology, Department of Medicine, Nihon University School of Medicine.

A 76-year-old man suffering from chest pain was admitted to our hospital with a suspected acute myocardial infarction (AMI). Emergent coronary angiography revealed a totally occluded proximal left circumflex artery (LCX). During primary percutaneous coronary intervention, his blood pressure suddenly fell within seconds, and he developed pulseless electrical activity (PEA). Read More

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Blood flow in the internal jugular veins during the spaceflight - Is it actually bidirectional?

Life Sci Space Res (Amst) 2020 May 19;25:103-106. Epub 2020 Mar 19.

Department of Anatomy, Institute of Medicine, University of Opole, ul. Oleska 48, 45-052 Opole, Poland.

Recently intriguing results of the research performed on astronauts of the International Space Station have been published. Unexpectedly, in some crew members a stagnant and bidirectional flow in the internal jugular vein was found, and in one of the astronauts this vein seemed to be totally thrombosed. If it actually were the case that in the settings of weightlessness there is a substantial risk of jugular vein thrombosis, any long-term human space missions would be extremely dangerous. Read More

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Coronary stent embolism to the right posterior cerebral artery.

Turk Kardiyol Dern Ars 2020 Apr;48(3):304-308

Department of Cardiology, Health Sciences University, Bağcılar Training and Research Hospital, İstanbul, Turkey.

A 57-year-old male was admitted to the emergency room with chest pain that has been present for 3 hours. His blood pressure was 70/50 mmHg and heart rate was 48 bpm. 12-lead surface electrocardiography revealed inferior myocardial infarction and third-degree atrioventricular (AV) block. Read More

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Calcified renal artery aneurism in the right kidney causing hypertension.

Saudi J Kidney Dis Transpl 2020 Jan-Feb;31(1):266-270

Department of Pediatric Nephrology, Erciyes University Medical Faculty, Kayseri, Turkey.

The renal artery aneurysm (RAA) is defined as a renal artery segment that is twofold dilated than normally. It is very rare in children and often asymptomatic. However, it can cause severe hypertension (HTN) and kidney failure. Read More

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January 2021

Non-st-elevation acute coronary syndrome due to a totally occluded coronary artery: a history of two twin brothers.

Wiad Lek 2020 ;73(1):201-202

Department Of Invasive Cardiology, Centre Of Postgraduate Medical Education, Warsaw, Poland.

We present the image of two twin brothers aged 53. Within 18 months they both underwent acute coronary syndrome treated with percutaneous coronary intervention (PCI). This story shows that both twins had similar comorbidities (hypercholesterolemia and hypothyroidism) as well as the course of the acute coronary syndrome. Read More

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Treatment of a heavily calcified celiac artery ostial subtotal occlusion using shockwave lithotripsy: A novel approach.

Cardiovasc Revasc Med 2020 Feb 20. Epub 2020 Feb 20.

Section of Interventional Cardiology, MedStar Heart & Vascular Institute, Medstar Washington Hospital Center, Washington, DC, USA.

Purpose: We present the novel use of adjunctive intravascular lithotripsy (IVL) before definitive intravascular stenting of a heavily calcified celiac artery ostial occlusion.

Case Report: A 79-year-old woman presented with chronic post-prandial abdominal pain and weight loss. Selective angiography revealed a sub-totally occluded celiac artery. Read More

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February 2020

Stenting of modified Blalock-Taussig shunt in adult with palliated pulmonary atresia and ventricular septal defect: a case report.

Eur Heart J Case Rep 2019 Dec 13;3(4):1-4. Epub 2019 Nov 13.

Department of Cardiology III: Adult Congenital and Valvular Heart Disease, University Hospital Muenster, Albert-Schweitzer-Campus 1, 48149 Muenster, Germany.

Background: Adults with complex congenital heart disease palliated with systemic-to-pulmonary artery shunts have become rare and represent a particularly challenging patient group for the cardiologist. One of the complications and causes of severe clinical deterioration during long-term follow-up are progressive obstruction or total occlusion of the shunt. The risk for surgical intervention is frequently high and catheter intervention may be complicated by complex anatomy and shunt calcification. Read More

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December 2019

Supracerebellar Approach for Resection of a Falcotentorial Dural Arteriovenous Fistula with Pial Tectal Arteriovenous Malformation Component Associated with a Left Parafalcine Meningioma.

World Neurosurg 2020 05 17;137:337. Epub 2020 Feb 17.

Skull Base and Cerebrovascular Laboratory, University of California, San Francisco, California, USA; Department of Neurological Surgery, University of California, San Francisco, California, USA. Electronic address:

A 66-year-old woman presented with a 4.5- × 4-cm left posterior parafalcine meningioma and visual loss in her left eye (Video 1). Prior to meningioma embolization, angiography confirmed an incidental high-risk falcotentorial dural arteriovenous fistula (DAVF) with pial tectal arteriovenous malformation (AVM) and flow-related aneurysms of the superior cerebellar artery (SCA) and posterior cerebral artery (PCA). Read More

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