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Cardiovascular Revascularization Medicine: Including Molecular Interventions

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https://www.readbyqxmd.com/read/30006241/massive-myocardial-infarction-due-to-the-complete-occlusion-of-the-left-anterior-descending-coronary-artery-after-blunt-chest-trauma
#1
Marco Zuin, Gianluca Rigatelli, Luisella Fogato, Giuseppe Faggian, Giovanni Zuliani, Loris Roncon
No abstract text is available yet for this article.
July 7, 2018: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/30017729/complex-disease-management-of-pregnant-young-patient-with-familial-hypercholesterolaemia-complicated-by-coronary-artery-disease-and-cerebrovascular-disease
#2
Stuart Moss, Daniel Tardo, Mathew Doyle, David Rees
Inherited disorders of lipid metabolism may cause a heavy burden of cardiovascular disease early in life. Familial hypercholesterolaemia (FH) with abnormalities of LDL metabolism results in marked LDL elevations and accelerated, multivessel atherosclerosis presenting in teenage or young adulthood. We describe the case of a 33-year-old woman who presented with exertional angina in the setting of pregnancy who was found post-partum to have severe triple-vessel disease including left main disease on coronary angiography (Figs...
July 5, 2018: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/30007871/usefulness-of-rescue-ultrasound-guidance-for-transradial-cardiac-catheterization
#3
Manabu Kashiwagi, Takashi Tanimoto, Hironori Kitabata, Yu Arita, Yasunori Yamamoto, Kazuya Mori, Kosei Terada, Tsuyoshi Nishiguchi, Akira Taruya, Takashi Kubo, Atsushi Tanaka, Takashi Akasaka
INTRODUCTION AND OBJECTIVES: Transradial cardiac catheterization reduces access site complications and is more comfortable for patients than the transfemoral approach. However, failure of the transradial approach is more common than the transfemoral approach. This study aimed to investigate whether ultrasound-guided rescue could facilitate transradial cardiac catheterization. METHODS: We retrospectively analyzed 592 consecutive patients who underwent coronary angiography and/or percutaneous coronary intervention...
July 5, 2018: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/29997051/autonomic-adrenergic-sympathetic-hyperstimulation-myocardial-edema-and-muscle-cramps-in-takotsubo-syndome
#4
LETTER
John E Madias
No abstract text is available yet for this article.
July 4, 2018: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/29980377/race-contrast-induced-nephropathy-and-long-term-outcomes-after-coronary-and-peripheral-angiography-and-intervention
#5
Samuel P Powell, Raveen Chawla, Wendy Bottinor, Jeremy Turlington, Dennis A Hopkinson, Kalpesh Patel, Peter Danyi, Ion S Jovin
BACKGROUND: Contrast-induced nephropathy (CIN) is a complication of diagnostic angiography and percutaneous coronary and endovascular intervention. We investigated the effect of race on the development of CIN. METHODS: We studied 4070 predominantly male patients undergoing peripheral and coronary angiography and percutaneous coronary and endovascular intervention. We analyzed the incidence of CIN at 72 h, of renal dysfunction at 3 months as well as the long-term incidence of hemodialysis and of death...
June 25, 2018: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/29970328/efficacy-and-safety-of-adjunctive-drug-coated-balloon-therapy-in-endovascular-treatment-of-common-femoral-artery-disease
#6
Hafiz M Imran, Omar N Hyder, Peter A Soukas
BACKGROUND: Surgical endarterectomy with or without patch angioplasty has been considered the gold standard for treatment of symptomatic common femoral artery (CFA) disease. Surgical risks include wound infection, hematoma and lymph leak in approximately 17% of patients. Endovascular therapy has less procedure-related morbidity and mortality. Endovascular approaches achieve patency rates of 60% to 90% at 1 and 2 years utilizing atherectomy and balloon angioplasty. CFA stenting has been limited due to concerns of stent kinking, thrombosis and restenosis...
June 25, 2018: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/30007870/exclusion-of-a-giant-saphenous-vein-graft-pseudo-aneurysm-with-a-double-layer-bridging-technique
#7
Alberto Boi, Francesco Sanna, Angelica Rossi, Bruno Loi
We report the case of a 72-year-old man admitted to our hospital for chest pain. He had undergone coronary artery bypass graft surgery 23 years before. Contrast-enhanced computer tomography revealed a severe double-lobed dilatation of the saphenous vein graft for the obtuse marginal branch. Coronary angiography did not opacify completely the saphenous vein graft for the huge turbulence in the dilatation. Severe saphenous vein graft dilatation have a significant mortality and it has been generally treated by surgical repair, such as resection with or without bypass of the affected territory...
June 22, 2018: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/29934065/is-there-still-a-role-for-renal-artery-stenting-in-the-management-of-renovascular-hypertension-a-single-center-experience-and-where-do-we-stand-in-2018
#8
Zubair Khan, Sunit Tolia, Kumar Sanam, Gunjan Gholkar, Marc Zughaib, Sunil Naik, Marcel Zughaib
BACKGROUND: Renal artery (RA) stenosis has been implicated in the pathophysiological mechanism for resistant hypertension. Despite the increasingly diagnosed frequency of hemodynamically significant lesions, the value of RA revascularization remains controversial. Our group had previously demonstrated significant blood pressure (BP) reduction in a retrospective cohort of appropriately selected patients undergoing RA stenting up to 18-months of follow-up. We herein present long-term clinical outcomes data 5-years post revascularization on 26 subjects who continued follow-up at our institution...
June 20, 2018: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/29970329/a-first-time-repair-of-pseudoaneurysm-of-the-ascending-aorta-with-a-valiant-navion-evo-thoracic-endograft%C3%A2
#9
Liam Ryan, Devon T Collins, Dipankar Mukherjee
We describe the first case of an endovascular repair for a pseudoaneurysm of the ascending aorta using the Valiant Navion EVO® low-profile thoracic endograft from Medtronic™. A successful outcome from a potentially fatal condition in a severely compromised patient was achieved.
June 18, 2018: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/29937382/iatrogenic-atrial-septal-defect-post-mitral-valve-in-valve-implantation
#10
Chava Chezar-Azerrad, Abid Assali, Hanna Vaknin-Assa, Yaron Shapira, Alon Eisen, Ran Kornowski
A 75 year-old female with symptomatic severe mitral regurgitation of a bio-prosthetic valve secondary to valve leaflet perforation due to endocarditis underwent a mitral valve in valve replacement in an existing Hancock 27 mm valve using a trans-femoral/trans-septal approach. The procedure was complicated by an iatrogenic atrial septal defect post trans-septal puncture causing a severe right-to-left shunt due, possibly, to the combination of severe pulmonary hypertension and moderate tricuspid regurgitation the patient had suffered from at base line...
June 15, 2018: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/29934066/identification-of-candidates-for-coronary-artery-bypass-grafting-admitted-with-stemi-and-multivessel-disease
#11
Ramón Rodríguez-Olivares, José López-Menéndez, Laura Varela Barca, Javier Miguelena Hycka, Rosana Hernández-Antolín, Jorge Rodríguez-Roda Stuart, Jose L Zamorano Gómez
BACKGROUND: The optimal management of patients with multivessel coronary artery disease (MVD) admitted with STEMI is under debate. CABG is rarely performed, even on ideal candidates. A provisional PCI without stent implantation may allow complete surgical revascularization (CSR) in a subset of patient that we sought to identify in this study. METHODS: Patients with STEMI from April 2014 to October 2016 were evaluated and those with a TIMI flow <3 in the culprit vessel, and an additional stenosis of >70% in an epicardial vessel or sidebranch >2...
June 13, 2018: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/29929842/left-ventricular-end-diastolic-pressure-and-contrast-induced-acute-kidney-injury-in-patients-with-acute-coronary-syndrome-undergoing-percutaneous-coronary-intervention
#12
Fabio V Lima, Suraj Singh, Puja B Parikh, Luis Gruberg
BACKGROUND: Left ventricular end-diastolic pressure (LVEDP) reflects ventricular performance and volume status. We sought to analyze the relationship between LVEDP and the incidence of contrast-induced acute kidney injury (AKI) in patients with acute coronary syndrome undergoing percutaneous coronary intervention (PCI). METHODS: Between January 2006 and December 2008, a total of 254 patients presenting with an acute coronary syndrome had the LVEDP assessed prior to the intervention...
June 9, 2018: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/29909948/revascularization-strategies-in-cardiogenic-shock-complicating-acute-myocardial-infarction-a-systematic-review-and-meta-analysis
#13
Hammad Rahman, Safi U Khan, Ahmad N Lone, Edo Kaluski
BACKGROUND: The optimal revascularization strategy in patients with multi-vessel disease (MVD) presenting with acute myocardial infarction (AMI) and cardiogenic shock (CS) remains unclear. OBJECTIVE: To investigate the comparative differences between culprit-only revascularization (COR) versus instant multi-vessel revascularization (IMVR) in AMI and CS. METHODS: 13 studies were selected using MEDLINE, EMBASE and the CENTRAL (Inception - 31 November2017)...
June 9, 2018: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/29908826/intramyocardial-autologous-cd34-cell-therapy-for-refractory-angina-a-meta-analysis-of-randomized-controlled-trials
#14
Poonam Velagapudi, Mohit Turagam, Dhaval Kolte, Sahil Khera, Omar Hyder, Paul Gordon, Herbert D Aronow, Jane Leopold, J Dawn Abbott
BACKGROUND: Previous studies have demonstrated that intramyocardial human CD34+ cells may relieve symptoms and improve clinical outcomes in chronic refractory angina unresponsive to optimal medical therapy or not amenable to revascularization. METHODS: We performed a meta-analysis of randomized controlled trials (RCTs) to evaluate the impact of human CD34+ cells compared with placebo in chronic refractory angina. Primary efficacy outcomes in our analysis were angina frequency and exercise time...
June 5, 2018: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/30017728/haptics-and-the-heart-force-and-tactile-feedback-system-for-cardiovascular-interventions
#15
Stuart Schecter, Wei Lin, Aasha Gopal, Roger Fan, Eric Rashba
BACKGROUND/PURPOSE: Interventional cardiovascular procedures are performed while operators view multiple visual displays including fluoroscopic and ultrasonic images, intracardiac electrical signals, electroanatomic mapping data, and hemodynamic indices. Operators are unable to palpate physiologic and biophysical signals or feel intracardiac anatomy due to the attenuation and dampening properties of cardiac catheters. This poses a significant limitation when performing higher risk procedures such as complex coronary interventions, transeptal or epicardial puncture to gain access to the left atrium or pericardium for ablation of heart rhythm disorders, cardiac device delivery, and when attempting to maintain stable tissue contact force ("CF") during ablation of cardiac arrhythmia...
June 4, 2018: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/29958820/cellular-and-molecular-approaches-to-enhance-myocardial-recovery-after-myocardial-infarction
#16
REVIEW
Yasir Parviz, Mohammad Waleed, Sethumadhavan Vijayan, David Adlam, Shahar Lavi, Arif Al Nooryani, Javaid Iqbal, Gregg W Stone
Reperfusion therapy has resulted in significant improvement in post-myocardial infarction morbidity and mortality in over the last 4 decades. Nonetheless, it is well recognized that simply restoring patency of the epicardial artery may not stop or reverse damage at microvascular level, and myocardial salvage is often suboptimal. Numerous efforts have been undertaken to elucidate the mechanisms underlying extensive myonecrosis to facilitate the discovery of therapies to provide additional and incremental benefits over current therapeutic pathways...
June 2, 2018: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/29937383/same-versus-next-day-discharge-after-elective-transradial-pci-the-radial-same-day-discharge-after-pci-trial-the-rasadda-pci-trial
#17
Gerardo Rodriguez-Araujo, Mehmet Cilingiroglu, David Mego, Abdul Hakeem, Vasili Lendel, Ian Cawich, Andre Paixao, Konstantinos Marmagkiolis, Patrick Flaherty, William Rollefson
BACKGROUND AND PURPOSE: Transradial percutaneous coronary intervention (TR-PCI) has been increasingly popular over the last decade in the US. Previous studies have shown that same-day (SD) discharge after elective PCI is as safe as overnight (ON) observation. Our study was performed to assess the clinical and financial impact of early discharge in patients undergoing TR-PCI. METHODS: This is a single center registry of patients undergoing elective TR-PCI. Timing of discharge was determined by the treating physician...
June 2, 2018: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/29936110/comparison-of-the-device-performance-between-the-conventional-guide-extension-catheter-and-the-soft-guide-extension-catheter
#18
Takunori Tsukui, Kenichi Sakakura, Yousuke Taniguchi, Kei Yamamoto, Hiroshi Wada, Shin-Ichi Momomura, Hideo Fujita
BACKGROUND: The guide extension catheter is frequently used in current percutaneous coronary intervention, and the GuideLiner (Vascular Solutions Inc., Minneapolis, MN) has been the standard guide extension catheter. Recently, the Guideplus (Nipro, Osaka, Japan) has emerged as a new guide extension catheter. The aim of the present study was to compare device performance between the Guideplus and GuideLiner. METHODS: We compared the purpose of guide extension catheter and the device unsuccessful rate between the Guideplus and GuideLiner...
June 1, 2018: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/29843976/comparison-of-standard-renal-denervation-procedure-versus-novel-distal-and-branch-vessel-ablation-with-brachial-arterial-access
#19
I Petrov, I Tasheva, I Garvanski, Z Stankov, I Simova
OBJECTIVES: We assessed a novel approach to percutaneous renal denervation for uncontrolled hypertension consisting of ablation beyond the proximal main renal artery (Y-pattern), including the primary branches, and compared it to the standard procedure applied only within the main vessel. We also assessed the safety and practicality of a brachial access approach. METHODS AND RESULTS: Renal denervation was performed on 119 consecutive patients (60 ± 13 years)...
May 26, 2018: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/29802021/sex-differences-in-the-outcome-after-percutaneous-coronary-intervention-a-propensity-matching-analysis
#20
Gjin Ndrepepa, Sebastian Kufner, Katharina Mayer, Salvatore Cassese, Erion Xhepa, Massimiliano Fusaro, Endri Hasimi, Stefanie Schüpke, Karl-Ludwig Laugwitz, Heribert Schunkert, Adnan Kastrati
BACKGROUND: Whether there are sex differences in the outcome of patients with coronary artery disease (CAD) undergoing percutaneous coronary intervention (PCI) remains controversial. We undertook this study to assess whether there are sex-related differences in the long-term mortality in a large series of patients with CAD after PCI. METHODS: The study included 18,334 patients (4735 women and 13,599 men) with CAD treated with PCI. Propensity matching was performed to obtain a group of patients (3000 women and 3000 men) matched for all characteristics available in database...
May 23, 2018: Cardiovascular Revascularization Medicine: Including Molecular Interventions
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