keyword
https://read.qxmd.com/read/38344363/percutaneous-transluminal-coronary-angioplasty-in-a-52-year-old-patient-with-porcelain-aorta-and-calcified-coronaries-a-case-report
#1
Reechashree Dhungana, Padam Sharma, Chandra Mani Poudel, Anup Pandey, Raja Ram Khanal, Smriti Shakya, Ratna Mani Gajurel
Porcelain aorta, characterized by extensive calcification of the aortic wall is often associated with coronary calcification. It can pose an increased risk of thromboembolic complications during interventional and surgical procedures. We present a case of a 52-year-old female, a chronic smoker with dyslipidemia with complaints of exertional chest pain for past 6 months. She was diagnosed as a case of non-ST elevation myocardial infarction (NSTEMI) with multivessel CAD, with porcelain aorta and calcified coronaries based on abnormal ECG, elevated troponin and coronary angiography findings...
February 2024: Clinical Case Reports
https://read.qxmd.com/read/38260108/reliability-of-fractional-flow-reserve-in-non-infarct-related-arteries-in-st-segment-elevation-myocardial-infarction-patients-undergoing-a-pharmaco-invasive-approach
#2
JOURNAL ARTICLE
Ayush Shukla, Sudhanshu K Dwivedi, Sharad Chandra, Gaurav Chaudhary, Akhil Sharma, Rishi Sethi, Akshyaya Pradhan, Pravesh Vishwakarma, Monika Bhandari, Abhishek Singh
Objectives We investigated the reproducibility of fractional flow reserve (FFR) of significant stenoses (≥70% narrowing) in the non-infarct related artery (NIRA) during the pharmaco-invasive percutaneous coronary intervention (PCI) in patients with ST-segment elevation myocardial infarction (STEMI) within 24 hours of thrombolysis and at a follow up of 2-3 weeks. Background STEMI with multivessel disease has worse outcomes. The benefits of FFR-directed PCI of NIRA at the time of primary PCI are yet controversial...
January 2024: Curēus
https://read.qxmd.com/read/38247436/the-characteristic-of-acute-coronary-syndromes-of-patients-with-multivessel-coronary-artery-disease-in-centers-with-and-without-cardiac-surgery-on-site
#3
JOURNAL ARTICLE
Krzysztof Brust, Karol Śmiech, Kamil Bujak, Tomasz Roleder, Mariusz Gąsior
BACKGROUND: Multivessel disease (MVD) is diagnosed in a fair number of patients with acute coronary syndrome (ACS). There are 36 cardiac-surgery (CS) centres and 157 catheterization laboratories dedicated to treat ACS in Poland. The aim of the study was to analyze MVD patient outcomes presented with ACS in centers with or without CS on-site. METHODS: The present study is a retrospective analysis (2017-2020) of MVD ACS patients (n = 4618) outcomes between those treated in centers with CS on site (n = 595) and those without CS (n = 4023)...
January 22, 2024: Cardiology Journal
https://read.qxmd.com/read/38192277/low-body-mass-index-is-associated-with-adverse-cardiovascular-outcomes-following-pci-in-india-acc-ncdr-registry
#4
JOURNAL ARTICLE
Rajeev Gupta, Krishna Kumar Sharma, Raghubir Singh Khedar, Sanjeev Kumar Sharma, Jitender Singh Makkar, Ajeet Bana, Vishnu Natani, Shilpa Bharati, Sumit Kumar, Vishal Hadiya, Sailesh Lodha, Samin Kumar Sharma
OBJECTIVE: Registry-based prospective study was conducted to evaluate association of body mass index (BMI) with major adverse coronary events (MACE) following percutaneous coronary intervention (PCI). METHODS: Successive patients undergoing PCI were enrolled from April'19 to March'22 and classified into five BMI categories (<23.0,23.0-24.9,25.0-26.9,27.0-29.9, and ≥30.0 kg/m2 ). Clinical, angiographic features, interventions and outcomes were obtained by in-person or telephonic follow-up...
March 2024: Int J Cardiol Cardiovasc Risk Prev
https://read.qxmd.com/read/38056361/acute-coronary-syndrome-with-single%C3%A2-lead-st-segment-elevation-a-rare-presentation-of-multivessel-coronary-artery-disease
#5
JOURNAL ARTICLE
Giovanni Goffredo, Michele Correale, Davide Manfredi, Giuseppe La Cecilia, Antonio Ruggiero, Riccardo Ieva, Natale Daniele Brunetti
We report the case of a 73-year-old male admitted for epigastric pain and syncope with increased troponin level and a rare electrocardiogram (a single‑lead ST-elevation). Coronary angiography showed multi-vessel coronary artery disease. The patient underwent coronary angioplasty with drug-eluting stenting on left anterior descending coronary artery and drug eluting ballooning on first diagonal ostium. Coronary revascularization was completed with a staged stenting on left circumflex artery and right coronary artery...
November 21, 2023: Journal of Electrocardiology
https://read.qxmd.com/read/37664645/recurrent-acute-coronary-syndrome-after-infliximab-infusion-in-a-patient-with-rheumatoid-arthritis-case-report
#6
Martin Rebolledo Del Toro, Camila Borda, Luisa Fernanda Rincón, Andrea Castillo, Daniel Gerardo Fernández-Ávila
CASE DESCRIPTION: A 61-year-old male patient with uncontrolled rheumatoid arthritis presented acute coronary syndrome on three occasions, less than 48 hours after infliximab infusion. CLINICAL FINDINGS: He presented with ST-elevation myocardial infarction on two occasions and non-ST-elevation acute coronary syndrome on one, with the identification of multivessel coronary disease. TREATMENT AND OUTCOME: Coronary intervention was performed with thrombus aspiration, medicated stent implantation, medicated balloon angioplasty, discontinuation of infliximab, and modification and optimization of cardiovascular pharmacological management...
2023: Colombia Médica: CM
https://read.qxmd.com/read/37633488/outcomes-of-patients-with-myocardial-infarction-and-cardiogenic-shock-treated-with-culprit-vessel-only-versus-multivessel-primary-pci
#7
JOURNAL ARTICLE
Ota Hlinomaz, Zuzana Motovska, Petr Kala, Milan Hromadka, Jan Precek, Jan Mrozek, Pavel Červinka, Jiri Kettner, Jan Matejka, Ahmad Zohoor, Josef Bis, Jiri Jarkovsky
INTRODUCTION AND OBJECTIVES: Multivessel primary percutaneous coronary intervention (pPCI) is still often used in patients with ST-elevation myocardial infarction (STEMI) and cardiogenic shock (CS). The study aimed to compare the characteristics and prognosis of patients with CS-STEMI and multivessel coronary disease (MVD) treated with culprit vessel-only pPCI or multivessel pPCI during the initial procedure. MATERIAL AND METHODS: From 2016 to 2020, 23,703 primary PCI patients with STEMI were included in a national all-comers registry of cardiovascular interventions...
August 24, 2023: Hellenic Journal of Cardiology: HJC
https://read.qxmd.com/read/37485137/a-sniff-away-from-death-a-rare-case-of-cocaine-induced-triple-vessel-coronary-artery-disease-in-a-41-year-old-male-patient
#8
Neel N Patel, Karan B Bhanushali, Heena K Asnani
Cocaine-associated coronary artery disease and ST-segment elevation myocardial infarction (STEMI) have been well described in the literature. However, very few cases of cocaine-induced multivessel coronary artery disease have been reported. We report a very rare case of cocaine-associated triple vessel coronary artery disease in a 41-year-old male patient. The patient underwent urgent catheterization that revealed occlusion of his proximal left anterior descending artery (LAD), mid-circumflex artery, and right coronary artery with angioplasty and stent placement...
June 2023: Curēus
https://read.qxmd.com/read/37366167/long-term-outcome-of-carotid-subclavian-bypass-in-the-management-of-coronary-subclavian-steal-syndrome
#9
JOURNAL ARTICLE
Martin Wenkel, Nancy Halloum, Mohammad Bashar Izzat, Sadeq Ali-Hasan-Al-Saegh, Georg Daniel Duerr, Marc Kriege, Davor Stamenovic, Hendrik Treede, Hazem El Beyrouti
OBJECTIVE: The presence of a significant left subclavian artery stenosis may occasionally lead to blood flow reversal through a LIMA-to-coronary artery bypass graft during left arm exertion; with "stealing" of myocardial blood supply. The aim of this study was to review our experience with carotid-subclavian bypass in patients with post-CABG coronary-subclavian steal syndrome. METHODS: This is a retrospective review of all patients who underwent carotid-subclavian bypass grafting for post-CABG coronary-subclavian steal syndrome at Mainz University Hospital between 2006 and 2015...
June 27, 2023: Vascular and Endovascular Surgery
https://read.qxmd.com/read/36813696/prevalence-management-and-outcomes-of-percutaneous-coronary-intervention-for-coronary-in-stent-restenosis-insights-from-the-france-pci-registry
#10
JOURNAL ARTICLE
Benjamin Duband, Géraud Souteyrand, Jean Michel Clerc, Stephan Chassaing, Olivier Fichaux, Pierre Marcollet, Ronan Deballon, Laurent Roussel, Bruno Pereira, Jean-Philippe Collet, Philippe Commeau, Guillaume Cayla, Rene Koning, Pascal Motreff, Hakim Benamer, Gregoire Rangé
BACKGROUND: Despite the evolution of stent technology, there is a non-negligible risk of in-stent restenosis (ISR) after Percutaneous coronary intervention (PCI). Large-scale registry data on the prevalence and clinical management of ISR is lacking. METHODS: The aim was to describe the epidemiology and management of patients with ≥1 ISR lesions treated with PCI (ISR PCI). Data on characteristics, management and clinical outcomes were analyzed for patients undergoing ISR PCI in the France-PCI all-comers registry...
July 2023: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://read.qxmd.com/read/36727128/drug-coated-balloon-angioplasty-intraoperatively-through-left-anterior-descending-arteriotomy-access-a-novel-hybrid-revascularization-strategy-a-case-report
#11
Asim Javed, Musfireh Siddiqueh, Qudsia Anjum, Anjum Jalal
BACKGROUND: Patients undergoing coronary artery bypass graft (CABG) sometimes have critical proximal lesion in left anterior descending (LAD) artery or chronic total occlusion followed by either skip lesions or diffuse disease of late mid-to-distal LAD artery. Such lesions require endarterectomy or atheroma bridging via long venous or arterial patch (patch-plasty), for which clinical outcomes are conflicting in studies due to a more thrombogenic milieu created by patch-plasty as well as incomplete endarterectomy...
January 2023: European Heart Journal. Case Reports
https://read.qxmd.com/read/36723459/prevalence-and-clinical-characteristics-of-renovascular-hypertension-associated-with-fibromuscular-dysplasia-in-china
#12
JOURNAL ARTICLE
Yuan-Yuan Kang, Yang Chen, Qi-Hong Wu, Hui Dong, Yu-Bao Zou, Ping-Jin Gao, Jian-Zhong Xu, Xiong-Jing Jiang, Ji-Guang Wang
OBJECTIVES: The aim of this study was to investigate the clinical characteristics of renal artery fibromuscular dysplasia (FMD) in patients in China and identify the cure rate of hypertension after angioplasty. METHODS: Consecutive hypertensive patients with renal artery stenosis caused by FMD who underwent catheter-based angiography, and were followed at two Chinese referral centres, were retrospectively analysed. All patients underwent a detailed investigation, including demographic characteristics, clinical characteristics, biochemical sampling, Doppler ultrasonography of carotid arteries, magnetic resonance angiography (MRA) of the intracranial artery, and CTA or MRA of the abdominal artery and catheter-based renal angiography...
February 1, 2023: Journal of Hypertension
https://read.qxmd.com/read/36615678/what-promotes-acute-kidney-injury-in-patients-with-myocardial-infarction-and-multivessel-coronary-artery-disease-contrast-media-hydration-status-or-something-else
#13
REVIEW
Joanna Maksimczuk, Agata Galas, Paweł Krzesiński
Multivessel coronary artery disease (MVCAD) is found in approximately 50% of patients with acute myocardial infarction (AMI) undergoing percutaneous coronary intervention (PCI). Although we have data showing the benefits of revascularization of significant non-culprit coronary lesions in patients with AMI, the optimal timing of angioplasty remains unclear. The most common reason for postponing subsequent percutaneous treatment is the fear of contrast-induced acute kidney injury (CI-AKI). Acute kidney injury (AKI) is common in patients with AMI undergoing PCI, and its etiology appears to be complex and incompletely understood...
December 21, 2022: Nutrients
https://read.qxmd.com/read/36531736/one-year-results-from-the-assessing-micro-vascular-resistances-via-imr-to-predict-outcome-in-st-elevation-myocardial-infarction-patients-with-multivessel-disease-undergoing-primary-pci-amicro-trial
#14
JOURNAL ARTICLE
Massimo Fineschi, Edoardo Verna, Alberto Barioli, Giuseppe Mezzapelle, Davide Bartolini, Giovanni Turiano, Vincenzo Guiducci, Antonio Manari, Katya Lucarelli, Lucia Uguccioni, Alessandra Repetto, Giuseppe Tarantini
BACKGROUND: In ST-elevation myocardial infarction (STEMI) patients undergoing primary percutaneous coronary angioplasty (PPCI) the index of microcirculatory resistance (IMR) correlates to the extent of myocardial damage and left ventricular (LV) function recovery. Data on the IMR time-course and impact on clinical outcome in STEMI patients with multi-vessel disease (MVD) are scarce. AIMS: We designed a prospective, multicenter clinical trial to assess the infarct-related artery (IRA)-IMR in STEMI patients with MVD undergoing PPCI and to explore its potential in relationship with outcome and LV remodeling...
2022: Frontiers in Cardiovascular Medicine
https://read.qxmd.com/read/36404303/analysis-of-the-incidence-and-influencing-factors-associated-with-binary-restenosis-of-target-lesions-after-drug-coated-balloon-angioplasty-for-patients-with-in-stent-restenosis
#15
RANDOMIZED CONTROLLED TRIAL
Weihao Xue, Jun Ma, Xiaojie Yu, Zhisheng Ruan, Yuanxue Sun, Tianbo Wu, Xinmin Zhang, Lianpin Wu
BACKGROUND: Drug-coated balloon (DCB) is a novel and effective device for coronary artery disease patients with in-stent restenosis (ISR). However, the incidence and possible influencing factors associated with binary restenosis have not yet been adequately assessed. METHODS: The data are extracted from a prospective, multicenter, randomized controlled trial. A total of 211 patients with ISR were enrolled at 13 centers from August 2017 to October 2018 and treated with DCB...
November 20, 2022: BMC Cardiovascular Disorders
https://read.qxmd.com/read/36400185/cardiovascular-events-in-patients-with-coronary-artery-disease-with-and-without-myocardial-ischemia-long-term-follow-up
#16
JOURNAL ARTICLE
Felipe Pereira Camara de Carvalho, Whady Hueb, Eduardo Gomes Lima, Paulo Cury Rezende, Jaime Paula Pessoa Linhares Filho, Rosa Maria Rahmi Garcia, Paulo Rogério Soares, Jose Antonio Franchini Ramires, Roberto Kalil Filho
BACKGROUND: After the results of the ISCHEMIA Trial, the role of myocardial ischemia in the prognosis of coronary artery disease was under debate. We sought to comparatively evaluate the long-term prognosis of patients with multivessel CAD with or without documented myocardial ischemia. METHODS: This is a single-center, retrospective, observational cohort study that included patients with CAD obtained from the research protocols database of "The Medicine, Angioplasty or Surgery Study," the MASS Study Group...
November 15, 2022: American Heart Journal
https://read.qxmd.com/read/36380805/the-percutaneous-coronary-angioplasty-gets-better-but-the-surgical-coronary-artery-bypass-does-not-stay-behind
#17
JOURNAL ARTICLE
Ruggero De Paulis, Giulio Folino, Raffaele Scaffa
Coronary artery bypass grafting remains one of the most frequently performed cardiac operations, with well-established prognostic benefits in patients with multivessel coronary artery disease and left main disease. Despite an increasingly higher patients' risk profile, the results of this procedure have significantly improved over time, with an evident and striking decrease in operative mortality and peri-operative complications. A fair amount of technical and technological refinements has further improved the short- and long-term results of coronary artery bypass surgery...
November 2022: European Heart Journal Supplements: Journal of the European Society of Cardiology
https://read.qxmd.com/read/36261099/clinical-characteristics-and-evolution-of-patients-with-cardiogenic-shock-in-argentina-in-the-context-of-an-acute-myocardial-infarction-with-st-segment-elevation-data-from-the-nationwide-argen-iam-st-registry
#18
REVIEW
Yanina Castillo Costa, Flavio Delfino, Víctor Mauro, Heraldo D'Imperio, Carlos Barrero, Adrián Charask, Rodrigo Zoni, Stella Macín, Eduardo Perna, Juan Gagliardi
Cardiogenic Shock is one of the main causes of death in ST segment Elevation Myocardial Infarction. To know the clinical characteristics, in-hospital evolution and mortality of patients with Cardiogenic Shock. Patients enrolled in the ARGEN-IAM-ST Registry were analyzed. Predictors of Cardiogenic Shock and death during hospital stay were established. A total of 6122 patients were admitted between 2015 and 2022. Cardiogenic Shock was present in 10.75% of cases. Patients with CS were older (64.5 vs 60 years), more females (41% vs 36%), with more antecedents of infarction and a higher prevalence of anterior location of infarction and multivessel disease...
February 2023: Current Problems in Cardiology
https://read.qxmd.com/read/36257844/comparison-of-outcomes-of-invasive-or-conservative-management-of-chronic-coronary-disease-in-four-randomized-controlled-trials
#19
REVIEW
Kreton Mavromatis, William E Boden, David J Maron, G B John Mancini, William S Weintraub, Gilbert Gosselin, Daniel S Berman, Leslee J Shaw, John A Spertus, Judith S Hochman
Revascularization and medical therapy for chronic coronary disease have both evolved significantly over the last 50 years. A total of 4 contemporary randomized controlled trials- Clinical Outcomes Utilizing Revascularization and Aggressive drug Evaluation (COURAGE), Bypass Angioplasty Revascularization Investigation 2 Diabetes (BARI 2D), Fractional Flow Reserve versus Angiography for Multivessel Evaluation 2 (FAME 2), and International Study of Comparative Health Effectiveness with Medical and Invasive Approaches (ISCHEMIA)-have assessed the incremental benefit of revascularization when added to secondary prevention with intensive pharmacologic and lifestyle intervention...
December 15, 2022: American Journal of Cardiology
https://read.qxmd.com/read/36238492/efficacy-and-prediction-model-construction-of-drug-coated-balloon-combined-with-cutting-balloon-angioplasty-in-the-treatment-of-drug-eluting-stent-in-stent-restenosis
#20
JOURNAL ARTICLE
Haokun Wu, Tianhao Yu, Ting Fan, Wenjun Liao
Objective: To investigate the efficacy of drug-coated balloon (DCB) combined with cutting balloon angioplasty (CBA) in the treatment of drug-eluting stent in-stent restenosis (DES-ISR) and to construct a predictive model for the occurrence of DES-ISR. Methods: According to the criteria of diagnosis, inclusion, and exclusion, DES-ISR patients who were treated in the outpatient and inpatient departments of cardiovascular medicine of Second People's Hospital of Guangdong Province from July 2021 to December 2021 were included...
2022: Computational and Mathematical Methods in Medicine
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