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https://www.readbyqxmd.com/read/29782288/-clinical-and-cost-effectiveness-of-percutaneous-coronary-intervention-for-patients-with-chronic-coronary-artery-disease-during-overnight-hospitalization
#1
A B Basinkevich, Y G Matchin, D C Bubnov, G A Silvestrova, N S Shamrina, R V Atanesyan, Y V Danilushkin, A V Skorobogatova, F T Ageev, S K Vladimirov
AIM: To evaluate cost effectiveness of coronary endovascular treatment in patients with stable IHD during "one-night" hospitalization. MATERIALS AND METHODS: Using the cost-minimization analysis direct medical cost of coronary endovascular treatment in patients with stable IHD during the "one-night" hospitalization was compared with the "classic" hospitalization. RESULTS: The most cost-effective strategy for hospitalization of patients for transcutaneous coronary intervention (TCI) with stenting was the "one-night" hospitalization...
2018: Kardiologiia
https://www.readbyqxmd.com/read/29776573/duration-of-dual-antiplatelet-therapy-and-outcome-in-patients-with-acute-coronary-syndrome-undergoing-percutaneous-revascularization-a-meta-analysis-of-11-randomized-trials
#2
Monica Verdoia, Elvin Khedi, Claudia Ceccon, Harry Suryapranata, Giuseppe De Luca
BACKGROUND: Acute coronary syndromes (ACS) represent a context of higher thrombotic risk, where larger advantages have been achieved by the administration of dual antiplatelet therapy (DAPT). However, the indication of 1 year DAPT after coronary angioplasty for ACS has been supported by an outdated randomized trial (PCI-CURE). In addition, the initial fear of late thrombotic events emerged with first generation drug-eluting stents (DES), that suggested the need of a prolonged DAPT prescription, has been completely overcome by the recent technological evolution of DES, that have shown faster re-endothelization and lower rates of late thrombotic complications...
August 1, 2018: International Journal of Cardiology
https://www.readbyqxmd.com/read/29762235/quality-and-safety-in-health-care-part-xl-stents-and-unusual-indications-for-a-pci
#3
Jay A Harolds
Percutaneous coronary interventions (PCI) are done for a variety of indications. Data from the CathPCI Registry is highly useful to evaluate the outcomes from performing a PCI procedure in unusual circumstances, such as in cases of chronic total coronary artery occlusion, cardiogenic shock after a myocardial infarction, syncopal patients, asymptomatic patients, and before surgery that is noncardiac. Registry information is also valuable in evaluating the efficacy of coronary stents. This article summarizes some of the information available on these subjects...
May 14, 2018: Clinical Nuclear Medicine
https://www.readbyqxmd.com/read/29758995/diagnostic-accuracy-of-dual-source-and-320-row-computed-tomography-angiography-in-detecting-coronary-in-stent-restenosis-a-systematic-review-and-meta-analysis
#4
Hai Feng Liu, Min Wang, Yong Sheng Xu, Manish Kumar Shrestha, Xing Ru Lu, Jun Qiang Lei
Background Dual-source and 320-row computed tomography angiography (CTA) are increasingly used in diagnosing coronary in-stent restenosis (CISR). Purpose We sought to perform this meta-analysis to evaluate the diagnostic accuracy of dual-source computed tomography angiography (DSCTA) and 320-row CTA in detecting CISR when compared to invasive coronary angiography. Material and Methods Five scientific databases (PubMed, Embase, Scopus, The Cochrane Library, and Web of Science) were searched for research studies in which DSCTA and/or 320-row CTA were used as diagnostic tools for CISR, as recently as October 2017...
January 1, 2018: Acta Radiologica
https://www.readbyqxmd.com/read/29753418/-percutaneous-coronary-intervention-in-the-management-of-acute-coronary-syndromes-in-ivory-coast-challenges-and-outcomes
#5
R N'Guetta, A Ekou, H Yao, J B Anzouan-Kacou, B Gérardin, R Pillière, A M Adoh, R Seka
AIM: Assess the challenges and outcomes of percutaneous coronary intervention (PCI) in the management of ACS at Abidjan Heart Institute. PATIENTS AND METHODS: Prospective survey carried out from April, 1st, 2010 to April, 29th, 2016. Whole patients aged 18-year-old, admitted at Abidjan Heart Institute for ACS, and who underwent PCI were included in the Registre prospectif des actes de cardiologie interventionnelle de l'institut de cardiologie d'Abidjan (REPACI)...
May 9, 2018: Annales de Cardiologie et D'angéiologie
https://www.readbyqxmd.com/read/29747917/elective-coronary-revascularization-procedures-in-patients-with-stable-coronary-artery-disease-incidence-determinants-and-outcome-from-the-coronor-study
#6
Martial Hamon, Gilles Lemesle, Thibaud Meurice, Olivier Tricot, Nicolas Lamblin, Christophe Bauters
OBJECTIVES: The authors sought to describe the incidence, determinants, and outcome of elective coronary revascularization (ECR) in patients with stable coronary artery disease (CAD). BACKGROUND: Observational data are lacking regarding the practice of ECR in patients with stable CAD receiving modern secondary prevention. METHODS: The authors analyzed coronary revascularization procedures performed during a 5-year follow-up in 4,094 stable CAD outpatients included in the prospective multicenter CORONOR (Suivi d'une cohorte de patients COROnariens stables en région NORd-Pas-de-Calais) registry...
May 14, 2018: JACC. Cardiovascular Interventions
https://www.readbyqxmd.com/read/29744657/transcatheter-intervention-of-coronary-obstructions-in-infants-children-and-young-adults
#7
Ryan Callahan, James E Lock, Pinak B Shah, Audrey C Marshall
This study assesses the characteristics of coronary obstructions that underwent transcatheter intervention in a pediatric catheterization laboratory, the procedural details, and patient outcomes. Acute cardiac failure due to coronary obstructions in children is rare. The role of catheter based intervention is largely unreported. Single center retrospective review between January 2000 and December 2016. Thirty-three patients (median age 2y/o [0-38], weighing 9.6 kg [2.2-91]) underwent 39 transcatheter interventions on 39 lesions, mainly left main coronary (16/39; 39%) and right coronary (9/39; 23%) arteries...
May 9, 2018: Pediatric Cardiology
https://www.readbyqxmd.com/read/29742605/quality-and-safety-in-health-care-part-xxxviii-the-cathpci-registry
#8
Jay A Harolds
The CathPCI Registry was started in 1998 to improve health quality for those patients having a percutaneous coronary intervention or diagnostic cardiac catheterization. This registry studies complications, outcomes from placing coronary artery stents of different types, appropriateness of performing the procedures, special indications for performing the procedures, safety of devices, patient characteristics, possible relationships between volume of procedures and quality, models to adjust for patient risk, and so on...
May 7, 2018: Clinical Nuclear Medicine
https://www.readbyqxmd.com/read/29737027/they-think-you-earn-too-much-but-they-probably-don-t-care
#9
EDITORIAL
James C Blankenship
A survey of patients and physicians in southern California indicates that patients overestimate Medicare payments to hospitals for elective coronary stenting several-fold and overestimate Medicare payments to physicians for coronary stenting over 15-fold. Patients think payments should be less than they erroneously think hospitals and physicians are paid but should be much more than hospitals and physicians are paid. The authors hypothesize that patients' view of physician payments may interfere with the physician-patient relationship, but data from other studies of physician-patient relationships suggest other factors are much more important...
May 1, 2018: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/29716535/predictive-value-of-neutrophil-to-lymphocyte-ratio-in-patients-with-acute-st-segment-elevation-myocardial-infarction-after-percutaneous-coronary-intervention-a-meta-analysis
#10
Sai Zhang, Jun Diao, Chunmei Qi, Jingjing Jin, Li Li, Xingjuan Gao, Lei Gong, Weiheng Wu
BACKGROUND: The neutrophil to lymphocyte ratio (NLR) is an indicator of systemic inflammation and a prognostic marker in patients with acute coronary syndrome (ACS). This study aims to investigate the value of NLR to predict the in-hospital and long-term prognosis in patients with ST segment elevation myocardial infarction (STEMI) after percutaneous coronary intervention (PCI) by meta-analysis. METHOD: The studies related to the prognosis of NLR and STEMI patients published in the Pubmed, Embase, and Ovid databases before June 2017 were retrieved...
May 2, 2018: BMC Cardiovascular Disorders
https://www.readbyqxmd.com/read/29716394/novel-biomarkers-for-coronary-restenosis-occurrence-after-drug-eluting-stent-implantation-in-patients-with-diabetes-having-stable-coronary-artery-disease
#11
Zufar Gabbasov, Sergey Kozlov, Ivan Melnikov, Svetlana Byazrova, Olga Saburova, Lyudmila Prokofieva, Martin Caprnda, Eduard Curilla, Ludovit Gaspar, Luis Rodrigo, Peter Kruzliak, Vladimir Smirnov
The purpose of the study was to assess whether the occurrence of restenosis is associated with CD45+ platelet count and neutrophil to lymphocyte ratio in patients with type 2 diabetes mellitus (DM) after drug-eluting stent (DES) implantation for stable coronary artery disease (CAD). The study comprised 126 patients, including 55 patients with type 2 DM and stable CAD who underwent elective coronary artery stenting with DES and follow-up angiography within 6 to 12 months. Blood samples were collected from each patient on the morning of the coronary angiography procedure...
January 1, 2018: Clinical and Applied Thrombosis/hemostasis
https://www.readbyqxmd.com/read/29697483/role-of-optical-coherence-tomography-in-identifying-sub-optimal-stent-positioning-and-predicting-major-adverse-cardiac-events-in-a-comparative-study-with-angiography-a-clio-opci-ii-sub-study
#12
Laura Gatto, Marco Golino, Valeria Marco, Alessio La Manna, Francesco Burzotta, Massimo Fineschi, Giovanni Ruscica, Alessandro Di Giorgio, Alberto Boi, Enrico Romagnoli, Mario Albertucci, Francesco Prati
BACKGROUND: Quantitative coronary angiography (QCA) is the gold standard for evaluating correct stenting, despite its limitation in recognizing features indicative of suboptimal deployment. This subanalysis of the CLI-OPCI II registry addressed the role of optical coherence tomography (OCT) to verify whether suboptimal OCT deployment occurs in the presence of an optimal angiographic result. PATIENTS AND METHODS: We retrospectively analyzed 125 lesions in the 105 patients with major adverse cardiac events of the CLI-OPCI II...
April 24, 2018: Coronary Artery Disease
https://www.readbyqxmd.com/read/29670522/dabigatran-added-to-dual-antiplatelet-therapy-to-treat-a-left-ventricular-thrombus-in-an-87-year-old-patient-with-myocardial-infarction-and-very-high-bleeding-risk
#13
Maria Noflatscher, Nicolas Moes, Eva-Maria Gassner, Peter Marschang
Background: A left ventricular (LV) thrombus is detected in approximately 5-10% of patients after myocardial infarction (MI). If left untreated, these LV thrombi carry a significant risk of complications including embolic stroke. According to current guidelines, anticoagulation with vitamin K antagonists (VKA) is recommended to treat a LV thrombus. Case presentation: An 87 year old patient was referred to our department with non ST-elevation MI. Five months before, he had been diagnosed with a subacute ST elevation MI, which had been treated conservatively...
2018: Frontiers in Pharmacology
https://www.readbyqxmd.com/read/29668639/impact-of-vessel-curvature-on-neointimal-healing-after-stent-implantation-as-assessed-by-optical-coherence-tomography
#14
Yandong Fu, Shaotao Zhang, Hongwei Du, Lulu Li, Chao Wang, Gonghui Zheng, Yan Wang, Hui Dong, Haibo Jia, Bo Yu
PURPOSE: Previous studies have indicated that stent implantation could alter the vessel geometry, which may impact the neointimal healing process. Curvature is an important parameter for evaluating vessel geometry. The purpose of our study was to investigate the relationship between vessel curvature and neointimal healing after stent implantation. METHODS: Fifty-nine patients with acute coronary syndrome (ACS) who underwent stent implantation were enrolled in the study...
April 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29666900/polymer-free-biolimus-a9-coated-stent-for-primary-percutaneous-coronary-intervention
#15
D J H Lee, J K K Loh, F H Jafary, H H Ho, T Watson, H-P Stoll, P J L Ong
BACKGROUND: The polymer-free biolimus-A9 drug-coated stent (DCS) was reported to have superior safety and efficacy outcomes compared with a bare metal stent in the LEADERS FREE trial of high-bleeding-risk patients with acute coronary syndrome and on dual antiplatelet treatment (DAPT) for 1 month. The aim of this investigation was to evaluate the DCS in a consecutive cohort of patients with ST-elevation myocardial infarction (STEMI) treated with primary percutaneous coronary intervention (PPCI)...
April 17, 2018: Herz
https://www.readbyqxmd.com/read/29652688/acute-coronary-artery-thrombus-after-tranexamic-acid-during-total-shoulder-arthroplasty-in-a-patient-with-coronary-stents-a-case-report
#16
Kathryn H Bridges, Sylvia H Wilson
Tranexamic acid (TXA), an antifibrinolytic, is routinely used to decrease transfusion rates in total joint replacement surgery. While recent publications have indicated a low risk of TXA-associated thromboembolic events in this orthopedic population, few studies specifically address the safety of TXA administration in high-risk patients. We present a case of acute coronary thrombus requiring emergent intervention in a patient with indwelling coronary stents who underwent shoulder arthroplasty with TXA administration...
April 15, 2018: A&A practice
https://www.readbyqxmd.com/read/29623167/current-indications-for-stenting-symptoms-or-survival-cme
#17
REVIEW
Suzanne V Arnold
The major goals of treating ischemic heart disease are to reduce angina, improve quality of life, and ultimately reduce mortality. While medical therapy can effectively address these aims, there is still much research and debate about the role of percutaneous coronary intervention in the treatment spectrum-specifically, whether or not stenting prolongs life or simply treats symptoms without impacting survival. The data supporting revascularization for survival benefit came from patients who underwent bypass graft surgery prior to the introduction of effective medical management...
January 2018: Methodist DeBakey Cardiovascular Journal
https://www.readbyqxmd.com/read/29621009/percutaneous-coronary-intervention-for-treating-de-novo-lesions-in-small-coronary-vessels-initial-experience-with-the-essential-paclitaxel-coated-balloon
#18
Rosa Alba Abellas-Sequeiros, Javier Benezet, Antonio Agarrado Luna, Jesús Oneto Otero, Jean-Pierre Déry, Tomas Cieza, Robert DeLarochellière, Lluis Duocastella, Alex Gomez, Maria Molina, Lluis Asmarats, Emilie Pelletier-Beaumont, Rishi Puri, Josep Rodés-Cabau
BACKGROUND: Paclitaxel-coated balloon (PCB) coronary angioplasty is an alternative treatment for de-novo coronary lesions in small vessels. This study with the new Essential PCB aimed to evaluate early and mid-term clinical outcomes following angioplasty with the Essential PCB in the treatment of de-novo lesions in small vessels. PATIENTS AND METHODS: We included all patients who underwent PCB angioplasty for treating de-novo coronary lesions in small vessels (reference diameter <2...
April 4, 2018: Coronary Artery Disease
https://www.readbyqxmd.com/read/29617412/tissue-inhibitor-of-metalloproteinase-3-timp-3-induces-fas-dependent-apoptosis-in-human-vascular-smooth-muscle-cells
#19
William R English, Heather Ireland-Zecchini, Andrew H Baker, Trevor D Littlewood, Martin R Bennett, Gillian Murphy
Over expression of Tissue Inhibitor of Metalloproteinases-3 (TIMP-3) in vascular smooth muscle cells (VSMCs) induces apoptosis and reduces neointima formation occurring after saphenous vein interposition grafting or coronary stenting. In studies to address the mechanism of TIMP-3-driven apoptosis in human VSMCs we find that TIMP-3 increased activation of caspase-8 and apoptosis was inhibited by expression of Cytokine response modifier A (CrmA) and dominant negative FAS-Associated protein with Death Domain (FADD)...
2018: PloS One
https://www.readbyqxmd.com/read/29617148/characteristics-and-outcomes-associated-with-30-day-readmissions-following-acute-coronary-syndrome-2000-2013-the-acute-coronary-syndrome-israeli-survey
#20
Ilia Litovchik, David Pereg, Nir Shlomo, Dina Vorobeichik, Roy Beigel, Zaza Iakobishvili, Zvi Vered, Ilan Goldenberg, Sa'ar Minha
BACKGROUND: Readmissions following acute myocardial infarction are associated with poor outcomes and a heavy economic burden. There are few evidence-based data on the characteristics and outcomes of patients readmitted following acute coronary syndrome. We explored the incidence and outcomes of patients readmitted after an acute coronary syndrome in the past decade. METHODS: The study population comprised all acute coronary syndrome patients who were enrolled and prospectively followed up in the biennial Acute Coronary Syndrome Israeli Survey from 2000 to 2013...
April 1, 2018: European Heart Journal. Acute Cardiovascular Care
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