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https://www.readbyqxmd.com/read/29669161/latest-advances-in-cardiac-valvular-replacement
#1
Ruggero De Paulis, Salvatore D'Aleo, Ilaria Chirichilli, Luca Paolo Weltert
The original monograph on valvular prostheses in Surgical Technology International was published in 1993. It represents a milestone and a reference point for critically organizing information on a complex and rapidly evolving topic. The last update was published in 2010. Since then, there have been significant developments regarding both "traditional" surgical prosthesis and valves for transcatheter implantation. Both bioprostheses and mechanical prostheses continue to evolve with respect to both their design and materials to further optimize hemodynamics and prevent a patient-prosthesis mismatch...
April 18, 2018: Surgical Technology International
https://www.readbyqxmd.com/read/29629257/12-year-temporal-trend-in-referral-pattern-and-test-results-of-stress-echocardiography-in-a-tertiary-care-referral-center-with-moderate-volume-activities-and-cath-lab-facility
#2
Andrea Barbieri, Francesca Mantovani, Francesca Bursi, Ylenia Bartolacelli, Marcella Manicardi, Maria Giulia Lauria, Giuseppe Boriani
Background: Data on stress echocardiography (SE) time-related changes in referral patterns and diagnostic yield for detection of inducible ischemia could enhance Echo Lab quality benchmarks and performance measures. Aim: This study aims to evaluate temporal trends in SE test results among ambulatory patients with suspected or known coronary artery disease (CAD) in a tertiary care referral center with moderate (>100/year) volume SE activities and Cath-Lab facility...
January 2018: Journal of Cardiovascular Echography
https://www.readbyqxmd.com/read/29622964/correlation-of-corrected-qt-dispersion-with-the-severity-of-coronary-artery-disease-detected-by-syntax-score-in-non-diabetic-patients-with-stemi
#3
Hatem Helmy, Ahmed Abdel-Galeel, Yehia Taha Kishk, Khaled Mohammed Sleem
Introduction: Determination of the QT interval dispersion by means of a standard ECG at rest has been widely used for cardiovascular risk assessment during the last 15 years as one of the recent explanations for the development of life threatening ventricular arrhythmias. However, little is known about the relation between QT dispersion and the severity of coronary artery atherosclerosis as defined by SYNTAX score. Aim of work: The present study was done to assess the correlation between QTc dispersion and the severity of coronary artery disease in acute ST elevation myocardial infarction (STEMI) detected by SYNTAX score...
June 2017: The Egyptian heart journal: (EHJ): official bulletin of the Egyptian Society of Cardiology
https://www.readbyqxmd.com/read/29589670/standardization-of-impella%C3%A2-assisted-patient-management
#4
Tommaso Sanna, Ilaria Battistoni, Marco Marini, Serafina Valente
The presence of high-risk features on candidates to percutaneous revascularization is increasingly leading to Impella®-assisted procedures (IAPs). While IAPs are safe and effective procedures, they still require managing a degree of complexity. Clinicians often rely on their ability to recall every step of operative procedures. However, during stressful situations, levels of cognitive function are compromised leading to planning and execution failures and decreased safety. Many high-risk activities such as aviation, aerospace industry, and nuclear plants have been using protocols, standardized procedures and checklists for many years...
March 28, 2018: Minerva Cardioangiologica
https://www.readbyqxmd.com/read/29532643/x-ray-canary-in-the-cath-lab-posterior-cataracts
#5
EDITORIAL
Tariq Ali Ahmad, IanC Gilchrist
Cataract formation in the posterior subcapsular region of the lens is a lesion highly specific to both high-dose acute radiation exposure and chronic low-dose exposure. Low-dose radiation may not manifest lens changes for several decades after initial exposure. Cardiac catheterization team members need to be educated on, and protected from, this form of radiation injury as its long latency period between exposure and physical damage may acutely reduce the sense of hazard amongst healthcare radiation workers...
March 1, 2018: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/29532641/real-time-patient-dosimetry-in-the-cath-lab-can-you-see-what-they-get
#6
EDITORIAL
Charles E Chambers, Hemantha K Koduri
Real time radiation dose monitoring in the cath lab may provide immediate feedback for potential dose reduction during PCI. Radiation dose monitoring to predict potential tissue injury utilizes equipment measured air Kerma at the interventional reference point (IRP) with then calculated specific tissue peak skin dose. The role of the cath lab Quality Committee is not only to assess individual high dose radiation cases but also to create processes and assess new technologies to assure radiation dose is best utilized in all cases...
March 1, 2018: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/29531382/-temporal-evolution-of-antithrombotic-therapy-use-in-patients-with-acute-coronary-syndromes-undergoing-percutaneous-coronary-intervention-in-italy-comparison-between-the-eyeshot-and-scope-registries
#7
Leonardo De Luca, Mauro Pennacchi, Giuseppe Musumeci, Fabrizio D'Ascenzo, Pamela Gallo, Stefano Rigattieri, Antonino Granatelli, Sergio Berti, Michele Massimo Gulizia, Stefano De Servi, Leonardo Bolognese
BACKGROUND: Few data exist on temporal evolution of antithrombotic agent use in patients with acute coronary syndromes (ACS) undergoing percutaneous coronary intervention (PCI) in Italy. We sought to compare data from the most recent prospective, multicenter, nationwide registries conducted in Italy, namely EYESHOT and SCOPE. METHODS: EYESHOT enrolled 2585 consecutive ACS patients, both ST-segment elevation myocardial infarction (STEMI) and non-ST elevation ACS (NSTE-ACS), admitted to 203 Italian coronary care units over a 3-week period (2-22 Dec 2013 and 27 Jan-16 Feb 2014)...
February 2018: Giornale Italiano di Cardiologia
https://www.readbyqxmd.com/read/29481907/resuscitated-cardiac-arrest-without-stemi-should-we-go-immediately-to-the-cath-lab
#8
EDITORIAL
Peter Radsel, Marko Noc
No abstract text is available yet for this article.
March 2, 2018: Resuscitation
https://www.readbyqxmd.com/read/29457955/a-quality-project-for-radiation-reduction-in-the-cath-lab
#9
Michel de Ceuninck, Philip Muyldermans, Stefaan van de Walle, Bernard Bergez, Rik Haspeslagh, Francis Stammen, Karl Dujardin
The radiation exposure in the cath lab of patients, cardiologists, and nurses was measured during three consecutive periods of 8 weeks. The first 8 weeks the baseline radiation exposure was obtained. In the second period standard incidences for coronarography and frame rate were changed, without compromising the image quality of the examination. In the third period, a pelvic shield covered the lower part of the patient. This pilot quality project demonstrates that further significant reduction in radiation exposure of 37% is possible for patients...
February 19, 2018: Acta Cardiologica
https://www.readbyqxmd.com/read/29441275/improving-the-cardiac-cath-lab-interventional-imaging-eco-system
#10
EDITORIAL
Benjamin R Ciske, Michael A Speidel, Amish N Raval
No abstract text is available yet for this article.
January 2018: Translational Pediatrics
https://www.readbyqxmd.com/read/29438221/plasma-concentration-of-biomarkers-reflecting-endothelial-cell-and-glycocalyx-damage-are-increased-in-patients-with-suspected-st-elevation-myocardial-infarction-complicated-by-cardiogenic-shock
#11
Martin Frydland, Sisse Rye Ostrowski, Jacob Eifer Møller, Edina Hadziselimovic, Lene Holmvang, Hanne Berg Ravn, Lisette Okkels Jensen, Anna Sina Pettersson, Jesper Kjaergaard, Matias Greve Lindholm, Pär Ingemar Johansson, Christian Hassager
BACKGROUND: Mortality in ST-elevation myocardial infarction (STEMI)-patients developing cardiogenic shock (CS) during hospitalization is high. Catecholamines, ischemia, and inflammation (parameters present in CS) affect the endothelium. We hypothesized that plasma level of biomarkers reflecting endothelial damage would be associated with CS and mortality. METHODS: In 96% of 1467 consecutive patients with suspected STEMI, biomarkers reflecting endothelial cell- (soluble thrombomodulin, sTM) and glycocalyx- (syndecan-1) damage were measured on admission...
February 12, 2018: Shock
https://www.readbyqxmd.com/read/29429843/invasive-in-the-cath-lab-assessment-of-myocardial-ischemia-in-patients-with-coronary-artery-disease-when-does-the-gold-standard-not-apply
#12
REVIEW
Stefano Benenati, Giovanni Luigi De Maria, Roberto Scarsini, Italo Porto, Adrian P Banning
International guidelines recommend that revascularization for coronary artery disease (CAD) should be guided by evidence of myocardial ischemia. Fractional flow reserve (FFR) and instantaneous free wave ratio (iFR) are the main invasive indices for assessing the ischemic potential of angiographically intermediate coronary stenosis as a large body of evidence supports their routine application. Both indices have been tested and validated in patients with isolated stable CAD, but notably their application outside this specific context is a matter of debate and investigation...
January 31, 2018: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/29411518/a-retrospective-study-of-radiation-dose-measurements-comparing-different-cath-lab-x-ray-systems-in-a-sample-population-of-patients-undergoing-percutaneous-coronary-intervention-for-chronic-total-occlusions
#13
Andrew H McNeice, Matthew Brooks, Colm G Hanratty, Michael Stevenson, James C Spratt, Simon J Walsh
OBJECTIVES: A retrospective study was performed to investigate if the generation of X-ray system used was an independent factor for radiation dose in chronic total occlusion (CTO) percutaneous coronary intervention (PCI). BACKGROUND: PCI procedures for CTOs are known to be associated with higher doses of radiation. The authors suspected progressive reductions in radiation doses for CTO PCI as newer X-ray systems were introduced into clinical practice. METHODS: Procedures performed over a five-year period by three interventional cardiologists were retrospectively reviewed...
February 7, 2018: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/29405602/perforations-and-how-to-manage-the-coronary-interventionalist-and-peripheral-interventionalist-working-together-for-a-solution
#14
EDITORIAL
Richard R Heuser
Perforations can occur in both peripheral and coronary interventional procedures potentially resulting in severe morbidity A readily available therapeutic option to treat perforations should be present in every cath lab that does coronary and peripheral procedures The use of a coagulated thrombus injection can be an effective treatment option, but if a major vessel is affected that must remain patent, one viable option is to administer the patients' own clotted blood to recanalize the vessel without permanent sequelae...
February 1, 2018: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/29401287/opiate-use-in-the-cath-lab-a-transatlantic-divide-and-new-focus-of-research
#15
Rohan Shah, Ajay J Kirtane, John W McEvoy
No abstract text is available yet for this article.
February 1, 2018: European Heart Journal
https://www.readbyqxmd.com/read/29397359/operational-efficiency-and-productivity-improvement-initiatives-in-a-large%C3%A2-cardiac%C3%A2-catheterization-laboratory
#16
Grant W Reed, Scott Hantz, Rebecca Cunningham, Amar Krishnaswamy, Stephen G Ellis, Joe Rak, Samir R Kapadia
OBJECTIVES: This study sought to report outcomes from an efficiency improvement project in a large cardiac cath lab. BACKGROUND: Operational inefficiencies are common in the cath lab, yet solutions are challenging. A detailed report describing and providing solutions for these inefficiencies may be valuable in guiding improvements in productivity. METHODS: In this observational study, the authors report metrics of efficiency before and after a cath lab quality improvement program in June 2014...
January 25, 2018: JACC. Cardiovascular Interventions
https://www.readbyqxmd.com/read/29345604/a-new-approach-of-three-dimensional-guidance-in-paediatric-cath-lab-segmented-and-tessellated-heart-models-for-cardiovascular-interventions-in-chd
#17
Nicole Ehret, Muhannad Alkassar, Sven Dittrich, Robert Cesnjevar, André Rüffer, Michael Uder, Oliver Rompel, Matthias Hammon, Martin Glöckler
BACKGROUND: Optimal imaging is essential for catheter-based interventions in CHD. The three-dimensional models in volume-rendering technique currently in use are not standardised. This paper investigates the feasibility and impact of novel three-dimensional guidance with segmented and tessellated three-dimensional heart models in catheterisation of CHD. In addition, a nearly radiation-free two- to three-dimensional registration and a biplane overlay were used. Methods and results We analysed 60 consecutive cases in which segmented tessellated three-dimensional heart models were merged with live fluoroscopy images and aligned using the tracheal bifurcation as a fiducial mark...
January 18, 2018: Cardiology in the Young
https://www.readbyqxmd.com/read/29345583/editorial-controversies-in-the-cath-lab-navigating-contemporary-conundrums-before-during-and-after-intervention
#18
EDITORIAL
Diana A Gorog, Tobias Geisler
No abstract text is available yet for this article.
January 17, 2018: Current Vascular Pharmacology
https://www.readbyqxmd.com/read/29305642/feasibility-and-validity-of-printing-3d-heart-models-from-rotational-angiography
#19
Manoj Parimi, John Buelter, Vignan Thanugundla, Sri Condoor, Nadeem Parkar, Saar Danon, Wilson King
Rotational angiography (RA) has proven to be an excellent method for evaluating congenital disease (CHD) in the cardiac cath lab, permitting acquisition of 3D datasets with superior spatial resolution. This technique has not been routinely implemented for 3D printing in CHD. We describe our case series of models printed from RA and validate our technique. All patients with models printed from RA were selected. RA acquisitions from a Toshiba Infinix-I system were postprocessed and printed with a Stratasys Eden 260...
January 5, 2018: Pediatric Cardiology
https://www.readbyqxmd.com/read/29245155/occupational-hazards-in-the-cath-lab-physician-protect-thyself
#20
COMMENT
Lloyd W Klein, Enrique Padilla Campos
No abstract text is available yet for this article.
February 2018: Journal of Invasive Cardiology
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