Surgical retrieval of an entrapped stent and a stuck snare device during percutaneous coronary intervention

Publication date: Available online 6 April 2021Source: Journal of Cardiology CasesAuthor(s): Tomohiro Murata, Shun-Ichiro Sakamoto, Atsushi Hiromoto, Kenji Suzuki, Yosuke Ishii
Source: Journal of Cardiology Cases - Category: Cardiology Source Type: research

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J Invasive Cardiol. 2021 Aug;33(8):E676-E677.ABSTRACTSubintimal plaque modification to restore some antegrade flow can promote subsequent lesion recanalization (investment procedure) in cases of failed re-entry into the distal true lumen during chronic total occlusion percutaneous coronary intervention. In this case, we aimed to present a case in which TIMI 0 flow was observed in the LAD after unsuccessful PCI attempt, but was left to recover with the investment procedure and TIMI 3 flow was detected in the control angiogram. In unsuccessful PCI-CTO cases, even in the presence of TIMI 0, flow can improve in the future thro...
Source: The Journal of Invasive Cardiology - Category: Cardiology Authors: Source Type: research
CONCLUSIONS: In patients with stable CAD, overall, short-term and intermediate-term risks of all-cause mortality are not significantly different between PCI and MT. However, PCI may reduce the overall and intermediate-term risk of the combined outcome of all-cause mortality, MI, revascularizations, rehospitalizations, or stroke.PMID:34338654
Source: The Journal of Invasive Cardiology - Category: Cardiology Authors: Source Type: research
The objective of this study was to assess clinical outcomes in patients undergoing elective, high-risk PCI with CardioHELP support.METHODS: Fifteen consecutive patients receiving the CardioHELP device for elective, high-risk PCI treated at 2 medical centers were included. Patients with cardiogenic shock, cardiac arrest, or non-PCI indications for ECMO were excluded. Baseline demographics, angiographic variables, procedure-related variables, and in-hospital events were collected.RESULTS: Mean age was 71 ± 11 years, 73% were male, mean ejection fraction (EF) was 29 ± 13%, 10 patients (67%) had an EF
Source: The Journal of Invasive Cardiology - Category: Cardiology Authors: Source Type: research
AbstractTo evaluate the effect of percutaneous coronary intervention (PCI) of coronary chronic total occlusions (CTOs) on left ventricular (LV) strain assessed using cardiac magnetic resonance (CMR) tissue tracking. In 150 patients with a CTO, longitudinal (LS), radial (RS) and circumferential shortening (CS) were determined using CMR tissue tracking before and 3  months after successful PCI. In patients with impaired LV strain at baseline, global LS (10.9 ± 2.4% vs 11.6 ± 2.8%;P = 0.006), CS (11.3 ± 2.9% vs 12.0 ± 3.5%;P...
Source: The International Journal of Cardiovascular Imaging - Category: Radiology Source Type: research
Conclusion: The use of PPIs was associated with a reduced risk of GI bleeding in patients treated with DAPT after percutaneous coronary intervention or acute coronary syndrome. There was no clear evidence of an association between the use of PPIs and adverse cardiovascular events.Clinical Trial Registration: identifier [CRD42020190315]
Source: Frontiers in Pharmacology - Category: Drugs & Pharmacology Source Type: research
Percutaneous ventricular assist devices (pVAD) are frequently utilized in high-risk percutaneous coronary intervention (HR-PCI) to provide hemodynamic support in patients with complex cardiovascular disease and/or multiple comorbidities who are poor candidates for surgical revascularization. Using the National Inpatient Sample we identified pVAD-assisted PCI (excluding intra-aortic balloon pump) in patients without cardiogenic shock from January 2008 to December 2018. We evaluated the trends in patient and procedural characteristics, and complication rates across the 11-year study period.
Source: The American Journal of Cardiology - Category: Cardiology Authors: Source Type: research
In this study, we aimed to analyze clinical characteristics of critically ill patients admitted to the ED and identify the factors associated with LOS. MATERIAL AND METHODS All patients with level 1 and level 2 of the Emergency Severity Index who were admitted to the ED from January 2018 to December 2019 were included in this retrospective study. The patients were divided into 2 groups: LOS ≥4 h and LOS
Source: Medical Science Monitor - Category: Research Authors: Source Type: research
CONCLUSIONS: The ANN-based models achieved good performance to predict the survival and favorable neurologic outcomes after TTM. The models proposed have clinical value to assist in decision-making.PMID:34330620 | DOI:10.1016/j.jfma.2021.07.004
Source: J Formos Med Assoc - Category: General Medicine Authors: Source Type: research
Expert Rev Cardiovasc Ther. 2021 Jul 30. doi: 10.1080/14779072.2021.1963233. Online ahead of print.ABSTRACTBACKGROUND: Suboptimal stent delivery and deployment in calcified coronary lesions is associated with a poor clinical outcome. We investigated the rate of utilization and in-hospital outcomes of patients undergoing coronary intervention with and without atherectomy.METHODS: Using the National Inpatient Sample database, we identified patients undergoing percutaneous coronary intervention (PCI). Comparison between procedural and hospital outcomes between patients who underwent atherectomy and those who did not.RESULTS: ...
Source: Expert Review of Cardiovascular Therapy - Category: Cardiology Authors: Source Type: research
CONCLUSIONS: The ANN-based models achieved good performance to predict the survival and favorable neurologic outcomes after TTM. The models proposed have clinical value to assist in decision-making.PMID:34330620 | DOI:10.1016/j.jfma.2021.07.004
Source: J Formos Med Assoc - Category: General Medicine Authors: Source Type: research
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