The Current State of Hybrid Coronary Revascularization
Ann Thorac Surg. 2024 Apr 25:S0003-4975(24)00299-6. doi: 10.1016/j.athoracsur.2024.04.010. Online ahead of print.ABSTRACTHybrid coronary revascularization (HCR) combines a minimally invasive surgical approach with percutaneous coronary intervention (PCI) for the treatment of multi-vessel coronary artery disease. Despite decades of use, widespread acceptance has been limited. In this review, we conduct a comparative assessment of HCR in relation to traditional coronary artery bypass graft surgery and multi-vessel PCI. While large scale randomized data is still lacking, numerous studies have demonstrated that HCR may offer b...
Source: The Annals of Thoracic Surgery - April 27, 2024 Category: Cardiovascular & Thoracic Surgery Authors: Robin Willard Joshua Scheinerman Stevan Pupovac Nirav C Patel Source Type: research
Effectiveness of late coronary angioplasty in restoring sinus rhythm in inferior wall myocardial infarction with complete AV block
Coronary angiogram done with temporary pacemaker support showing a proximally occluded right coronary artery. AbstractAn elderly gentleman presenting late with inferior wall myocardial infarction and complete heart block underwent revascularization of an occluded proximal right coronary artery more than 4 days after the onset of symptoms and recovered sinus rhythm within 48 h of the procedure. There are no clear guidelines for time to percutaneous coronary intervention (PCI) in late-presenting myocardial infarction with complete atrioventricular blocks (CAVB), and studies looking at outcomes of primary PCI in this sit...
Source: Clinical Case Reports - April 27, 2024 Category: General Medicine Authors: Avitso Liegise,
Lanu Naro Tags: CASE REPORT Source Type: research
Revascularizing Multivessel Coronary Artery Disease in Acute Coronary Syndromes: Choices and Questions
Acute coronary syndrome (ACS) is a leading cause of hospital admissions and mortality worldwide1. Revascularization of coronary artery disease (CAD) has been shown to improve cardiovascular outcomes including mortality in this patient population2. When a clear, single vessel culprit coronary artery lesion is identified on invasive coronary angiography, then the revascularization decision is straightforward with percutaneous coronary intervention (PCI) as the best option3. However, approximately 50% of patients presenting with ACS are found to have multivessel CAD, and then the decision on which revascularization strategy t...
Source: The American Journal of Cardiology - April 27, 2024 Category: Cardiology Authors: Rafic F. Berbarie Tags: Editorial Source Type: research
Improvement of coronary stent visualization using ultra-high-resolution photon-counting detector CT
ConclusionUHR CCTA by PCD-CT leads to significantly improved visualization and diagnostic performance of coronary stents, and Bv72 is the optimal reconstruction kernel showing the stent struts and in-stent lumen.Clinical relevance statementThe significantly improved visualization of coronary stents using ultra-high resolution CCTA could increase the diagnostic accuracy for in-stent restenosis and avoid unnecessary invasive quantitative coronary angiography, thus changing the clinical management for patients after percutaneous coronary intervention.Key PointsCoronary stent imaging is challenging with energy-integrating dete...
Source: European Radiology - April 27, 2024 Category: Radiology Source Type: research
Renal artery occlusion in a young woman - a tale of mysterious thrombosis
CONCLUSION: Renal artery thrombosis in young people is extremely rare and presents a diagnostic and management challenge requiring input from multiple teams including nephrology, rheumatology, paediatrics and vascular surgery. Systemic coagulopathy and vasculitis are differentials against anatomical aetiologies such as fibromuscular dysplasia. Our case adds to the limited literature regarding this in the young population. Renal artery thrombosis with occlusion in young people is very rare and is most often associated with a systemic coagulopathic disorder, such as antiphospholipid syndrome or structural pathology of the re...
Source: Vascular - April 26, 2024 Category: Surgery Authors: Ned Farley Joseph Faraj Malindu Fernando Tejas Singh Aaron Powell Senthil Kumar Source Type: research
Coaxial Method of PTA Balloon and Aspiration catheter using the delivery wire of a stent retriever for tandem occlusion: CoMBAt tandem occlusion
CONCLUSION: Our technique allows simultaneous treatment of carotid and intracranial lesions, leading to faster recanalization. Furthermore, percutaneous transluminal angioplasty with a thin balloon may reduce the risk of hyperperfusion.PMID:38665126 | DOI:10.1177/15910199241249508 (Source: Interventional Neuroradiology)
Source: Interventional Neuroradiology - April 26, 2024 Category: Radiology Authors: Ryoo Yamamoto Yu Amano Naoya Kamimura Kazumitsu Amari Shigeta Miyake Yasunobu Nakai Ken Johkura Source Type: research
Renal artery occlusion in a young woman - a tale of mysterious thrombosis
CONCLUSION: Renal artery thrombosis in young people is extremely rare and presents a diagnostic and management challenge requiring input from multiple teams including nephrology, rheumatology, paediatrics and vascular surgery. Systemic coagulopathy and vasculitis are differentials against anatomical aetiologies such as fibromuscular dysplasia. Our case adds to the limited literature regarding this in the young population. Renal artery thrombosis with occlusion in young people is very rare and is most often associated with a systemic coagulopathic disorder, such as antiphospholipid syndrome or structural pathology of the re...
Source: Vascular - April 26, 2024 Category: Surgery Authors: Ned Farley Joseph Faraj Malindu Fernando Tejas Singh Aaron Powell Senthil Kumar Source Type: research
Renal artery occlusion in a young woman - a tale of mysterious thrombosis
CONCLUSION: Renal artery thrombosis in young people is extremely rare and presents a diagnostic and management challenge requiring input from multiple teams including nephrology, rheumatology, paediatrics and vascular surgery. Systemic coagulopathy and vasculitis are differentials against anatomical aetiologies such as fibromuscular dysplasia. Our case adds to the limited literature regarding this in the young population. Renal artery thrombosis with occlusion in young people is very rare and is most often associated with a systemic coagulopathic disorder, such as antiphospholipid syndrome or structural pathology of the re...
Source: Vascular - April 26, 2024 Category: Surgery Authors: Ned Farley Joseph Faraj Malindu Fernando Tejas Singh Aaron Powell Senthil Kumar Source Type: research
Renal artery occlusion in a young woman - a tale of mysterious thrombosis
CONCLUSION: Renal artery thrombosis in young people is extremely rare and presents a diagnostic and management challenge requiring input from multiple teams including nephrology, rheumatology, paediatrics and vascular surgery. Systemic coagulopathy and vasculitis are differentials against anatomical aetiologies such as fibromuscular dysplasia. Our case adds to the limited literature regarding this in the young population. Renal artery thrombosis with occlusion in young people is very rare and is most often associated with a systemic coagulopathic disorder, such as antiphospholipid syndrome or structural pathology of the re...
Source: Vascular - April 26, 2024 Category: Surgery Authors: Ned Farley Joseph Faraj Malindu Fernando Tejas Singh Aaron Powell Senthil Kumar Source Type: research
Renal artery occlusion in a young woman - a tale of mysterious thrombosis
CONCLUSION: Renal artery thrombosis in young people is extremely rare and presents a diagnostic and management challenge requiring input from multiple teams including nephrology, rheumatology, paediatrics and vascular surgery. Systemic coagulopathy and vasculitis are differentials against anatomical aetiologies such as fibromuscular dysplasia. Our case adds to the limited literature regarding this in the young population. Renal artery thrombosis with occlusion in young people is very rare and is most often associated with a systemic coagulopathic disorder, such as antiphospholipid syndrome or structural pathology of the re...
Source: Vascular - April 26, 2024 Category: Surgery Authors: Ned Farley Joseph Faraj Malindu Fernando Tejas Singh Aaron Powell Senthil Kumar Source Type: research
Renal artery occlusion in a young woman - a tale of mysterious thrombosis
CONCLUSION: Renal artery thrombosis in young people is extremely rare and presents a diagnostic and management challenge requiring input from multiple teams including nephrology, rheumatology, paediatrics and vascular surgery. Systemic coagulopathy and vasculitis are differentials against anatomical aetiologies such as fibromuscular dysplasia. Our case adds to the limited literature regarding this in the young population. Renal artery thrombosis with occlusion in young people is very rare and is most often associated with a systemic coagulopathic disorder, such as antiphospholipid syndrome or structural pathology of the re...
Source: Vascular - April 26, 2024 Category: Surgery Authors: Ned Farley Joseph Faraj Malindu Fernando Tejas Singh Aaron Powell Senthil Kumar Source Type: research
Renal artery occlusion in a young woman - a tale of mysterious thrombosis
CONCLUSION: Renal artery thrombosis in young people is extremely rare and presents a diagnostic and management challenge requiring input from multiple teams including nephrology, rheumatology, paediatrics and vascular surgery. Systemic coagulopathy and vasculitis are differentials against anatomical aetiologies such as fibromuscular dysplasia. Our case adds to the limited literature regarding this in the young population. Renal artery thrombosis with occlusion in young people is very rare and is most often associated with a systemic coagulopathic disorder, such as antiphospholipid syndrome or structural pathology of the re...
Source: Vascular - April 26, 2024 Category: Surgery Authors: Ned Farley Joseph Faraj Malindu Fernando Tejas Singh Aaron Powell Senthil Kumar Source Type: research
Characteristics of Patients Undergoing High-Risk Percutaneous Coronary Intervention in Contemporary United States Practice
There is no universally accepted definition of high-risk percutaneous coronary intervention (HRPCI), nor is there consensus regarding when to use mechanical circulatory support (MCS) during HRPCI. Expert consensus on HRPCI have suggested considering the presence of three distinct entities in the decision to use MCS: complexity of coronary anatomy/ lesion characteristics, patient comorbidities, and adverse hemodynamics1. Although the use of MCS during HRPCI has increased significantly over the past decade (27-fold increase in annual number from 2008 to 2018)2, little is known regarding the detailed characteristics of these ...
Source: The American Journal of Cardiology - April 26, 2024 Category: Cardiology Authors: Aditya S. Bharadwaj, Alexander G. Truesdell, Alejandro Lemor, Julia B. Thompson, Arsalan Abu-Much, Yiran Zhang, Michael J. Schonning, David J. Cohen, Alexandra J. Lansky, William W. O'Neill Tags: Brief report Source Type: research
Percutaneous coronary intervention versus medical therapy in stable angina: a matched cohort study
Conclusions
PCI plus OMT was associated with higher rate of primary endpoint of MI, stroke, cardiac death as compared with OMT alone in patients with pure stable angina at 9.3-year follow-up in large population. (Source: Heart)
Source: Heart - April 25, 2024 Category: Cardiology Authors: Jo, S.-H., Kim, H., Kim, H.-J., Lee, M.-H., Seo, W.-W., Kim, M., Kim, H.-L. Tags: Coronary artery disease Source Type: research
Real-World Experience and Outcomes with Percutaneous Coronary Intervention for Protected versus Unprotected Left Main Coronary Artery Disease: Insights from the VA CART Program
Practice patterns and outcomes of protected left main (PLM) and unprotected left main (ULM) percutaneous coronary intervention (PCI) are not well defined in contemporary US clinical practice. Data collected from all Veteran Affairs (VA) catheterization laboratories participating in the Clinical Assessment Reporting and Tracking Program between 2009 and 2019. The analysis included 4,351 patients undergoing left main PCI, of which 1,306 pairs of PLM and ULM PCI were included in a propensity matched cohort. (Source: The American Journal of Cardiology)
Source: The American Journal of Cardiology - April 25, 2024 Category: Cardiology Authors: Pedro Engel Gonzalez, Annika Hebbe, Yasin Hussain, Rohan Khera, Subhash Banerjee, Mary E Plomondon, Stephen W. Waldo, Steven E. Pfau, Jeptha P. Curtis, Samit M. Shah Source Type: research
