The resolute Onyx in TIA management (ROTIA)
CONCLUSION: ROTIA demonstrates the feasibility of using the Resolute Onyx drug-eluting stent for the management of TIAs due to refractory ICAD, with high technical success and low peri-procedural complications. Limitations include the retrospective and single-center nature of this study. Future prospective, multi-center, randomized trials with extended observation periods are needed.PMID:38651294 | DOI:10.1177/15910199241249211 (Source: Interventional Neuroradiology)
Source: Interventional Neuroradiology - April 23, 2024 Category: Radiology Authors: Ameer E Hassan Ahmed M Shoman Samantha Miller Abdulrahman Ibrahim Hagrass Sohum Desai Hamzah Saei Wondwossen G Tekle Source Type: research
FRED X flow diverter for the treatment of intracranial aneurysms: Two-center experience and mini-review of the literature
CONCLUSIONS: The results demonstrate a high feasibility and procedural safety of the FRED X with adequate mid-term occlusion rates. Long-term and comparative studies are needed to evaluate the full potential of the FRED X.PMID:38651292 | DOI:10.1177/15910199241246018 (Source: Interventional Neuroradiology)
Source: Interventional Neuroradiology - April 23, 2024 Category: Radiology Authors: Lukas Goertz Hanna Styczen Eberhard Siebert Yan Li Marc Schlamann Michael Forsting Georg Bohner Cornelius Deuschl Christoph Kabbasch Source Type: research
An audit of patient radiation doses during interventional cardiology procedures in Uttarakhand, India, and establishment of local diagnostic reference levels
The objective of this study was to investigate patient radiation doses by a dose audit of three common interventional cardiology (IC) procedures: coronary angiography (CA), percutaneous transluminal coronary angioplasty (PTCA) and CA –PTCA procedures performed in IC centres in the Uttarakhand state of India, for the establishment of local diagnostic reference levels (DRLs) and the estimation of average effective dose (Eav) for these procedures. For each procedure, the values of kerma-area product (PKA), reference air kerma (Ka,r), fluoroscopy time (FT) and the number of cine images were recorded from 1233 CA, 458 PTCA an...
Source: Radiological Physics and Technology - April 23, 2024 Category: Physics Source Type: research
Intracranial atherosclerosis update for neurointerventionalists
The management of intracranial atherosclerotic disease (ICAD) has been evolving with advanced imaging, refinements of best medical treatment, and the development of endovascular options. There has been a significant increase in the use of endovascular therapy for symptomatic ICAD in the USA over the past 6 years. The rationale for this review is to update neurointerventionalists in these areas so that evidence-based decisions can be considered when counseling potential patients regarding their risks, benefits, and potential complications. The landmark SAMMPRIS trial demonstrated superiority of aggressive medical management...
Source: Journal of NeuroInterventional Surgery - April 23, 2024 Category: Neurosurgery Authors: Alexander, M. J., Yu, W. Tags: Vascular neurology Source Type: research
Stent retriever for Tandem Acute Revascularization Technique (START): a novel technique for the endovascular management of tandem occlusions
We describe a variation of this technique: the stent retriever for tandem acute revascularization technique (START), which consists of simultaneously treating the intracranial lesion with stent retriever and contact aspiration, and the extracranial lesion with balloon angioplasty. We present a technical video explaining all the steps of START.(video 1)
Video 1
Description and example of the START. (Source: Journal of NeuroInterventional Surgery)
Source: Journal of NeuroInterventional Surgery - April 23, 2024 Category: Neurosurgery Authors: Fageeh, A., Zur, G., Diouf, A., La Russa, D., Drake, B., P dos Santos, M., Caron, K., Birch, N., Karwaski, S., Trussler, L., Miller, E., Fantaneanu, T., Varghaei, P., Walker, G., Lesiuk, H., Fahed, R. Tags: Technical video Source Type: research
Response to stent retriever for tandem acute revascularization technique (START): a novel technique for endovascular management of tandem occlusions
We read with great interest the videographic depiction of the stent retriever for tandem acute revascularization technique (START) technique, and applaud the authors for their use of a stent retriever wire to facilitate treatment of the cervical occlusion in tandem large vessel occlusion (LVO) stroke cases.1 We published a similar technique in 2020,2 in which we described this as the "one cross" technique, since the presumptive culprit lesion is crossed only one time, mitigating the risk of losing access or potentially exacerbating a dissection flap by repetitively crossing a previously occluded lesion. This technique of u...
Source: Journal of NeuroInterventional Surgery - April 23, 2024 Category: Neurosurgery Authors: Newman, C. B., Given, C. A., Ramsey, C. N. Tags: Ischemic stroke Source Type: research
A case report of ventricular fibrillation following Shockwave intravascular lithotripsy during percutaneous coronary intervention
Shockwave intravascular lithotripsy (S-IVL) is widely used during percutaneous coronary intervention (PCI) of calcified coronary arteries. Ventricular capture beats during S-IVL are common but arrhythmias are ... (Source: BMC Cardiovascular Disorders)
Source: BMC Cardiovascular Disorders - April 23, 2024 Category: Cardiology Authors: Lars Jakobsen, Evald H øj Christiansen and Troels Thim Tags: Case Report Source Type: research
Association between diabetes mellitus and primary restenosis following endovascular treatment: a comprehensive meta-analysis of randomized controlled trials
CONCLUSIONS AND RELEVANCE: This meta-analysis of all currently available RCTs showed that patients with DM are more prone to primary restenosis after endovascular treatment.PMID:38650038 | DOI:10.1186/s12933-024-02201-6 (Source: Atherosclerosis)
Source: Atherosclerosis - April 22, 2024 Category: Cardiology Authors: Xiaolei Sun Cheng Zhang Yarong Ma Yanzheng He Xiaodong Zhang Jianbo Wu Source Type: research
A case of coronary artery compression syndrome resulting from peri-valvular regurgitation and long-standing atrial fibrillation
J Cardiol Cases. 2024 Jan 6;29(4):157-160. doi: 10.1016/j.jccase.2023.12.003. eCollection 2024 Apr.ABSTRACTA man in his 70s with a history of mitral valve replacement (MVR) and long-standing persistent atrial fibrillation (AF) presented with effort angina. Coronary angiography revealed severe stenosis of the left main coronary artery (LMCA). As it was an emergent case, PCI (percutaneous coronary intervention) was selected for treatment. Intravascular ultrasonography revealed no atherosclerotic lesions in the LMCA. The LMCA was effectively dilated by the drug-eluting stent. No elevation in intracardiac pressure was observed...
Source: Atherosclerosis - April 22, 2024 Category: Cardiology Authors: Keisuke Suzuki Yoshiaki Mibiki Mai Suzuki Hiroshi Nakagata Kosuke Aoki Eiji Sato Yoshihiro Yamashina Takehiko Miyashita Akihiko Ishida Tetsuo Yagi Source Type: research
Sex-based Differences in Complex Percutaneous Coronary Intervention - Insights from COMPLEX Registry
Hellenic J Cardiol. 2024 Apr 20:S1109-9666(24)00080-0. doi: 10.1016/j.hjc.2024.04.005. Online ahead of print.NO ABSTRACTPMID:38648939 | DOI:10.1016/j.hjc.2024.04.005 (Source: Hellenic Journal of Cardiology)
Source: Hellenic Journal of Cardiology - April 22, 2024 Category: Cardiology Authors: Sylwia Iwa ńczyk Samir Ahmad Dit Al Hakim Marta Skrzypi ńska Zofia Stanisz Patrycja Wo źniak Weronika Go ściniak Aleksander Araszkiewicz Fatima Al Salman Ali Hok Marwan Mhanna Wiktoria Chylinska W łodzimierz Skorupski Micha ł Lesiak Marek Grygier Ma Source Type: research
Acute coronary syndrome in patients treated by vitamin K antagonists or non-vitamin K antagonist oral anticoagulants: Proposed management algorithm for the first 48hours
Arch Cardiovasc Dis. 2024 Apr 12:S1875-2136(24)00058-5. doi: 10.1016/j.acvd.2024.02.012. Online ahead of print.ABSTRACTAround 10% of patients with acute coronary syndrome are treated by vitamin K antagonists or non-vitamin K antagonist oral anticoagulants for various indications. The initial management of these patients is highly complex, and new guidelines specify that, only during percutaneous coronary intervention, a bolus of unfractionated heparin is recommended in one of the following circumstances: (1) if the patient is receiving a non-vitamin K antagonist oral anticoagulant; or (2) if the international normalized ra...
Source: Archives of Cardiovascular Diseases - April 21, 2024 Category: Cardiology Authors: Alexandre Salaun Emmanuel de Maistre Marl ène Daller Chan Sombrun Fr édéric Chagué Florence Bichat Luc Rochette Nicolas Danchin Laurent Fauchier Marianne Zeller Yves Cottin Source Type: research
Detoxification and Activating Blood Circulation Decoction Promotes Reendothelialization of Damaged Blood Vessels via VEGF Signaling Pathway Activation by miRNA-126
In this study, we clarified the mechanism by which Detoxification and Activating Blood Circulation Decoction (DABCD) promotes vascular reendothelialization to avoid ISR by miRNA-126-mediated modulation of the vascular endothelial growth factor (VEGF) signaling pathway. A rat model of post-PCI restenosis was established by balloon injury. The injured aortic segment was collected 14 and 28 d after model establishment. Our findings indicate that on the 14th and 28th days following balloon injury, DABCD reduced intimal hyperplasia and inflammation and promoted vascular reendothelialization. Additionally, DABCD markedly increas...
Source: Biological and Pharmaceutical Bulletin - April 21, 2024 Category: Drugs & Pharmacology Authors: Zhiming Liu Guangmie Xie Zuwei Li Hanbin Luo Jianhong Zhou Jie Cheng Xiaolin Wang Xiaoyan Huang Guohui Zou Source Type: research
Detoxification and Activating Blood Circulation Decoction Promotes Reendothelialization of Damaged Blood Vessels via VEGF Signaling Pathway Activation by miRNA-126
In this study, we clarified the mechanism by which Detoxification and Activating Blood Circulation Decoction (DABCD) promotes vascular reendothelialization to avoid ISR by miRNA-126-mediated modulation of the vascular endothelial growth factor (VEGF) signaling pathway. A rat model of post-PCI restenosis was established by balloon injury. The injured aortic segment was collected 14 and 28 d after model establishment. Our findings indicate that on the 14th and 28th days following balloon injury, DABCD reduced intimal hyperplasia and inflammation and promoted vascular reendothelialization. Additionally, DABCD markedly increas...
Source: Biological and Pharmaceutical Bulletin - April 21, 2024 Category: Drugs & Pharmacology Authors: Zhiming Liu Guangmie Xie Zuwei Li Hanbin Luo Jianhong Zhou Jie Cheng Xiaolin Wang Xiaoyan Huang Guohui Zou Source Type: research
Acute coronary syndrome in patients treated by vitamin K antagonists or non-vitamin K antagonist oral anticoagulants: Proposed management algorithm for the first 48hours
Arch Cardiovasc Dis. 2024 Apr 12:S1875-2136(24)00058-5. doi: 10.1016/j.acvd.2024.02.012. Online ahead of print.ABSTRACTAround 10% of patients with acute coronary syndrome are treated by vitamin K antagonists or non-vitamin K antagonist oral anticoagulants for various indications. The initial management of these patients is highly complex, and new guidelines specify that, only during percutaneous coronary intervention, a bolus of unfractionated heparin is recommended in one of the following circumstances: (1) if the patient is receiving a non-vitamin K antagonist oral anticoagulant; or (2) if the international normalized ra...
Source: Archives of Cardiovascular Diseases - April 21, 2024 Category: Cardiology Authors: Alexandre Salaun Emmanuel de Maistre Marl ène Daller Chan Sombrun Fr édéric Chagué Florence Bichat Luc Rochette Nicolas Danchin Laurent Fauchier Marianne Zeller Yves Cottin Source Type: research
