Stenting of branch pulmonary artery stenosis in children: initial experience and mid-term follow-up of the pul-stent
This study summarizes our initial experience with Pul-Stents in this patient population, including the efficacy and safety. We implanted 37 Pul-Stents in 35 patients between August 2014 and June 2015. The patients ’ mean age and weight at stent implantation were 6.7 ± 3.0 years and 20.9 ± 8.7 kg, respectively. Bench testing revealed that axial shortening of the Pul-Stent was minimal with further dilation, and the radial strength did not change. The stents were successfully deployed in all cases, except two with minor malpositioning. Primarily, 8–12 mm mounting balloons were used for the initial implantatio...
Source: Heart and Vessels - May 30, 2023 Category: Cardiology Source Type: research
Incidence, predictors and vascular sequelae of distal limb ischemia in minimally invasive cardiac surgery with femoral artery cannulation: an observational cohort study
AbstractLiterature regarding monitoring and consequences of distal limb ischemia due to femoral artery cannulation for Minimally Invasive Cardiac Surgery (MICS) remains limited. The primary objective was to determine its incidence, defined as a ≥ 15% difference in regional Oxygen Saturation (rSO2) lasting ≥ four consecutive minutes between the cannulated and non-cannulated limb. The secondary objectives included: determination of distal limb ischemia, defined as a Tissue Oxygenation Index (TOI) < 50% in the cannulated limb, identification of predictors for distal limb ischemia, determination of a poss...
Source: Heart and Vessels - May 30, 2023 Category: Cardiology Source Type: research
Relationship between coronary artery calcium score and bleeding events after percutaneous coronary intervention in chronic coronary syndrome
This study aimed to examine the association between CAC scores and clinical outcomes after PCI in patients with CCS. This retrospective observational study included 295 consecutive patients who underwent multidetector computer tomography and were scheduled for their first elective PCI. Patients were categorized into two groups based on the CAC scores (low: ≤ 400 or high: > 400). The bleeding risk was evaluated using the Academic Research Consortium for High Bleeding Risk (ARC-HBR) criteria. The primary clinical outcome was a major bleeding event within 1 year after PCI, defined as Bleeding Academic Research...
Source: Heart and Vessels - May 30, 2023 Category: Cardiology Source Type: research
Rescue aortic valvuloplasty for severe aortic stenosis is simple and effective in severely hemodynamically compromised patients presenting to centers without on-site heart surgery or TAVI facilities
AbstractManagement of high-risk patients with severe aortic stenosis (AS) is a challenging issue. The prognosis of patients with AS presenting with therapy-refractory pulmonary edema (RPE) or cardiogenic shock (CS) remains poor. The purpose of this study was to assess the 30-day mortality of rescue percutaneous balloon aortic valvuloplasty (PBAV) in AS patients presenting with RPE or CS in a community-based hospital without on- site heart surgery. From January 2016 to February 2019, we identified consecutively admitted patients with CS or RPE related to severe AS who underwent emergent PBAV. The primary end...
Source: Heart and Vessels - May 30, 2023 Category: Cardiology Source Type: research
First clinical experience using a novel automated mapping algorithm for mapping of ventricular arrhythmias
AbstractA new automated vector-based mapping algorithm (AMA) for 3-dimensional (3D) mapping has been introduced. The aim of this study was to present our experience using AMA to recognize additional catheter ablation targets in patients with ventricular arrhythmias (VA). A total of 16 patients (ICM; ischemic cardiomyopathy,n = 6; NICM; non-ischemic cardiomyopathyn = 10) suffering from VA underwent catheter ablation. Following bipolar voltage mapping, AMA was utilized to reveal zones of decelerated conduction velocity vectors (CVV) and this information was superimposed onto the 3D reconstructions and compared with t...
Source: Heart and Vessels - May 30, 2023 Category: Cardiology Source Type: research
1-year outcomes of patients implanted with the Perceval sutureless valve: the Japanese post-marketing surveillance study
AbstractSutureless offers an alternative to standard valves in surgical aortic valve replacement (SAVR). We sought to confirm the efficacy and safety of the Perceval sutureless valve in Japanese patients. Prospective observational study of 204 patients who underwent SAVR with Perceval at 19 sites in Japan between March and December 2019. The primary outcomes were 30-day mortality and postoperative complications; the secondary outcome was all-cause mortality at 1 year. Efficacy outcomes were changed in New York Heart Association (NYHA) class, pressure gradients, effective orifice area (EOA), EOA indexed to body surface area...
Source: Heart and Vessels - May 30, 2023 Category: Cardiology Source Type: research
The impact of time-of-day reperfusion on remote ischemic conditioning in ST-elevation myocardial infarction: a RIC-STEMI substudy
In conclusion, this study showed an important cardioprotective effect of RIC, namely in the afternoon period, suggesting that the afternoon period enhances the cardioprotection induced by RIC. (Source: Heart and Vessels)
Source: Heart and Vessels - May 30, 2023 Category: Cardiology Source Type: research
Relation between laxative use and risk of major bleeding in patients with atrial fibrillation and heart failure
AbstractConstipation has been reported to increase the risk of cardiovascular mortality. Patients with atrial fibrillation (AF) and heart failure (HF) have more comorbidities and an increased bleeding risk. However, it remains unclear whether constipation is associated with an increased risk of incident bleeding complications in AF with HF. Here, we investigated the association between constipation requiring laxatives and major bleeding in AF and HF. We retrospectively analyzed the medical records of 370 consecutive patients hospitalized for AF and congestive HF. Constipation was defined as regularly taking laxatives or ha...
Source: Heart and Vessels - May 30, 2023 Category: Cardiology Source Type: research
The impact of angiotensin-converting-enzyme inhibitors versus angiotensin receptor blockers on 3-year clinical outcomes in elderly ( ≥ 65) patients with acute myocardial infarction without hypertension
ConclusionIn elderly AMI patients who underwent PCI with DES without a history of hypertension, the use of ACEI was significantly associated with reduced incidences of stroke, and re-hospitalization due to HF than those with the use of ARB. (Source: Heart and Vessels)
Source: Heart and Vessels - May 30, 2023 Category: Cardiology Source Type: research
Clinical implication of device-based algorithm that optimize atrioventricular delay during cardiac resynchronization therapy: author ’s reply
(Source: Heart and Vessels)
Source: Heart and Vessels - May 30, 2023 Category: Cardiology Source Type: research
Clinical implication of device-based algorithm that optimize atrioventricular delay during cardiac resynchronization therapy
(Source: Heart and Vessels)
Source: Heart and Vessels - May 30, 2023 Category: Cardiology Source Type: research
Relationship between the spread of COVID-19, social frailty, and depressive symptoms in patients with heart failure
AbstractIn community-dwelling older people, coronavirus disease 2019 (COVID-19) has been reported to be associated with the development of frailty and depressive symptoms. We aimed to investigate whether the spread of COVID-19 is associated with the development of frailty in patients with heart failure (HF). The presence of the multi-domain of frailty in 257 patients with HF was assessed at hospital discharge. The spread of COVID-19 was significantly associated with the development of social frailty and depressive symptoms. Evaluation of these symptoms during hospitalization would support disease management and understandi...
Source: Heart and Vessels - May 24, 2023 Category: Cardiology Source Type: research
Stenting of branch pulmonary artery stenosis in children: initial experience and mid-term follow-up of the pul-stent
This study summarizes our initial experience with Pul-Stents in this patient population, including the efficacy and safety. We implanted 37 Pul-Stents in 35 patients between August 2014 and June 2015. The patients ’ mean age and weight at stent implantation were 6.7 ± 3.0 years and 20.9 ± 8.7 kg, respectively. Bench testing revealed that axial shortening of the Pul-Stent was minimal with further dilation, and the radial strength did not change. The stents were successfully deployed in all cases, except two with minor malpositioning. Primarily, 8–12 mm mounting balloons were used for the initial implantatio...
Source: Heart and Vessels - May 24, 2023 Category: Cardiology Source Type: research
Relationship between coronary artery calcium score and bleeding events after percutaneous coronary intervention in chronic coronary syndrome
This study aimed to examine the association between CAC scores and clinical outcomes after PCI in patients with CCS. This retrospective observational study included 295 consecutive patients who underwent multidetector computer tomography and were scheduled for their first elective PCI. Patients were categorized into two groups based on the CAC scores (low: ≤ 400 or high: > 400). The bleeding risk was evaluated using the Academic Research Consortium for High Bleeding Risk (ARC-HBR) criteria. The primary clinical outcome was a major bleeding event within 1 year after PCI, defined as Bleeding Academic Research...
Source: Heart and Vessels - May 24, 2023 Category: Cardiology Source Type: research
Clinical implication of device-based algorithm that optimize atrioventricular delay during cardiac resynchronization therapy: author ’s reply
(Source: Heart and Vessels)
Source: Heart and Vessels - May 24, 2023 Category: Cardiology Source Type: research
