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Specialty: Cardiovascular & Thoracic Surgery
Procedure: Percutaneous Coronary Intervention

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Total 284 results found since Jan 2013.

Neuroimaging patterns of ischemic stroke after percutaneous coronary intervention
Conclusions The vast majority of radiologically‐confirmed ischemic strokes related to PCI are embolic. MCA territory strokes are most common and uniformly fatal when the entire MCA territory is affected. Functional outcomes in survivors of PCI‐stroke are improved when only a single arterial territory is affected. © 2014 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - September 25, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Scott J Hoffman, Alan H. Yee, Joshua P. Slusser, Charanjit S. Rihal, David R. Holmes, Alejandro A. Rabinstein, Rajiv Gulati Tags: Original Studies Source Type: research

Can we make stroke during cardiac surgery a never event?
Stroke has been and continues to be the Achilles heel of cardiac surgery. Periprocedural neurologic events during cardiac surgery remain prevalent, with stroke reported in 2.0% to 4.6% of patients undergoing cardiac surgery and increasing to at least 12.8% in octogenarians.1-3 The fear of stroke or other adverse neurologic outcomes, including so-called pump head, is a deterrent for patients to undergo the otherwise successful, life-saving operations that we perform. The interpretation of the SYNTAX trial “that with coronary artery bypass grafting (CABG) the patient is trading a 3 times higher risk of stroke (2.2% vs 0.6%...
Source: The Journal of Thoracic and Cardiovascular Surgery - February 28, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Michael Mack Tags: Editorial commentary Source Type: research

A mechanism for stroke complicating thrombus aspiration
We propose a mechanism of how stroke may be caused by thrombus aspiration during primary percutaneous coronary intervention (PPCI), and how it may be technique‐dependent. Two recent meta‐analyses report increased risk of stroke in patients undergoing routine thrombus aspiration during STEMI and the value of this technique has been controversial. The mechanism of stroke has not been fully explained. This case demonstrates 2 mechanisms by which aspiration might cause thrombus embolization. We recommend that if thrombus aspiration is performed during PPCI for STEMI, it should be done selectively and carefully. It is prude...
Source: Catheterization and Cardiovascular Interventions - October 2, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Eddie D. Brown, James C. Blankenship Tags: Coronary Artery Disease Source Type: research

Coronary Artery Bypass Graft Surgery Improves Survival Without Increasing the Risk of Stroke in Patients with Ischemic Heart Failure in Comparison to Percutaneous Coronary Intervention: A Meta-Analysis With 54,173 Patients
Conclusion: This meta-analysis found that CABG surgery remains the best option for patients with ischemic HF, without increase in the risk of stroke.
Source: Revista Brasileira de Cirurgia Cardiovascular - August 26, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Drug ‐eluting stents versus coronary artery bypass grafting for left‐main coronary artery disease
ConclusionsWhen compared with CABG, DES‐PCI for LMCAD was associated with increases in RRV and the composite of death, MI, and RRV (with/without stroke), despite no differences in mortality, MI, stroke, and the composite of death and MI (with/without stroke).
Source: Catheterization and Cardiovascular Interventions - August 11, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Hisato Takagi, Tomo Ando, Takuya Umemoto, Tags: CORONARY ARTERY DISEASE Source Type: research

Treatment of complex coronary artery disease in patients with diabetes: 5-year results comparing outcomes of bypass surgery and percutaneous coronary intervention in the SYNTAX trial ADULT CARDIAC
CONCLUSIONS In both diabetic and non-diabetic patients, PCI resulted in higher rates of MACCE and repeat revascularization at 5 years. Although PCI is a potential treatment option in patients with less-complex lesions, CABG should be the revascularization option of choice for patients with more-complex anatomic disease, especially with concurrent diabetes.
Source: European Journal of Cardio-Thoracic Surgery - April 8, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Kappetein, A. P., Head, S. J., Morice, M.-C., Banning, A. P., Serruys, P. W., Mohr, F.-W., Dawkins, K. D., Mack, M. J., on behalf of the SYNTAX Investigators Tags: ADULT CARDIAC Source Type: research

Antithrombotic strategy variability in atrial fibrillation and obstructive coronary disease revascularised with percutaneous coronary intervention: primary results from the AVIATOR 2 international registry
CONCLUSIONS: The AVIATOR 2 study is the first digital health study examining physician-patient perspectives on ATT choices after AF-PCI. TT was the most common strategy without differences in 1-year outcomes in ATT strategy. Physicians rated safety first when prescribing ATT; patients feared stroke over bleeding.CLINICALTRIALS: gov: NCT02362659.PMID:35656720 | DOI:10.4244/EIJ-D-21-01044
Source: EuroIntervention - June 3, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Jaya Chandrasekhar Usman Baber Samantha Sartori Ridhima Goel Johny Nicolas Birgit Vogel Clayton Snyder Annapoorna Kini Carlo Briguori Bernhard Witzenbichler Ioannis Iakovou Gennaro Sardella Kevin Marzo Anthony DeFranco Thomas Stuckey Alaide Chieffo Antoni Source Type: research

Current concepts on the management of concomitant carotid and coronary disease.
Abstract In the absence of randomized data, the optimal management of patients with severe carotid and coronary artery disease (CAD), especially those undergoing coronary bypass grafting (CABG), remains unsettled. As a general rule, in patients with multilevel atherosclerotic disease the symptomatic vascular discrict should be treated first. The entirely surgical approach with carotid endarterectomy (CEA) and CABG is associated with high event rates. Therefore, whenever in the work-up prior to cardiac surgery severe carotid disease is identified, the indication for CABG should be reassessed and the feasibility of ...
Source: The Journal of Cardiovascular Surgery - January 30, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Roffi M, Cremonesi A Tags: J Cardiovasc Surg (Torino) Source Type: research

HEARTSTRING enabled no-touch proximal anastomosis for off-pump coronary artery bypass grafting: current evidence and technique
Surgical revascularization remains the standard of care for many patients. Off-pump coronary artery bypass grafting (OPCAB) without cardiopulmonary bypass (CPB) has evolved during the past 20 years, and as such can significantly reduce the occurrence of neurological complications. While avoiding the aortic cross-clamping required in conventional on-pump techniques, OPCAB results in a lower incidence of stroke. However, clamp-related risk of stroke remains if partial or side-biting clamps are applied for proximal anastomoses. Others and we have demonstrated that no-touch ‘anaortic’ approaches avoiding any clampi...
Source: Interactive CardioVascular and Thoracic Surgery - August 16, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Emmert, M. Y., Grunenfelder, J., Scherman, J., Cocchieri, R., van Boven, W.-J. P., Falk, V., Salzberg, S. P. Tags: Coronary Source Type: research

Incidence, prognostic impact, and optimal definition of contrast‐induced acute kidney injury in consecutive patients with stable or unstable coronary artery disease undergoing percutaneous coronary intervention. insights from the all‐comer PRODIGY trial
ConclusionsIn a large, contemporary, all‐comers percutaneous coronary intervention population, CI‐AKI was associated with an increased risk of all‐cause death and the composite of death, stroke, or MI. While CI‐AKI is more common in ACS than in stable CAD patients, its adjusted prognostic impact on the composite endpoint appears to be more pronounced in patients with stable CAD. © 2015 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - February 20, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Gabriele Crimi, Sergio Leonardi, Francesco Costa, Sara Ariotti, Matteo Tebaldi, Simone Biscaglia, Marco Valgimigli Tags: Coronary Artery Disease Source Type: research

Predictors of long ‐term outcomes after bypass grafting versus drug‐eluting stent implantation for left main or multivessel coronary artery disease
Conclusions: Simple clinical variables and SYNTAX score differentially predict long‐term outcomes after CABG versus those after PCI with DES for left main or multivessel CAD. Those predictors might help to guide the choice of revascularization strategy. © 2017 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - January 22, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Mineok Chang, Cheol Whan Lee, Jung ‐Min Ahn, Rafael Cavalcante, Yohei Sotomi, Yoshinobu Onuma, Minkyu Han, Seong‐Wook Park, Patrick W. Serruys, Seung‐Jung Park Tags: Coronary Artery Disease Source Type: research