• Coronary angiography showed critical stenosis of the left main coronary artery, due to extrinsic compression, and extensive dissection of the left coronary tree. (siftdesk.org)
  • 1987) Intravascular Stents to Prevent Occlusion and Restenosis after Transluminal Angioplasty. (scirp.org)
  • Percutaneous transluminal angioplasty (PTA) Peripheral arterial disease (PAD) is atherosclerosis of the extremities (virtually always lower) causing ischemia. (msdmanuals.com)
  • During emergency surgery, the ascending aorta was replaced with a supracoronary tube, and a Y-shaped graft bypass was performed from aortic tube to brachiocephalic artery and left carotid artery due to the involvement of both carotids. (siftdesk.org)
  • Mean age was 64 ± 10 years, 81% were men, 43% had diabetes mellitus, 61% had prior PCI, 45% had prior myocardial infarction, and 29% had prior coronary artery bypass graft surgery. (nih.gov)
  • A wide variety of preformed catheter shapes exist for coronary and bypass graft angiography. (medscape.com)
  • We have previously presented a method for performing coronary artery bypass graft operation on the beating heart without cardiopulmonary bypass (CPB). (medicus.ru)
  • coronary artery bypass graft operation has been shown to be a safe and feasible procedure with the potential benefits of reduced operative bleeding and myocardial damage without prolonging intraoperative support or total operating time. (medicus.ru)
  • Complex PCI, including unprotected left main, is being performed in some no-SOS centers, with no increase in major adverse cardiovascular events or emergency coronary artery bypass graft surgery compared with PCI at surgical centers. (guidelinecentral.com)
  • Stent placement should only be performed at hospitals where emergency coronary artery bypass graft surgery can be readily performed. (medtronic.com)
  • In-Hospital Outcomes of Chronic Total Occlusion Percutaneous Coronary Interventions in Patients With Prior Coronary Artery Bypass Graft Surgery. (u-szeged.hu)
  • Update on Cardiac Catheterization in Patients With Prior Coronary Artery Bypass Graft Surgery. (u-szeged.hu)
  • Currently, CABG-related MI is defined as (1) biomarker level elevations more than 5 times the upper reference limit plus either new pathological Q waves or new left bundle branch block (LBBB), (2) angiographically documented new graft or native coronary artery occlusion, or (3) imaging evidence of new loss of viable myocardium. (medscape.com)
  • Second, patients may be relatively protected from the symptoms of coronary obstruction if they've had a prior coronary artery bypass graft , so we need to have a lower threshold for imaging the coronary system post-TAVR. (medscape.com)
  • Short- and Mid-Term Outcomes of Complex and High-Risk Versus Standard Percutaneous Coronary Interventions in Patients Undergoing Transcatheter Aortic Valve Replacement. (qxmd.com)
  • We evaluated the outcomes of complex and high-risk percutaneous coronary interventions (CHIP-PCIs) and TAVR compared with standard PCI and TAVR. (qxmd.com)
  • Percutaneous coronary interventions (PCI) include percutaneous transluminal coronary angioplasty (PTCA) with or without stent insertion. (msdmanuals.com)
  • Primary percutaneous coronary interventions (PCIs) are those performed as the initial approach to reperfusion for patients in the acute phase of STE MI with the goal of promptly restoring blood flow and function to the portion of the heart that is jeopardized by an acute coronary artery occlusion. (jointcommission.org)
  • Radial artery occlusion after transradial interventions: a systematic review and meta-analysis. (thieme-connect.de)
  • Percutaneous brachial access associated with increased incidence of complications compared with open exposure for peripheral vascular interventions in a contemporary series. (thieme-connect.de)
  • Thrombolysis and percutaneous coronary interventions, provided they can be delivered on time, can interrupt the occlusion and save tissue. (eurekaselect.com)
  • Single vs. multiple operators for chronic total occlusion percutaneous coronary interventions: From the PROGRESS‐CTO Registry. (u-szeged.hu)
  • Technical and procedural outcomes of the retrograde approach to chronic total occlusion interventions: Insights from an International CTO Registry. (u-szeged.hu)
  • Procedural Outcomes of Percutaneous Coronary Interventions for Chronic Total Occlusions Via the Radial Approach. (u-szeged.hu)
  • Depending on the anatomical characteristics of a coronary stenosis, Dr. Jaffer and his team offer CTO patients a variety of advanced interventions for PCI. (massgeneral.org)
  • 1.5/15 mm chronic total occlusion angioplasty balloon was used to reach lesion. (hindawi.com)
  • 1994) A Randomized Comparison of Coronary-Stent Placement and Balloon Angioplasty in the Treatment of Coronary Artery Disease. (scirp.org)
  • 1994) A Comparison of Balloon-Expandable-Stent Implantation with Balloon Angioplasty in Patients with Coronary Artery Disease. (scirp.org)
  • Compared to angioplasty alone, PTCRA/PTCA did not result in a higher incidence of major adverse cardiac events, but patients were more likely to experience vascular spasm, perforation and transient vessel occlusion. (cochrane.org)
  • PTCRA has been used both as an alternative to and in conjunction with balloon angioplasty to open up blocked coronary arteries. (cochrane.org)
  • Treatment with Bivalirudin (Hirulog) as Compared with Heparin During Coronary Angioplasty for Unstable or Postinfarction Angina. (hopkinsmedicine.org)
  • An open design, multicentre, randomized trial of percutaneous transluminal coronary angioplasty versus stenting, with a heparin-coated stent, of totally occluded coronary arteries: rationale, trial design and baseline patient characteristics. (mcmaster.ca)
  • Percutaneous transluminal coronary angioplasty (PTCA) for proximal coronary stenoses after an arterial switch procedure for dextro-transposition of the great arteries (D-TGA) has been reported. (medscape.com)
  • This procedure is called percutaneous transluminal coronary angioplasty or PTCA, which is usually accompanied by the placement of a metal tube (or stent) at the diseased site to maintain vessel opening. (ca.gov)
  • Reconstruction or repair of a blood vessel, which includes the widening of a pathological narrowing of an artery or vein by the removal of atheromatous plaque material and/or the endothelial lining as well, or by dilatation (BALLOON ANGIOPLASTY) to compress an ATHEROMA. (bvsalud.org)
  • There were plaques at LAD and %50 stenosis at proximal Circumflex arteries, the lesions were considered to be insignificant (Figure 1 ), and the patient had woven RCA (Figures 2 and 3 ). (hindawi.com)
  • Uses of balloon catheters or BMS for the treatment of coronary artery lesions shows good short-term results but long-term follow up revealed restenosis in up to 20%-30% of patients. (scirp.org)
  • To assess the effects of PTCRA for coronary artery disease in patients with non-complex and complex lesions (e.g. ostial, long or diffuse lesions or those arising from in-stent re-stenosis) of the coronary arteries. (cochrane.org)
  • Stents are now used frequently for acute myocardial infarction, ostial or left main disease, chronic total occlusions, and bifurcation lesions. (msdmanuals.com)
  • More than one CTO lesions were attempted during the same procedure in 58 patients (2.0%) and 70% of them were located in different major epicardial arteries. (mssm.edu)
  • The Resolute Integrity Zotarolimus-Eluting Coronary Stent System is indicated for improving coronary luminal diameters in patients, including those with diabetes mellitus, with symptomatic ischemic heart disease due to de novo lesions of length ≤ 27 mm in native coronary arteries with reference vessel diameters of 2.25 mm to 4.20 mm. (medtronic.com)
  • Woven coronary artery (WCA) disease is an extremely rare congenital anomaly with unexplained etiology [ 1 ]. (hindawi.com)
  • These benefits and lower costs compared to surgical treatment make the DES an attractive alternative for the treatment of coronary artery disease. (scirp.org)
  • Shamiri, M. , Al Mobeirek, A. , Albackr, H. and Albacker, T. (2014) Percutaneous Coronary Interventional Treatment for Coronary Artery Disease and the Role of Antiplaplatelets Therapy: A Review of the Literature. (scirp.org)
  • 2007) Optimal Medical Therapy with or without PCI for Stable Coronary Disease. (scirp.org)
  • 1 Center for Coronary Artery Disease, Minneapolis Heart Institute and Minneapolis Heart Institute Foundation, Minneapolis, Minnesota, USA. (nih.gov)
  • The Impella 2.5, used in protected PCI, "received FDA approval for elective and urgent high-risk PCI procedures in March 2015, following its 510(k) clearance in 2008" and as a percutaneous hemodynamic support device, it was deemed "safe and effective for patients with complex coronary disease, depressed ejection fraction, other co-morbidities, and who have been refused for surgical treatment. (wikipedia.org)
  • The device received FDA approval for elective and urgent high-risk PCI procedures in March 2015, following its 510(k) clearance in 2008, making it the first percutaneous hemodynamic support device to get the regulatory nod as both safe and effective for patients with complex coronary disease, depressed ejection fraction, other co-morbidities, and who have been refused for surgical treatment. (wikipedia.org)
  • This is an update of the review on 'Percutaneous transluminal rotational atherectomy for coronary artery disease' first published in The Cochrane Library Issue 4, 2003. (cochrane.org)
  • Patients with chronic coronary artery disease (CAD) and/or peripheral artery disease (PAD) have increased risks for cardiovascular (CV)-related morbidity and mortality. (ahdbonline.com)
  • Chronic coronary artery disease (CAD) and peripheral artery disease (PAD) are manifestations of atherosclerosis that result from the narrowing and blockage of the coronary and limb arteries, respectively. (ahdbonline.com)
  • The prevalence of coronary artery disease (CAD) in patients undergoing TAVR varies and is associated with increased morbidity and mortality. (qxmd.com)
  • Coronary artery disease can lead to stenosis and inadequate coronary perfusion causing stable angina, acute myocardial infarction or death. (rsyd.dk)
  • 1] Coronary artery disease can lead to stenosis and occlusion of the vessel leading to inadequate coronary perfusion. (rsyd.dk)
  • The existence of disease in the microcirculation is likely to influence the measurement and importance of a stenosis or occlusion. (rsyd.dk)
  • Many patients with complex coronary artery disease (CAD) do not receive adequate revascularization to improve their symptoms and prognosis. (massgeneral.org)
  • Medical care for a disease or condition that predisposes children to acute myocardial infarction (AMI) is discussed more fully elsewhere (see Anomalous Left Coronary Artery from the Pulmonary Artery and Kawasaki Disease). (medscape.com)
  • Surgical revascularization may also be necessary in patients with Kawasaki disease who develop significant coronary stenoses or occlusion. (medscape.com)
  • [ 14 ] A recent study on long-term follow-up in Kawasaki disease patients with giant aneurysms reported a 30-year survival of 49% in patients who had an AMI, compared with a 25-year survival of 95% in patients who had undergone coronary bypass grafting, highlighting the importance of consideration for early revascularization in these patients. (medscape.com)
  • Coronary heart disease is the leading cause of death in the developed world. (ca.gov)
  • This disease results from atherosclerosis or fatty deposits in the vessel wall that causes blockage of coronary arteries. (ca.gov)
  • Comparison of ticagrelor and clopidogrel in the treatment of patients with coronary heart disease carrying CYP2C19 loss of function allele. (cdc.gov)
  • Association of TGFB1 rs1800469 and BCMO1 rs6564851 with coronary heart disease and IL1B rs16944 with all-cause mortality in men from the Northern Ireland PRIME study. (cdc.gov)
  • Predictors of Stent Restenosis in Han and Uygur Patients with Coronary Heart Disease after PCI in the Xinjiang Region. (cdc.gov)
  • Impact of prior coronary artery bypass grafting on periprocedural and short-term outcomes of patients undergoing transcatheter aortic valve replacement: A systemic review and meta-analysis" Akshay Balakrishna, Mahmoud Ismayl, David Zhao, Andrew Goldsweig, Ahmed Aboeata, Sarachandra Vallabhajosyula. (creighton.edu)
  • A comparison of one-year outcomes between crossover stenting and ostial stenting for isolated ostial stenosis of left anterior descending artery. (escardio.org)
  • Outcomes and computed tomography scan follow-up of bioresorbable vascular scaffold for the percutaneous treatment of chronic total coronary artery occlusion. (grupocorpal.com)
  • Garg, S. and Serruys, P.W. (2010) Coronary Stents: Current Status. (scirp.org)
  • Stents for coronary arteries are expandable wire mesh cylinders that help hold stenotic areas open. (msdmanuals.com)
  • This sudden occlusion is caused by a concomitant drug inhibition of cells that cover the raw surface of metal stents to prevent platelet aggregation. (ca.gov)
  • CONCLUSIONS: These data suggest that distal embolization of plaque material occurs in contemporary PCI of native coronary arteries. (ox.ac.uk)
  • Woven pattern was confirmed at RCA with no apparent coronary stenosis. (hindawi.com)
  • Gruntzig, A. (1978) Trans Luminal Dilatation of Coronary-Artery Stenosis. (scirp.org)
  • A balloon-tipped catheter, guided by fluoroscopy or intravascular ultrasonography, is aligned within the stenosis, then inflated to disrupt the atherosclerotic plaque and dilate the artery. (msdmanuals.com)
  • Epicardial Artery Stenosis with a High Index of Microcirculatory Resistance Is Frequently Functionally Insignificant as Estimated by Fractional Flow Reserve (FFR). (rsyd.dk)
  • Several methods are used to remove this build-up including a procedure known as percutaneous transluminalcoronary rotational atherectomy (PTCRA). (cochrane.org)
  • Percutaneous transluminal coronary rotational atherectomy (PTCRA) debulks atherosclerotic plaque from coronary arteries using an abrasive burr. (cochrane.org)
  • This study aimed to compare two protocols of deflation with increased intervals versus late deflation with smaller intervals for distal radial artery occlusion device (DROAD) removal to assess for radial artery occlusion (RAO). (bvsalud.org)
  • In a trial of 3,000 patients undergoing diagnostic cardiac catheterization, the 30-day incidence of radial-artery occlusion was 0.9% among those randomized to prophylactic ipsilateral ulnar compression and standard hemostasis and 3.0% among patients treated with standard hemostasis alone ( P =0.0001). (tctmd.com)
  • The researchers, led by Samir Pancholy, MD (Commonwealth Medical College, Clarks Summit, PA), state that ulnar artery compression during radial artery hemostasis "is an effective, safe, and inexpensive technique to lower the risks of radial artery occlusion" following transradial catheterization. (tctmd.com)
  • Speaking with TCTMD, Pancholy said a recent literature review of data published in the last 2 years suggests the mean incidence of radial artery occlusion is approximately 10% at 24 hours. (tctmd.com)
  • Calling the condition a very significant problem, Pancholy said that no matter how benign it might be for the patient, radial-artery occlusion removes a very good access site for subsequent procedures. (tctmd.com)
  • Also, once you close the radial artery, we really don't know what final effect it will have on the hand. (tctmd.com)
  • As one of my teachers used to say, 'God gave you a radial artery for a reason. (tctmd.com)
  • Mamas Mamas, BMBCh (University of Keele, Stoke-on-Trent, England), a radial operator not involved in the present study, told TCTMD that radial artery occlusion is a significant clinical problem. (tctmd.com)
  • The risk of occlusion also increases with consecutive procedures, "meaning that occlusion of the radial artery will prevent subsequent procedures being undertaken through this access site," he said. (tctmd.com)
  • Sunil Rao, MD (Duke Clinical Research Institute, Durham, NC), another radial operator not involved in PROPHET-II, said there might be concern that compression of the radial and ulnar arteries simultaneously would result in significant hand ischemia, but this was not observed, suggesting rich blood flow to the hand. (tctmd.com)
  • Like Mamas, Rao said radial artery occlusion is an issue for interventional cardiologists, and while it is benign for most patients, some individuals will have symptoms from occlusion, particularly those with small caliber radial arteries. (tctmd.com)
  • At 24 hours, the incidence of radial artery occlusion was 4.3% in the standard hemostasis arm and 1.0% in patients who received ulnar compression with standard hemostasis ( P =0.0001). (tctmd.com)
  • Regarding the findings, Pancholy said that once physicians start doing prophylactic ulnar artery compression alongside hemostasis of the radial artery, "it takes about four or five cases to see the difference and it's so immediately obvious that you become a believer pretty quickly. (tctmd.com)
  • PTCA is done via percutaneous femoral, radial, or brachial artery puncture. (msdmanuals.com)
  • Treatment of recurrent radial artery pseudoaneurysms by prolonged mechanical compression. (trico.guru)
  • Radial artery spasm associated with transradial cardiovascular procedures: Results from the RAS registry. (trico.guru)
  • Spontaneous coronary artery dissection (SCAD) is a rare condition requiring specialized diagnosis and treatment. (massgeneral.org)
  • Spontaneous coronary artery dissection (SCAD) is a rare condition that occurs when a tear forms in one or more blood vessels of the heart, which can slow or block blood flow to the heart and cause a heart attack. (massgeneral.org)
  • The differential diagnosis should include recanalized thrombus, spontaneous coronary artery dissection, and bridging collaterals [ 3 , 4 ]. (hindawi.com)
  • The Guard Wire system (GS) consists of an occlusion balloon which is inflated distally allowing protected PCI has recently become available. (wikipedia.org)
  • Subsequent stent restenosis or occlusion may require repeat catheter-based treatments (including balloon dilatation) of the arterial segment containing the stent. (medtronic.com)
  • Fracture of Bioresorbable Vascular Scaffold After Side-Branch Balloon Dilation in Bifurcation Coronary Narrowings. (grupocorpal.com)
  • To restore coronary blood supply, physicians use guide-wires to position an inflatable balloon at the blockage site of the artery, where the balloon is inflated to open up the artery. (ca.gov)
  • All five patients included in this chapter presented with first-time STEMI due to an occluded left anterior descending coronary artery as documented by emergency coronary angiography ( Fig. 21-1 ). (mhmedical.com)
  • Use of antegrade dissection re-entry techniques for crossing coronary chronic total occlusions may occasionally fail due to subintimal hematoma formation. (elsevierpure.com)
  • The Stingray™ LP device allows for reentry into the true lumen during chronic total occlusion PCI using an antegrade dissection and reentry approach. (massgeneral.org)
  • In a procedure known as antegrade dissection and reentry, the interventionalist dissects the subintimal plane of the artery and directs a controlled knuckle wire forward, down the side of the artery past the CTO until a suitable reentry zone is reached. (massgeneral.org)
  • Latif, F , Brilakis, ES & Exaire, JE 2015, ' Retrograde approach to successfully treat antegrade failure due to subintimal hematoma of a right coronary artery chronic total occlusion ', Interventional Cardiology , vol. 7, no. 3, pp. 229-233. (elsevierpure.com)
  • The "holy grail" of modern interventional cardiology is the salvage of viable myocardial tissue in the distribution of an acutely occluded coronary artery. (eurekaselect.com)
  • Advanced minimally invasive catheter-based percutaneous coronary interventional (PCI) procedures have been brought to Netcare St Anne's Hospital in Pietermaritzburg in an initiative that seeks to upskill local specialists. (netcare.co.za)
  • Our experienced, board-certified interventional cardiologists employ the very latest technology in two, full-service catheterization suites and a specially-equipped hybrid suite for performing percutaneous valve replacements. (providence.org)
  • Woven coronary artery anomaly at the midsegment of the right coronary artery. (hindawi.com)
  • Right coronary artery and TIMI III flow after floppy guidewires. (hindawi.com)
  • Right coronary artery and WCA after first distal stent implantation. (hindawi.com)
  • Right coronary artery (RCA) perfusion may be reduced during aggressive afterload reduction, leading to decreased left coronary blood flow. (medscape.com)
  • Coronary spasm is generally treated with nitrates or calcium channel blockade. (medscape.com)
  • The use of this product carries the same risks associated with coronary artery stent implantation procedures, which include subacute and late vessel thrombosis, vascular complications and/or bleeding events. (medtronic.com)
  • 1 Penugoda N, Jones J, Spears R, Schreiber T. Incidence and predictors of vascular complications after invasive coronary procedures: a prospective analysis. (thieme-connect.de)
  • Larger-diameter catheters (7-10 French) allow greater catheter manipulation and provide excellent visualization but have a higher potential for trauma to the coronary or peripheral vasculature. (medscape.com)
  • A guiding catheter is inserted into a large peripheral artery and threaded to the appropriate coronary ostium. (msdmanuals.com)
  • The use of coronary artery bypass grafting (CABG) supported by cardiopulmonary bypass (CPB) evolved into a practical technique during the late 1960s and has since then been the state of the art with low morbidity and mortality. (medicus.ru)
  • Impact of non-infarct-related artery occlusion on short-term mortality in STEMI patients: insight from Tokyo CCU network database. (escardio.org)
  • however, considerable concerns have emerged regarding the safety of DES due to an increased risk of sudden stent occlusion by platelet aggregates (or thrombosis). (ca.gov)
  • Coronary angiography showed proximal thin channels and distal reanastomosis. (hindawi.com)
  • Efforts to minimize procedural necrosis may require careful review of side branch anatomy and/or use of distal protection during extensive coronary stenting. (ox.ac.uk)
  • Successful PTCA for proximal coronary stenoses after an arterial switch procedure has been reported in a small number of patients, with apparently excellent results 3-5 years later. (medscape.com)
  • However, as a response to PTCA, cells from the vessel wall are mobilized to divide and grow into the vessel lumen, causing re-narrowing of the artery. (ca.gov)
  • Acute coronary obstruction during transcatheter aortic valve replacement (TAVR) has been a well-known and feared complication since preclinical studies, but it's the rare and deadly problem of delayed coronary obstruction that is being raised as a new concern. (medscape.com)
  • There are still only a few cardiovascular specialists in South Africa and overseas who are familiar with treating chronic total occlusion. (netcare.co.za)
  • Intensive care and acute management of the infant with symptoms of coronary artery ischemia or injury are initially directed at reducing myocardial oxygen demands while administering oxygen, fluids, or blood products, providing endotracheal intubation, and correcting acid-base status and paralysis to reduce the work of breathing. (medscape.com)
  • Structural Damage to Jailed Guidewire During the Treatment of Coronary Bifurcations: Microscopic Evaluation. (grupocorpal.com)
  • Our goal is to understand the biology of these stem cells in the repair of injured arteries- how vessel injury signals these cells to divide and invade the vessel lumen, what molecular effectors control the cellular responses, and how to intercept these signals and effectors to prevent vessel re-narrowing. (ca.gov)
  • The higher incidence of subendocardial AMI and coronary vasospasm (possibly related to substance abuse) in adolescents may at least partially account for this difference. (medscape.com)
  • Again, this may be due to a higher incidence of coronary vasospasm and subendocardial AMI in adolescents. (medscape.com)
  • As we move to lower-risk patients, there could be a greater incidence of delayed coronary obstruction occurring due to patients having a longer life expectancy post-TAVR," Jabbour said. (medscape.com)
  • A chronic total occlusion before and after CTO PCI showing restored arterial blood flow. (massgeneral.org)
  • Once the patient is stabilized, surgical revascularization is performed to create a patent coronary arterial distribution (see Anomalous Coronary Artery from the Pulmonary Artery: Surgical Perspective). (medscape.com)
  • Thereafter these channels merge again in order to form the main coronary lumen after twisting along anomalous artery axis [ 2 ]. (hindawi.com)