DiseaseRestenosisAngioplastyDrug-elutiCABGStenosisAngiographyRevascularizationLesionsRight coronaVascularImplantationProcedureGraft surgeryThrombosisVesselsVesselBare-metalBlockageCatheterCardiacLesionEverolimusArterialMyocardialInterventionKeep the artery openDiabeticAtherosclerosisPaclitaxel-elutiBypass surgeryAcute CoronaryMETHODSUnderwentInterventionsBlockagesPlaqueWall of the artery
Disease58
- Coronary artery stenting is performed to relieve the recurrence of chest pain, and reduce other complications from coronary artery disease. (summahealth.org)
- The study's primary endpoint was a combination of death due to heart disease, a heart attack caused by a new blockage in the treated artery or the need for a repeat stenting procedure in the treated artery. (dicardiology.com)
- Death due to heart disease, a heart attack caused by a blockage in the treated artery or the need for a repeat stenting procedure in the treated artery occurred in 1.7%, 3.7% and 3.4%, respectively, of patients in the intravascular imaging group, compared with 3.8%, 5.6% and 5.5%, respectively, of those in the angiography group. (dicardiology.com)
- Long-term safety and efficacy of stenting versus coronary artery bypass grafting for unprotected left main coronary artery disease: 5-year results from the MAIN-COMPARE (Revascularization for Unprotected Left Main Coronary Artery Stenosis: Comparison of Percutaneous Coronary Angioplasty Versus Surgical Revascularization) registry. (qxmd.com)
- Limited information is available on long-term outcomes for patients with unprotected LMCA disease who underwent coronary stent procedure or coronary artery bypass grafting (CABG). (qxmd.com)
- During 5-year follow-up, stenting showed similar rates of mortality and of the composite of death, Q-wave MI, or stroke but higher rates of TVR as compared with CABG for patients with unprotected LMCA disease. (qxmd.com)
- This is a sophisticated procedure for the treatment of multivessel coronary artery disease. (diagnosticdetectives.com)
- Basically, in theory, it may be every patient with coronary artery disease who needs intervention. (diagnosticdetectives.com)
- Because, obviously, if you look at the current scenario of coronary artery disease intervention, you have two options. (diagnosticdetectives.com)
- Dr Lim Yean Teng , cardiologist at Mount Elizabeth Hospital, explains the 5 things you need to know about blocked arteries and heart disease - and how a heart stenting procedure (Percutaneous Transluminal Coronary Angioplasty or PTCA) can save your life. (gleneagles.com.sg)
- Clogged arteries prevent the flow of blood around the body, which can cause heart disease - including heart attacks and strokes. (gleneagles.com.sg)
- If you have been diagnosed with coronary artery disease , which has not improved with medication or lifestyle changes, or you have had a heart attack, you may be advised to go for a heart stenting procedure. (gleneagles.com.sg)
- A coronary angiogram , in which a catheter is introduced to the heart through a small cut in the groin or arm, is used to detect coronary heart disease and show where the artery-clogging plaques (fatty tissues) are located. (gleneagles.com.sg)
- Bare-metal coronary artery stents are used in percutaneous coronary intervention (PCI) for a variety of indications, including stable and unstable angina, acute myocardial infarction (MI), and multiple-vessel disease. (medscape.com)
- To date, five devices (Absorb®, DESolve®, ART Pure, Fantom® and Magmaris) have received Conformité Européenne (CE) marking for their use in adult patients with coronary artery disease (CAD). (inbit.gr)
- Designed to show noninferiority for treatment of coronary artery disease (CAD) in patients with diabetes, a head-to-head comparison of contemporary stents ended up showing that one was superior to the for the primary endpoint of target lesion failure (TLF). (medscape.com)
- The patients were almost equally divided between those who had a non-ST-segment elevation MI) and those with chronic coronary artery disease, but patients with a STEMI, representing about 12% of the population, were included. (medscape.com)
- The on-label indications for the Cypher SES were single de novo lesions in patients with stable coronary artery disease (CAD) in vessels with reference diameters between 2.5 and 3.5mm and in lesions ≤30mm. (ecrjournal.com)
- The final project plan of the assessment on "Bioresorbable Stents in cardiovascular indications (coronary artery disease)" and the comments provided by the external experts and the manufacturers are now available. (scuba-capsule.fr)
- Statins are widely used and well tolerated cholesterol-lowering drugs, and when used for therapy purposes reduce morbidity and mortality from coronary heart disease. (degruyter.com)
- Statin drugs represent the major improvement in the treatment of hypercholesterolemia that constitutes the main origin of atherosclerosis, leading to coronary heart disease. (degruyter.com)
- A 62-year-old female presented with atypical chest pain and a history of major risk factors for coronary artery disease (CAD), including obesity (high body mass index, height of 168 cm [5'5"], and a weight of 103 kg [227 lb]), hypertension, diabetes, hyperlipidemia, and a family history of CAD. (siemens-healthineers.com)
- However, coronary angiography revealed minor residual disease in the LCX (Figure 6) which was not treated. (siemens-healthineers.com)
- Coronary artery disease develops when the major blood vessels ― the coronary arteries ― that supply your heart with blood, oxygen and nutrients become damaged or diseased. (mayoclinichealthsystem.org)
- Eventually, the decreased blood flow may cause chest pain, shortness of breath, or other coronary artery disease signs and symptoms. (mayoclinichealthsystem.org)
- Because coronary artery disease often develops over decades, you may not notice a problem until you have a significant blockage or a heart attack. (mayoclinichealthsystem.org)
- But there's plenty you can do to prevent and treat coronary artery disease. (mayoclinichealthsystem.org)
- Sex - men are generally at greater risk of coronary artery disease. (mayoclinichealthsystem.org)
- Family history - a family history of heart disease is associated with a higher risk of coronary artery disease, especially if a close relative developed heart disease at an early age. (mayoclinichealthsystem.org)
- Exposing others to your secondhand smoke also increases their risk of coronary artery disease. (mayoclinichealthsystem.org)
- Diabetes - diabetes is associated with an increased risk of coronary artery disease. (mayoclinichealthsystem.org)
- Type 2 diabetes and coronary artery disease share similar risk factors, such as obesity and high blood pressure. (mayoclinichealthsystem.org)
- Physical inactivity - lack of exercise also is associated with coronary artery disease and some of its risk factors, as well. (mayoclinichealthsystem.org)
- High stress - unrelieved stress can damage your arteries and worsen other risk factors for coronary artery disease. (mayoclinichealthsystem.org)
- Unhealthy diet - eating too much food that has high amounts of saturated fat, transfats, salt and sugar can increase your risk of coronary artery disease. (mayoclinichealthsystem.org)
- If you have risk factors for coronary artery disease, such as high blood pressure, high cholesterol, tobacco use, diabetes, a strong family history of heart disease or obesity, talk with one of Mayo Clinic Health System's Cardiology providers. (mayoclinichealthsystem.org)
- He or she may want to test you for coronary artery disease, especially if you have signs or symptoms of narrowed arteries. (mayoclinichealthsystem.org)
- Treatment for coronary artery disease usually involves lifestyle changes, and drugs and certain medical procedures, if necessary. (mayoclinichealthsystem.org)
- If you have risk factors for coronary artery disease, such as high blood pressure, high cholesterol, tobacco use, diabetes, a strong family history of heart disease or obesity, talk with one of our cardiologists. (mayoclinichealthsystem.org)
- Coronary artery disease is one of the most widespread causes of mortality in industrialized countries. (springer.com)
- A new stent appears safe and effective for preventing arteries from reclosing in coronary heart disease patients, based on one-year results of the first human trial using this stent reported in today's rapid access issue of Circulation: Journal of the American Heart Association. (news-medical.net)
- Long-Term Effect of Ultrathin-Strut Versus Thin-Strut Drug-Eluting Stents in Patients With Small Vessel Coronary Artery Disease Undergoing Percutaneous Coronary Intervention: A Subgroup Analysis of the BIOSCIENCE Randomized Trial. (ox.ac.uk)
- We sought to assess the long-term effect of ultrathin-strut (60 μm) BP-SES versus thin-strut (81 μm) DP-EES on long-term outcomes in patients undergoing percutaneous coronary revascularization for small vessel disease. (ox.ac.uk)
- Impact of Diabetic Status on Outcomes After Revascularization With Drug-Eluting Stents in Relation to Coronary Artery Disease Complexity: Patient-Level Pooled Analysis of 6081 Patients. (ox.ac.uk)
- BACKGROUND: Diabetes mellitus and angiographic coronary artery disease complexity are intertwined and unfavorably affect prognosis after percutaneous coronary interventions, but their relative impact on long-term outcomes after percutaneous coronary intervention with drug-eluting stents remains controversial. (ox.ac.uk)
- This study determined drug-eluting stents outcomes in relation to diabetic status and coronary artery disease complexity as assessed by the Synergy Between PCI With Taxus and Cardiac Surgery (SYNTAX) score. (ox.ac.uk)
- CONCLUSIONS: In this population treated with predominantly new-generation drug-eluting stents, diabetic patients were at increased risk for repeat target-lesion revascularization consistently across the spectrum of disease complexity. (ox.ac.uk)
- Patients with diabetes mellitus have more extensive coronary artery disease, more disease progression, and restenosis. (lu.se)
- This real-life registry study shows that restenosis was halved by DES in diabetic patients with stable or unstable coronary disease, with similar risk of death or MI up to 4 years compared with BMS. (lu.se)
- Has a doctor or other health professional ever told you that you had coronary artery disease, angina, heart attack, or myocardial infarction? (cdc.gov)
- Based on study findings, the authors concluded without stents, and coronary artery bypass that CPhT involvement can improve disease graft surgery. (cdc.gov)
- Given the Captain's previously unidentified coronary heart disease (CHD), NIOSH investigators concluded that the physical stress of the training probably triggered a fatal heart attack. (cdc.gov)
- 2] A prediction model that and transparency of such risk adjustment models, and to widen uses a `history of coronary heart disease' as a risk factor to predict discussion on the strengths and limitations of risk adjustment models death from an acute myocardial infarction (AMI) is always going based on service claims data. (who.int)
- Concomitant use of proton pump inhibitors and clopidogrel in patients with coronary, cerebrovascular, or peripheral artery disease in the FRENA registry. (janusinfo.se)
- Coronary artery bypass grafting (CABG) is performed for patients with coronary artery disease (CAD) to improve quality of life and reduce cardiac-related mortality. (medscape.com)
- Kimura, who presented the results to the media, said the ABSORB trial was designed to support regulatory approval of the Absorb stent in Japan, and because of that the trial has limitations, one of the most notable being the inclusion of highly selected coronary artery disease patients typical of stent trials designed for regulatory approval. (medscape.com)
- Can machine learning unravel unsuspected, clinically important factors predictive of long-term mortality in complex coronary artery disease? (cdc.gov)
- Using machine learning to aid treatment decision and risk assessment for severe three-vessel coronary artery disease. (cdc.gov)
Restenosis15
- In-stent restenosis is important because it is common and difficult to treat. (bmj.com)
- It is known from intravascular ultrasound (IVUS) studies that in-stent dimensions and stent length are the main predictors of in-stent restenosis. (bmj.com)
- 1 Immediate contributors to in-stent restenosis include recoil (particularly in coil stents) and underexpansion. (bmj.com)
- 4 High pressure deployment, wide strut openings, asymmetrical deployment, and increased balloon compliance may also contribute to in-stent restenosis or experimental neointima formation. (bmj.com)
- Restenosis, where there is a recurrence of the narrowing of the blood vessel, can happen in the first 6 - 8 months following heart stenting. (gleneagles.com.sg)
- They are mainly built to overcome the risk of late complications, such as scaffold thrombosis or restenosis, which can occur when the rigid metal backbone of a conventional metal stent remains permanently embedded in the diseased vessel. (inbit.gr)
- They controlled elastic recoil and negative remodelling, but also stimulated the cellular mechanisms yielding to in-stent restenosis. (ecrjournal.com)
- Restenosis after bare-metal stenting (BMS) is mostly due to neointimal proliferation. (ecrjournal.com)
- The sirolimus-eluting stent (SES) was the first stent-based pharmacological therapy approved for the prevention of restenosis and the first to be approved by the European Community. (ecrjournal.com)
- Stenting of coronary bifurcations carries higher risk for in-stent restenosis, stent thrombosis, and recurrent clinical events. (elsevierpure.com)
- Coronary artery restenosis is an important side effect of percutaneous coronary intervention. (springer.com)
- We report on an approach for validation of an in silico 3D model of in-stent restenosis in porcine coronary arteries and illustrate this approach by comparing the modelling results to in vivo data for 14 and 28 days post-stenting. (springer.com)
- This in turn causes a healing response in the vessel wall, which, if it becomes excessive, can cause a new narrowing of the vessel, or in-stent restenosis (ISR). (springer.com)
- Diagnostic Performance of Machine Learning-Derived Radiomics Signature of Pericoronary Adipose Tissue in Coronary Computed Tomography Angiography for Coronary Artery In-Stent Restenosis. (cdc.gov)
- Machine Learning Identifies New Predictors on Restenosis Risk after Coronary Artery Stenting in 10,004 Patients with Surveillance Angiography. (cdc.gov)
Angioplasty14
- A stent is often placed during or immediately after angioplasty. (summahealth.org)
- Stents were conceived to make balloon angioplasty safer and more effective. (ecrjournal.com)
- dead link] He specializes in coronary angioplasty, carotid stenting, coronary stenting and rotablator atherectomy. (wikipedia.org)
- He continued his practice in the United States only to return to India in 1985 after training there under Andreas Gruentzig, who is known as the father of coronary angioplasty and joined Apollo Hospitals at Chennai. (wikipedia.org)
- The coronary angiography following the drug-eluting balloon angioplasty of the RCA and distal LCX shows normal distal flow in the RCA, PDA as well as in the distal LCX and OM1 and OM2, reflecting successful restoration of luminal flow in both coronary arteries. (siemens-healthineers.com)
- The post-PCI images show guidewires across the LAD and RCA stenotic segments with normal vascular flow in both coronary vessels reflecting successful angioplasty. (siemens-healthineers.com)
- We have decided to make no changes in coverage of patient groups for percutaneous transluminal angioplasty (PTA) of the carotid artery concurrent with stenting (Medicare NCD Manual 20.7B3 and B). We have decided to retain our existing coverage policy with a slight revision to the language regarding embolic protection devices. (cms.gov)
- Coronary angioplasty is a procedure used to open clogged heart arteries. (mayoclinichealthsystem.org)
- Angioplasty is often combined with the placement of a small wire mesh tube called a stent. (mayoclinichealthsystem.org)
- Angioplasty can quickly open a blocked artery, reducing damage to your heart. (mayoclinichealthsystem.org)
- All consecutive patients with diabetes mellitus in Sweden who underwent percutaneous coronary intervention were entered into the Swedish Coronary Angiography and Angioplasty Registry (SCAAR) during 2003-06 with complete follow-up for 1-4 years (median 2.5). (lu.se)
- Please answer 'yes' if you have had coronary artery bypass graft surgery, coronary angioplasty, or a coronary stent procedure. (cdc.gov)
- A 95% blockage of one of his main coronary arteries was opened via angioplasty and a stent. (cdc.gov)
- Percutaneous transluminal coronary angioplasty successfully opened the blockage, and a stent was placed to keep the artery open. (cdc.gov)
Drug-eluti3
- Similar results were obtained in comparisons of bare-metal stent with concurrent CABG and of drug-eluting stent with concurrent CABG. (qxmd.com)
- It was introduced into clinical practice in 2002, bringing in the current drug-eluting stent (DES) era of interventional cardiology. (ecrjournal.com)
- 3 mm) as a surrogate to compare patients treated with ultrathin-strut versus thin-strut drug-eluting stent. (ox.ac.uk)
CABG13
- 318 with bare-metal stents and 784 with drug-eluting stents) or underwent CABG (n = 1,138) between 2000 and 2006 and for whom complete follow-up data were available for at least 3 to 9 years (median 5.2 years). (qxmd.com)
- 95% CI: 0.84 to 1.37, p = 0.59) were not significantly different for patients undergoing stenting versus CABG. (qxmd.com)
- So, if we do this prognostic procedure first [CABG with mammary artery grafted to LAD coronary artery] and then we let all the rest of coronary artery lesions be treated by PCI, we combine the best of the two worlds. (diagnosticdetectives.com)
- What is a Coronary Artery Bypass Graft (CABG)? (nucleusmedicalmedia.com)
- What are the Different Types of Coronary Artery Bypass Graft (CABG) Procedures? (nucleusmedicalmedia.com)
- We aim to compare the midterm outcomes between coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) in diabetic patients who had multivessel coronary artery diseases (CAD). (archivesofmedicalscience.com)
- In the isolated human heart a fiberscope was inserted into either the native coronary artery or the CABG with the heart in sinus rhythm. (asme.org)
- methodologies we have obtained a unique visualization of a CABG and a coronary artery stent in a beating human heart during sinus rhythm. (asme.org)
- Is my rate of heart failure readmissions artery bypass graft (CABG) surgery, pneumonia and acute stroke). (who.int)
- Before coronary artery bypass grafting (CABG), the patient's medical history should be carefully examined for factors that might predispose to complications. (medscape.com)
- In patients referred for CABG, aspirin should be continued up to the time of surgery, especially in those who present with an acute coronary syndrome. (medscape.com)
- Despite these initial positive results, the European Coronary Surgery Study conducted in the 1970s indicated that the significant improvement in 5-year survival rates with CABG was not apparent in the subsequent 5 years. (medscape.com)
- CABG may be performed as an emergency procedure in the context of an ST-segment elevation MI (STEMI) in cases where it has not been possible to perform percutaneous coronary intervention (PCI) or where PCI has failed and there is persistent pain and ischemia threatening a significant area of myocardium despite medical therapy. (medscape.com)
Stenosis4
- An 86 symptomatic year old male with left main trunk stenosis and osteal LAD stenosis evaluated by IVUS for stenosis assessment, step procedures, and expansion of stenting. (incathlab.com)
- November 25, 2009 (New York, New York) - Mounting evidence suggests that carotid artery stenting is much less safe than carotid endarterectomy in patients with symptomatic and asymptomatic carotid artery stenosis. (medscape.com)
- Coronary angiography shows severe stenosis in the mid-LAD as well as proximal-RCA. (siemens-healthineers.com)
- 3. Patients who have undergone percutaneous coronary intervention for stenosis within 5mm of the ostium of the coronary artery using OSFITTM drug-eluting stents. (who.int)
Angiography11
- His Coronary Angiography revealed that he had 90% block in the very large branch of Right Coronary Artery (RCA) supplying Substantial amount of blood to myocardium (muscle mass). (metrohospitals.com)
- Angiography (a heart X-ray) is the standard technique used to assess the extent of a patient's arterial blockage and guide the stenting procedure. (dicardiology.com)
- Intravascular imaging, an adjunctive invasive tool on top of angiography, generates images from inside a diseased artery that can provide clinicians with more detailed information about the blockage such as its exact location, size, thickness and composition. (dicardiology.com)
- The aim of the RENOVATE study was to determine whether the use of intravascular imaging in addition to angiography would lead to better outcomes, compared with angiography alone, in patients with complex coronary artery blockages. (dicardiology.com)
- Patients were randomly assigned to undergo stenting guided by either IVUS or OCT (with the choice of technique left to the clinician's discretion) or a standard angiography-guided stenting procedure. (dicardiology.com)
- Strengths of the study are its larger sample size and longer follow-up period than previous studies comparing imaging- and angiography-guided stenting, as well as its inclusion of patients with various types of complex coronary artery blockages, Hahn said. (dicardiology.com)
- Coronary computed tomography angiography (CCTA) is a noninvasive method to image the coronary arteries. (medscape.com)
- Post-PCI angiography shows minor residual CAD in mid-LCX artery as evident in the luminal irregularities defined within the circle. (siemens-healthineers.com)
- Coronary angiography reflects occlusion of the RCA stent (left) along with luminal irregularities in the distal-LCX (right) with a reduced fractional flow reserve (FFR) of 0.6, which suggests significant flow impairment. (siemens-healthineers.com)
- In comparison to the previous coronary angiography, the luminal narrowing in the distal-LCX appears to have slightly increased. (siemens-healthineers.com)
- Performance of machine learning-based coronary computed tomography angiography for selecting revascularization candidates. (cdc.gov)
Revascularization11
- We performed the long-term follow-up of a large cohort of patients in a multicenter study receiving left main coronary artery (LMCA) revascularization. (qxmd.com)
- Objectives The aim of this study was to investigate the association between plaque distribution at left main (LM) bifurcation and target lesion revascularization (TLR) after stenting. (unict.it)
- Hybrid coronary revascularization. (diagnosticdetectives.com)
- Hybrid coronary revascularization combines arterial coronary artery bypass grafting surgery and percutaneous coronary artery stenting. (diagnosticdetectives.com)
- What are the indications for hybrid coronary revascularization in your practice? (diagnosticdetectives.com)
- We are convinced that we should do more of this procedure, Hybrid coronary revascularization. (diagnosticdetectives.com)
- So, what are the indications for Hybrid coronary revascularization? (diagnosticdetectives.com)
- Once there will be more interaction between cardiac surgeons and interventional cardiologists, I can predict Hybrid coronary revascularization becoming more and more of an option. (diagnosticdetectives.com)
- Cumulative incidences of cardiac death, target vessel myocardial infarction, and clinically indicated target lesion revascularization and definite stent thrombosis at 5 years were similar in patients treated with ultrathin-strut BP-SES and thin-strut DP-EES. (ox.ac.uk)
- Outcomes After Revascularization with Everolimus- and Sirolimus Eluting Stents In Patients with Small and Large Coronary Arteries. (sdu.dk)
- Patients who will experience little benefit from coronary revascularization are also excluded. (medscape.com)
Lesions7
- It took great courage around 30 years ago to tackle stenotic lesions within a diseased coronary artery using the percutaneous approach in an unanaesthetised human being. (ecrjournal.com)
- A pivotal randomised controlled trial (RCT) was the Randomized Study with the Sirolimus-coated Bx Velocity Balloon- Expandable Stent in the Treatment of Patients with De Novo Native Coronary Artery Lesions (RAVEL), 1 in which 238 patients were randomised to a single SES and a BMS. (ecrjournal.com)
- This was followed by the larger (1,058 patients) Sirolimus-eluting Stent in De Novo Native Coronary Lesions (SIRIUS) trial 2 in the US, and the E-SIRIUS 3 (n=352) in Europe and C-SIRIUS 4 (n=100) in Canada. (ecrjournal.com)
- Up to 50% of symptomatic patients treated with stents may have new silent ischemic lesions detected by MRI. (medscape.com)
- Treatment of coronary bifurcation lesions remains an ongoing challenge for interventional cardiologists. (elsevierpure.com)
- This review summarizes the current evidence regarding application and use of biomechanical modeling in the study of stent properties, local flow dynamics, and outcomes after percutaneous coronary interventions in bifurcation lesions. (elsevierpure.com)
- In case of simultaneous stent placement for other lesions, only GenossTM drug-eluting stents should be used. (who.int)
Right corona2
- Stent Implantation Is a Durable Therapy for an Aberrant Right Coronary Artery Causing Cardiac Arrest. (ox.ac.uk)
- We report a case of right coronary artery perforation after high pressure stent post-dilatation that was successfully sealed with a polytetrafluoroethylene-covered stent. (viamedica.pl)
Vascular11
- To learn more about coronary artery stenting or any Summa Health cardiac care services, call the Heart and Vascular Institute for an appointment today. (summahealth.org)
- 5- 8 The balance to be achieved is, therefore, in attaining adequate final stent dimensions without an excess of vascular injury, because vascular injury is intimately linked to in-stent neointima formation. (bmj.com)
- Bioabsorbable vascular stents, or BVS, gradually dissolve into the body before completely disappearing after 2 years. (gleneagles.com.sg)
- [ 6 ] Julio C Palmaz, an interventional vascular radiologist, and Richard Schatz, an interventional cardiologist, designed this bare-metal coronary stent, which was manufactured and sold by Cordis. (medscape.com)
- The development of an antiproliferative drug-coated stent followed extensive research on the understanding of vascular biology, pharmacology and experimental and clinical research. (ecrjournal.com)
- The main downside of stenting, according to Dr. Moll, is impaired cognition and the development of vascular dementia. (medscape.com)
- Agreeing with the conclusions of Dr. Moll's study, Laura Capoccia, MD, from Sapienza University of Rome, Italy, said, "We may be causing vascular dementia in patients treated with carotid artery stenting. (medscape.com)
- Due to the varying cardiac health of the donor hearts it has been possible to see progressive levels of stent endothelialization and vascular calcification. (asme.org)
- Investigative studies in perfusion fixed human hearts have provided a more complete anatomical imaging study of stent endothelialization in the native coronary arteries and vascular calcification in bypass grafts. (asme.org)
- LONDON, UK - Data from two new studies presented last week at the European Society of Cardiology (ESC) 2015 Congress provide some evidence the everolimus -eluting stent with a bioabsorbable vascular scaffold ( Absorb , Abbot Vascular) is as good as the current standard of care [ 1 ] . (medscape.com)
- For patients who received the Absorb stent, the primary end point of target lesion failure at 12 months was 4.2% compared with 3.8% among patients who received the everolimus-eluting stent with a nonabsorbable cobalt- chromium scaffold ( Xience , Abbott Vascular), a difference that was not statistically significant. (medscape.com)
Implantation5
- Our aim in this study was to investigate the relative importance of arterial stretch and deep injury to the late arterial response after stent deployment, using moderate implantation conditions. (bmj.com)
- The key to this is the proper implantation of good quality stents by expert doctors. (metrohospitals.com)
- Background Despite favorable reported mid-and long-term results, stent implantation on LM bifurcation remains challenging. (unict.it)
- He cited data that indicate the risk of major adverse cardiac events are about two times higher 2 years after stent implantation in patients with diabetes relative to those without, even when contemporary drug-eluting stents are used. (medscape.com)
- The occurrence and clustering of stent thrombosis in the subacute phase suggests that the risk is associated with factors related to the scaffold, the lesion, implantation technique, or a combination of these factors (calcium, adequate predilatation, expansion, apposition etc). (medscape.com)
Procedure10
- The procedure can take 30 to 60 minutes dependent upon the number of stents that have to be implanted. (summahealth.org)
- People with such complex coronary artery blockages are at increased risk for experiencing a heart attack or a blood clot in a stent or for needing a repeat stenting procedure. (dicardiology.com)
- PTCA is a minimally invasive procedure that is performed if your coronary arteries are blocked. (gleneagles.com.sg)
- When a heart stenting procedure (PTCA) is performed without stenting there are often high recurrence rates - where the coronary artery becomes blocked again - within 6 months of the procedure. (gleneagles.com.sg)
- According to Dr Lim, the stenting procedure is considered a minimally invasive procedure - which can be carried out through a tiny incision in the wrist (radial approach) or groin region (femoral approach). (gleneagles.com.sg)
- The duration of the procedure ranges from only minutes - for a simple lesion - to hours for a totally blocked artery. (gleneagles.com.sg)
- The procedure involves taking a healthy blood vessel from your leg, arm or chest, and connecting it beyond the blocked arteries in your heart. (mayoclinichealthsystem.org)
- The validation procedure uses data from porcine in vivo experiments, by simulating stent deployment using stent geometry obtained from micro computed tomography (micro-CT) of the stented vessel and directly comparing the simulation results of neointimal growth to histological sections taken at the same locations. (springer.com)
- During the stenting procedure, the narrowed artery is damaged by the stent struts being pressed into the vessel wall, as well as by the expanding balloon which is used to distend the artery and deploy the stent. (springer.com)
- Patients who received at least one DES (n = 4754) were compared with those who received only bare metal stents (BMS) (n = 4956) at the index procedure. (lu.se)
Graft surgery2
- For non-ST-segment-elevation myocardial infarction, reperfusion is via percutaneous intervention or coronary artery bypass graft surgery. (msdmanuals.com)
- Performance could be further improved by using summary risk prediction scores such as the EUROSCORE II for coronary artery bypass graft surgery or the GRACE risk score for acute coronary syndrome. (who.int)
Thrombosis4
- The rate of stent thrombosis at 12 months was 1.5% in both stent arms. (medscape.com)
- Despite their potential benefit, Kristensen homed in on the rate of stent thrombosis in ABSORB Japan. (medscape.com)
- In studies with the Xience stent, the rate of stent thrombosis in an all-comer population has been reported to be as low as 0.2%, a number that is tough to beat. (medscape.com)
- Other registries have reported a fairly high incidence of stent thrombosis in patients with bioresorbable stents," writes Kristensen. (medscape.com)
Vessels2
- Your arteries are the blood vessels that carry blood around the body. (gleneagles.com.sg)
- The isolated heart model uses a clear Krebs-Henseleit buffer in place of blood, allowing for the unique opportunity to image the coronary vessels. (asme.org)
Vessel5
- The true measure of the efficacy of DES, representing the best angiographic surrogate of neointimal proliferation with the unique ability to separate it from other procedural and intrinsic vessel variables, is in-stent late luminal loss (LL). (ecrjournal.com)
- This multiscale model includes single-scale models for stent deployment, blood flow and tissue growth in the stented vessel, including smooth muscle cell (SMC) proliferation and extracellular matrix (ECM) production. (springer.com)
- For 14 days post-stenting the relative neointimal area, averaged over all vessel sections considered, was 20 ± 3% in vivo and 22 ± 4% in silico . (springer.com)
- ISR is associated with excessive damage to the vessel wall and with disturbed flow patterns in the stented vessel, in particular with low values of wall shear stress (WSS). (springer.com)
- 3 mm, respectively) did not stratify according to vessel size and failed to specify the impact of ultrathin-strut thickness on long-term clinical outcomes compared with durable polymer everolimus-eluting stents (DP-EES). (ox.ac.uk)
Bare-metal2
- [ 5 ] Cesar Gianturco, a radiologist, and Gary Roubin, an interventional cardiologist, designed this bare-metal coronary stent, which was manufactured and sold by Cook Inc. The Gianturco-Roubin stent was a balloon-expandable and coil-type stent manufactured using a flat 316 L stainless steel wire coil attached to a single longitudinal strut. (medscape.com)
- Many different bare-metal stents are currently available. (medscape.com)
Blockage4
- The insertion of a stent (a tiny metal tube, usually coated with slow-release medication to help prevent repeat narrowing or blockage) into a coronary artery is a minimally invasive alternative to cardiac bypass surgery for people with a coronary artery that is blocked or partially blocked by a buildup of fatty deposits (plaque). (dicardiology.com)
- This may be because a blockage is unusually long, calcified or located in a difficult-to-reach spot such as near the junction of the coronary artery and the aorta. (dicardiology.com)
- In the first illustration, the heart muscle is damaged by reduced bloodflow due to a blockage of the coronary artery with plaque. (nucleusmedicalmedia.com)
- The cardiologist found a 95% blockage of the Captain's proximal left anterior descending (LAD) coronary artery, but no obvious thrombus. (cdc.gov)
Catheter6
- A catheter is guided through the artery into the part of the coronary artery that is blocked. (medlineplus.gov)
- The stent is inserted along with a balloon catheter and expands when the balloon is inflated. (medlineplus.gov)
- The stent is mounted on a balloon-tipped catheter in a collapsed state and is then inserted and carefully guided to the blocked artery. (summahealth.org)
- When the balloon is deflated, the catheter and balloon are removed, leaving the stent in place. (summahealth.org)
- Once the plaques are detected, the catheter is then reintroduced with a little balloon-like device at the tip, which is inflated and deflated several times to prise open the blocked artery. (gleneagles.com.sg)
- These devices differ from each other with respect to composition (eg, stainless steel, cobalt chromium alloy, nickel chromium alloy), architectural design, and delivery system (ie, a balloon catheter that delivers the stent, self-expanding, or balloon expandable). (medscape.com)
Cardiac1
- Local hemodynamics worsened with luminal protrusion of the stent and with stent malapposition, adverse high WSS and WSSG were identified around peak flow and throughout the cardiac cycle respectively. (researchgate.net)
Lesion1
- Identification of Coronary Culprit Lesion in ST Elevation Myocardial Infarction by Using Deep Learning. (cdc.gov)
Everolimus2
- Like ABSORB Japan, patients were randomized to treatment with the Absorb stent or the Xience everolimus-eluting stent. (medscape.com)
- Investigators reported that "Absorb in the setting of STEMI resulted in nearly complete arterial healing, which was comparable to that of the metallic [everolimus-eluting stent] at 6 months. (medscape.com)
Arterial4
- To investigate the relative importance of stent induced arterial stretch and deep injury to the development of in-stent neointima. (bmj.com)
- The Cypher ® stent utilises a non-erodable methacrylate co-polymer matrix for controlled endovascular delivery of the drug to the arterial tissue. (ecrjournal.com)
- Biomechanical modeling of bifurcation stenting involves computational simulations and in vitro bench testing using subject-specific arterial geometries obtained from in vivo imaging. (elsevierpure.com)
- Several reports in the literature have focussed on the formulation of the modelling approach applied to highly idealized arterial and stent geometries. (springer.com)
Myocardial6
- Fully bioresorbable stents or scaffolds (BRS) represent the latest generation of devices for myocardial revascularisation strategies. (inbit.gr)
- Myocardial infarction was significantly less common with DES in patients who received only one stent RR, 0.80 (95% CI, 0.66-0.96). (lu.se)
- Acute myocardial infarction is myocardial necrosis resulting from acute obstruction of a coronary artery. (msdmanuals.com)
- Was the death specific clinical conditions (i.e. acute myocardial infarction, coronary of this patient expected? (who.int)
- Comparison of machine-learning models for the prediction of 1-year adverse outcomes of patients undergoing primary percutaneous coronary intervention for acute ST-elevation myocardial infarction. (cdc.gov)
- Machine learning for prediction of bleeding in acute myocardial infarction patients after percutaneous coronary intervention. (cdc.gov)
Intervention10
- This graft has been shown superior to PCI [percutaneous coronary intervention]. (diagnosticdetectives.com)
- In SUGAR, which included 23 centers in Spain, 1,175 patients with confirmed diabetes scheduled for percutaneous intervention (PCI) were randomized to one of the two stents. (medscape.com)
- Percutaneous coronary intervention (PCI) is, for the responsible interventional cardiologist, not only an appealing method of coronary revascularisation but also a permanent challenge, as the technical progress must be balanced against the perceived and foreseeable risks to the patient. (ecrjournal.com)
- Relation of proton pump inhibitor use after percutaneous coronary intervention with drug-eluting stents to outcomes. (janusinfo.se)
- Dr Steen Kristensen (Aarhus University Hospital, Denmark), the discussant following the late-breaking clinical-trials presentation, who wrote an editorial accompanying the study's publication in European Heart Journal [ 3 ] , said the new stents have the benefit of delivering the drug and then disappearing, changing a "coronary intervention from treatment with a permanent metallic stent to a resorbable cure. (medscape.com)
- Clinical characteristics of octogenarian patients under- going percutaneous coronary intervention. (bvsalud.org)
- Using Artificial Intelligence in Predicting Ischemic Stroke Events After Percutaneous Coronary Intervention. (cdc.gov)
- Multi-modal fusion model for predicting adverse cardiovascular outcome post percutaneous coronary intervention. (cdc.gov)
- A novel 6-metabolite signature for prediction of clinical outcomes in type 2 diabetic patients undergoing percutaneous coronary intervention. (cdc.gov)
- Prediction of 3-year all-cause and cardiovascular cause mortality in a prospective percutaneous coronary intervention registry: Machine learning model outperforms conventional clinical risk scores. (cdc.gov)
Keep the artery open2
- A coronary artery stent is a small, metal mesh tube that is placed inside a coronary artery to help keep the artery open. (medlineplus.gov)
- The stent is then left there to help keep the artery open. (medlineplus.gov)
Diabetic1
- Major Adverse Cardiovascular Events in Coronary Type 2 Diabetic Patients: Identification of Associated Factors Using Electronic Health Records and Natural Language Processing. (cdc.gov)
Atherosclerosis1
- High blood cholesterol levels - high levels of cholesterol in your blood can increase the risk of plaque formation and atherosclerosis - the buildup of plaque in and on your artery walls. (mayoclinichealthsystem.org)
Paclitaxel-eluti1
- Together with the paclitaxel-eluting stent (PES), approved later, they form the so-called first-generation DES. (ecrjournal.com)
Bypass surgery2
- For Multiple Heart Blockages, Bypass Surgery or Stents? (metrohospitals.com)
- Coronary bypass surgery redirects blood around a section of blocked or partially blocked arteries in your heart to improve blood flow to your heart muscle. (mayoclinichealthsystem.org)
Acute Coronary2
- Загальні відомості про гострі коронарні синдроми (ГКС) Acute coronary syndromes result from acute obstruction of a coronary artery. (msdmanuals.com)
- Серцеві маркери Acute coronary syndromes result from acute obstruction of a coronary artery. (msdmanuals.com)
METHODS2
- Methods A total of 329 patients undergoing LM bifurcation stenting in 2 centers were included. (unict.it)
- However, several percutaneous methods including covered stents and embolization materials have emerged as therapeutic options to manage coronary perforations. (viamedica.pl)
Underwent1
- Dr. Capoccia presented a small study of 23 asymptomatic patients who underwent carotid stenting. (medscape.com)
Interventions2
- Stents are now used in more than 70% of percutaneous coronary interventions. (bmj.com)
- Freitas1 coronary interventions (PCI) in octogenarians are increasingly indicated. (bvsalud.org)
Blockages3
- There are many incidences when patients develop blockages in the same arteries where the stenting has repeatedly been done, sometimes 2-3 stents. (metrohospitals.com)
- Some types of coronary artery blockages, however, are more challenging to treat with stents. (dicardiology.com)
- The results of our trial may lead to an increase in the use of intravascular imaging-and, in turn, an improvement in clinical outcomes-among patients with complex coronary blockages who are undergoing stenting," Hahn said. (dicardiology.com)
Plaque4
- The role of atherosclerotic plaque distribution in affecting LM bifurcation stenting outcomes has not been explored. (unict.it)
- Conclusions The WB pattern is associated with enhanced TLR risk, regardless of stent technique and plaque severity. (unict.it)
- Surgery removes plaque, but stents 'push the plaque behind the wallpaper,' and the plaque continues to exert damage. (medscape.com)
- When plaque builds up, it narrows your coronary arteries, decreasing blood flow to your heart. (mayoclinichealthsystem.org)
Wall of the artery2
- When the balloon is inflated, the stent expands to fit the size of the blocked artery and pushes against the inner wall of the artery to provide a pathway for increased blood flow. (summahealth.org)
- It is now common for stents (little pieces of expandable metal made from stainless steel mesh) to be inserted and flattened against the wall of the artery to keep it open and allow the blood to flow smoothly. (gleneagles.com.sg)