Myocardial infarctionRight coronaAngioplastyLesionsIncluded coronary arteryVesselsDiseaseRevascularizationInterventionCrossing coronary chronic total occlusionsGraftDissectionAtherosclerosisStentsLesionPrevious coronaryComplete occlusionTotalArteriesAcute coronary occlusionsPerfusionStenosisUnderwentDistalAnginaPatientsBypass surgeryObstructionRestenosisStent implantationLeftPatientVentricularOstium
Myocardial infarction12
- 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)
- All-cause mortality, and major adverse cardiac events defined as mortality, non-fatal myocardial infarction and late coronary revascularisation (≥90 days after CCTA) were assessed. (uzh.ch)
- In selected patients with symptomatic coronary artery disease and recent coronary occlusion but without associated myocardial infarction, PTCA alone is an effective means of restoring flow. (elsevierpure.com)
- Being a consistent finding in acute myocardial infarction, T2 weighted MRI imaging has recently been proposed as a marker for the area not perfused because of the underlying coronary occlusion. (biomedcentral.com)
- We therefore performed in 38 patients with acute myocardial infarction (interval between start of symptoms and intervention below 24 h) and 10 patients with acute coronary occlusion as a complication during percutaneous coronary intervention both a myocardial single photon emission computed tomography (SPECT) and a cardiac MRI with fat suppressed T2-weighted turbo spin echo sequences. (biomedcentral.com)
- T2-weighted CMR shows a good correlation to acute Sestamibi SPECT in depicting perfusion defects in clinical acute myocardial infarction, but it clearly underestimates short-lived perfusion defects as seen in acute coronary occlusions during PCI. (biomedcentral.com)
- In this paper, we report a rare case of myocardial infarction, which occurred as a result of a coronary embolism in a patient with prosthetic mitral valve thrombosis. (who.int)
- We did not perform acute coronary syndrome, coronary elevation myocardial infarction, whereas angioplasty because the obstruction embolism should be kept in mind in the rest present with non-ST elevation was in the distal portion of the vessel those with prosthetic valves even in the myocardial infarction [8]. (who.int)
- Infarct extent Acute myocardial infarction is myocardial necrosis resulting from acute obstruction of a coronary artery. (msdmanuals.com)
- Stents are used frequently for acute myocardial infarction, ostial or left main disease, chronic total occlusions, and bifurcation lesions. (msdmanuals.com)
- Anterior wall myocardial infarction is often caused by occlusion of the left anterior descending coronary artery. (bvsalud.org)
- Involvement of the heart usually occurs in the third phase as vasculitic lesions in myocardium and the coronary vessels, causing (peri)myocarditis, heart failure, cardiac tamponade , myocardial infarction , or pericardial effusion , as in our patient. (medscape.com)
Right corona13
- We describe use of the retrograde approach to successfully complete a right coronary artery chronic total occlusion intervention, in which re-entry was not possible after subintimal guidewire crossing due to extensive subintimal hematoma formation that compressed the distal true lumen. (elsevierpure.com)
- 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)
- Althoughdamage of the heart vessels is a possible complication of blunt thoracic trauma, occlusion of the right coronary artery is rare and demands high level of suspicion by the emergency physicians. (hippokratia.gr)
- Our objective is to present a case of fatal acute occlusion of the right coronary artery after blunt thoracic trauma due to vehicle accident and conduct a brief review of the current literature. (hippokratia.gr)
- A 58-year-old sustained chest trauma after a vehicle accident, complicated by acute occlusion of the right coronary artery. (hippokratia.gr)
- Acute occlusion of the right coronary artery is a rare complication of blunt chest trauma. (hippokratia.gr)
- Especially, occlusion of the right coronary artery is rare and can be misdiagnosed. (hippokratia.gr)
- The angiography revealed a complete occlusion of the right coronary artery with intraluminar dissection and the ultrasound a severe malfunction of the right ventricle. (hippokratia.gr)
- Finally, angioplasty of the right coronary artery was performed and 2 simple stents were placed. (hippokratia.gr)
- Occlusion and reperfusion of the right coronary artery. (hippokratia.gr)
- The angiography shows initially a complete occlusion of the right coronary artery. (hippokratia.gr)
- We report here a case of embolic portion of the right coronary artery 5 mm (Figure 2). (who.int)
- The right coronary artery showed moderate ectasia. (medscape.com)
Angioplasty6
- Percutaneous transluminal coronary angioplasty (PTCA) was attempted in 67 patients with total coronary arterial occlusion but without associated acute transmural infarction. (elsevierpure.com)
- We used the Intracoronary Rendezvous technique to perform angioplasty for coronary CTO. (elsevierpure.com)
- 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)
- Syntax Study results (www.syntaxtrial.com) comparing Myocardial Revascularization Surgery against Angioplasty plus Stent in Patients with Left Main Trunk lesions plus 2 or 3 coronary vessels disease, showed that long-term mortality is comparable with both techniques. (drrobertocarlocorrea.com)
- Percutaneous coronary interventions (PCI) include percutaneous transluminal coronary angioplasty (PTCA) with or without stent insertion. (msdmanuals.com)
Lesions6
- However, lesions such as chronic total occlusions and bifurcations which are at increased risk of restenosis were excluded. (eur.nl)
- Recently, advanced new devices for percutaneous coronary intervention have enabled us to perform the Rendezvous technique for peripheral as well as for coronary CTO lesions. (elsevierpure.com)
- The expanded indication includes the intraluminal placement of conventional guidewires beyond stenotic coronary lesions [including chronic total occlusions (CTOs)] prior to PTCA or stent intervention. (medicaldesignandoutsourcing.com)
- CTOs are chronically stenosed lesions that completely block a coronary artery - typically for 3 months or longer - and prevent blood circulation to critical areas of the heart. (medicaldesignandoutsourcing.com)
- The Onyx Frontier™ zotarolimus-eluting coronary stent system is indicated for improving coronary luminal diameters in patients, including those with diabetes mellitus or high bleeding risk, with symptomatic ischemic heart disease due to de novo lesions of length ≤ 35 mm in native coronary arteries with reference vessel diameters of 2.0 mm to 5.0 mm. (medtronic.com)
- In addition, the Onyx Frontier™ zotarolimus-eluting coronary stent system is indicated for treating de novo chronic total occlusions and non-left main bifurcation lesions utilizing the provisional bifurcation stenting technique. (medtronic.com)
Included coronary artery1
- Additional autopsy findings included coronary artery disease, cardiomegaly (enlarged heart), and left ventricular hypertrophy (LVH). (cdc.gov)
Vessels2
- Complex coronary obstructions, namely the Left Main Trunk, Multiple Arterial Vessels Disease, Total Occlusions and Bifurcations were field of surgical solution in the past decade. (drrobertocarlocorrea.com)
- 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)
Disease24
- 1 Center for Coronary Artery Disease, Minneapolis Heart Institute and Minneapolis Heart Institute Foundation, Minneapolis, Minnesota, USA. (nih.gov)
- METHODS: We identified 22 828 patients without prior known coronary artery disease (CAD), who were followed for a median of 26 months. (uzh.ch)
- Introduction: Research suggests that the severity of coronary artery disease correlates with outcomes in patients with acute coronary syndrome (ACS). (pitt.edu)
- It remains unknown how this severity correlates with the extent of coronary disease (single vs. multivessel) and whether the latter is driven by patient characteristics. (pitt.edu)
- This analysis aims to explore baseline clinical characteristics, severity of occlusion, and extent of coronary disease. (pitt.edu)
- 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)
- Percutaneous Coronary Intervention for Chronic Total Occlusion in Patients With Chronic Kidney Disease: Should Imaging Surveillance Be Mandatory? (elsevierpure.com)
- 2009. Percutaneous coronary intervention versus coronary-artery bypass grafting for severe coronary artery disease. (hsforum.com)
- The study population included 225 patients, a control group (n = 75), a coronary artery disease group (n = 75), and a CTO group (n = 75). (biomedcentral.com)
- Exclusion criteria were previous coronary artery bypass grafting (CABG), acute coronary syndrome, hematological disease, malignancy, severe renal or liver disease, ongoing infection or chronic inflammatory disease, and autoimmune disease. (biomedcentral.com)
- Patients with a severe form of ventricular arrhythmia who may be referred for catheter ablation are often first tested for coronary artery disease (CAD) or ischemia. (medscape.com)
- The findings "argue against performing routine evaluations to rule out coronary [disease] or myocardial ischemia as culprits in monomorphic VT storm" in patients without evidence of ACS, write Feras Alkhalaileh, MD, Heart and Vascular Institute, Cleveland Clinic, Ohio, and colleagues in their report published August 2 in JACC: Clinical Electrophysiology . (medscape.com)
- To address possible concerns about selection bias in the main cohort, all of whom underwent ablation, a secondary analysis was conducted with 91 patients with known asymptomatic coronary disease and monomorphic VT storm who were selected from the registry without regard to whether they underwent catheter ablation. (medscape.com)
- The death certificate and autopsy report listed "hypertensive cardiovascular disease" as the cause of death with "coronary atherosclerosis" as a contributing factor. (cdc.gov)
- Conduct exercise stress tests into the fire department medical evaluation program for fire fighters at increased risk for coronary heart disease (CHD). (cdc.gov)
- New York City has one of the highest reported death rates from coronary heart disease in the United States. (cdc.gov)
- We conducted a cross-sectional validation study by using a random sample of death certificates that recorded in-hospital deaths in New York City from January through June 2003, stratified by neighborhoods with low, medium, and high coronary heart disease death rates. (cdc.gov)
- We computed a comparability ratio (coronary heart disease deaths recorded on death certificates divided by validated coronary heart disease deaths) to quantify agreement between death certificate determination and clinical judgment. (cdc.gov)
- Coronary heart disease appears to be substantially overreported as a cause of death in New York City among in-hospital deaths. (cdc.gov)
- Coronary heart disease (CHD) is the leading cause of death for adults in the United States, and stroke ranks third (1). (cdc.gov)
- Age-adjusted deaths from coronary heart disease in New York City (NYC) versus the United States overall. (cdc.gov)
- She had no risk factors for coronary artery disease in her medical history but it was learned that she had undergone a mitral valve replacement 2 years before because of rheumatic mitral stenosis and that no international normalized ratio (INR) analysis had been done in the last 6 months. (who.int)
- Association between UCP2 A55V polymorphism and risk of cardiovascular events in patients with multi-vessel coronary arterial disease. (cdc.gov)
Revascularization6
- Role of coronary graft flow measurement during reoperations for early graft failure after off-pump coronary revascularization. (hsforum.com)
- 2006. Emergency re-revascularization with percutaneous coronary intervention, reoperation, or conservative treatment in patients with acute perioperative graft failure following coronary artery bypass surgery. (hsforum.com)
- Early and definitive restoration of coronary blood flow (ie, early revascularization) is the most important intervention for achieving an improved survival rate. (medscape.com)
- An early revascularization strategy with either PCI or CABG, in collaboration between cardiologists and surgeons, is recommended for appropriate patients with suspected cardiogenic shock related to acute coronary syndrome (eg, those with uncertain neurologic status, those who received previous fibrinolysis), regardless of the time delay from MI onset. (medscape.com)
- Monomorphic VT later recurred in four of the five patients, who then underwent coronary revascularization. (medscape.com)
- Early and long-term prognosis in patients with remaining chronic total occlusions after revascularization attempt. (aau.dk)
Intervention11
- The relationship between left ventricular ejection fraction (LVEF) and the success and safety of coronary chronic total occlusion (CTO) percutaneous coronary intervention (PCI) has received limited study. (nih.gov)
- percutaneous coronary intervention. (nih.gov)
- In this thesis, contemporary percutaneous coronary intervention of these lesion subsets are evaluated, including assessment of the efficacy of sirolimus- and paclitaxel-eluting stent implantation. (eur.nl)
- The Rendezvous technique, which requires bidirectional wiring, is one of the useful methods for improving the success rate of recanalization for chronic total occlusion (CTO) in the field of peripheral intervention. (elsevierpure.com)
- The patient underwent percutaneous coronary intervention in which four intracoronary stents were placed with a satisfactory outcome. (siftdesk.org)
- Electro-anatomic mapping of the left ventricular endocardium was performed before and immediately after IRA-CTO percutaneous coronary intervention (PCI) to assess for changes in scar composition and size. (pcronline.com)
- Outcomes of a Modified Technique for Deflation of Distal Radial Artery Occlusion Device on Radial Artery Patency After Percutaneous Coronary Intervention. (bvsalud.org)
- The frequency and outcomes of patients who underwent chronic total occlusion (CTO) percutaneous coronary intervention (PCI) of more than one CTO during the same procedure have received limited study. (mssm.edu)
- 1 CTOs during the same procedure had similar J-CTO (2.4 ± 1.3 vs 2.5 ± 1.3, p = 0.579) and Prospective Global Registry for the Study of Chronic Total Occlusion Intervention (1.5 ± 1.2 vs 1.3 ± 1.0 p = 0.147) scores. (mssm.edu)
- An IABP may be placed in the emergency department (ED) as a bridge to percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG), to decrease myocardial workload, and to improve end-organ perfusion. (medscape.com)
- Procedure: Percutaneous coronary intervention. (who.int)
Crossing coronary chronic total occlusions2
- Subintimal dissection/reentry techniques are increasingly being used for crossing coronary chronic total occlusions both antegradely (using a knucle wire or the Bridgepoint system) or retrogradely (using the controlled antegrade and retrograde tracking and dissection, and reverse controlled antegrade and retrograde tracking and dissection technique). (capbuster.com)
- Use of antegrade dissection re-entry techniques for crossing coronary chronic total occlusions may occasionally fail due to subintimal hematoma formation. (elsevierpure.com)
Graft7
- The objectives are as follows: To evaluate the use of different dose regimens of aspirin to prevent graft occlusion in people who have undergone coronary artery bypass grafting. (elsevierpure.com)
- Transit-time flow predicts outcomes in coronary artery bypass graft patients: a series of 1000 consecutive arterial grafts. (hsforum.com)
- 2012. Management of early postoperative coronary artery bypass graft failure. (hsforum.com)
- Different graft flow patterns due to competitive flow or stenosis in the coronary anastomosis assessed by transit-time flowmetry in a porcine model. (hsforum.com)
- 2005. Comparison of saphenous vein and internal thoracic artery graft patency by coronary system. (hsforum.com)
- 2011. The impact of competitive flow on distal coronary flow and on graft flow during coronary artery bypass surgery. (hsforum.com)
- Stent placement should only be performed at hospitals where emergency coronary artery bypass graft surgery can be readily performed. (medtronic.com)
Dissection3
- In the present review, we describe in detail the chronic total occlusions subintimal dissection/reentry techniques, clarify the related terminology and summarize the published studies in this area and the current gaps of knowledge. (capbuster.com)
- 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)
- Spontaneous coronary artery dissection (SCAD) is a rare condition requiring specialized diagnosis and treatment. (massgeneral.org)
Atherosclerosis1
- CTO, which is present in one third of patients with coronary diseases, is the end stage of coronary artery atherosclerosis [ 8 ]. (biomedcentral.com)
Stents2
- 2011. Quality of life after PCI with drug-eluting stents or coronary-artery bypass surgery. (hsforum.com)
- Stents for coronary arteries are expandable wire mesh cylinders that help hold stenotic areas open. (msdmanuals.com)
Lesion1
- Lesion length of the occlusion was relatively long (64.4 ± 12.2 mm). (elsevierpure.com)
Previous coronary1
- In comparison to the previous coronary angiography, the luminal narrowing in the distal-LCX appears to have slightly increased. (siemens-healthineers.com)
Complete occlusion1
- The autopsy found complete occlusion of the proximal left anterior descending (LAD) coronary artery. (cdc.gov)
Total10
- OBJECTIVE: Data describing clinical relevance of chronic total occlusion (CTO) identified by coronary CT angiography (CCTA) have not been reported to date. (uzh.ch)
- How Should I Treat a Chronic Total Coronary Occlusion in a Patient with Ischemia? (escardio.org)
- Chronic total coronary occlusion - How would I treat? (escardio.org)
- [ 8 ] Additional studies on the hypertensive, elderly, or middle-aged atherosclerotic rhesus monkey showed the morphologic optic nerve damage starts after 105 minutes and is total after 240 minutes of occlusion. (medscape.com)
- Dr. Steven Nissen, Chief Academic Officer, Chief Academic Officer, Sydell and Arnold Miller Family Heart & Vascular Institute discusses the latest techniques in treatment of total coronary total occlusion (CTO) with Dr. Jaikirshan (Jay) Khatri, specialist in CTO care. (kaltura.com)
- The aim of this study was to determine whether revascularisation of an infarct-related artery chronic total occlusion (IRA-CTO) has a modulatory effect on myocardial scar composition. (pcronline.com)
- This study assessed the association between NLR and the presence of chronic coronary total occlusion (CTO). (biomedcentral.com)
- This expanded indication is the result of data generated from the 147-patient FAST-CTOs clinical trial in which the safety and effectiveness of the system in coronary chronic total occlusions was demonstrated. (medicaldesignandoutsourcing.com)
- Dr. William Lombardi of St. Joseph's Hospital in Bellingham, WA and a leading enroller in the clinical trial states, "The BridgePoint system is the first set of devices designed specifically for treating coronary Chronic Total Occlusions that has shown real improvements in safety, procedural efficiency, and clinical success rates. (medicaldesignandoutsourcing.com)
- Vascular endothelial growth factor and hypoxia-inducible factor-1a gene polymorphisms and coronary collateral formation in patients with coronary chronic total occlusions. (cdc.gov)
Arteries1
- Left heart catheterization revealed areas of aneurysmal dilation of coronary arteries, with a giant proximal left circumflex aneurysm measuring 1 cm, involving the first obtuse marginal origin with severe ectasia (Figure), and an aneurysmal segment in the proximal first diagonal branch. (medscape.com)
Acute coronary occlusions1
- no acute coronary occlusions were involved. (medscape.com)
Perfusion1
- All patients recruited in this study underwent coronary angiography for the presence of chest pain with objective signs of ischemia (treadmill exercise test or myocardial perfusion scintigraphy). (biomedcentral.com)
Stenosis1
- Coronary angiography shows severe stenosis in the mid-LAD as well as proximal-RCA. (siemens-healthineers.com)
Underwent2
- She underwent off-pump coronary artery bypass surgery and remained in clinically stable condition afterwards. (fujita-hu.ac.jp)
- As reported, 10% of the cohort underwent coronary angiography after presentation with monomorphic VT storm, 26% had CT or PET myocardial functional imaging, and 9% had both tests. (medscape.com)
Distal2
- 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)
- 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)
Angina2
- During a mean follow-up of 1.6 years in the 44 patients with successful dilation, 37 were asymptomatic without angina, although five had required repeat dilation or coronary bypass surgery. (elsevierpure.com)
- The study population included 225 patients who were referred for elective coronary angiography for stable angina pectoris between August 2013 and April 2014. (biomedcentral.com)
Patients5
- RESULTS: The distribution of patients with normal coronaries, non-obstructive CAD, moderate-to-severe CAD and CTO was 10 034 (44%), 7965 (34.9%), 4598 (20.1%) and 231 (1%), respectively. (uzh.ch)
- The duration of occlusion was one week or less in 22 patients, one week to one month in 24 patients, one to three months in 13 patients, and more than three months in eight patients. (elsevierpure.com)
- This analysis included ACS patients with either ST- or Non-ST-Segment Elevation (STE-ACS or NSTE-ACS) subtype, who had angiographic evidence of coronary occlusion (≥50% narrowing in at least one main coronary artery). (pitt.edu)
- 2012. On-pump versus off-pump coronary artery bypass surgery in elderly patients: results from the Danish On-Pump versus Off-Pump Randomization Study (DOORS). (hsforum.com)
- The findings, they say, question such routine CAD/ischemia testing in patients like those studied, who had episodes of monomorphic ventricular tachycardia (VT) storm but not an acute coronary syndrome (ACS) and ultimately went to ablation. (medscape.com)
Bypass surgery1
- 2005. Five years (1995-2000) of coronary artery bypass surgery at the Odense University Hospital [in Danish]. (hsforum.com)
Obstruction1
- A coronary occlusion is the partial or complete obstruction of blood flow in a coronary artery. (wikipedia.org)
Restenosis1
- Subsequent stent restenosis or occlusion may require repeat catheter-based treatments (including balloon dilatation) of the arterial segment containing the stent. (medtronic.com)
Stent implantation1
- 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 bleeding events. (medtronic.com)
Left8
- Summary: Postischaemic myocardial dysfunction (stunning) induced by partial occlusion of the left anterior descending coronary artery and its relation to lactate production during reperfusion were studied in nine swine. (elsevierpure.com)
- Echocardiography and aortography revealed a large thrombus on the left coronary cusp of the aortic valve that almost completely occluded the left coronary ostium. (fujita-hu.ac.jp)
- Continuous suction of blood from the left ventricle and non-pulsatile flow into the ascending aorta resulted in a continuously closed aortic valve and stagnation of blood in the coronary cusp. (fujita-hu.ac.jp)
- We performed off-pump coronary artery bypass grafting (CABG)-left internal mammary artery (LIMA) to the LAD-on 5 Yorkshire-Landrace pigs. (hsforum.com)
- ed about warfarin and possible adverse that coronary embolism occurs in the We administered unfractionized reactions with other drugs and followed left coronary artery in 75% of cases and heparin and tirofiban (glycoprotein regularly. (who.int)
- Coronary angiography showing a giant proximal left circumflex aneurysm measuring 1 cm, involving the first obtuse marginal origin. (medscape.com)
- The left circumflex coronary artery aneurysm was attributed to this diagnosis. (medscape.com)
- Coronary sinus, normally located between the LEFT ATRIUM and LEFT VENTRICLE on the posterior surface of the heart, can serve as an anatomical reference for cardiac procedures. (bvsalud.org)
Patient3
- Central retinal artery occlusion (CRAO) first was described by Van Graefe in 1859 as an embolic event to the central retinal artery in a patient with endocarditis. (medscape.com)
- During coronary angiography the consultation of an anesthesiologist was demanded as the patient presented chest pain, mild dyspnea and hypoxemia (SpO 2 85-90% with a simple oxygen mask). (hippokratia.gr)
- The chest pain of the patient was assessed to be typical of acute coronary syndrome. (who.int)
Ventricular1
- endocarditis, atrial and ventricular mu- ing treatment of coronary embolism. (who.int)
Ostium1
- A guiding catheter is inserted into a large peripheral artery and threaded to the appropriate coronary ostium. (msdmanuals.com)