• To demonstrate that percutaneous coronary intervention (PCI) may in some cases be a safe option for patients with a high-risk surgical category, we report a complex clinical case of revascularization of multivessel coronary artery disease including left main coronary artery (LMCA) quadrifurcation. (openaccesspub.org)
  • It has been estimated that left main coronary artery (LMCA) quadrifurcation encountered in 5.6% of the human population 3 , 4 , 5 is a very rare finding on coronary angiography (CAG). (openaccesspub.org)
  • RESULTS The lumen diameters of the left main coronary artery, the left anterior descending coronary artery, the circumflex artery, and the right coronary artery, as well as the lengths of the left main coronary artery, showed similar variability within monozygotic and dizygotic twin pairs. (bmj.com)
  • For several decades, coronary artery bypass grafting (CABG) has been considered as the gold standard treatment of unprotected left main coronary artery (LMCA) disease. (amrita.edu)
  • D1 = first diagonal, LAD = left anterior descending artery, LCX = left circumflex, LM = left main coronary artery, and OM1= first obtuse marginal. (medscape.com)
  • Risk stratification and management strategy of intermediate coronary lesions, defined as 50-70% diameter stenosis (DS) at coronary angiography [ 1 , 2 ], remain a challenging issue [ 3 , 4 ]. (hindawi.com)
  • Intravascular ultrasound (IVUS) is superior to coronary angiography in terms of accurate assessment of lumen area and plaque burden and thus is commonly applied to evaluate intermediate stenotic lesions and guide the decision about revascularization in real-world practice [ 4 , 7 ]. (hindawi.com)
  • The main test to determine the size of the fistula is a coronary angiography . (medlineplus.gov)
  • The interventions ended without complications, the ejection fraction increased from 35% to 48%, congestive heart failure functional class decreased to class I. Subsequent coronary angiography, eight months after the last PCI, revealed patent stents with mild, nonsignificant restenosis. (openaccesspub.org)
  • and group 4 comprised the six patients with congenital heart disease as controls, with a total of 27 normal coronary angiography sites. (bmj.com)
  • During coronary angiography, 15 μg of acetylcholine and 0.5 mg isosorbide dinitrate were infused into the coronary artery. (bmj.com)
  • RESULTS Coronary angiography in all 22 patients in groups 1 and 2 and in all the patients in group 3 was normal, with no stenoses and no irregularity of the arterial wall. (bmj.com)
  • The emergency coronary angiography showed occlusion of the anterior descending artery. (biomedcentral.com)
  • The research included 737 individuals who underwent coronary angiography from 2018 to 2019. (biomedcentral.com)
  • The inclusion criteria for the subjects were as follows: (1) patients who were hospitalized for coronary angiography from January 2018 to April 2019 at the First Affiliated Hospital of Xi'an Jiaotong University and (2) patients with T2DM. (biomedcentral.com)
  • Results of the Clopidogrel After Surgery for Coronary Artery Disease (CASCADE) trial confirmed that this practice independently associated with improved graft patency, as demonstrated by coronary angiography and saphenous vein graft intravascular ultrasonography. (medscape.com)
  • In patients with acute coronary syndrome (ACS), coronary computed tomographic angiography (CCTA) was used to capture adverse geometric characteristics (AGCs) of coronary plaques. (medpagetoday.com)
  • 3 In patients with ACS and 2 or more significant lesions, the culprit lesion was defined using invasive coronary angiography and electrocardiography. (medpagetoday.com)
  • BACKGROUND: Computed tomography-adapted Leaman score (CT-LeSc) was developed to quantify coronary CT angiography information about atherosclerotic burden (lesion localization, stenosis degree, and plaque composition). (who.int)
  • METHODS AND RESULTS: Single-center prospective registry including 1304 consecutive patients undergoing coronary CT angiography for suspected CAD. (who.int)
  • 55 years who were referred for coronary angiography, 34 (40.5%) had abnormal angiographic findings and 6 (7.1%) showed BAC in their mammograms. (who.int)
  • 55 years who were re- in the number of women undergoing mam- ferred for diagnostic coronary angiography mography for breast cancer screening [ 5 ], for CAD in the years 2000-03 were evaluat- interest is growing too in the use of breast ed. (who.int)
  • right coronary artery (RCA) was stented with 3 bare-metal stents (BMS) (Rebel, Boston Scientific). (openaccesspub.org)
  • The origin of a fistula is rarely bilateral, involving both left and right coronary artery systems. (medscape.com)
  • We report 4 cases of patients in whom we used the transradial approach to treat complex lesions in the left anterior descending coronary artery with bifurcation balloon angioplasty reconstruction (2 cases), in the ostium of the first diagonal branch, and in the right coronary artery. (nih.gov)
  • The target lesion was located in a heavily calcified right coronary artery (rca). (fda.gov)
  • As basis for their quantification, they measured the remaining lumina in the right coronary artery, main left coronary artery and its anterior descending and circumflex branches. (dovepress.com)
  • The item number claimed should reflect the number of coronary vascular territories (Left Anterior Descending, Circumflex or Right Coronary Artery distribution) that are treated during the procedure, not the total number of treated territories the patient has received to date. (health.gov.au)
  • The number of coronary vascular territory refers to any of the 3 major arteries (Left Anterior Descending, Circumflex or Right Coronary Artery) or their branches. (health.gov.au)
  • IVUS-derived negative remodeling is associated with adverse long-term clinical outcome in stable patients with intermediate coronary artery stenosis. (hindawi.com)
  • We used StentBoost to verify the accuracy of stent placement and the Szabo technique to rectify long-term coronary stenosis, which achieved satisfactory results. (biomedcentral.com)
  • SCAD was defined as epicardial coronary artery diameter stenosis ≥90% or epicardial coronary artery diameter stenosis ≥75% accompanied by symptoms or stress-induced myocardial ischemia. (medscimonit.com)
  • 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)
  • Gruntzig, A. (1978) Trans Luminal Dilatation of Coronary-Artery Stenosis. (scirp.org)
  • For scientists and clinicians who carry out research about the genesis of atherosclerosis, it has always been compelling to somehow quantify the grade of severity of coronary artery calcification and stenosis. (dovepress.com)
  • Since the late 1960s, the severity of coronary stenosis was suspected to be a prognostic factor for patients with coronary artery disease (CAD), 1 - 3 and this hypothesis was proven in several clinical studies with long follow-up periods. (dovepress.com)
  • In another study, 1 they used a more precise system by classifying the coronary vessels as non/slightly/moderately/severely/totally obstructed depending on the grade of obstruction in percental gradations from no to total stenosis, but they concentrated on the major arteries and branches. (dovepress.com)
  • At follow-up (1-46 years), coronary aneurysms persisted in all with giant aneurysms, in 55% of those with medium aneurysms (18% with stenosis), and in 9% of those with small aneurysms. (bmj.com)
  • Culprit lesions were defined as single lesions with stenosis identified with the ROMICAT (Rule Out Myocardial Infraction by Computer Assister Tomography) definition. (medpagetoday.com)
  • The risk of future culprit lesions was adjusted for diameter stenosis, number of adverse plaque characteristics, and quantitative plaque characteristics. (medpagetoday.com)
  • Culprit lesions had a greater diameter stenosis, higher prevalence of adverse plaque characteristics, and higher median volumes and burdens of plaque. (medpagetoday.com)
  • Arterial remodeling patterns were assessed in 212 deferred intermediate lesions from 162 patients after IVUS examination. (hindawi.com)
  • 72 intermediate remodeling lesions were present in 66 patients, whereas 77 negative remodeling lesions were present in 71 patients, and 63 positive remodeling lesions were present in 55 patients. (hindawi.com)
  • Accordingly, we sought to investigate the impact of arterial remodeling of intermediate lesions on long-term prognosis in patients with stable coronary artery disease. (hindawi.com)
  • Consecutive patients with stable coronary heart disease who received IVUS examination between January 2011 and January 2014 were retrospectively screened. (hindawi.com)
  • Patients were enrolled if they had de novo lesions with a visual estimation of lumen DS of 50-70% and without revascularization (balloon angioplasty and/or stent implantation) after IVUS examination. (hindawi.com)
  • It should be considered that in case of the selection of suitable patients and the use of the appropriate revascularization technique, LMCA quadrifurcation lesion can be successfully treated with PCI. (openaccesspub.org)
  • Coronary artery bypass grafting (CABG) seems to be the gold standard for such lesion treatment, but sometimes PCI is the only option for revascularization, especially for high-risk patients 2 . (openaccesspub.org)
  • CONCLUSIONS There is evidence of persisting abnormal vascular wall morphology and vascular dysfunction at the site of regressed coronary aneurysms in patients with previous Kawasaki disease. (bmj.com)
  • However, the long term prognosis and natural history of Kawasaki disease, particularly in patients with regressed coronary aneurysms or with normal coronary arteries, remain uncertain. (bmj.com)
  • Intravascular ultrasound imaging of coronary arteries now allows detailed visualisation of coronary wall morphology and the healing process in patients with Kawasaki disease. (bmj.com)
  • We explored techniques that would allow the surgeon to localize coronary artery lesions demonstrated angiographically or to supplement angiographic information in patients who are undergoing coronary artery bypass procedures by intraoperative scanning of the coronary arteries using ultrasound. (elsevierpure.com)
  • In the third phase of this study, 21 patients with coronary artery disease were scanned and the ultrasonic appearance of their imaged coronary lesions was compared to independently interpreted angiographic estimates of percent obstruction, with close correlation (r = 0.91). (elsevierpure.com)
  • The ability to examine vascular tissue from living patients with restenotic lesions may provide new insight into the pathophysiology of restenosis and could have important implications pertaining to adjuvant therapies, such as platelet or mitogenic inhibitors. (elsevierpure.com)
  • To compare the correlation of "thrombolysis in myocardial infarction (TIMI)" and "Global Registry of Acute Coronary Events (GRACE)" risk score with lesion of coronary artery disease in patients with non-ST segment elevation acute coronary syndrome. (pjmhsonline.com)
  • Among the included male patients, those with coronary artery disease had a higher adjusted AIP (aAIP). (biomedcentral.com)
  • In male T2DM patients, AIP may serve as a reliable marker for coronary artery lesions. (biomedcentral.com)
  • Therefore, to better reduce the incidence and mortality of CAD in T2DM patients, it is necessary to determine a method that can judge the degree of coronary artery lesions. (biomedcentral.com)
  • However, it is unclear whether AIP can reflect coronary artery lesions in T2DM patients. (biomedcentral.com)
  • This research explored the association of AIP with coronary artery lesions in T2DM patients and attempted to provide new ideas to better predict the risk of CAD in patients with T2DM for early intervention and treatment. (biomedcentral.com)
  • Everyone agrees that patients with coronary disease benefit from optimal medical therapy (aspirin, statins) and lifestyle changes. (medscape.com)
  • I made special note of the MASS-II trial [ 4 ] because it was a serious test, comparing PCI with stents to bypass or medical therapy in patients with multivessel disease, 90% of whom had the widow-maker lesion - in the proximal left anterior descending (LAD) artery. (medscape.com)
  • The treatment goals for patients with coronary artery atherosclerosis are to relieve symptoms of coronary artery disease (CAD) and to prevent future cardiac events, such as unstable angina, AMI, and death. (medscape.com)
  • Large, multicenter randomized trials of various pharmacologic modalities have recently achieved great success in the treatment of patients with coronary artery atherosclerosis. (medscape.com)
  • The Relationship between the Serum NLRP1 Level and Coronary Lesions in Patients with Coronary Artery Disease. (medscape.com)
  • Moreover, coronary artery disease is increased in AD patients ( 10 ). (spandidos-publications.com)
  • 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)
  • In certain circumstances (e.g. patients ineligible for cardiac surgery, those with architecturally complex lesions, or those with lesions that fail PTCA), PTCRA may achieve satisfactory re-vascularisation in subsequent procedures. (cochrane.org)
  • 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)
  • 2009) EUROASPIRE III: A Survey on the Lifestyle, Risk Factors and Use of Cardioprotective Drug Therapies in Coronary Patients from Twenty-Two European Countries. (scirp.org)
  • 1994) A Comparison of Balloon-Expandable-Stent Implantation with Balloon Angioplasty in Patients with Coronary Artery Disease. (scirp.org)
  • A total of 105 consecutive patients with 110 calcified lesions underwent IVL. (frontiersin.org)
  • This retrospective, observational study included consecutive patients with calcified coronary lesions treated with IVL from December 31, 2018 to December 31, 2020 at the Centro Cardiologico Monzino, University of Milan, Italy. (frontiersin.org)
  • Objective To explore acute and late coronary outcomes and their risk/modifiers in patients with Kawasaki disease (KD). (bmj.com)
  • Results Coronary arterial lesions occurred in 40.6% of cases at their acute febrile stages, and persisted beyond 1 month in 196 (18.3%, M/F=138/58) patients: 125 (11.6%) had small aneurysms, 44 (4.1%) had medium aneurysms, and 27 (2.5%) had giant aneurysms. (bmj.com)
  • Among the patients with KD with coronary aneurysms, 10-year ischaemia event-free and aneurysm persistence probability was 87.5% and 20.6%, respectively. (bmj.com)
  • Male patients and intravenous γ-immunoglobulin (IVIG) therapy were independent risk factors of initial coronary severity but were not associated with the late coronary outcomes, even in severity stratified subgroups. (bmj.com)
  • With intravenous immunoglobulin therapy, the risk of coronary arterial lesions for patients with Kawasaki disease has been reduced from 20-25% to 5-10% during the acute stage. (bmj.com)
  • 1 Despite receiving intravenous immunoglobulin (IVIG) therapy, coronary arterial lesions (CALs) occurred in 5-20% of patients with KD during the acute stage. (bmj.com)
  • The Promus ELITE Everolimus-Eluting Platinum Chromium Coronary Stent System is indicated for improving luminal diameter in patients, including those with diabetes mellitus, with symptomatic heart disease or documented silent ischemia due to de novo lesions in native coronary arteries ≥2.25 mm to ≤4.00 mm in diameter in lesions ≤34 mm in length. (bostonscientific.com)
  • Patients with resistance had a higher risk of developing cardiac complications, such as coronary artery lesions (CALs). (pharmacytimes.com)
  • Mazandaran admit and care for paediatric ease affects the coronary arteries in 20%- patients (1 university teaching hospital and 25% of untreated patients [ 3,4 ]. (who.int)
  • This multicenter, nested case-control study was a substudy of ICONIC (Incident Coronary Syndromes Identified by Computed Tomography) and included patients who had ACS with a culprit lesion precursor seen on CCTA. (medpagetoday.com)
  • A total of 116 patients with ACS with culprit lesions were matched with 116 patients with non-ACS. (medpagetoday.com)
  • Among 548 lesions in 116 patients, 116 culprit lesion precursors were characterized and compared with 432 nonculprit lesions. (medpagetoday.com)
  • The BIOFLOW-II substudy used intravascular ultrasound (IVUS) and optical coherence tomography (OCT) to quantitatively assess neointimal hyperplasia and stent apposition at nine months after treating patients with symptomatic coronary artery disease due to de novo stenotic lesions. (escardio.org)
  • The DESolve Nx trial treated target lesions in 126 patients with single de novo coronary artery lesions with the DESolve device. (escardio.org)
  • The objective of the study is to evaluate CT-LeSc long-term prognostic value in patients with suspected coronary artery disease (CAD). (who.int)
  • Patients had been referred with a history artery calcification (BAC) detected by of chest pain suspicious for CAD from his- mammography as a nonivasive indicator for tory and physical examination. (who.int)
  • 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)
  • 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)
  • Combining the Szabo technique with StentBoost imaging was helpful to accurately evaluate the area and locate the stent when treating this ostial lesion of the anterior descending coronary artery. (biomedcentral.com)
  • The coronary arteries are blood vessels that bring oxygen-rich blood to the heart. (medlineplus.gov)
  • The ultrasound scan could be used to identify lesions in vessels beyond proximal occlusion, which are not visualized well angiographically, and could localize the site of lesions to determine placement of saphenous vein bypass grafts. (elsevierpure.com)
  • PTCRA utilises small rotating devices to selectively remove the build-up of atherosclerotic plaques from within coronary vessels. (cochrane.org)
  • It is an acute self-limiting inflammatory disorder associated with inflamed blood vessels (vasculitis), mainly of the coronary arteries, which largely impacts children aged 5 years and younger. (pharmacytimes.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)
  • Garg, S. and Serruys, P.W. (2010) Coronary Stents: Current Status. (scirp.org)
  • The recent introduction of drug-eluting stents (DESs), together with advances in periprocedural and postprocedural adjunctive pharmacotherapies, has improved outcomes of PCIs of these lesions. (amrita.edu)
  • Still, he suspects metallic stents in the coronary arteries "will be a minority in 2020. (medscape.com)
  • 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)
  • Other clinical scenarios requiring IVUS examination (restenosis, acute coronary syndrome, left main disease, and chronic total occlusion) were excluded. (hindawi.com)
  • A recent study characterized the prognostic value of adverse geometric characteristics of coronary lesions in predicting future acute coronary syndrome events. (medpagetoday.com)
  • A total of 87 de novo lesions were treated by IVL with the following indications: 25 before attempting other balloon-based devices (primary IVL), 51 after the failure of non-compliant balloon dilatation (secondary IVL), and 11 after stent implantation because of stent under expansion (bailout IVL). (frontiersin.org)
  • 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)
  • Results: A bifurcation lesion is a coronary artery narrowing occurring adjacent to, and/or involving, the origin of a significant side branch. (unicatt.it)
  • It is often done along with cardiac catheterization , which involves passing a thin, flexible tube into the heart to evaluate pressure and flow in the heart and surrounding arteries and veins. (medlineplus.gov)
  • Direct communication between a coronary artery and one of the cardiac chambers is noted. (medscape.com)
  • In a subsequent study, 10 human subjects undergoing cardiac surgery for valve replacement who had normal coronary angiograms were scanned during heart surgery to provide images of normal coronary arteries. (elsevierpure.com)
  • The past 4 decades have witnessed tremendous progress in the areas of acute cardiac care, coronary care unit expansion, thrombolytic usage, and PCI. (medscape.com)
  • Hard cardiac events (cardiac death and nonfatal acute coronary syndromes) were considered for analysis. (who.int)
  • To verify the non-inferiority of Magic Touch SCB hypothesized in target lesion failure (TLF), a composite of cardiac death, ischemia-driven target-lesion revascularization (TLR), target vessel myocardial infarction (MI), at 12 months. (who.int)
  • The lesion is not easy to expand, as it is rich in elastic fiber tissue and easily retracts, and the rate of restenosis and calcification is high. (biomedcentral.com)
  • All coronary lesions were qualitatively evaluated for adverse morphological features, including positive remodeling, low attenuation, spotty calcification, and napkin-ring sign. (medpagetoday.com)
  • ABSTRACT This study investigated whether breast arterial calcification (BAC) has an association with coronary artery diseases (CAD) in young premenopausal women and evaluated the association of BAC with carotid intima-media thickness and standard CAD risk factors. (who.int)
  • Tissue was obtained from coronary arteries without prior instrumentation (primary lesions, n = 31), aortocoronary saphenous vein bypass grafts with primary lesions (n = 8), coronary arteries with lesions developing after prior balloon angioplasty or mechanical atherectomy (reste-notic lesions, n = 30) and vein bypass grafts with restenotic lesions (n = 4). (elsevierpure.com)
  • For those with complex lesions, PTCRA may provide some benefit in comparison to balloon angioplasty. (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)
  • 1994) A Randomized Comparison of Coronary-Stent Placement and Balloon Angioplasty in the Treatment of Coronary Artery Disease. (scirp.org)
  • 2012. "Efficacy of immunoglobulin plus prednisolone for prevention of coronary artery abnormalities in severe Kawasaki disease (RAISE study): a randomized, open-label, blinded-endpoints trial. (esmed.org)
  • Coronary artery fistulae (CAF) are classified as abnormalities of termination and are considered a major congenital anomaly. (medscape.com)
  • We nistration of intravenous immunoglobulin undertook a retrospective review of the (IVIG) within the first 10 days of illness medical records of all cases with Kawasaki decreases the prevalence of coronary ar- disease referred, treated or discharged tery abnormalities (CAA) to 2%-5% [ 5-7 ]. (who.int)
  • BACKGROUND: Kawasaki disease (KD) can result in severe coronary artery abnormalities (CAAs). (cdc.gov)
  • Restenotic lesions were characterized by an increased proportion of loose fibroproliferative tissue (45% of coronary artery intima, 35% of vein graft intima). (elsevierpure.com)
  • Stent placement should only be performed at hospitals where emergency coronary artery bypass graft surgery can be readily performed. (medtronic.com)
  • A single lesion in a bypass graft should be claimed as a single territory regardless of how many vascular territories are supplied by that graft. (health.gov.au)
  • If the graft has multiple lesions and those lesions are in separate skip portions to a different territory, then an additional territory may be claimed. (health.gov.au)
  • 1 , 2 Approximately 50% of coronary aneurysms occurring in the acute stage of this disease were shown to regress within several years, and normal angiographic findings were demonstrated. (bmj.com)
  • On the basis of our own 3-11 and other 12-14 previous studies, we felt there was a need to examine prospectively the long term consequences of regressed coronary aneurysms and normal coronary arteries after Kawasaki disease. (bmj.com)
  • Although IVIG use improves the initial severity of coronary lesions, it does not further modify the long-term fate of coronary aneurysms. (bmj.com)
  • Lack of appropriate treatment leads to coronary artery aneurysms (CAA) in approximately 25% of cases. (rch.org.au)
  • Long-term follow-up of acute changes in coronary artery diameter caused by Kawasaki disease: risk factors for development of stenotic lesions. (esmed.org)
  • However, data regarding the long-term clinical outcomes of IVUS-guided deferral of coronary revascularization are limited. (hindawi.com)
  • An example of appropriate stable staging could include intervention on the primary target lesion and a decision is made not to intervene on secondary lesions (in triple vessel disease) due to the patient's deteriorating haemodynamic status (clinically unsafe to continue). (health.gov.au)
  • Coronary artery fistula is an abnormal connection between one of the coronary arteries and a heart chamber or another blood vessel. (medlineplus.gov)
  • The coronary artery abnormally attaches to one of the chambers of the heart (the atrium or ventricle) or another blood vessel (for example, the pulmonary artery). (medlineplus.gov)
  • The coronary vessel attempts to compensate by progressive enlargement of the ostia and feeding artery. (medscape.com)
  • Mortality, major adverse cardiovascular events (MACEs), target vessel failure, and stent thrombosis (ST) occur more frequently as the result of calcium-mediated poor lesion preparation, stent under expansion, and stent malapposition ( 2 ). (frontiersin.org)
  • It was determined that, compared with nonculprit lesions, precursors of culprit lesions were at shorter distances from the ostium, more frequently localized to vessel bifurcations, and near tortuous vessel segments, according to findings of a nested case-control study published in JAMA Cardiology . (medpagetoday.com)
  • We sought to characterize AGCs of coronary lesions capturing location and vessel geometry on baseline CCTA. (medpagetoday.com)
  • The authors hypothesized that beyond current qualitative and quantitative plaque features associated with risk of future ACS, AGCs, including lesion location and vessel geometry, are independently associated with future ACS-causing culprit lesions. (medpagetoday.com)
  • Additionally, coronary lesions were identified for 3 AGCs: distance from ostium to lesion, location at vessel bifurcation, and vessel tortuosity, which was defined as the presence of 1 bend of greater than 90 degrees or 3 curves of 45 to 90 degrees. (medpagetoday.com)
  • Treatment of coronary intermediate lesions remains a controversy, and the role of arterial remodeling patterns determined by intravascular ultrasound in intermediate lesion is still not well known. (hindawi.com)
  • The aim of this study was to investigate the impact of arterial remodeling of intermediate coronary lesions on long-term clinical outcomes. (hindawi.com)
  • Furthermore, previous studies have shown that arterial remodeling assessed by IVUS in vivo affects hemodynamic stress on the lesion site [ 8 - 10 ] and is correlated with clinical presentation [ 11 , 12 ]. (hindawi.com)
  • The pathophysiology of these lesions is identical, and they are often collectively termed coronary arterial-venous fistulae (CAVFs). (medscape.com)
  • Appropriate therapy during the acute phase of Kawasaki disease to prevent large coronary artery lesions (CAL) has not been established. (esmed.org)
  • Rupture of a coronary artery aneurysm in Kawasaki disease: a rare case and review of the literature for the past 15 years. (esmed.org)
  • 1994. "Report of subcommittee on standardization of diagnostic criteria and reporting of coronary artery lesions in Kawasaki disease. (esmed.org)
  • Expression of PCT, BNP and Inflammatory Factors in Children with Kawasaki Disease and Their Correlation with Coronary Artery Lesions. (bvsalud.org)
  • Kawasaki disease (KD), as one of the most common vascular diseases in children , will cause the risk of coronary artery lesions (CAL) without treatment . (bvsalud.org)
  • Intravascular lithotripsy can improve the results of PCI of calcified coronary lesions with a low rate of periprocedural complications. (frontiersin.org)
  • In a recent study published in Scientific Reports , researchers investigated the performance of a machine learning (ML)-based model in evaluating radiomic features to diagnose coronary artery disease (CAD) and its susceptibility using myocardial perfusion imaging (MPI) single-photon emission computed tomography (SPECT) images. (news-medical.net)
  • Several scoring systems have tried to determine the severity of coronary artery disease (CAD) to investigate the connection between CAD severity and laboratory parameters. (dovepress.com)
  • This new technique may provide a method of evaluating coronary atherosclerotic lesions during coronary artery surgery and aid decisions regarding placement of saphenous vein grafts. (elsevierpure.com)
  • The high concordance of premature coronary artery disease found in monozygotic twin pairs may largely be related to factors that are independent of the macroanatomic distribution of the coronary blood supply. (bmj.com)
  • MAIN OUTCOME MEASURES Distribution of coronary blood supply, diameters and length of proximal coronary arteries. (bmj.com)
  • Stent induced hemodynamic changes in the coronary arteries are associated with higher risk of adverse clinical outcome. (researchgate.net)
  • The aim of this study was to evaluate the outcome of IVL-facilitated PCI in an all-comers population with calcified coronary lesions, focusing on the short- and long-term results related to different uses of IVL in the "real-world" practice. (frontiersin.org)
  • Further studies are needed to investigate the correlation of the coronary score with outcome parameters (eg, death). (dovepress.com)
  • Main outcome measures The acute coronary severities and late outcomes (survival free of coronary aneurysm persistence and ischaemia) were assessed. (bmj.com)
  • Despite improvement in stent technology and operator experience, management can be challenging especially in LMCA bifurcation lesions and, therefore, an integrated approach combining advanced devices, tailored techniques, adjunctive support of physiological evaluation, and adjunctive pharmacological agents should be reinforced to improve clinical outcome. (amrita.edu)
  • The primary outcome was to determine whether lesion level AGCs were associated with progression to ACS-causing culprit lesions. (medpagetoday.com)
  • Coronary artery disease (CAD) tends to progress more rapidly in the type 2 diabetes mellitus (T2DM) population and may be associated with dyslipidemia. (biomedcentral.com)
  • DESIGN Coronary angiographic findings were compared with respect to the distribution of coronary blood supply and the location of coronary lesions. (bmj.com)
  • The included clinical data and coronary angiographic findings were analyzed in the study. (biomedcentral.com)
  • The item number claimed should reflect the number of coronary vascular territories that are treated during the procedure, not the total number of diseased territories. (health.gov.au)
  • Unstable lesions activate blood clotting and/or vascular spasm. (medscape.com)
  • however, if a named coronary artery arises directly from the pulmonary trunk with absence of a direct aortic connection, this is classified as an anomalous origin of the coronary artery from the pulmonary artery . (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)
  • We previously demonstrated that factor XI (FXI) deficiency in mice reduced the atherosclerotic plaque area in coronary sinuses and the aortic arch. (spandidos-publications.com)
  • The results showed that the risk of CAD and multivessel lesions was higher when the aAIP was higher in men with T2DM, and this positive association was not affected by HbA1c, age, or the presence of glucose-lowering therapy. (biomedcentral.com)
  • The DESolve bioresorbable coronary scaffold system achieves good efficacy and safety with low rates of late lumen loss and major coronary adverse events at six months, show first results from the pivotal DESolve Nx trial reported at EuroPCR 2013 today. (escardio.org)
  • Target lesion failure may be more frequent when IVL is performed for the treatment of ISR due to calcium-mediated stent under expansion. (frontiersin.org)
  • Rates of target lesion failure were also similar at nine months (4.8% vs. 5.3%, p=0.47). (escardio.org)
  • The ApoE KO mice developed an advanced atherosclerotic lesion area in the aortic arch, which was reduced by 33% in the DKO mice. (spandidos-publications.com)