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Cardiovascular Revascularization Medicine: Interesting Cases最新文献

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Erroneously deployed, old ostial RCA stent, overhanging in the aorta with symptomatic ostial severe ISR, snared, stented and successfully averted single vessel bypass 错误部署，旧的鼻腔RCA支架，悬垂在有症状的鼻腔严重ISR的主动脉，陷阱，支架和成功避免单血管旁路
Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2025-05-28 DOI: 10.1016/j.crmic.2025.100078
Birgurman Singh , Christopher James Murray , Allan Santos Argueta , Usman Baber , Nirmal Kaur
{"title":"Erroneously deployed, old ostial RCA stent, overhanging in the aorta with symptomatic ostial severe ISR, snared, stented and successfully averted single vessel bypass","authors":"Birgurman Singh ,&nbsp;Christopher James Murray ,&nbsp;Allan Santos Argueta ,&nbsp;Usman Baber ,&nbsp;Nirmal Kaur","doi":"10.1016/j.crmic.2025.100078","DOIUrl":"10.1016/j.crmic.2025.100078","url":null,"abstract":"<div><div>We present a complex case of a 77-year-old high-surgical-risk patient with refractory angina due to severe in-stent restenosis (ISR) of a malpositioned right coronary artery (RCA) ostial stent protruding into the Aorta. Despite prior PCIs, including overlapping drug-eluting stents (DES), progressive ISR led to debilitating symptoms. Diagnostic imaging revealed an 8–10 mm aortic overhang of the RCA stent, complicating catheter engagement. A multidisciplinary team pursued percutaneous management to avoid high-risk CABG. Using femoral access and a temporary pacemaker, a malpositioned stent was successfully snared and removed. Subsequent OCT-guided PCI involved distal 3.0 × 32 mm and ostial 3.5 × 16 mm PROMUS DES deployment, optimized with intravascular imaging. The procedure restored TIMI III flow, resolving symptoms without complications. This case demonstrates the successful percutaneous retrieval and imaging-guided PCI for aortic-ostial ISR, highlighting the importance of careful planning, advanced interventional techniques, and a multidisciplinary approach to minimize the need for invasive surgery in high-risk patients.</div></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"8 ","pages":"Article 100078"},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144178301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pneumopericardium after pericardiocentesis 心包穿刺后心包充血
Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2025-05-15 DOI: 10.1016/j.crmic.2025.100077
Giuseppe Andò, Alessio Villari, Giulia Cavolina, Olimpia Trio
{"title":"Pneumopericardium after pericardiocentesis","authors":"Giuseppe Andò,&nbsp;Alessio Villari,&nbsp;Giulia Cavolina,&nbsp;Olimpia Trio","doi":"10.1016/j.crmic.2025.100077","DOIUrl":"10.1016/j.crmic.2025.100077","url":null,"abstract":"<div><div>Pericardial effusion is a common clinical finding that can arise from a wide range of etiologies, including infections, malignancies, autoimmune disorders, and iatrogenic causes. Management often requires pericardiocentesis, particularly when large effusions cause hemodynamic compromise or diagnostic clarification is necessary. While pericardiocentesis is generally a safe procedure when performed under imaging guidance, complications can still occur, particularly in elderly patients or those receiving anticoagulation therapy. One rare but important complication is pneumopericardium—the presence of air within the pericardial space—which may result in serious consequences such as cardiac tamponade or pericardial irritation if not promptly recognized and managed.</div></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"7 ","pages":"Article 100077"},"PeriodicalIF":0.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144070135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Use of lithotripsy (IVL) in severe calcified homograft for optimizing Transcatheter Pulmonary Valve Replacement (TPVR) 经导管肺动脉瓣置换术在重度钙化同种移植物中的应用
Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2025-05-14 DOI: 10.1016/j.crmic.2025.100076
Leo Kar Lok Lai , Hussayn Alrayes , Georgi Fram , James C. Lee , John Dawdy , Bryan Zweig , Gennaro Giustino , Ahmad Jabri , Brian P. O'Neill , Tiberio M. Frisoli , Pedro Engel Gonzalez , William W. O'Neill , Pedro A. Villablanca
{"title":"Use of lithotripsy (IVL) in severe calcified homograft for optimizing Transcatheter Pulmonary Valve Replacement (TPVR)","authors":"Leo Kar Lok Lai ,&nbsp;Hussayn Alrayes ,&nbsp;Georgi Fram ,&nbsp;James C. Lee ,&nbsp;John Dawdy ,&nbsp;Bryan Zweig ,&nbsp;Gennaro Giustino ,&nbsp;Ahmad Jabri ,&nbsp;Brian P. O'Neill ,&nbsp;Tiberio M. Frisoli ,&nbsp;Pedro Engel Gonzalez ,&nbsp;William W. O'Neill ,&nbsp;Pedro A. Villablanca","doi":"10.1016/j.crmic.2025.100076","DOIUrl":"10.1016/j.crmic.2025.100076","url":null,"abstract":"<div><div>Severely calcified pulmonary homografts can reduce the chances of successful transcatheter pulmonary valve replacement (TPVR). The use of intravascular lithotripsy (IVL) may improve calcium modification, increase pliability, and enhance valve expansion. Our two cases demonstrated that IVL-facilitated TPVR is both feasible and safe. Intravascular ultrasound (IVUS) and computed tomography (CT) measurements were crucial in determining the appropriate size of the IVL balloon to optimize contact between the calcified homograft and the IVL balloon. Additionally, the application of a G-Armor covered stent can improve sealing and minimize the risk of perforation.</div></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"7 ","pages":"Article 100076"},"PeriodicalIF":0.0,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144106496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Aortic arch-assisted “Tip-in” technique in coronary intervention for ostial chronic total occlusion 主动脉弓辅助“尖向”技术在口腔慢性全闭塞冠脉介入治疗中的应用
Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2025-05-08 DOI: 10.1016/j.crmic.2025.100072
Michiya Kageyama , Satoshi Koizumi , Koichi Iwamatsu , Tomohisa Sakata , Masateru Kanai , Sawa Takayama , Masahide Aoyagi , Masashi Sakuma , Etsuo Tsuchikane , Shigeru Toyoda , Teruo Inoue
{"title":"Aortic arch-assisted “Tip-in” technique in coronary intervention for ostial chronic total occlusion","authors":"Michiya Kageyama ,&nbsp;Satoshi Koizumi ,&nbsp;Koichi Iwamatsu ,&nbsp;Tomohisa Sakata ,&nbsp;Masateru Kanai ,&nbsp;Sawa Takayama ,&nbsp;Masahide Aoyagi ,&nbsp;Masashi Sakuma ,&nbsp;Etsuo Tsuchikane ,&nbsp;Shigeru Toyoda ,&nbsp;Teruo Inoue","doi":"10.1016/j.crmic.2025.100072","DOIUrl":"10.1016/j.crmic.2025.100072","url":null,"abstract":"<div><div>Percutaneous coronary intervention (PCI) for ostial chronic total occlusion (CTO) remains technically demanding, and often requires the retrograde approach. We report a case of a 70-year-old man with a history of coronary artery bypass grafting who presented with exertional chest pain. Coronary angiography revealed a CTO at the ostium of the right coronary artery (RCA). Since an antegrade approach was unsuccessful, we performed a retrograde approach via septal collaterals, and then the guidewire successfully crossed the lesion into the aorta. Because we could not prepare an appropriate snare device, however, we employed an aortic arch-assisted “Tip-in” technique, in which the natural curvature and anatomical bias of the aortic arch were utilized to align and advance the retrograde guidewire into the antegrade guiding catheter under orthogonal angiographic guidance. This allowed for successful guidewire externalization and stenting for the RCA lesion. This technique provides a safe, efficient, and cost-effective in selected ostial CTO cases where standard coaxial alignment is difficult and adjunctive devices are not available.</div></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"7 ","pages":"Article 100072"},"PeriodicalIF":0.0,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143950444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A case of acquired coronary cameral fistula mimicking coronary perforation during primary PCI 原发性PCI术中获得性冠状动脉摄像瘘模拟冠状动脉穿孔1例
Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2025-05-08 DOI: 10.1016/j.crmic.2025.100075
Souvik Sardar, Krishna Prasad Akkineni, Sumit Kumar, Aseem Basha, Atit A Gawalkar
{"title":"A case of acquired coronary cameral fistula mimicking coronary perforation during primary PCI","authors":"Souvik Sardar,&nbsp;Krishna Prasad Akkineni,&nbsp;Sumit Kumar,&nbsp;Aseem Basha,&nbsp;Atit A Gawalkar","doi":"10.1016/j.crmic.2025.100075","DOIUrl":"10.1016/j.crmic.2025.100075","url":null,"abstract":"<div><div>Coronary cameral fistulas are rare vascular anomalies, often congenital, with acquired cases being exceedingly uncommon. We report a case of a 73-year-old male presenting with ST-segment elevation anterior wall myocardial infarction (STEMI) complicated by cardiogenic shock. During primary percutaneous coronary intervention (PCI), a contrast blush was noted in the distal left anterior descending artery (LAD), raising suspicion of guidewire-induced coronary perforation which on careful evaluation was an incidentally detected coronary cameral fistula likely related to previous ischemia.</div></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"7 ","pages":"Article 100075"},"PeriodicalIF":0.0,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143921846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A rare case of chronic type II DeBakey aortic dissection complicated by chronic massive pericardial effusion and cardiac tamponade 慢性II型DeBakey主动脉夹层合并慢性大量心包积液及心包填塞一例
Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2025-05-08 DOI: 10.1016/j.crmic.2025.100071
Nail Kahraman, Nöfel Ahmet Binicier
{"title":"A rare case of chronic type II DeBakey aortic dissection complicated by chronic massive pericardial effusion and cardiac tamponade","authors":"Nail Kahraman,&nbsp;Nöfel Ahmet Binicier","doi":"10.1016/j.crmic.2025.100071","DOIUrl":"10.1016/j.crmic.2025.100071","url":null,"abstract":"<div><div>An 88-year-old female patient with a history of hypertension and asthma presented to the emergency department with progressive dyspnea worsening with exertion, orthopnea, severe fatigue, and peripheral edema for the past four months. Her symptoms had not responded to bronchodilators. Echocardiography and contrast-enhanced thoracic CT revealed aortic valve regurgitation, an ascending aortic aneurysm with Type II aortic dissection, massive serous pericardial effusion causing tamponade, and bilateral pleural effusion. The patient underwent successful surgical intervention. We report a rare case of chronic Type II aortic dissection leading to cardiac tamponade, associated with an ascending aortic aneurysm, aortic valve regurgitation, and chronic massive serous pericardial effusion, a combination rarely documented in the literature.</div></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"7 ","pages":"Article 100071"},"PeriodicalIF":0.0,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143929197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Percutaneous treatment of aortic prosthesis with dual dysfunction: A case report 经皮治疗双功能障碍主动脉假体1例
Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2025-05-06 DOI: 10.1016/j.crmic.2025.100073
Carmen Lluch Requerey , Alba Abril Molina , Miguel Ángel Montilla Garrido , Elena Izaga Torralba , Jessica Roa Garrido , Óscar Lagos Degrande , Santiago Camacho Freire , José Francisco Díaz Fernández , Antonio Enrique Gómez Menchero
{"title":"Percutaneous treatment of aortic prosthesis with dual dysfunction: A case report","authors":"Carmen Lluch Requerey ,&nbsp;Alba Abril Molina ,&nbsp;Miguel Ángel Montilla Garrido ,&nbsp;Elena Izaga Torralba ,&nbsp;Jessica Roa Garrido ,&nbsp;Óscar Lagos Degrande ,&nbsp;Santiago Camacho Freire ,&nbsp;José Francisco Díaz Fernández ,&nbsp;Antonio Enrique Gómez Menchero","doi":"10.1016/j.crmic.2025.100073","DOIUrl":"10.1016/j.crmic.2025.100073","url":null,"abstract":"","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"7 ","pages":"Article 100073"},"PeriodicalIF":0.0,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143935738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
When extensive and hostile calcification in the aortic valve may impact a TAVR procedure 当主动脉瓣广泛的恶性钙化可能影响TAVR手术时
Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2025-05-06 DOI: 10.1016/j.crmic.2025.100074
Konstantinos Stathogiannis, Michalis Chrissoheris, Kyriakos Katsianos, Dionysios Aravantinos, Giota Kourkoveli, Eliana Kappelidou, Konstantinos Spargias
{"title":"When extensive and hostile calcification in the aortic valve may impact a TAVR procedure","authors":"Konstantinos Stathogiannis,&nbsp;Michalis Chrissoheris,&nbsp;Kyriakos Katsianos,&nbsp;Dionysios Aravantinos,&nbsp;Giota Kourkoveli,&nbsp;Eliana Kappelidou,&nbsp;Konstantinos Spargias","doi":"10.1016/j.crmic.2025.100074","DOIUrl":"10.1016/j.crmic.2025.100074","url":null,"abstract":"","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"7 ","pages":"Article 100074"},"PeriodicalIF":0.0,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143921845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Late complete detachment and embolization of a Pascal device used for mitral repair 用于二尖瓣修复的Pascal装置的晚期完全脱离和栓塞
Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2025-05-02 DOI: 10.1016/j.crmic.2025.100070
Adedayo Esan, Rajesh Varma, Eunice Onwordi, Benoy Nalin Shah, Paul Diprose, Peter Wicks, Clifford Barlow, James Wilkinson, Michael Mahmoudi
{"title":"Late complete detachment and embolization of a Pascal device used for mitral repair","authors":"Adedayo Esan,&nbsp;Rajesh Varma,&nbsp;Eunice Onwordi,&nbsp;Benoy Nalin Shah,&nbsp;Paul Diprose,&nbsp;Peter Wicks,&nbsp;Clifford Barlow,&nbsp;James Wilkinson,&nbsp;Michael Mahmoudi","doi":"10.1016/j.crmic.2025.100070","DOIUrl":"10.1016/j.crmic.2025.100070","url":null,"abstract":"<div><div>A 55-year-old woman, who had undergone mitral transcatheter edge-to-edge repair using a Pascal ACE device 8-month earlier on a background of modified Bentall's procedure, presented to the emergency department with pulmonary oedema. A transoesophageal echocardiogram revealed severe mitral regurgitation, detachment of the Pascal device and dislodgement within the aortic valve prosthesis. Following Heart Team review, the patient underwent emergency mitral valve replacement and removal of the Pascal device. This case highlights an extremely rare complication of mitral transcatheter edge-to-edge repair and the need for emergency surgery even in patients who have been previously considered high-risk for cardiac surgery.</div></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"7 ","pages":"Article 100070"},"PeriodicalIF":0.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143907045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Concomitant balloon mitral and tricuspid valvuloplasty using a single Sym balloon 用单个Sym球囊合并二尖瓣和三尖瓣成形术
Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2025-04-16 DOI: 10.1016/j.crmic.2025.100069
Souvik Sardar, Krishna Prasad Akkineni, Alaina Zameer, Sourabh Agstam, Sumit Kumar, Atit A Gawalkar
{"title":"Concomitant balloon mitral and tricuspid valvuloplasty using a single Sym balloon","authors":"Souvik Sardar,&nbsp;Krishna Prasad Akkineni,&nbsp;Alaina Zameer,&nbsp;Sourabh Agstam,&nbsp;Sumit Kumar,&nbsp;Atit A Gawalkar","doi":"10.1016/j.crmic.2025.100069","DOIUrl":"10.1016/j.crmic.2025.100069","url":null,"abstract":"<div><div>A 31-year-old male with severe rheumatic mitral and tricuspid stenosis presented with NYHA class III dyspnea and pedal edema. Echocardiography confirmed severe mitral (MVA: 0.7 cm<sup>2</sup>, MVG: 8.5 mmHg) and tricuspid stenosis (TVG: 5 mmHg). He underwent sequential balloon mitral and tricuspid valvuloplasty using a single Sym balloon following which the MVG reduced to 5.5 mmHg, MVA increased to 1.3 cm<sup>2</sup>, and TVG reduced to 3.5 mmHg. The patient had significant symptomatic improvement and remained clinically stable at one-month follow-up. This case discusses the considerations for planning, feasibility and efficacy of concurrent balloon valvuloplasty in appropriately selected patients.</div></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"7 ","pages":"Article 100069"},"PeriodicalIF":0.0,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143842750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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