Cardiovascular Revascularization Medicine: Interesting Cases最新文献

Minimally invasive management of bioprosthetic tricuspid valve endocarditis with hemodynamically significant tricuspid stenosis using AngioVac: A case report

Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2025-02-21 DOI: 10.1016/j.crmic.2025.100060

Samantha L. Weller, Katherine Lutz, Colter Wichern, Castigliano M. Bhamidipati, Jeffrey A. Marbach

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Bidirectional biopsy forceps approach for calcified common femoral artery lesion

Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2025-02-01 DOI: 10.1016/j.crmic.2025.100055

Daisuke Yamazaki

{"title":"Bidirectional biopsy forceps approach for calcified common femoral artery lesion","authors":"Daisuke Yamazaki","doi":"10.1016/j.crmic.2025.100055","DOIUrl":"10.1016/j.crmic.2025.100055","url":null,"abstract":"<div><h3>Background</h3><div>In cases of highly calcified lesions of the common femoral artery with intermittent claudication, it is common to try exercise therapy first and, if there is little improvement, to try surgical endarterectomy, but the method of treatment may vary depending on whether a vascular surgeon is available at the same institution. Also, atherectomy devices may not yet be available in some centers. Therefore, an atherectomy is sometimes performed with biopsy forceps for myocardial biopsy of highly calcified lesions in the common femoral artery to the proximal part of the superficial femoral artery.</div></div><div><h3>Case description</h3><div>We report three cases with intermittent claudication in which atherectomy with biopsy forceps was performed for severe calcified lesions of the common femoral artery using a crossover approach from the contralateral femoral artery and a retrograde distal approach from the ipsilateral peripheral side. In all three cases, intermittent claudication and ankle-brachial pressure index improved, and the postoperative course was good without complications.</div></div><div><h3>Conclusions</h3><div>Calcified plaque ablation with biopsy forceps requires many points of caution with off-label use, but the bidirectional approach allows for effective and efficient ablation.</div></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"5 ","pages":"Article 100055"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143144459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Progressive saphenous vein graft aneurysm treated percutaneously after initial failed percutaneous treatment and failed conservative approach: A case report

Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2025-02-01 DOI: 10.1016/j.crmic.2025.100058

Xander Jacquemyn , Karel M. Van Praet , Frank Van Praet , Lieven Maene , Ivan Degrieck

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Successful catheter-based treatment of endoprosthesis related ascending aortic pseudoaneurysm, a case report

Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2025-02-01 DOI: 10.1016/j.crmic.2024.100054

Arnoldo E. Loáisiga Sáenz, Norman Said Vega, Gian-Manuel Jiménez-Rodríguez, Guering Eid-Lidt

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Concurrent cardio-cerebral infarction: Case report and current management strategies

Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2025-02-01 DOI: 10.1016/j.crmic.2025.100056

Marc El Khoury , Louay Zaghlol , Kalyan R. Chitturi , Hayder D. Hashim , Ron Waksman

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Therapeutic patent foramen ovale closure in a 92-year-old patient

Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2025-02-01 DOI: 10.1016/j.crmic.2024.100053

Akhil Avunoori Chandra , Matteo Sturla , Andrea Scotti , Antonella Millin , Victoria B. Leonichev , Edwin C. Ho , Azeem Latib

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Outcomes of an enhanced percutaneous coronary intervention combining orbital and rotational atherectomy for calcified lesions: A case series report

Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2025-02-01 DOI: 10.1016/j.crmic.2025.100057

Daisuke Kanda, Kenta Ohmure, Daichi Fukumoto, Hirokazu Shimono, Hiroyuki Tabata, Nobuhiro Ito, Mitsuru Ohishi

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BTS (balloon-trap straightening) technique for the completion of reversed wire technique

Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2025-02-01 DOI: 10.1016/j.crmic.2024.100052

Hirofumi Kusumoto, Katsuyuki Hasegawa, Kasumi Ishibuchi, Wataru Yamamoto

{"title":"BTS (balloon-trap straightening) technique for the completion of reversed wire technique","authors":"Hirofumi Kusumoto, Katsuyuki Hasegawa, Kasumi Ishibuchi, Wataru Yamamoto","doi":"10.1016/j.crmic.2024.100052","DOIUrl":"10.1016/j.crmic.2024.100052","url":null,"abstract":"<div><div>Inserting a guidewire into an extremely angulated side branch (SB) is difficult in percutaneous coronary intervention (PCI). Reversed wire technique (RWT) method was developed to specifically overcome this challenging situation, and it has become common among operators performing PCI. During the procedure of RWT, we sometimes have difficulty in straightening the reversed bend due to lack of intentional control of the RW and fail in an attempt of wire insertion into target branch. BTS (balloon-trap straightening) technique is a novel method we developed to facilitate straightening the reverse bend. It consists of the following steps: 1) Extracting a dual lumen catheter (DLC). 2) Advancing a balloon via a guidewire of the main vessel and dilating it at the bifurcation to stabilize the RW position. 3) Pulling back the RW gently to straighten the reversed bend while trapping the RW at the bifurcation. 4) Inserting a micro-catheter via the RW to steer the guidewire distally. This technique could be a simple yet effective method to overcome the difficulty of straightening the bend of the reverse wire. It also helps us to save time and effort in accomplishing SB access, even during the treatment of complex bifurcated lesions.</div></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"5 ","pages":"Article 100052"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143144457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Percutaneous repair of aortic coarctation: Bridging the gap to surgical repair 经皮主动脉缩窄修复：弥合手术修复的差距

Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2024-12-01 DOI: 10.1016/j.crmic.2024.100050

Ryan Wallace , Ryan Kabir , Benjamin B. Kenigsberg , Monvadi B. Srichai , Christian C. Shults , Michael Slack , Toby Rogers

引用次数: 0

Percutaneous coronary intervention of ostial left main coronary artery chronic total occlusion 经皮冠状动脉介入治疗左主干冠状动脉慢性全闭塞

Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2024-11-14 DOI: 10.1016/j.crmic.2024.100051

Sreenivas Reddy S , Raghavendra Rao K , Ankit Gupta , Jaspreet Kaur , Vikas Kadiyala , Munish Dev , Manpreet Kaur

{"title":"Percutaneous coronary intervention of ostial left main coronary artery chronic total occlusion","authors":"Sreenivas Reddy S , Raghavendra Rao K , Ankit Gupta , Jaspreet Kaur , Vikas Kadiyala , Munish Dev , Manpreet Kaur","doi":"10.1016/j.crmic.2024.100051","DOIUrl":"10.1016/j.crmic.2024.100051","url":null,"abstract":"<div><h3>Background</h3><div>Left main coronary artery (LMCA) chronic total occlusion (CTO) is a rare presentation of atherosclerotic coronary artery disease (CAD). Clinical spectrum of presentations range from angina, heart failure, sudden cardiac arrest to very rarely asymptomatic. Percutaneous coronary intervention (PCI) of a LMCA CTO is technically challenging and complex.</div></div><div><h3>Case summary</h3><div>We report a 60 year old diabetic male who presented with angina on exertion of 2 years with a positive treadmill exercise stress testing. Coronary angiography showed left main coronary artery ostial CTO with retrograde filling of left anterior descending artery (LAD) and left circumflex artery (LCX) via collaterals from right coronary artery (RCA) which was dominant. The J-CTO Score was 2, SYNTAX score was 31 and the EuroSCORE II was 0.55 %. The CTO was successfully revascularized using antegrade wire escalation technique and a left main provisional stenting was performed under intravascular ultrasound (IVUS) guidance.</div></div><div><h3>Discussion</h3><div>Coronary artery bypass surgery is the preferred treatment option for left main chronic total occlusion. The technical advances in wire helps antegrade wire escalation and de-escalation (AWE) strategy. IVUS helped us in identification of strategies to deal with calcification and plaque modification using cutting balloon to further optimization of the stents. The guide catheter extension system (GCES) was utilized to deliver the stents in long, diffuse and calcified coronary segments. Coronary angiography at 1 year showed patent stents.</div></div><div><h3>Conclusion</h3><div>Left main coronary artery (LMCA) chronic total occlusion (CTO) is challenging. AWE strategy is an option for safe revascularisation and IVUS assists in plaque modification along with stent optimisation to achieve good long term outcomes.</div></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"4 ","pages":"Article 100051"},"PeriodicalIF":0.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142699422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0