Cardiovascular Revascularization Medicine: Interesting Cases最新文献

Percutaneous repair of aortic coarctation: Bridging the gap to surgical repair

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

Challenges in managing vascular complications and iatrogenic injuries in end-stage renal disease: A case report 管理终末期肾病血管并发症和先天性损伤的挑战：病例报告

Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2024-11-14 DOI: 10.1016/j.crmic.2024.100049

Javad Jalili, Sarah Vaseghi, Mahdiyeh Baastani Khajeh

引用次数: 0

Abandoned guidewire recapture from aortic root using “Guidewire twirling technique” 利用 "导丝旋转技术 "从主动脉根部夺回被遗弃的导丝

Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2024-11-08 DOI: 10.1016/j.crmic.2024.100048

Stefano Sasso , Marcello Marchetta , Andrea Moretti , Vincenzo Bernardo , Gaetano Chiricolo , Giuseppe Massimo Sangiorgi

{"title":"Abandoned guidewire recapture from aortic root using “Guidewire twirling technique”","authors":"Stefano Sasso , Marcello Marchetta , Andrea Moretti , Vincenzo Bernardo , Gaetano Chiricolo , Giuseppe Massimo Sangiorgi","doi":"10.1016/j.crmic.2024.100048","DOIUrl":"10.1016/j.crmic.2024.100048","url":null,"abstract":"<div><div>Percutaneous coronary intervention (PCI) is a common procedure for treating coronary artery disease, but it can be complicated by the loss and fracture of coronary guidewires within the vascular system, leading to severe complications such as vessel damage, occlusion, and embolization. This case report describes a unique and challenging scenario involving an 81-year-old male patient who, during an elective coronary angiography, was found to have a fractured and partially decoiled coronary guidewire extending from the aortic root to the left subclavian artery. The guidewire had likely been left in place during a previous procedure and was not documented in the patient's medical history. Given the potential for life-threatening complications, including occlusion of the left internal mammary artery graft, a percutaneous retrieval was attempted. Initial efforts using a snare system were unsuccessful. However, the guidewire was successfully retrieved using the “twirling guidewires” technique, which involved entangling the fractured wire with three 0.014-inch guidewires and carefully extracting it through a guide catheter. The patient avoided invasive surgery and was discharged without complications the day after. This case highlights the importance of recognizing and managing lost guidewire fragments using various percutaneous techniques, underscoring the need for interventional cardiologists to be adept in both coronary and peripheral retrieval strategies.</div></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"4 ","pages":"Article 100048"},"PeriodicalIF":0.0,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142657959","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

Inverted left atrial appendage developing after mitral valve replacement surgery 二尖瓣置换手术后出现左房阑尾内翻

Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2024-10-11 DOI: 10.1016/j.crmic.2024.100046

Abdul Rasheed Bahar , Paawanjot Kaur , Manmohan Singh , Shaun Cardozo

引用次数: 0

An enigmatic presentation of surgical bioprosthetic aortic valve stenosis 手术生物人工主动脉瓣狭窄的神秘表现

Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2024-10-01 DOI: 10.1016/j.crmic.2024.100047

Akiva Rosenzveig , Shinya Unai , Venu Menon , Grant W. Reed

引用次数: 0

Conquering acute coronary syndrome in coronary artery ectasia: Thrombus resolution with intracoronary thrombolysis, aspiration thrombectomy, and triple therapy 战胜冠状动脉异位的急性冠状动脉综合征：通过冠状动脉内溶栓、吸入式血栓切除术和三联疗法清除血栓

Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2024-09-18 DOI: 10.1016/j.crmic.2024.100044

Sandeep Kancharla, Matthew Bridges, Christopher Hinson, Alejandro Lemor

引用次数: 0

Saving right radial cardiac catheterization with tortuous subclavian artery using head left turning maneuver for facilitating wire advancement into the ascending aorta 在锁骨下动脉迂曲的情况下，使用头部左转手法将导线推进升主动脉，从而挽救右桡动脉心导管术

Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2024-09-17 DOI: 10.1016/j.crmic.2024.100045

Mohammad Reza Movahed

{"title":"Saving right radial cardiac catheterization with tortuous subclavian artery using head left turning maneuver for facilitating wire advancement into the ascending aorta","authors":"Mohammad Reza Movahed","doi":"10.1016/j.crmic.2024.100045","DOIUrl":"10.1016/j.crmic.2024.100045","url":null,"abstract":"<div><div>Cardiac catheterization via the right radial artery is associated with a lower complication rate and is gaining popularity. However, there are unique challenges that can lead to procedural failure. One of the major challenges is advancing guide wire into the ascending aorta in a very tortuous subclavian artery. The deep inspiratory maneuver is one of the important maneuvers to overcome wire advancement into the aorta. However, in some cases, the wire will enter the descending aorta with great difficulty in repositioning in the ascending aorta. In this case, we describe a case of a very tortuous subclavian artery that prevents wire advancement into the ascending aorta despite repositioning the catheter and performing deep inspiratory maneuvers. However, after instructing the patient to move her head to the left, wire advancement into the ascending aorta was easily achieved. In this case report, an easy-to-perform maneuver is described in these tough situations that can save the procedure that was started via the right radial route.</div></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"4 ","pages":"Article 100045"},"PeriodicalIF":0.0,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950275624000418/pdfft?md5=5ab79eacbf7e1400356819d826cf89d7&pid=1-s2.0-S2950275624000418-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142310863","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

Cardiac tamponade as the first presentation of allograft intolerance of an old transplanted kidney 心肌梗塞是旧肾移植异体不耐受的首发症状

Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2024-09-01 DOI: 10.1016/j.crmic.2024.100040

Grace C. Bloomfield , Bryan J. LeBude , Ramez S.F. Jabaji , Steven R. Potter , Kalyan R. Chitturi , Lowell F. Satler , Ron Waksman , Brian C. Case

引用次数: 0

True lumen wiring in spontaneous coronary artery dissection – Keep it true 自发性冠状动脉夹层的真实管腔布线 - 保持真实

Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2024-09-01 DOI: 10.1016/j.crmic.2024.100036

Giuseppe Colletti , Gabriele Gasparini L. , Mihai Cocoi , Alexandre Natalis , Pierpasquale Leone , Claudiu Ungureanu

引用次数: 0