Cardiovascular Revascularization Medicine: Interesting Cases最新文献_第2页

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

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

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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