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Cardiovascular Revascularization Medicine: Interesting Cases最新文献

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Covered aortic stent for primary transcaval closure: Case report 主动脉覆膜支架用于经腔静脉的初次闭合：病例报告
Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2024-05-14 DOI: 10.1016/j.crmic.2024.100027
Ilan Merdler , Kalyan R. Chitturi , Brian C. Case , Lior Lupu , Itsik Ben-Dor , Lowell F. Satler , Ron Waksman , Toby Rogers
{"title":"Covered aortic stent for primary transcaval closure: Case report","authors":"Ilan Merdler ,&nbsp;Kalyan R. Chitturi ,&nbsp;Brian C. Case ,&nbsp;Lior Lupu ,&nbsp;Itsik Ben-Dor ,&nbsp;Lowell F. Satler ,&nbsp;Ron Waksman ,&nbsp;Toby Rogers","doi":"10.1016/j.crmic.2024.100027","DOIUrl":"10.1016/j.crmic.2024.100027","url":null,"abstract":"<div><p>Transcaval transcatheter aortic valve replacement (TAVR) is a well-documented alternative access valve implantation method, wherein a large-bore vascular sheath is inserted into the abdominal aorta through the femoral vein and inferior vena cava, resulting in an aorto-caval tract. Closure of this tract is typically accomplished using nitinol occluder devices. In the rare instance that hemostasis is not achieved with a nitinol occluder, covered stents in the aorta are used for bailout. We present a case in which an aortic covered stent was placed as the primary closure strategy in a patient with a very small abdominal aorta that could not accommodate a nitinol occluder device after transcaval TAVR.</p></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"2 ","pages":"Article 100027"},"PeriodicalIF":0.0,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950275624000236/pdfft?md5=6bd5c99a6ad52a5fc818b1c8d07200cf&pid=1-s2.0-S2950275624000236-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141027532","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
Transcatheter aortic valve replacement complicated by acute aortic insufficiency 经导管主动脉瓣置换术并发急性主动脉瓣关闭不全
Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2024-05-03 DOI: 10.1016/j.crmic.2024.100025
Muhammad Asim Shabbir, Nidhish Tiwari, Poonam Velagapudi
{"title":"Transcatheter aortic valve replacement complicated by acute aortic insufficiency","authors":"Muhammad Asim Shabbir,&nbsp;Nidhish Tiwari,&nbsp;Poonam Velagapudi","doi":"10.1016/j.crmic.2024.100025","DOIUrl":"https://doi.org/10.1016/j.crmic.2024.100025","url":null,"abstract":"<div><p>A 90-year-old male was admitted for heart failure (HF) in the setting of severe aortic stenosis (AS). He underwent transcatheter aortic valve replacement (TAVR) with a 23 mm Edwards Sapien 3 Ultra valve complicated by acute aortic insufficiency (AI) due to prosthetic leaflet immobility. It was successfully treated with valve-in-valve TAVR during the same procedure.</p></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"2 ","pages":"Article 100025"},"PeriodicalIF":0.0,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950275624000212/pdfft?md5=9d8a6d0ba680a9aae5501d80ccf6f2d3&pid=1-s2.0-S2950275624000212-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140951278","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
Use of single large-bore access for transcatheter aortic valve replacement (TAVR) in complex clinical scenarios: A case series 在复杂的临床情况下使用单个大孔通道进行经导管主动脉瓣置换术（TAVR）：病例系列
Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2024-05-03 DOI: 10.1016/j.crmic.2024.100026
Francesco Soriano , Andrea R. Munafò , Claudio Montalto , Stefano Nava , Giuseppe Esposito , Nurcan Baydaroglu , Jacopo A. Oreglia , Stefan Toggweiler
{"title":"Use of single large-bore access for transcatheter aortic valve replacement (TAVR) in complex clinical scenarios: A case series","authors":"Francesco Soriano ,&nbsp;Andrea R. Munafò ,&nbsp;Claudio Montalto ,&nbsp;Stefano Nava ,&nbsp;Giuseppe Esposito ,&nbsp;Nurcan Baydaroglu ,&nbsp;Jacopo A. Oreglia ,&nbsp;Stefan Toggweiler","doi":"10.1016/j.crmic.2024.100026","DOIUrl":"https://doi.org/10.1016/j.crmic.2024.100026","url":null,"abstract":"<div><p>Sometimes secondary vascular access during transfemoral transcatheter aortic valve replacement (TAVR) may be challenging due to hostile vascular anatomy, representing a further source of vascular complications. In such cases, a minimalist approach with single femoral access (“all-in-one” technique) may be performed. Here we describe how to successfully perform the “all-in-one” technique, reporting 3 cases of transfemoral TAVR for which a single-access approach was used to overcome challenges in obtaining secondary arterial access and minimize sources of vascular complications, according to patients' characteristics and procedural aspects.</p></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"2 ","pages":"Article 100026"},"PeriodicalIF":0.0,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950275624000224/pdfft?md5=4b01af72fd8288c08273dbafff84418f&pid=1-s2.0-S2950275624000224-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140844085","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
Home-made dual lumen ‘microcatheter’ – Pierced Balloon Assist technique for bifurcation and CTO lesions 自制双腔 "微导管"--用于分叉和 CTO 病变的穿刺球囊辅助技术
Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2024-05-03 DOI: 10.1016/j.crmic.2024.100023
Najmiddin Makhkamov , Rustem Dautov , Javokhir Anvarov
{"title":"Home-made dual lumen ‘microcatheter’ – Pierced Balloon Assist technique for bifurcation and CTO lesions","authors":"Najmiddin Makhkamov ,&nbsp;Rustem Dautov ,&nbsp;Javokhir Anvarov","doi":"10.1016/j.crmic.2024.100023","DOIUrl":"https://doi.org/10.1016/j.crmic.2024.100023","url":null,"abstract":"<div><p>The Pierced Balloon Assist Technique is a simple, easy-to-use technique for delivery a second guidewire through the true lumen with additional support in the absence of a dual-lumen microcatheter.</p></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"2 ","pages":"Article 100023"},"PeriodicalIF":0.0,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950275624000194/pdfft?md5=802c628b238cfdf60440fb9f4a17a5a3&pid=1-s2.0-S2950275624000194-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140893203","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
A rare complication of percutaneous pulmonary valve implantation, successful implantation of the valve stripped from the delivery system by emergency open surgery, and restored to the delivery system 经皮肺动脉瓣植入术的罕见并发症，通过紧急开放手术成功将瓣膜从输送系统中剥离，并恢复到输送系统中
Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2024-04-29 DOI: 10.1016/j.crmic.2024.100024
Nail Kahraman, Nöfel Ahmet Binicier, Deniz Demir, Gültekin Coşkun
{"title":"A rare complication of percutaneous pulmonary valve implantation, successful implantation of the valve stripped from the delivery system by emergency open surgery, and restored to the delivery system","authors":"Nail Kahraman,&nbsp;Nöfel Ahmet Binicier,&nbsp;Deniz Demir,&nbsp;Gültekin Coşkun","doi":"10.1016/j.crmic.2024.100024","DOIUrl":"https://doi.org/10.1016/j.crmic.2024.100024","url":null,"abstract":"<div><p>In this case report, the successful surgical implantation of a valve separated from the distribution system during percutaneous pulmonary valve implantation in a patient with a history of total surgical correction of tetralogy of Fallot using a transannular patch in childhood and who developed advanced pulmonary valve insufficiency during. This case was shared because it is very rare in the literature.</p></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"2 ","pages":"Article 100024"},"PeriodicalIF":0.0,"publicationDate":"2024-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950275624000200/pdfft?md5=bd7d5244454857f744ac90087cf4b281&pid=1-s2.0-S2950275624000200-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140844086","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
Primary percutaneous coronary intervention in spontaneous coronary dissection (SCAD): Clinical case report of an anterior STEMI patient 自发性冠状动脉夹层（SCAD）的原发性经皮冠状动脉介入治疗：一名前置 STEMI 患者的临床病例报告
Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2024-04-29 DOI: 10.1016/j.crmic.2024.100022
Zhihong Yao, Joel Giblett, Liam Mullen
{"title":"Primary percutaneous coronary intervention in spontaneous coronary dissection (SCAD): Clinical case report of an anterior STEMI patient","authors":"Zhihong Yao,&nbsp;Joel Giblett,&nbsp;Liam Mullen","doi":"10.1016/j.crmic.2024.100022","DOIUrl":"https://doi.org/10.1016/j.crmic.2024.100022","url":null,"abstract":"<div><p>Spontaneous coronary artery dissection (SCAD) is a non-traumatic spontaneous separation of a coronary wall that can present as acute myocardial infarction. Here, we present a 60-year-old female with sudden onset of retrosternal chest pain and ST-segment elevation myocardial infarction (STEMI) secondary to spontaneous dissection of the left anterior descending (LAD) coronary artery. The patient was successfully managed with primary percutaneous coronary angioplasty (PPCI) with advanced coronary intervention techniques including intravascular coronary imaging technology and microcatheter assisted luminal wiring.</p></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"2 ","pages":"Article 100022"},"PeriodicalIF":0.0,"publicationDate":"2024-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950275624000182/pdfft?md5=dc9e8cb2b87d5ca2f398acf1d3bb2ff3&pid=1-s2.0-S2950275624000182-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140844084","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
A “microcatheter anchor technique” to prevent prolapse and facilitate retrograde chronic total occlusion intervention via a retroflexed saphenous vein graft 防止脱垂的 "微导管锚定技术"，有助于通过逆行大隐静脉移植进行逆行慢性全闭塞介入治疗
Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2024-04-15 DOI: 10.1016/j.crmic.2024.100021
M. Bilal Iqbal , Minh Vo , Ram Vijayaraghavan , Benjamin Faurie , Gregor Leibundgut , Mauro Carlino , Stephane Rinfret , Emmanouil S. Brilakis
{"title":"A “microcatheter anchor technique” to prevent prolapse and facilitate retrograde chronic total occlusion intervention via a retroflexed saphenous vein graft","authors":"M. Bilal Iqbal ,&nbsp;Minh Vo ,&nbsp;Ram Vijayaraghavan ,&nbsp;Benjamin Faurie ,&nbsp;Gregor Leibundgut ,&nbsp;Mauro Carlino ,&nbsp;Stephane Rinfret ,&nbsp;Emmanouil S. Brilakis","doi":"10.1016/j.crmic.2024.100021","DOIUrl":"https://doi.org/10.1016/j.crmic.2024.100021","url":null,"abstract":"<div><p>Chronic total occlusion percutaneous coronary intervention has lower success rates in patients with prior coronary artery bypass graft surgery. Patent or occluded bypass grafts serve as conduits for retrograde recanalization, but a common cause of failure is the acute angulated graft insertion making wiring difficult, with recurrent wire and microcatheter prolapse, if not impossible. We present a case with difficult retrograde wiring and tracking around a retroflexed graft insertion site that was successfully addressed using a strategic balloon to anchor the microcatheter – the “microcatheter anchor technique (MAT)”.</p></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"2 ","pages":"Article 100021"},"PeriodicalIF":0.0,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950275624000170/pdfft?md5=ac51c6c0e078284f55cf06c4f4f83842&pid=1-s2.0-S2950275624000170-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140645622","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
The role of non-invasive wireless functional flow reserve physiology assessment of the collaterals-donor vessel in a complex CTO intervention; first case report 无创无线功能性血流储备生理评估在复杂 CTO 干预术中的作用；首例报告
Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2024-04-15 DOI: 10.1016/j.crmic.2024.100020
Mohammed Salih , Ghadi Moubarak , Dinesh Apala , Karim Al-Azizi
{"title":"The role of non-invasive wireless functional flow reserve physiology assessment of the collaterals-donor vessel in a complex CTO intervention; first case report","authors":"Mohammed Salih ,&nbsp;Ghadi Moubarak ,&nbsp;Dinesh Apala ,&nbsp;Karim Al-Azizi","doi":"10.1016/j.crmic.2024.100020","DOIUrl":"https://doi.org/10.1016/j.crmic.2024.100020","url":null,"abstract":"<div><p>We present an interesting case of a 73 years-old male who was referred for mid-right coronary artery (RCA) chronic total occlusion (CTO) intervention given continuous angina symptoms with coronary angiogram revealing mid-RCA CTO with a left to right collaterals from LAD and concomitant moderate stenosis in the mid-LAD. Hemodynamic assessment of this lesion pre-PCI using non-invasive angiogram-based, wireless FFR was performed. Following successful CTO revascularization, a substantial immediate improvement in non-invasive angio-FFR assessment was observed with wireless angio-based FF measurement of 0.96 (normal ≥0.80) compared to the pre-intervention value of 0.86. This suggests that angiography-based wireless FFR may be a valuable tool for assessing the hemodynamic significance of donor artery stenosis in CTO cases, potentially offering a less invasive and more accessible alternative to traditional methods.</p></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"2 ","pages":"Article 100020"},"PeriodicalIF":0.0,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950275624000169/pdfft?md5=ee5a123024292d489052ed495ffb7e51&pid=1-s2.0-S2950275624000169-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140618332","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 intervention of a HeartMate 3 extrinsic outflow graft obstruction using large covered stents 使用大型有盖支架经皮介入治疗 HeartMate 3 外流移植物阻塞
Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2024-03-31 DOI: 10.1016/j.crmic.2024.100019
Anthony J. Kanelidis , AbdulRahman Abutaleb , Sara Kalantari , Jonathan Grinstein , Atman P. Shah
{"title":"Percutaneous intervention of a HeartMate 3 extrinsic outflow graft obstruction using large covered stents","authors":"Anthony J. Kanelidis ,&nbsp;AbdulRahman Abutaleb ,&nbsp;Sara Kalantari ,&nbsp;Jonathan Grinstein ,&nbsp;Atman P. Shah","doi":"10.1016/j.crmic.2024.100019","DOIUrl":"10.1016/j.crmic.2024.100019","url":null,"abstract":"<div><p>A patient with a HeartMate 3 left ventricular assist device complicated by an extrinsic outflow graft obstruction was treated with a percutaneous approach using large covered stents in overlapping fashion from the proximal portion of the outflow graft at the bend relief into the LVAD rotor.</p></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"2 ","pages":"Article 100019"},"PeriodicalIF":0.0,"publicationDate":"2024-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950275624000157/pdfft?md5=31519580f02c71b311574d3702c400fc&pid=1-s2.0-S2950275624000157-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140406762","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
Extraction of irretrievable ruptured balloon during balloon aortic valvuloplasty using a bailout technique 在球囊主动脉瓣成形术中使用保送技术取出无法取出的破裂球囊
Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2024-03-21 DOI: 10.1016/j.crmic.2024.100017
Dan Haberman , Lior Lupu , Toby Rogers , Lowell F. Satler , Ron Waksman , Itsik Ben-Dor
{"title":"Extraction of irretrievable ruptured balloon during balloon aortic valvuloplasty using a bailout technique","authors":"Dan Haberman ,&nbsp;Lior Lupu ,&nbsp;Toby Rogers ,&nbsp;Lowell F. Satler ,&nbsp;Ron Waksman ,&nbsp;Itsik Ben-Dor","doi":"10.1016/j.crmic.2024.100017","DOIUrl":"https://doi.org/10.1016/j.crmic.2024.100017","url":null,"abstract":"<div><p>Balloon rupture during the course of balloon aortic valvuloplasty (BAV) is an uncommon occurrence that can potentially lead to severe complications. We describe a case in which a balloon rupture occurred during BAV, resulting in challenges in retracting the balloon into the sheath. This issue was successfully addressed through an endovascular approach, thereby avoiding the necessity for surgical intervention.</p><p>We present a case and outline key procedural considerations for bailout solutions.</p></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"2 ","pages":"Article 100017"},"PeriodicalIF":0.0,"publicationDate":"2024-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950275624000133/pdfft?md5=b09f29c3f4ef57b0ec94cadd514b34dc&pid=1-s2.0-S2950275624000133-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140320815","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
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