Cardiovascular Revascularization Medicine: Interesting Cases最新文献_第4页

Rewiring of the dissected branch along the jailed balloon technique in provisional stenting for true coronary bifurcation lesions 在为真正的冠状动脉分叉病变提供临时支架时，沿囚禁球囊技术重新布线剥离的分支

Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2024-03-19 DOI: 10.1016/j.crmic.2024.100018

Shintaro Izumoto , Kazumasa Kurogi , Kohei Moribayashi , Soichi Komaki , Yunosuke Matsuura , Nobuyasu Yamamoto , Toshihiro Tsuruda , Koichi Kaikita

{"title":"Rewiring of the dissected branch along the jailed balloon technique in provisional stenting for true coronary bifurcation lesions","authors":"Shintaro Izumoto , Kazumasa Kurogi , Kohei Moribayashi , Soichi Komaki , Yunosuke Matsuura , Nobuyasu Yamamoto , Toshihiro Tsuruda , Koichi Kaikita","doi":"10.1016/j.crmic.2024.100018","DOIUrl":"10.1016/j.crmic.2024.100018","url":null,"abstract":"<div><p>Percutaneous coronary intervention for true bifurcation lesions is challenging because they have a poor prognosis due to side branch (SB) complications. The modified jailed balloon technique (MJBT) is useful for significant SB protection. However, even with the MJBT, provisional stenting in true bifurcation lesions does not dispel the risk of SB occlusion because re-crossing the guidewire through the stent struts into the SB remains a challenge, particularly when SB dissection occurs after stent implantation. Recently, the rewiring of dissected branches along the jailed balloon (real JAB) technique has been reported as a bailout method for this issue. We present the first series of successful provisional stenting cases in five patients with true bifurcation lesions using the real JAB technique in combination with the MJBT.</p></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"2 ","pages":"Article 100018"},"PeriodicalIF":0.0,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950275624000145/pdfft?md5=06d056c246d89aa963ae1c5734fd7e3b&pid=1-s2.0-S2950275624000145-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140273408","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

Sensory and motor neuropathy following transradial cardiac catheterization: A rare but potentially disabling complication 经桡动脉心导管术后的感觉和运动神经病变：罕见但可能致残的并发症

Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2024-03-18 DOI: 10.1016/j.crmic.2024.100016

Emilie Fortman , John M. Sadler V , Murti Patel , Sumon Roy , Muhammad S. Pir , Ion S. Jovin

引用次数: 0

A Rare Case of Cannabis-Induced Left Main Coronary Artery Vasospasm: A Case Report and Review of Literature 大麻诱发左冠状动脉主干血管痉挛的罕见病例：病例报告和文献综述

Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2024-03-08 DOI: 10.1016/j.crmic.2024.100015

Hasaan Ahmed , Mahmoud Ismayl , Miranda Heppler , Terezia Petraskova , Omar Kousa , Ann E. Narmi , Toufik Mahfood Haddad

{"title":"A Rare Case of Cannabis-Induced Left Main Coronary Artery Vasospasm: A Case Report and Review of Literature","authors":"Hasaan Ahmed , Mahmoud Ismayl , Miranda Heppler , Terezia Petraskova , Omar Kousa , Ann E. Narmi , Toufik Mahfood Haddad","doi":"10.1016/j.crmic.2024.100015","DOIUrl":"https://doi.org/10.1016/j.crmic.2024.100015","url":null,"abstract":"<div><h3>Background</h3><p>Left main coronary artery vasospasm is rare with a limited number of cases previously reported. Coronary artery vasospasm manifests as chest pain, which can result in acute coronary syndrome, ventricular arrhythmias, and death. While cannabis remains the most abused psychoactive substance, its association with coronary artery vasospasm remains unclear.</p></div><div><h3>Case summary</h3><p>A 46-year-old-female, with a history of recurrent angina and cannabis use, presented with severe chest pain. She suddenly entered ventricular fibrillation and was emergently cardioverted. Electrocardiogram showed ST segment elevations in leads aVR, V1, and V2 with reciprocal changes. Emergent coronary angiography revealed severe spasms of both the left main coronary artery and the left anterior descending artery. Intravenous nitroglycerin was initiated and her coronary artery vasospasms improved.</p></div><div><h3>Discussion</h3><p>Coronary artery vasospasm, due to cannabis, can be attributed to amplified catecholamine release causing vasoconstriction, presenting as decreased blood flow in coronary vessels, and increased myocardial oxygen demand due to a dose-dependent increase in cardiac output. Decreased anginal threshold combined with stimulation of pro-atherogenic CB1 receptors and hyper-sympathetic activity further propagates the risk of acute coronary syndrome.</p></div><div><h3>Conclusion</h3><p>Young patients presenting with coronary artery vasospasm should prompt the exclusion of cannabis as a contributing cause. Further studies are indicated to assess cannabis's impact on coronary vasculature.</p></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"2 ","pages":"Article 100015"},"PeriodicalIF":0.0,"publicationDate":"2024-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S295027562400011X/pdfft?md5=8687938d6410959c940f16e0b1bca260&pid=1-s2.0-S295027562400011X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140160312","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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Migration of an iliac venous stent to the right atrium causing atrial fibrillation 髂静脉支架移位至右心房导致心房颤动

Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2024-03-01 DOI: 10.1016/j.crmic.2024.100012

Dhrashti Parikh , Yasser Jamil , Kassem Farhat , Ehsan Ansari

引用次数: 0

Coronary perforation and simultaneous donor-vessel stent thrombosis during percutaneous coronary intervention 经皮冠状动脉介入治疗过程中的冠状动脉穿孔和供体血管支架同时血栓形成

Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2024-03-01 DOI: 10.1016/j.crmic.2024.100013

Luis A. Areiza , Juan F. Rodriguez

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Watching and testing is better than stenting with closed eyes: A multidisciplinary approach integrating imaging and physiology to manage an ambiguous case of recanalized thrombus 观察和检测胜过闭眼支架置入：结合影像学和生理学的多学科方法处理再通血栓的模糊病例

Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2024-02-29 DOI: 10.1016/j.crmic.2024.100014

Francesca M. Di Muro, Francesco Meucci, Miroslava Stolcova, Francesca Ristalli, Giulia Nardi, Niccolò Ciardetti, Alessio Mattesini, Carlo Di Mario

引用次数: 0

Bailout transcatheter aortic valve implantation for a bicuspid aortic valve with severe mixed aortic valve disease presenting in cardiogenic shock 为出现心源性休克的严重混合主动脉瓣病变的双尖瓣主动脉瓣患者实施保外经导管主动脉瓣植入术

Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2024-02-23 DOI: 10.1016/j.crmic.2024.100011

John Zhu, Jessica Victoria Yao, Harsh V. Thakkar, John Morgan, Matthew Brooks

{"title":"Bailout transcatheter aortic valve implantation for a bicuspid aortic valve with severe mixed aortic valve disease presenting in cardiogenic shock","authors":"John Zhu, Jessica Victoria Yao, Harsh V. Thakkar, John Morgan, Matthew Brooks","doi":"10.1016/j.crmic.2024.100011","DOIUrl":"https://doi.org/10.1016/j.crmic.2024.100011","url":null,"abstract":"<div><p>A 32-year-old male with severe aortic stenosis (AS) and severe aortic regurgitation (AR) due to a partial-fusion bicuspid aortic valve with an aortic annulus area of 917mm<sup>2</sup> was admitted with cardiogenic shock. Transthoracic echocardiography (TTE) demonstrated aortic valve mean gradient (MG) of 73mmHg, peak gradient (PG) 108mmHg, aortic valve area (AVA) 0.4cm<sup>2</sup> and severe eccentric AR. Left ventricular ejection fraction (LVEF) was 16%.</p><p>Following Heart Team review, the patient was deemed unsuitable for surgical aortic valve replacement (SAVR), upfront left-ventricular assist device (LVAD) or extracorporeal membrane oxygenation (ECMO). He therefore underwent transcatheter aortic valve implantation (TAVI).</p><p>A 29mm Edward SAPIEN-3 valve was deployed with balloon dilatation at nominal volume plus 6mL. Anticipated inferior valve shortening did not occur and the implantation was relatively deep as the valve was gripped within the leaflets, resulting in moderate AR through the struts. There was restriction of the superior aspect of valve; thus, post-dilatation was performed at nominal volume plus 8mL, resulting in balloon rupture. Valve migration was noted due to the lemon seeding effect from the restricted superior aspect of the stent frame; thus, a second 29mm S3 valve was implanted and dilated to nominal volume plus 7mL. This resulted in a stable valve position with improvement in AR. The final LVEDP was 16mmHg with an aortic diastolic pressure of 95mmHg. ECMO was not required. TTE at two-months demonstrated mild paravalvular leak (PVL) with LVEF of 56%.</p><p>We demonstrate a successful off-label TAVI in a critically unwell patient with aortic annulus area >900mm<sup>2</sup>.</p></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"2 ","pages":"Article 100011"},"PeriodicalIF":0.0,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950275624000078/pdfft?md5=f92f7dbad03f37f0472400fa2e9fcff0&pid=1-s2.0-S2950275624000078-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140024172","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 laser atherectomy, mechanical thrombectomy, and embolic protection for recanalizing a saphenous vein graft chronic total occlusion 使用激光动脉粥样切除术、机械血栓切除术和栓塞保护技术重新疏通大隐静脉移植慢性全闭塞

Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2024-02-13 DOI: 10.1016/j.crmic.2024.100010

Gauravpal S. Gill , Ahmed Al-Ogaili , Emmanouil S. Brilakis , Raj H. Chandwaney

引用次数: 0

Use of laser atherectomy, mechanical thrombectomy, and embolic protection for recanalizing a saphenous vein graft chronic total occlusion 使用激光动脉粥样切除术、机械血栓切除术和栓塞保护技术重新疏通大隐静脉移植慢性全闭塞

Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2024-02-01 DOI: 10.1016/j.crmic.2024.100010

Gauravpal S. Gill, Ahmed Al-ogaili, E. Brilakis, R. Chandwaney

引用次数: 0

“Eustachian Valvectomy - An unexpected outcome of PFO closure” - A case report of unusual interaction of right atrial filaments with PFO closure device and review of the literature "咽鼓管瓣膜切除术--PFO闭合术的意外结果"--右心房丝与PFO闭合器异常相互作用的病例报告及文献综述

Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2024-01-28 DOI: 10.1016/j.crmic.2024.100009

Surya Teja Chaturvedula , Francis J. Kiernan

{"title":"“Eustachian Valvectomy - An unexpected outcome of PFO closure” - A case report of unusual interaction of right atrial filaments with PFO closure device and review of the literature","authors":"Surya Teja Chaturvedula , Francis J. Kiernan","doi":"10.1016/j.crmic.2024.100009","DOIUrl":"https://doi.org/10.1016/j.crmic.2024.100009","url":null,"abstract":"<div><h3>Objectives</h3><p>This is a case report describing technical challenges due to the presence of a right atrial filamentous structure during implantation of septal occluder in a patient with cryptogenic stroke and patent foramen ovale (PFO).</p></div><div><h3>Background</h3><p>The association of patent Foramen ovale (PFO) and cryptogenic ischemic stroke in young patients has been well described. Eustachian valve remnants (also variably and rather interchangeably referred to as Chiari network in the literature) are vestigial remnants of the sinus venosus and it is often associated with PFO and atrial septal aneurysm. Such filamentous structures can interfere during right heart procedures. Careful peri-procedural evaluation with transesophageal echocardiography (T.E.E) or Intracardiac echocardiography (I.C.E) can help identify and prevent inadvertent complications.</p></div><div><h3>Conclusion</h3><p>Peri-procedural intracardiac imaging is the cornerstone in identifying right atrial filamentous structures during right heart structural procedures, electrophysiology procedures etc. Such guidance and previously described “Pull-Push” technique can avoid undue complications.</p></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"1 ","pages":"Article 100009"},"PeriodicalIF":0.0,"publicationDate":"2024-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950275624000054/pdfft?md5=d1896aeb8c6b3d6e8cf429c4a593a0a0&pid=1-s2.0-S2950275624000054-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139674408","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