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Cardiovascular Revascularization Medicine: Interesting Cases最新文献

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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
{"title":"Migration of an iliac venous stent to the right atrium causing atrial fibrillation","authors":"Dhrashti Parikh ,&nbsp;Yasser Jamil ,&nbsp;Kassem Farhat ,&nbsp;Ehsan Ansari","doi":"10.1016/j.crmic.2024.100012","DOIUrl":"https://doi.org/10.1016/j.crmic.2024.100012","url":null,"abstract":"<div><p>The field of endovascular procedures has seen notable recent advancements. However, despite being considered an uncommon complication, stent migration is emerging as a growing concern. This case report describes a 56-year-old man who was diagnosed with a new onset of atrial fibrillation in the setting of a migrated iliac vein stent into the right atrium.</p></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"1 ","pages":"Article 100012"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S295027562400008X/pdfft?md5=6b155067d76441b54703d322342d329a&pid=1-s2.0-S295027562400008X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140042414","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
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
{"title":"Coronary perforation and simultaneous donor-vessel stent thrombosis during percutaneous coronary intervention","authors":"Luis A. Areiza ,&nbsp;Juan F. Rodriguez","doi":"10.1016/j.crmic.2024.100013","DOIUrl":"https://doi.org/10.1016/j.crmic.2024.100013","url":null,"abstract":"<div><p>Percutaneous coronary intervention (PCI) for chronic total occlusions (CTOs) is challenging. The complexity of the lesions increases the risk of procedure-related complications. Here, we report a case of a patient who presented with simultaneous donor-vessel stent thrombosis and contained coronary perforation of the septal collateral artery during total occlusion PCI.</p></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"1 ","pages":"Article 100013"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950275624000091/pdfft?md5=ce42a50a316ea19181cc9c86fabd1de5&pid=1-s2.0-S2950275624000091-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140042415","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
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
{"title":"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","authors":"Francesca M. Di Muro,&nbsp;Francesco Meucci,&nbsp;Miroslava Stolcova,&nbsp;Francesca Ristalli,&nbsp;Giulia Nardi,&nbsp;Niccolò Ciardetti,&nbsp;Alessio Mattesini,&nbsp;Carlo Di Mario","doi":"10.1016/j.crmic.2024.100014","DOIUrl":"https://doi.org/10.1016/j.crmic.2024.100014","url":null,"abstract":"<div><p>We report a case of 61-year-old man with an intriguing differential diagnosis between two often interchangeably ambiguous coronary conditions, successfully resolved through the application of OCT and physiological assessments. This clinical scenario highlights the importance of a multidisciplinary approach for achieving a thorough understanding of complex coronary pathologies.</p></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"2 ","pages":"Article 100014"},"PeriodicalIF":0.0,"publicationDate":"2024-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950275624000108/pdfft?md5=c121105d55a2609835795194574a35d2&pid=1-s2.0-S2950275624000108-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140024173","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
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,&nbsp;Jessica Victoria Yao,&nbsp;Harsh V. Thakkar,&nbsp;John Morgan,&nbsp;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 &gt;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
{"title":"Use of laser atherectomy, mechanical thrombectomy, and embolic protection for recanalizing a saphenous vein graft chronic total occlusion","authors":"Gauravpal S. Gill ,&nbsp;Ahmed Al-Ogaili ,&nbsp;Emmanouil S. Brilakis ,&nbsp;Raj H. Chandwaney","doi":"10.1016/j.crmic.2024.100010","DOIUrl":"10.1016/j.crmic.2024.100010","url":null,"abstract":"<div><p>An 80-year-old patient with refractory angina and prior coronary artery bypass graft surgery, was referred for percutaneous coronary intervention (PCI) of a chronically occluded obtuse marginal (OM) artery. PCI of the OM chronic total occlusion (CTO) was attempted using an occluded saphenous vein graft (SVG) as the retrograde conduit. The strategy was aborted due to branch vessel perforation which was rescued by placement of a covered stent across the OM ostium. CTO PCI of the SVG to OM graft was then successfully performed using a novel technique with laser atherectomy, mechanical thrombectomy, and distal occlusion for in-situ embolic protection. The vessel remained patent on repeat angiography at six months.</p></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"1 ","pages":"Article 100010"},"PeriodicalIF":0.0,"publicationDate":"2024-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950275624000066/pdfft?md5=fe1c5ad62d0f60bc23492dc3239f14ee&pid=1-s2.0-S2950275624000066-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139818538","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 : 2024-02-01 DOI: 10.1016/j.crmic.2024.100010
Gauravpal S. Gill, Ahmed Al-ogaili, E. Brilakis, R. Chandwaney
{"title":"Use of laser atherectomy, mechanical thrombectomy, and embolic protection for recanalizing a saphenous vein graft chronic total occlusion","authors":"Gauravpal S. Gill, Ahmed Al-ogaili, E. Brilakis, R. Chandwaney","doi":"10.1016/j.crmic.2024.100010","DOIUrl":"https://doi.org/10.1016/j.crmic.2024.100010","url":null,"abstract":"","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139878348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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 ,&nbsp;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
Avulsion of the native aortic valve leaflet following transcatheter aortic valve replacement: A dreaded complication 经导管主动脉瓣置换术后原生主动脉瓣叶撕脱：可怕的并发症
Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2024-01-24 DOI: 10.1016/j.crmic.2024.100008
Surya Teja Chaturvedula , Anjali Sharma , Francis Kiernan
{"title":"Avulsion of the native aortic valve leaflet following transcatheter aortic valve replacement: A dreaded complication","authors":"Surya Teja Chaturvedula ,&nbsp;Anjali Sharma ,&nbsp;Francis Kiernan","doi":"10.1016/j.crmic.2024.100008","DOIUrl":"10.1016/j.crmic.2024.100008","url":null,"abstract":"<div><p>A 76-year-old man with severe symptomatic aortic stenosis with low surgical risk underwent Transcatheter Aortic Valve Replacement (TAVR). This was complicated by avulsed native aortic valve leaflet posing a unique management dilemma. Following extensive multi-disciplinary valve team (MDT) discussion, TAVR valve was explanted, and surgical aortic valve replacement was performed.</p></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"1 ","pages":"Article 100008"},"PeriodicalIF":0.0,"publicationDate":"2024-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950275624000042/pdfft?md5=8b9eaf1f2cbd386427a2dd17f28405ab&pid=1-s2.0-S2950275624000042-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139634560","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
Intravascular ultrasound-guided retrograde dissection and reentry using a Conquest Pro 12 Sharpened Tip in a case of coronary chronic total occlusion 在一例冠状动脉慢性全闭塞病例中使用 Conquest Pro 12 锐化尖端进行血管内超声引导逆行剥离和再通术
Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2024-01-14 DOI: 10.1016/j.crmic.2024.100007
Shuichi Yoneda, Kota Murai, Yasuhide Asaumi, Teruo Noguchi
{"title":"Intravascular ultrasound-guided retrograde dissection and reentry using a Conquest Pro 12 Sharpened Tip in a case of coronary chronic total occlusion","authors":"Shuichi Yoneda,&nbsp;Kota Murai,&nbsp;Yasuhide Asaumi,&nbsp;Teruo Noguchi","doi":"10.1016/j.crmic.2024.100007","DOIUrl":"10.1016/j.crmic.2024.100007","url":null,"abstract":"<div><p>The Conquest Pro 12 Sharpened Tip (CP12ST) is a novel guidewire used in intervention for coronary chronic total occlusion, with strong penetration force for hard plaques. Antegrade dissection and reentry techniques using the CP12ST have been reported, and their success and safety have been established. This report describes successful retrograde dissection and reentry using the CP12ST under intravascular ultrasound guidance in a situation in which reverse controlled antegrade and retrograde tracking was difficult to perform.</p></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"1 ","pages":"Article 100007"},"PeriodicalIF":0.0,"publicationDate":"2024-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950275624000030/pdfft?md5=311a84aba35eef368a12c79ca5079886&pid=1-s2.0-S2950275624000030-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139539192","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
Vascular healing following subintimal tracking and reentry for chronic total occlusion percutaneous coronary intervention 慢性全闭塞经皮冠状动脉介入治疗的内膜下追踪和再通后的血管愈合
Cardiovascular Revascularization Medicine: Interesting Cases Pub Date : 2024-01-12 DOI: 10.1016/j.crmic.2024.100006
Jesse A. Kane , Jasleen Tiwana , William L. Lombardi , Lorenzo Azzalini
{"title":"Vascular healing following subintimal tracking and reentry for chronic total occlusion percutaneous coronary intervention","authors":"Jesse A. Kane ,&nbsp;Jasleen Tiwana ,&nbsp;William L. Lombardi ,&nbsp;Lorenzo Azzalini","doi":"10.1016/j.crmic.2024.100006","DOIUrl":"https://doi.org/10.1016/j.crmic.2024.100006","url":null,"abstract":"<div><p>A 78-year-old man with angina and ischemic cardiomyopathy presented for LAD CTO PCI. After several failed techniques, the LAD was recanalized with subintimal tracking and reentry (STAR) with subsequent balloon angioplasty of the false lumen. No stent was deployed and the patient did not follow-up for 10-months for definitive PCI. On follow-up, IVUS findings suggested the presence of a new external elastic lamina in the false lumen (side-by-side to the true lumen), indicating favorable healing. PCI was performed with an excellent angiographic result. Our case highlights a mechanism of vascular healing following dissection and re-entry-based recanalization of an LAD CTO.</p></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"1 ","pages":"Article 100006"},"PeriodicalIF":0.0,"publicationDate":"2024-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950275624000029/pdfft?md5=8cdb62b0b66a3112b62bb15ca2e30550&pid=1-s2.0-S2950275624000029-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139487535","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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