Coronary artery disease最新文献_第4页

True lumen reentry and extravascular recanalization in chronic total occlusion percutaneous coronary intervention. 慢性全闭塞经皮冠状动脉介入治疗中的真腔再通及血管外再通术。

IF 2 4区医学

Coronary artery disease Pub Date : 2025-09-01 Epub Date: 2025-07-30 DOI: 10.1097/MCA.0000000000001432

Junyan Zhang, Minggang Zhou, Zhongxiu Chen, Yong He

引用次数: 0

Arteria lusoria: a rare challenge to coronary angiography. 动脉肥大：冠状动脉造影的罕见挑战。

IF 2 4区医学

Coronary artery disease Pub Date : 2025-09-01 Epub Date: 2025-02-11 DOI: 10.1097/MCA.0000000000001511

Anderson Ariaga, Pradnya Brijmohan Bhattad, Eddison Ramsaran

引用次数: 0

Coronary artery aneurysm of ambiguous origin at the left main bifurcation: a rare conundrum. 起源不明的左主分叉冠状动脉瘤：罕见的难题。

IF 2 4区医学

Coronary artery disease Pub Date : 2025-09-01 Epub Date: 2025-07-30 DOI: 10.1097/MCA.0000000000001513

Pradnya Brijmohan Bhattad, Joseph C Hannan

引用次数: 0

Left main coronary artery atresia: an extremely rare albeit lethal congenital coronary anomaly. 左主干冠状动脉闭锁：一种极为罕见但致命的先天性冠状动脉异常。

IF 2 4区医学

Coronary artery disease Pub Date : 2025-09-01 Epub Date: 2025-03-24 DOI: 10.1097/MCA.0000000000001518

Charalampos Varlamos, Iosif Xenogiannis, Maria A Mademli, Vasilios D Kollias, Loukianos S Rallidis

引用次数: 0

Cooling the forearm puncture site following transradial cardiac catheterization or percutaneous coronary intervention: the hemostatic 'Cryoband' pilot study. 经桡动脉心导管置入术或经皮冠状动脉介入治疗后冷却前臂穿刺部位：止血“冷冻带”先导研究。

IF 2 4区医学

Coronary artery disease Pub Date : 2025-09-01 Epub Date: 2025-04-29 DOI: 10.1097/MCA.0000000000001530

Guy F A Prado, Alexandre A Aquino, Fabio Conejo, Sandro M Faig, Alexandre Sposito, Diego Garcia, Pedro Gabriel Melo de Barros E Silva, Flavio L Ribichini, Expedito E Ribeiro, Henrique B Ribeiro

{"title":"Cooling the forearm puncture site following transradial cardiac catheterization or percutaneous coronary intervention: the hemostatic 'Cryoband' pilot study.","authors":"Guy F A Prado, Alexandre A Aquino, Fabio Conejo, Sandro M Faig, Alexandre Sposito, Diego Garcia, Pedro Gabriel Melo de Barros E Silva, Flavio L Ribichini, Expedito E Ribeiro, Henrique B Ribeiro","doi":"10.1097/MCA.0000000000001530","DOIUrl":"10.1097/MCA.0000000000001530","url":null,"abstract":"Background: The transradial approach in percutaneous coronary procedures has become the primary vascular access worldwide. Cryotherapy is frequently used to promote analgesia and vasoconstriction. This study aimed to evaluate the safety of forearm puncture site cooling using the novel hemostatic Cryoband protocol.Methods: The proposed protocol modifies pneumatic wristband devices by incorporating a cooling plate of frozen gel on the forearm, situated beneath the air cuff. This is a pilot, prospective, single-arm study involving 100 patients. The primary endpoints were device success and time to hemostasis. The safety secondary endpoints included (a) hematomas [early discharge after transradial stenting of coronary arteries (EASY)] and bleeding (Bleeding Academic Research Consortium); (b) radial artery patency predischarge; (c) numerical rating scale for pain; and (d) frostbite burns.Results: The study involved 106 procedures (84 for diagnosis and 22 for interventions) and demonstrated a 100% success rate for the device. The median time to hemostasis was 95 min (IQR: 90-110 min) for diagnostic procedures and 180 min (IQR: 160-210 min) for interventions. In-hospital outcomes indicated no hematomas exceeding EASY grade II, a 2% incidence of radial artery occlusion, a pain score of zero in 90% of cases, and no instances of frostbite burns. After a median follow-up of 9 days, no adverse clinical events were reported, and most patients (91.5%) did not experience bleeding.Conclusion: Cooling the forearm puncture site with the novel Cryoband protocol was safe and effective. Further randomized studies are warranted to assess its potential clinical benefit over the standard technique.","PeriodicalId":10702,"journal":{"name":"Coronary artery disease","volume":" ","pages":"504-509"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143955436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Thrombotic calcified aneurysm in a child with Kawasaki disease at 4 years of follow-up. 川崎病患儿血栓性钙化动脉瘤4年随访

IF 2 4区医学

Coronary artery disease Pub Date : 2025-09-01 Epub Date: 2024-12-18 DOI: 10.1097/MCA.0000000000001480

Manphool Singhal, Rakesh Kumar Pilania, Pallavi L Nadig, Tarun Sidhant, Surjit Singh

引用次数: 0

Treatment of a coronary calcified nodule with a combined rotational atherectomy and intravascular lithotripsy: the usefulness of intravascular ultrasound. 用旋转动脉粥样硬化切除术和血管内碎石术联合治疗冠状动脉钙化结节：血管内超声的作用。

IF 2 4区医学

Coronary artery disease Pub Date : 2025-09-01 Epub Date: 2024-10-24 DOI: 10.1097/MCA.0000000000001442

Esther Papiol, Kristian Rivera, Isabel Hernández-Martín, Juan Casanova-Sandoval, Diego Fernández-Rodríguez

引用次数: 0

Comparing distal and proximal radial access for percutaneous coronary intervention and angiography: a comprehensive meta-analysis and systematic review of randomized controlled trials. 比较经皮冠状动脉介入治疗和血管造影的远端和近端桡动脉通路：一项随机对照试验的综合荟萃分析和系统综述。

IF 2 4区医学

Coronary artery disease Pub Date : 2025-09-01 Epub Date: 2024-12-24 DOI: 10.1097/MCA.0000000000001489

Mostafa Adel T Mahmoud, Nada G Hamam, Thoria I Essa Ghanm, Ahmed Khaled, Ahmed S A Osman, Ahmad Beddor, Islam Mohsen Elhaddad, Afnan Ismail Ibrahim

{"title":"Comparing distal and proximal radial access for percutaneous coronary intervention and angiography: a comprehensive meta-analysis and systematic review of randomized controlled trials.","authors":"Mostafa Adel T Mahmoud, Nada G Hamam, Thoria I Essa Ghanm, Ahmed Khaled, Ahmed S A Osman, Ahmad Beddor, Islam Mohsen Elhaddad, Afnan Ismail Ibrahim","doi":"10.1097/MCA.0000000000001489","DOIUrl":"10.1097/MCA.0000000000001489","url":null,"abstract":"Background: Distal radial access (DRA) through the anatomical snuff-box is a novel technique for coronary procedures. Emerging evidence suggests that DRA is associated with a lower risk of certain complications compared to proximal radial access (PRA).Methods: A systematic review was conducted to compare clinical and procedural outcomes between both access sites for coronary angiography and percutaneous coronary intervention. We searched PubMed , Web of Science , Cochrane , and Scopus to identify relevant randomized controlled trials.Results: We included 23 randomized controlled trials enrolling 10 062 patients (DRA group: 5042; PRA group: 5020) in this review. DRA was associated with a lower risk for radial artery occlusion (RAO) at the longest reported follow-up [risk ratio (RR): 0.30, P < 0.00001], in-hospital RAO (RR: 0.28, P < 0.00001), any bleeding (RR: 0.40, P = 0.04), hand clumsiness (RR: 0.05, P < 0.00001), and shorter time to hemostasis [mean difference (MD): -40.93, P < 0.00001]. However, DRA showed a higher access failure rate (RR = 2.64, P < 0.00001), longer access time (MD = 0.77, P < 0.00001), more puncture attempts (MD: 0.60, P < 0.0001), and greater access-related pain [standardized mean difference (SMD) = 0.23, P = 0.02]. Both approaches were comparable in terms of major adverse cardiac events (RR = 0.74, P = 0.60), and hand function (SMD = -0.05, P = 0.68).Conclusion: DRA is a safe alternative to PRA for coronary procedures, with a lower risk of complications, including RAO. However, it is limited by access-related challenges.","PeriodicalId":10702,"journal":{"name":"Coronary artery disease","volume":" ","pages":"e1-e11"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142876544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of ticagrelor and clopidogrel in primary percutaneous coronary intervention patients: a single-center retrospective study. 替格瑞洛和氯吡格雷在原发性经皮冠状动脉介入治疗患者中的比较：一项单中心回顾性研究。

IF 2 4区医学

Coronary artery disease Pub Date : 2025-09-01 Epub Date: 2025-01-22 DOI: 10.1097/MCA.0000000000001506

Yufeng Yan, Haimei Xu, Yingying Zhao, Song Lin, Yaguo Zheng

{"title":"Comparison of ticagrelor and clopidogrel in primary percutaneous coronary intervention patients: a single-center retrospective study.","authors":"Yufeng Yan, Haimei Xu, Yingying Zhao, Song Lin, Yaguo Zheng","doi":"10.1097/MCA.0000000000001506","DOIUrl":"10.1097/MCA.0000000000001506","url":null,"abstract":"Background: It is uncertain whether ticagrelor is more effective and safer than clopidogrel in ST-segment elevation myocardial infarction (STEMI) patients in the East Asian population in the real world. This study compared the clinical outcomes of ticagrelor and clopidogrel in STEMI patients undergoing primary percutaneous coronary intervention (PCI).Methods: We retrospectively enrolled 1124 patients diagnosed with STEMI in Nanjing First Hospital from July 2011 to April 2019. Propensity score matching was used to balance baseline covariates between the ticagrelor and clopidogrel groups. The primary efficacy endpoint was all-cause death, and the primary safety endpoint was major bleeding, defined as Bleeding Academic Research Consortium type 3-5 bleeding.Results: We enrolled 1124 STEMI patients in the analysis. After propensity score matching, 420 patients were included in each group. There was a lower incidence of all-cause death in the ticagrelor group when compared with the clopidogrel group during the follow-up (8.3 vs. 17.1%; hazard ratio: 0.481; P < 0.001). Ticagrelor was also associated with reduced myocardial infarction, cardiovascular death, and stent thrombosis. However, no difference was detected in major bleeding. Multivariate Cox regression analysis showed that age, Killip classification, creatinine, low-density lipoprotein, left ventricular ejection fraction, single vessel disease, inhospital intra-aortic balloon pump implantation, β-blockers, and ticagrelor were independent predictive parameters of all-cause death.Conclusion: Compared with clopidogrel, ticagrelor reduced all-cause death but did not increase the incidence of major bleeding in primary PCI patients. Therefore, ticagrelor may be considered a viable substitute for clopidogrel.","PeriodicalId":10702,"journal":{"name":"Coronary artery disease","volume":" ","pages":"e19-e25"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143001633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The unnecessary bypass surgery and the competition between native vessel and surgical graft flow. 不必要的搭桥手术和原生血管与移植血流的竞争。

IF 2 4区医学

Coronary artery disease Pub Date : 2025-09-01 Epub Date: 2024-12-02 DOI: 10.1097/MCA.0000000000001470

Konstantinos C Theodoropoulos, Matthaios Didagelos, Konstantinos Tsakiridis, Charalambos Kakderis, Alexandra Liakopoulou, Elizabeth Psoma, George Kassimis, Antonios Ziakas

引用次数: 0