JACC. Case reports最新文献_第5页

Anomalous Single Coronary Artery From the Pulmonary Artery in a Newborn With Tetralogy of Fallot

JACC. Case reports Pub Date : 2025-02-05 DOI: 10.1016/j.jaccas.2024.103230

Sophia Hsien MD, Oliver M. Barry MD, Julie Glickstein MD, Stéphanie Levasseur MD, Amee M. Shah MD

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Complications of Pulmonary Embolism in a Pediatric Patient

JACC. Case reports Pub Date : 2025-02-05 DOI: 10.1016/j.jaccas.2024.103221

Shruti Patil BSA, BA , Ayesha Zia MD , Julie Fuller MD , Ramya Billa MD , Kara Goss MD , Nicholas D. Andersen MD , Megan Griffiths MD

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Managing a Right Coronary Artery Perforation, Pseudoaneurysm, and the Fight for Patency

JACC. Case reports Pub Date : 2025-02-05 DOI: 10.1016/j.jaccas.2024.103092

Maruf Sarwar MD , Stephen D. Adedokun MD , Keonmin Hwang BA , Mahesh Anantha Narayanan MD

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Transcatheter Aortic Valve Replacement for Degenerative Bioprosthetic Mosaic Valve

JACC. Case reports Pub Date : 2025-02-05 DOI: 10.1016/j.jaccas.2024.103124

Vaibhav J. Bhastana MBBS, MD, DM, Swaroop G. Bharadi MBBS, MD, DNB, Rajeev V. Menon MBBS, MD, DNB, Anuj A. Kapadiya MBBS, MD, DM, Sridevi Chennapragada MBBS, MD, DNB

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Step-by-Step ICE-Guided Aspiration Thrombectomy

JACC. Case reports Pub Date : 2025-02-05 DOI: 10.1016/j.jaccas.2024.103219

Leo Kar Lok Lai MD, Hussayn Alrayes DO, Georgi Fram MD, James C. Lee MD, Bryan Zweig MD, Brian P. O’Neill MD, Tiberio M. Frisoli MD, Pedro Engel Gonzalez MD, William W. O’Neill MD, Pedro A. Villablanca MD

{"title":"Step-by-Step ICE-Guided Aspiration Thrombectomy","authors":"Leo Kar Lok Lai MD, Hussayn Alrayes DO, Georgi Fram MD, James C. Lee MD, Bryan Zweig MD, Brian P. O’Neill MD, Tiberio M. Frisoli MD, Pedro Engel Gonzalez MD, William W. O’Neill MD, Pedro A. Villablanca MD","doi":"10.1016/j.jaccas.2024.103219","DOIUrl":"10.1016/j.jaccas.2024.103219","url":null,"abstract":"<div><h3>Objectives</h3><div>Device-related thrombus (DRT) remains a significant complication in the field of left atrial appendage occlusion (LAAO). In patients who have difficulty tolerating long-term anticoagulation, treatment options are limited. We present a step-by-step intracardiac echocardiography (ICE)–guided AngioVac (AngioDynamics) challenging case in a 71-year-old woman with a gastrointestinal bleeding tendency and a highly mobile thrombus on a Watchman FLX device (Boston Scientific).</div></div><div><h3>Key Steps</h3><div>We obtained a 26-F DrySeal (Gore Medical) venous access, a 15-F extracorporeal membrane oxygenation cannula arterial access, and a 3-dimensional ICE access. We performed a challenging transseptal crossing using an Agilis medium curl catheter (Abbott) and an electrified Astato wire (Asahi Intecc Medical) as a result of a severely hypertrophic lipomatous septum. We snared the ICE catheter across the interatrial septum (IAS) with a 35-mm gooseneck snare in the inferior vena cava. We used a balloon-assisted technique to bring the F-18 AngioVac system across the IAS. The helicoptering technique with a J-wire assisted with suction of the DRT.</div></div><div><h3>Potential Pitfalls</h3><div>Currently, there are no data to support which post-LAAO antithrombotic regimen predicts DRT. For patients who are unable to tolerate long-term anticoagulation, treatment options are limited. To our knowledge, this is the first reported ICE-guided LAAO thrombus aspiration.</div></div><div><h3>Take-Home Messages</h3><div>ICE-guided aspiration thrombectomy of LAAO thrombus is feasible in high-risk patients who cannot tolerate long-term oral anticoagulation and to reduce the risk of clot embolization.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 3","pages":"Article 103219"},"PeriodicalIF":0.0,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143342170","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 a Bare Metal Dissection Stent to Manage Aortic Embolization of a Self-Expanding Valve

JACC. Case reports Pub Date : 2025-02-05 DOI: 10.1016/j.jaccas.2024.103128

Matthew P. Huber MD, MS , Oscar L. Maitas MD , David M. Elison MD , Sara L. Zettervall MD , Matthew P. Sweet MD , James M. McCabe MD , Scott C. DeRoo MD , Christine J. Chung MD

{"title":"Use of a Bare Metal Dissection Stent to Manage Aortic Embolization of a Self-Expanding Valve","authors":"Matthew P. Huber MD, MS , Oscar L. Maitas MD , David M. Elison MD , Sara L. Zettervall MD , Matthew P. Sweet MD , James M. McCabe MD , Scott C. DeRoo MD , Christine J. Chung MD","doi":"10.1016/j.jaccas.2024.103128","DOIUrl":"10.1016/j.jaccas.2024.103128","url":null,"abstract":"<div><h3>Background</h3><div>This paper describes a case of prosthesis embolization during transcatheter aortic valve replacement (TAVR) that was managed with a novel percutaneous strategy.</div></div><div><h3>Case Summary</h3><div>A 77-year-old man with severe trileaflet aortic valve stenosis underwent TAVR with a 29-mm Evolut FX. The valve embolized to the ascending aorta shortly after its release. TAVR was completed with a 23-mm SAPIEN 3 Ultra RESILIA, and a Zenith Dissection Endovascular Stent was deployed through the embolized Evolut FX, pinning the prosthesis to the aortic wall. The patient experienced no neurologic or aortic injury through 30 days of follow-up.</div></div><div><h3>Discussion</h3><div>Because of its use in complicated type B aortic dissection, the bare metal dissection stent is an excellent option for managing embolized prostheses that cannot be repositioned in the descending aorta.</div></div><div><h3>Take-Home Message</h3><div>Deployment of a bare metal dissection stent may be an important rescue strategy for embolized TAVR prostheses.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 3","pages":"Article 103128"},"PeriodicalIF":0.0,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143342165","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

When the Shaft Breaks

JACC. Case reports Pub Date : 2025-02-05 DOI: 10.1016/j.jaccas.2024.103123

Catarina Oliveira MD , Miguel Raposo MD , José Marques da Costa MD , Fausto J. Pinto , João Silva Marques MD

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Complications

JACC. Case reports Pub Date : 2025-02-05 DOI: 10.1016/j.jaccas.2025.103232

Andrea Scotti MD

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Spread the Word

JACC. Case reports Pub Date : 2025-02-05 DOI: 10.1016/j.jaccas.2025.103231

John T. Saxon MD

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Successful Management of a Fractured Microcatheter During Retrograde CTO Intervention

JACC. Case reports Pub Date : 2025-02-05 DOI: 10.1016/j.jaccas.2024.103122

Daoyuan Ren MD , Rende Xu MD , Jia Huang MD , Qing Qin MD , Lu Chen MD , Mengzhang Wu MD , Jianying Ma PhD , Juying Qian PhD , Junbo Ge PhD

{"title":"Successful Management of a Fractured Microcatheter During Retrograde CTO Intervention","authors":"Daoyuan Ren MD , Rende Xu MD , Jia Huang MD , Qing Qin MD , Lu Chen MD , Mengzhang Wu MD , Jianying Ma PhD , Juying Qian PhD , Junbo Ge PhD","doi":"10.1016/j.jaccas.2024.103122","DOIUrl":"10.1016/j.jaccas.2024.103122","url":null,"abstract":"<div><div>We describe the successful management of a 60-year-old male patient with chronic chest pain, a history of hypertension, and previous percutaneous coronary intervention in the right coronary artery. After initial failure with an antegrade approach, a retrograde approach using a 1.7-F APT microcatheter (Instantpass, APT Medical) and guidewires resulted in the fracturing of the microcatheter within the septal branch. The decision was made to leave the fractured device in situ because of its minimal impact on coronary blood flow. Subsequently, the occlusion in the left anterior descending artery was successfully crossed using a CP 8-20 guidewire, and 2 drug-eluting stents were implanted. The patient had a favorable clinical outcome, with no restenosis or recurrence of symptoms at 12-month follow-up. This case highlights the challenges of chronic total occlusion intervention, particularly device fractures, and underscores the importance of tailored decision making and expertise in managing such complications.</div></div>","PeriodicalId":14792,"journal":{"name":"JACC. Case reports","volume":"30 3","pages":"Article 103122"},"PeriodicalIF":0.0,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143341889","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