Pakistan Journal of Cardiovascular Intervention最新文献_第2页

Frequency and Pattern of Left Main Stem Stenosis in Patients Undergoing Coronary Angiography. 冠状动脉造影患者左主干狭窄的频率和模式。

Pakistan Journal of Cardiovascular Intervention Pub Date : 2022-12-01 DOI: 10.58889/pjcvi.3.37.41

Kashif Ali Hashmi, A. Akhtar, Adeeba Ishfaq, Muhammad Sohail Saleemi, Hafiz Muhammad Abdul Kabeer

引用次数: 0

Nightmare of Coronary Wire Loop Jail from Side Branch to Main Vessel during Primary Percutaneous Coronary Interventions 初次经皮冠状动脉介入治疗时从侧支到主血管的冠状动脉钢丝环监禁梦魇

Pakistan Journal of Cardiovascular Intervention Pub Date : 2022-06-01 DOI: 10.58889/pjcvi.2.35.39

Mukesh Kumar, Muhammad Naeem Mengal, Taimur Asif Ali, Rizwan Qurban Ali Khawaja

{"title":"Nightmare of Coronary Wire Loop Jail from Side Branch to Main Vessel during Primary Percutaneous Coronary Interventions","authors":"Mukesh Kumar, Muhammad Naeem Mengal, Taimur Asif Ali, Rizwan Qurban Ali Khawaja","doi":"10.58889/pjcvi.2.35.39","DOIUrl":"https://doi.org/10.58889/pjcvi.2.35.39","url":null,"abstract":"Background: Guide wire breakage and entrapment inside the coronary circulation are rare but extremely dangerous complications of coronary intervention that can be life-threatening by resulting in embolization of thrombi, perforation of the coronary vasculature, and thrombus development. \u0000Case Presentation: A male patient who developed a complication of left circumflex artery guide wire looped and trapped under left anterior descending artery (LAD) stent during Primary PCI and went for emergency cardiac surgery for removal. \u0000Management & Results: Guide wire entrapment during the intervention should always consider this as a risk factor, especially when intervening in the tortuous coronary vasculature, and it is important to keep several wires, snare wires, and a surgical team on board as a backup. \u0000Conclusion: Although guide wire entanglement infrequently occurs during interventions, interventionists should always be on the lookout for it, especially in patients with convoluted coronary arteries. Before working on these patient's coronary arteries, it's essential to have a surgical team, lots of wires, and snare wires on hand. These preventative measures may be effective in reducing death and morbidity under adverse conditions.","PeriodicalId":438573,"journal":{"name":"Pakistan Journal of Cardiovascular Intervention","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129520990","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

Percutaneous transluminal mitral valve commissurotomy Via Veno-Arterial loop method. 经静脉-动脉环法经皮二尖瓣腔内合并术。

Pakistan Journal of Cardiovascular Intervention Pub Date : 2022-06-01 DOI: 10.58889/pjcvi.2.45.49

S. Zeb, Muhammad Ishaq Khan, Ijaz Hussain

{"title":"Percutaneous transluminal mitral valve commissurotomy Via Veno-Arterial loop method.","authors":"S. Zeb, Muhammad Ishaq Khan, Ijaz Hussain","doi":"10.58889/pjcvi.2.45.49","DOIUrl":"https://doi.org/10.58889/pjcvi.2.45.49","url":null,"abstract":"Background: Since its inception in 1984 by Inoue and colleagues, percutaneous trans venous mitral commissurotomy (PTMC) is the first line treatment option for severe mitral stenosis with favorable valve morphology. Critical mitral stenosis can however pose a challenge for balloon crossing to the left ventricle. Various techniques have been demonstrated to overcome this difficulty. We use a novel technique to cross mitral valve. \u0000Case Presentation: We describe a case where critical stenosis of rheumatic mitral valve in a young lady which was not amenable to conventional PTMC procedure, was successfully performed via veno-arterial rail method. \u0000Management & Results: After crossing the interatrial septum, mitral valve was tried to cross with the standard technique using Inoue balloon, but failed because the stenosis was very tight. So we have crossed mitral valve through exchanged length terumo wire which was snared in descending aorta and externalized through right femoral artery and then we were able to pass the balloon through the tight mitral valve and the procedure was completed without any complication. Post procedure the pressure gradient dropped to 4mmHg and the mitral valve area was recorded as 1.8cm 2 with 2D echo planimetry. \u0000Conclusion: In difficult to cross MV during PTMC, the veno-arterial rail method can be used easily for a successful procedure.","PeriodicalId":438573,"journal":{"name":"Pakistan Journal of Cardiovascular Intervention","volume":"114 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123352814","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

need for Self-Regulation employing Appropriate Use Criteria (AUC) 采用适当使用标准(AUC)进行自我监管的需要

Pakistan Journal of Cardiovascular Intervention Pub Date : 2022-06-01 DOI: 10.58889/pjcvi.2.1.5

M. Hafizullah

引用次数: 0

Frequency of new onset right bundle branch block in acute myocardial infarction and its coronary angiographic findings in patients presenting at Tertiary Care Hospital, Peshawar 白沙瓦三级医院急性心肌梗死患者新发右束支传导阻滞的频率及其冠状动脉造影表现

Pakistan Journal of Cardiovascular Intervention Pub Date : 2022-06-01 DOI: 10.58889/pjcvi.2.28.34

S. Ur Rehman, A. Rahim, J. Ali, W. Sajjad, Adil Bilal, Rahid Ullah, Daud Ahmad Jan

{"title":"Frequency of new onset right bundle branch block in acute myocardial infarction and its coronary angiographic findings in patients presenting at Tertiary Care Hospital, Peshawar","authors":"S. Ur Rehman, A. Rahim, J. Ali, W. Sajjad, Adil Bilal, Rahid Ullah, Daud Ahmad Jan","doi":"10.58889/pjcvi.2.28.34","DOIUrl":"https://doi.org/10.58889/pjcvi.2.28.34","url":null,"abstract":"Background: Right bundle branch block has prognostic significance in the setting of acute myocardial infarction; this research is intended to determine the incidence of new-onset right bundle branch block in acute myocardial infarction and its angiographic findings. \u0000Methodology: This descriptive cross-sectional study was conducted in a tertiary care hospital, i.e., the Cardiology Department, Lady Reading Hospital, Peshawar, from 13/5/2016 to 13/11/2016. A total of 91 patients were included in the study. Baseline investigation, including ECG (Nihan Koden), Coronary angiography (Siemens Healthineers), on patients who qualify for early invasive therapy and angiographic findings. All the information, like age and gender, was recorded. 91 patients with acute myocardial infarction who presented within 24 hours were observed, in which male to female ratio was 1.17:1. The study enrolled the age group from 30 up to 75 years. \u0000Results: Average age was52.6±7.71 years. New onset right bundle branch block (RBBB) was found in 13(14.29%) patients in acute myocardial infarction. \u0000Conclusion: In conclusion, RBBB was observed in 13% of patients where angiographic findings showed triple vessel disease 38.5%, double vessel coronary artery disease 30.8%, single vessel disease 15.4%, and left main stem disease15.4% respectively, there is a high rate of severe CAD in patients presenting with RBBB in the setting of the acute coronary syndrome, so early reperfusion is recommended.","PeriodicalId":438573,"journal":{"name":"Pakistan Journal of Cardiovascular Intervention","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133857689","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

Impact of Early Successful Primary Percutaneous Coronary Intervention on Left Ventricular Systolic Function in ST Elevation Myocardial Infarction Patients 早期成功的经皮冠状动脉介入治疗对ST段抬高型心肌梗死患者左心室收缩功能的影响

Pakistan Journal of Cardiovascular Intervention Pub Date : 2022-06-01 DOI: 10.58889/pjcvi.2.6.10

Muhammad Rehanul Haq, M. Tareen, Mukesh Tareen, Abdul Hakeem, Rajesh Kumar, T. Saghir, Syed Nadeem Hassan Rizvi

{"title":"Impact of Early Successful Primary Percutaneous Coronary Intervention on Left Ventricular Systolic Function in ST Elevation Myocardial Infarction Patients","authors":"Muhammad Rehanul Haq, M. Tareen, Mukesh Tareen, Abdul Hakeem, Rajesh Kumar, T. Saghir, Syed Nadeem Hassan Rizvi","doi":"10.58889/pjcvi.2.6.10","DOIUrl":"https://doi.org/10.58889/pjcvi.2.6.10","url":null,"abstract":"Background: Treatment delay is considered to be one of the important predictors of survival in ST-elevation myocardial infarction (STEMI) patients undergoing primary percutaneous coronary intervention (PCI). We investigated the impact of early successful PPCI for STEMI patients on left ventricular ejection fraction. \u0000Methodology: This prospective study was carried out on 50 patients having STEMI undergoing PPCI in NICVD Karachi. Patients were divided into two groups, Group A, early presenter, patients received treatment with PPCI within six hours of the onset of symptoms, and group B, late presenter, patients received treatment after six hours up to twenty-four hours of the onset of symptoms. \u0000Results: Group A patients showed promising results, having achieved TIMI grade III flow in 100%, whereas 85% of patients achieved TIMI grade III flow in group B (P = 0.02). There was a statistical difference between the two groups. Using Independent sample T-Test Group A patients showed improved LVEF as compared to Group B (at presentation 45.49±3.99% vs. 35.25±3.85%; P = 0.001 and at 3 months follow up 55.66±0.92% vs. 45.75±1.44%; P = 0.001). \u0000Conclusion: Early PPCI treatment of STEMI patients can lead to improved TIMI grade flow and LVEF. Efforts must be made to shorten the delay in reperfusion therapy.","PeriodicalId":438573,"journal":{"name":"Pakistan Journal of Cardiovascular Intervention","volume":"120 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133831722","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

outcome of Intracoronary Tirofiban administration at Primary Percutaneous Coronary Intervention in St-Elevation Myocardial Infarction Patients st段抬高型心肌梗死患者经皮冠状动脉介入治疗时冠状动脉内给予替罗非班的疗效

Pakistan Journal of Cardiovascular Intervention Pub Date : 2022-06-01 DOI: 10.58889/pjcvi.2.20.27

Muhammad Asim Saddique, Muhammad Munawar Jamshaid, S. Abbas, K. Jabeen

{"title":"outcome of Intracoronary Tirofiban administration at Primary Percutaneous Coronary Intervention in St-Elevation Myocardial Infarction Patients","authors":"Muhammad Asim Saddique, Muhammad Munawar Jamshaid, S. Abbas, K. Jabeen","doi":"10.58889/pjcvi.2.20.27","DOIUrl":"https://doi.org/10.58889/pjcvi.2.20.27","url":null,"abstract":"Background: ST-elevation myocardial infarction results from obstruction of coronary flow due to intracoronary thrombus formation. Primary PCI is the gold standard and class-I indication for revascularization following STEMI. Investigators in this study aimed to evaluate the TIMI flow and myocardial blush grade after intracoronary Tirofiban administration in patients with STEMI during the primary percutaneous coronary intervention (PPCI) and its outcome. \u0000Methodology: This Cohort study was conducted at Cardiology Department, Niazi Medical & Dental College, Sargodha, after getting informed consent from patients with STEMI. Primary PCI was done in these patients, and two groups were formed. Tirofiban and Non-tirofiban group on basis of Tirofiban administration. Variables included TIMI Grade flow, myocardial blush, major bleeding, minor bleeding, hematoma, MACE, and mortality. P<0.05 was considered statistically significant. \u0000Results: The mean age of the study groups was 41.64 ± 12.30 years, with 74% (N=250) males. It was seen that 39 (31.2%) vs 41 (32.8%) with p-value of 0.786 were hypertensive, 28 (22.4%) vs 34 (27.2%) diabetic were having p-value of 0.380 whereas 34 (27.2%) vs 37 (29.6%) with p-value of 0.674 were smokers. TIMI flow grades in both groups were not similar and showed significant differences, indicating that both groups were independent, with a p-value <0.05. The myocardial blush grade was compared in the two groups and the results showed that the score in both the groups was not similar, having significant differences as the p-value was 0.001; major bleeding compared with minor showed statistical insignificance, which indicated that there is a relationship between the two groups. (p-value=0.625 & 0.705 respectively). \u0000Conclusion: Administration of intracoronary Tirofiban was associated with superior clinical prognosis in terms of TIMI flow and myocardial blush grades compared with the other group at primary PCI.","PeriodicalId":438573,"journal":{"name":"Pakistan Journal of Cardiovascular Intervention","volume":"48 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129993251","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

Anomalous Coronary Artery Presenting with S-T Elevation Myocardial Infarction: A Case Report 冠状动脉异常表现为S-T抬高型心肌梗死1例

Pakistan Journal of Cardiovascular Intervention Pub Date : 2022-06-01 DOI: 10.58889/pjcvi.2.40.44

Mukesh Kumar, Rizwan Qurban Ali Khawaja, Fawad Farooq, Abdul Hakeem, Atif Sher Muhammad

{"title":"Anomalous Coronary Artery Presenting with S-T Elevation Myocardial Infarction: A Case Report","authors":"Mukesh Kumar, Rizwan Qurban Ali Khawaja, Fawad Farooq, Abdul Hakeem, Atif Sher Muhammad","doi":"10.58889/pjcvi.2.40.44","DOIUrl":"https://doi.org/10.58889/pjcvi.2.40.44","url":null,"abstract":"Background: Coronary artery anomalies are very rare congenital conditions. Rarely occurring but potentially fatal abnormalities of the coronary vasculature, abnormalities of the coronary arteries can cause significant cardiac events such as myocardial ischemia (S-T Segment elevation MI) and cardiac arrest. \u0000Case Presentation: We are presenting a case of a 60 years old hypertensive female patient who presented with ST-segment elevation in all precordial leads. \u0000Management & Results: On angiography, a giant right coronary artery was seen, and no Left coronary artery origin was not appreciated. Hence, Multidimensional CT angiography was done that showed dilated and ectatic left main coronary artery circulation originating from the pulmonary artery just above the pulmonary valve. The patient was declared a high-risk surgical candidate, was advised medical therapy, including beta blockers, dual antiplatelet, and antihyperlipidemic medications, and was advised to restrict physical activity. \u0000Conclusion: The rare presentation of an aberrant coronary artery is myocardial infarction with ST-segment elevation, and it might be difficult for doctors and cardiologists to determine the true reason without intervention. To optimize the care of these patients, traditional CAA and MDCT must be integrated with the clinical presentation of the patients.","PeriodicalId":438573,"journal":{"name":"Pakistan Journal of Cardiovascular Intervention","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122251060","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

Comparison of Outcomes of Different Balloon Sets in Patients undergoing Percutaneous Transvenous Mitral Commissurotomy – Bigger and Differ is Better! 不同球囊组经皮经静脉二尖瓣合拢切开术的疗效比较——不同球囊组越大越好!

Pakistan Journal of Cardiovascular Intervention Pub Date : 2013-08-01 DOI: 10.1093/EURHEARTJ/EHT310.P5389

D. Farman, D. R. J. A. Sial, D. Khan, D. R. T. Saghir, D. Zaman

{"title":"Comparison of Outcomes of Different Balloon Sets in Patients undergoing Percutaneous Transvenous Mitral Commissurotomy – Bigger and Differ is Better!","authors":"D. Farman, D. R. J. A. Sial, D. Khan, D. R. T. Saghir, D. Zaman","doi":"10.1093/EURHEARTJ/EHT310.P5389","DOIUrl":"https://doi.org/10.1093/EURHEARTJ/EHT310.P5389","url":null,"abstract":"Background: Although the Inoue balloon technique is said to be more popular worldwide for PTMC in those who have severe MS, the Bonhoeffer multi-track (double balloon technique) system is used in our center. On the other hand, it is unknown which balloon set size will produce the best results. The current study's objective is to assess the efficacy of different balloon sets utilized in symptomatic patients with moderate to severe mitral stenosis (MS) following percutaneous transvenous mitral commissurotomy (PTMC). \u0000Methodology: There were 203 consecutive patients. In 154 patients, a 14x14mm balloon set was used, and in the other 49 patients, a 14x16mm balloon set. PTMC was deemed successful when MVA 1.5 cm2 was attained with just minimal MR. Patients with valve areas less than 1.5 cm2 and more severe MR are regarded as failed. \u0000Results: With a 14x16mm balloon set, post-procedure examination revealed noticeably better accomplishment in the valve area (2.960.84 cm2 versus 3.260.95 cm2; P=0.024). With a 14x16mm balloon set, a tendency towards a lower post-procedure mean pressure gradient across the mitral valve was seen (6.052.19 mmHg versus 5.472.24 mmHg; P=0.107). There was no discernible change in post-procedure MR, tamponade, or procedural failure. However, there was no significant statistical difference in the treatment efficacy between the groups (87.7% with a 14x16mm balloon set versus 77.9% with a 14x14mm balloon set; P=0.153). \u0000Conclusion: A 14x16 mm balloon set might be a better and safer option, particularly for taller and older patients with larger annuli.","PeriodicalId":438573,"journal":{"name":"Pakistan Journal of Cardiovascular Intervention","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133490471","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