{"title":"Editorial: MTEER in cardiogenic shock: Time to close the treatment gap?","authors":"Elizabeth A. Grier, Adnan K. Chhatriwalla","doi":"10.1016/j.carrev.2024.05.021","DOIUrl":"https://doi.org/10.1016/j.carrev.2024.05.021","url":null,"abstract":"","PeriodicalId":519492,"journal":{"name":"Cardiovascular revascularization medicine : including molecular interventions","volume":"2001 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141027336","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}
{"title":"Editorial: Characterization of radial artery perforation patterns using optical coherence tomography.","authors":"Daniel H. Steinberg","doi":"10.1016/j.carrev.2024.05.009","DOIUrl":"https://doi.org/10.1016/j.carrev.2024.05.009","url":null,"abstract":"","PeriodicalId":519492,"journal":{"name":"Cardiovascular revascularization medicine : including molecular interventions","volume":"84 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141057525","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}
Jorge Sanz-Sánchez, Damiano Regazzoli, Gennaro Petriello, Pier Pasquale Leone, Bernhard Reimers, Gabriele Luigi Gasparini
{"title":"The Last Broken Barrier: Retrograde Radial Artery Recanalization Prior to Transradial Coronary Interventions.","authors":"Jorge Sanz-Sánchez, Damiano Regazzoli, Gennaro Petriello, Pier Pasquale Leone, Bernhard Reimers, Gabriele Luigi Gasparini","doi":"10.1016/j.carrev.2021.01.020","DOIUrl":"https://doi.org/10.1016/j.carrev.2021.01.020","url":null,"abstract":"<p><p>Transradial access has become the default vascular access for coronary procedures, since it has shown to reduce major bleeding, adverse cardiac events and mortality compared with transfemoral access. However, radial artery occlusion has been historically considered a formal contraindication for transradial coronary procedures. In this investigation, we report the feasibility and outcomes of radial artery occlusion recanalization from distal radial access prior to transradial angiography and intervention.</p>","PeriodicalId":519492,"journal":{"name":"Cardiovascular revascularization medicine : including molecular interventions","volume":" ","pages":"125-126"},"PeriodicalIF":1.7,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.carrev.2021.01.020","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25332928","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}
Laith Ali, Amre Ghazzal, Sohab Radwan, Christopher Barnett
{"title":"In-Depth Analysis of a Case of Persistent Severe Chronic Thromboembolic Pulmonary Hypertension.","authors":"Laith Ali, Amre Ghazzal, Sohab Radwan, Christopher Barnett","doi":"10.1016/j.carrev.2020.07.012","DOIUrl":"https://doi.org/10.1016/j.carrev.2020.07.012","url":null,"abstract":"<p><p>Pulmonary hypertension (PH) is a disease characterized by an increase in the pulmonary vascular resistance that typically progresses to right heart failure and death. It is classified into five groups. Management depends on the group classification. Group four PH, chronic thromboembolic pulmonary hypertension (CTEPH) is thought to be a result of acute pulmonary emboli that cause fibrosis and scarring of the pulmonary arteries with consequent obstruction. The diagnosis of CTEPH is made by identifying perfusion abnormalities on ventilation/perfusion (V/Q) scan. Other studies required for the diagnostic evaluation include transthoracic echocardiogram, right heart catheterization, NT pro-B-type natriuretic peptide and thrombophilia evaluation. Several other tests needed to exclude other causes of pulmonary hypertension include high-resolution computed tomography (HRCT), connective tissue disease evaluation, thyroid function testing, human immunodeficiency virus testing, and liver ultrasonography to exclude portal hypertension. The treatment for CTEPH is surgical pulmonary endarterectomy (PEA). In patients who are not candidates or decline PEA, pulmonary balloon angioplasty may be useful, however, further studies are required. Several pulmonary artery hypertension medications have been studied in the management of inoperable CTEPH or persistent PH following PEA including bosentan (improves hemodynamics but not exercise capacity), macitentan (improves both hemodynamics and clinical parameters), and riociguat (improves both hemodynamics and exercise capacity). However, only riociguat is approved by the Food and Drug Administration for this indication.</p>","PeriodicalId":519492,"journal":{"name":"Cardiovascular revascularization medicine : including molecular interventions","volume":" ","pages":"212-214"},"PeriodicalIF":1.7,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.carrev.2020.07.012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25386273","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}
María Monteagudo-Vela, Abu Farmidi, Vasileios Panoulas, Sunil K Bhudia
{"title":"Use of Impella RP for Acute Right Ventricular Failure Post-Pericardiectomy.","authors":"María Monteagudo-Vela, Abu Farmidi, Vasileios Panoulas, Sunil K Bhudia","doi":"10.1016/j.carrev.2021.02.016","DOIUrl":"https://doi.org/10.1016/j.carrev.2021.02.016","url":null,"abstract":"<p><p>Surgical pericardiectomy is the accepted treatment for patients with constrictive pericarditis. Right ventricular failure in patients that undergo pericardiectomy is a frequent complication due to sudden volume overload. Impella RP is used to bypass the right ventricle and tackle the transient right ventricular failure. It is implanted percutaneously and provides enough support to achieve haemodynamical stability and recover end-organ function. We report the case of a patient that developed acute right ventricular failure in the early postoperative period of a pericardiectomy. He underwent the implantation of an Impella RP in the setting of acute right ventricular failure and was successfully explanted after 6 days of support.</p>","PeriodicalId":519492,"journal":{"name":"Cardiovascular revascularization medicine : including molecular interventions","volume":" ","pages":"176-179"},"PeriodicalIF":1.7,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.carrev.2021.02.016","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25407470","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}
Giuseppe Giacchi, Marco Contarini, Giovanni Ruscica, Salvatore Brugaletta
{"title":"The \"RotaTripsy Plus\" Approach in a Heavily Calcified Coronary Stenosis.","authors":"Giuseppe Giacchi, Marco Contarini, Giovanni Ruscica, Salvatore Brugaletta","doi":"10.1016/j.carrev.2021.04.022","DOIUrl":"https://doi.org/10.1016/j.carrev.2021.04.022","url":null,"abstract":"<p><p>Percutaneous treatment of heavily calcified coronary stenoses is one the most demanding setting, due to the high risk of acute and long-term complications. Various dedicated devices are currently available and their combined use can be an option in these high-risk procedures. We hereby report a successful case of several combined debulking technologies for the treatment of a long, highly calcified coronary lesion.</p>","PeriodicalId":519492,"journal":{"name":"Cardiovascular revascularization medicine : including molecular interventions","volume":" ","pages":"203-205"},"PeriodicalIF":1.7,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.carrev.2021.04.022","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38957415","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}
Hassan Ashraf, Adam Hafeez, Garrett Ruth, Calvin Choi
{"title":"Left Axillary Intra-Aortic Balloon Pump Prolapsing in the Ascending Aorta in an End-Stage Heart Failure Patient Awaiting Transplant.","authors":"Hassan Ashraf, Adam Hafeez, Garrett Ruth, Calvin Choi","doi":"10.1016/j.carrev.2021.04.030","DOIUrl":"https://doi.org/10.1016/j.carrev.2021.04.030","url":null,"abstract":"<p><p>Patients with end-stage heart failure with reduced ejection fraction requiring mechanical support while awaiting heart transplant present a clinical dilemma. Intra-aortic balloon pump (IABPs) provide a modest improvement in hemodynamics and are easy to implant. Left axillary IABP implantation allows patients to engage in daily physical activity pre-transplant. We present a case of a patient awaiting heart transplant with a left axillary IABP that prolapsed above the aortic valve in the ascending aortic root requiring immediate removal. We describe our multi-modal imaging evaluation, and technique to safely remove the IABP and replace a new one into the same left axillary access while preserving vascular access.</p>","PeriodicalId":519492,"journal":{"name":"Cardiovascular revascularization medicine : including molecular interventions","volume":" ","pages":"166-168"},"PeriodicalIF":1.7,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.carrev.2021.04.030","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38962870","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}
George Kassimis, Antonios Ziakas, Matthaios Didagelos, Konstantinos C Theodoropoulos, Stavros Hadjimiltiades
{"title":"How Should I Get Prepared for and Treat Rota Burr Entrapment in a Focally Underexpanded and Restenosed Stent: A Case Report.","authors":"George Kassimis, Antonios Ziakas, Matthaios Didagelos, Konstantinos C Theodoropoulos, Stavros Hadjimiltiades","doi":"10.1016/j.carrev.2021.05.007","DOIUrl":"https://doi.org/10.1016/j.carrev.2021.05.007","url":null,"abstract":"<p><p>Although high-speed rotational atherectomy has been successfully used in selected cases of stent underexpansion secondary to heavy peri-stent calcification, a higher risk of burr entrapment demands extreme caution and surgical back-up on site. The main cause of this complication is the lack of diamond dust on the back end of the burr, which prevents backward ablation of tissues when retracted. To date, only few reports of successful burr retrieval using percutaneous bailout techniques have been published. We report a case of burr entrapment within a previously implanted left circumflex artery stent which was successfully recaptured using the dual catheter technique; following the retrieval the patient underwent routine percutaneous coronary intervention.</p>","PeriodicalId":519492,"journal":{"name":"Cardiovascular revascularization medicine : including molecular interventions","volume":" ","pages":"197-200"},"PeriodicalIF":1.7,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.carrev.2021.05.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39014890","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}
Luai Tabaza, Hafeez Ul Hassan Virk, Sean Janzer, Jon C George
{"title":"Intravascular Lithotripsy for Severe Calcium-Mediated Peripheral Vascular Stent Underexpansion.","authors":"Luai Tabaza, Hafeez Ul Hassan Virk, Sean Janzer, Jon C George","doi":"10.1016/j.carrev.2020.06.026","DOIUrl":"https://doi.org/10.1016/j.carrev.2020.06.026","url":null,"abstract":"<p><p>Severely calcified lesions are the leading cause of stent under-expansion in peripheral vascular interventions. Current approved treatment options are limited to high pressure balloon angioplasty and laser atherectomy, both of which often yield sub-optimal results. Intravascular Lithotripsy offers a promising new treatment option for calcium-mediated peripheral vascular stent under-expansion.</p>","PeriodicalId":519492,"journal":{"name":"Cardiovascular revascularization medicine : including molecular interventions","volume":" ","pages":"232-235"},"PeriodicalIF":1.7,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.carrev.2020.06.026","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38223244","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}
Waqas T Qureshi, Adedotun Anthony Ogunsua, Amartya Kundu, Yasar Sattar, Daniel Z Fisher, Nikolaos Kakouros
{"title":"Angled Microcatheter Assisted Antegrade Dissection Re-Entry Technique for Tortuous Totally Occluded Coronary Arteries.","authors":"Waqas T Qureshi, Adedotun Anthony Ogunsua, Amartya Kundu, Yasar Sattar, Daniel Z Fisher, Nikolaos Kakouros","doi":"10.1016/j.carrev.2021.01.004","DOIUrl":"https://doi.org/10.1016/j.carrev.2021.01.004","url":null,"abstract":"<p><strong>Background: </strong>Subacute total occlusion in the setting of a tortuous vessel can be a therapeutic challenge. we demonstrate a safe and successful approach to deploy drug eluting stent of this complex lesion by using angled microcatheter.</p><p><strong>Case presentation: </strong>A 61-year-old male with multiple atherosclerotic risk factors diagnosed with NSTEMI secondary to subacute total occlusion of the mid right coronary artery (RCA) with collaterals filling from septal perforators arising from mid left anterior descending artery. Due to severe tortuosity of RCA, the wire inside of Corsair microcatheter kept directing away from the lumen. Therefore, Corsair was exchanged for 90-degree SuperCross™ angled microcatheter that was rotated to direct its opening towards the lumen. A Confianza pro 12 wire was used to puncture into the lumen from the subinitimal position. SuperCross™ microcatheter was advanced over the wire into the lumen and eventually drug eluting stents were deployed successfully.</p><p><strong>Conclusion: </strong>While facing subacute total occlusion with proximal end in a tortuous artery, SuperCross™ microcatheter assisted dissection reentry could be attempted after failure of antegrade wire escalation technique.</p><p><strong>Learning objective: </strong>Facilitate the use of SuperCross™ microcatheter assisted dissection reentry as a successful approach for subacute total occlusion in tortuous vessels.</p>","PeriodicalId":519492,"journal":{"name":"Cardiovascular revascularization medicine : including molecular interventions","volume":" ","pages":"127-131"},"PeriodicalIF":1.7,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.carrev.2021.01.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38869288","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}