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Vora Amit N AN Duke Clinical Research Institute, 2400 Pratt Street, Durham, NC, 27705, USA, - - 2014
Bleeding events are the most common complications following percutaneous coronary intervention (PCI) and are associated with increases in short- and long-term mortality, nonfatal myocardial infarction, stroke, hospital length of stay, and hospital cost. Over time, there has been a decrease in periprocedural bleeding, primarily due to improvements in antithrombotic therapy; ...
Park Taek Kyu - - 2014
There is no available data on clinical outcome in patients with acute myocardial infarction (AMI) complicated by cardiogenic shock who are supported by an intra-aortic balloon pump (IABP) in combination with extracorporeal life support (ECLS). We analysed 96 consecutive patients with AMI and complicating cardiogenic shock who were assisted by ...
Kelleher Eoin M EM 1 Department of Paediatric Cardiology, Our Lady's Children's Hospital, Crumlin, Dublin 12, - - 2014
A two-year-old boy with a background history of Down syndrome and partial atrioventricular septal defect presented with acute respiratory distress requiring intubation and mechanical ventilation. He continued to deteriorate, despite ventilation; direct laryngoscopy, bronchoscopy, and computed tomography demonstrated severe long segment tracheal stenosis. He was placed on extracorporeal membrane oxygenation ...
Neragi-Miandoab S S Department of Cardiovascular and Thoracic Surgery, Montefiore Medical Center Albert Einstein College of Medicine New York, NY, USA - - - 2014
Transcatheter aortic valve implantation (TAVI) has been shown to be a viable alternative for high-risk patients who may not tolerate a surgical aortic valve replacement. The Edwards Sapien valve and the CoreValve are the most widely implanted valves worldwide. The indication may be expanded to intermediate and eventually low-risk patients ...
de Waha Suzanne S Department of Internal Medicine/Cardiology, University of Leipzig - Heart Center, Leipzig, Germany. Electronic address: - - 2014
Intra-aortic balloon pump (IABP) counterpulsation has been the most widely used left ventricular assist device for nearly five decades. Due to diastolic inflation and systolic deflation, coronary blood flow is increased and afterload decreased translating into augmentation of oxygen supply and lowering of oxygen demand. However, IABP may be associated ...
Badiye Amit A * Division of Cardiology, Department of Medicine University of Miami - Jackson Memorial Hospital †Department of Medicine University of Miami - Jackson Memorial - - 2014
The growing use of left ventricular assisted devices as bridge to transplant and their increased duration as destination therapy in patients successfully treated for advance heart failure unwrap a new spectrum of complications seen in long-term use of the devices. Device thrombosis remains a therapeutic dilemma and limited data is ...
Kronzon Itzhak I Non Invasive Cardiology, Lenox Hill Hospital, 100 E 77th St. 2E, New York, NY, 10075, - - 2014
Left ventricular pseudoaneurysm and ventricular septal defect are rare but devastating complications of myocardial infarction. With medical treatment alone, the majority of patients will die from these complications. Until recently, the recommended treatment was surgical closure. These surgeries carried extreme risk due to abnormal hemodynamics, necrotic substrates and the comorbidities ...
Mehrzad Raman R Department of Medicine, Steward Carney Hospital, Boston, MA, - - 2014
Interatrial block (IAB) denotes a conduction delay between the two atria (P-wave duration ≥110 ms). Depending on the severity of the block, IAB can be partial or advanced. Even though several studies have reported a high prevalence of IAB, it still remains a diagnosis many neglect without any follow-up. The ...
Rahman Afzalur A Department of Cardiology, National Institute of Cardiovascular Diseases, Dhaka, - - 2014
With the increase in life expectancy, the proportion of very elderly people is increasing. Coronary artery disease (CAD) is an important cause of mortality and morbidity in this age group, for which myocardial revascularization is often indicated. Percutaneous coronary intervention (PCI) in the very elderly bears the inherent risks of ...
Sila Cathy C Department of Neurology, Case Western Reserve University School of Medicine and Stroke and Cerebrovascular Center, University Hospitals-Case Medical Center, Cleveland, OH, USA. Electronic address: - - 2014
Arterial or central venous vascular access is the cornerstone of invasive cardiac diagnosis, monitoring, and therapeutics. Although procedural safety has significantly improved with protocols perfected over decades of use, their prevalence renders even the uncommon neurologic complication clinically relevant. Serious peripheral nerve complications result from direct or indirect nerve injuries ...
Kanakadandi Uday U Department of Cardiology, University of Arizona College of Medicine, Tucson, Arizona, - - 2014
Early vein graft failure is a well-described early complication of coronary artery bypass grafting. Revascularisation with emergency percutaneous coronary intervention (PCI) may limit the extent of myocardial damage and is associated with lower procedural complications compared than with emergency redo bypass surgery. We describe a case of an early saphenous ...
de Waha Suzanne S Department of Internal Medicine, Cardiology, University of Leipzig - Heart Center Leipzig, Germany. Electronic address: - - 2013
Intra-aortic balloon-pump (IABP) counterpulsation has been the most widely used left ventricular assist device for nearly five decades. Due to diastolic inflation and systolic deflation, coronary blood flow is increased and afterload decreased translating into augmentation of oxygen supply and lowering of oxygen demand. However, IABP may be associated with ...
O'Neill William W WW Henry Ford Hospital, Detroit, - - 2013
To evaluate the periprocedural characteristics and outcomes of patients supported with Impella 2.5 prior to percutaneous coronary intervention (pre-PCI) versus those who received it after PCI (post-PCI) in the setting of cardiogenic shock (CS) complicating an acute myocardial infarction (AMI). Early mechanical circulatory support may improve outcome in the setting ...
Alomar Mohammed E - - 2013
We present a systematic review and meta-analysis of the frequency, consequences, and treatment of stent loss during percutaneous coronary intervention (PCI). Stent loss during PCI has received limited study. We conducted a meta-analysis of 18 case series and 45 case reports published between 1991 and 2012 on stent loss during ...
Toeg Hadi Daood HD Division of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Ontario, - - 2013
Although serious complications are becoming more rare with continuous-flow left ventricular assist devices such as the Heartmate II (Thoratec Corp, Pleasanton, CA), this case series discusses 2 patients with symptoms of bleeding and syncopal ventricular tachycardia associated with an outflow graft bend relief disconnection, which can be diagnosed by simple ...
Ghadri Jelena R - - 2013
Prinzmetal angina is a crucial differential diagnosis of acute coronary syndromes. The clinical picture is similar but different due to transient ECG changes and occurrence of angina symptoms without physical activity. The mechanism is still unknown, however endothelial dysfunction may play a role. Here we present a case of Prinzmetal ...
Kawashiri Masa-Aki - - 2013
Whether the lesion morphology and associated interventional procedures for the left main coronary artery disease (LMCA) could affect clinical outcome is still controversial. Therefore, we examined the impact of lesion morphology and associated procedures on clinical and angiographic outcomes of stenting for the LMCA. Among 7,660 patients with coronary intervention ...
Wang Dong-Wen DW Department of Cardiovascular Surgery, Beijing Military Region General Hospital, Beijing 100700, P.R. - - 2014
Essential thrombocythemia (ET) is a chronic clonal myeloproliferative disorder, which is often complicated by arterial or venous thrombosis and idiopathic bleeding diathesis. The present study reports a female patient with ET complicated by acute myocardial infarction, leading to ventricular aneurysm following interventional therapy for 3 years and a subsequent in-stent ...
Lee Michael S - - 2013
Recent literature has argued the superiority of radial access compared with femoral access for percutaneous coronary intervention (PCI) in acute coronary syndrome (ACS). Three particular trials-RIVAL (Radial Versus Femoral Access for Coronary Intervention), RIFLE-STEACS (Radial Versus Femoral Randomized Investigation in ST-Elevation Acute Coronary Syndrome), and STEMI-RADIAL (ST Elevation Myocardial Infarction Treated ...
Cade W Todd WT Program in Physical Therapy, Washington University School of Medicine, St. Louis, - - 2013
Individuals with HIV infection and peripheral metabolic complications have impaired basal myocardial insulin sensitivity that is related to left ventricular (LV) diastolic dysfunction. It is unknown whether interventions shown to be effective in improving peripheral insulin sensitivity can improve basal myocardial insulin sensitivity and diastolic function in people with HIV ...
Aoyama Naoyoshi - - 2013
The appropriate indication for, management of and limitations to extracorporeal life support (ECLS) and the timing of a switch to a ventricular assist device (VAD) remain controversial issues in patients with acute myocardial infarction (AMI) complicated with cardiogenic shock or cardiopulmonary arrest. To evaluate and discuss these issues, we studied ...
Koltowski Lukasz - - 2013
Chronic renal disease is a well-known risk factor for bleeding complications in acute coronary syndrome patients. The aim of this study was to determine the impact of chronic renal disease (CRF) with STEMI treated with primary PCI on periprocedural complications. 103 patients with ST segment elevation myocardial infarction treated with ...
Alomari Ihab - - 2013
In contemporary practice, entrapped devices are rarely encountered during percutaneous coronary intervention (PCI) but can be associated with serious morbidity and mortality. We present a case of a 62 y/o male who presented with an acute coronary syndrome. Revascularization was performed and complicated by guide wire entrapment and fracture. Cardiologists ...
Asrar Ul Haq Muhammad - - 2013
The transradial approach for coronary angiography was first described in 1989. With the advent of modern equipment and improved technology it has recently gained significant interest amongst interventional cardiologists. As compared to femoral access, the radial approach has the major advantages of lower access site complication rates, cost-effectiveness, and shorter ...
Stolker Joshua M - - 2013
Despite increasing complexity of contemporary procedures at tertiary care hospitals, the relationship between interventional cardiology fellows-in-training (ICFITs) and complications of percutaneous coronary intervention (PCI) has not been reported. We compiled logbooks of 6 ICFITs at an academic hospital and evaluated patient and procedural characteristics of PCIs performed with and without ...
Lim Roxanne G - - 2013
Upper gastrointestinal bleeding in the setting of acute myocardial infarction (MI) has substantial morbidity and mortality. Several studies have been performed on the safety of esophagogastroduodenoscopy (EGD) after MI; however, these studies vary in definitions and results. We evaluated the safety and effect of EGD in patients with acute MI ...
Doktorova Magdalena - - 2013
This article focuses on the incidence, predictors, classification, impact on prognosis, and management of bleeding associated with the treatment of acute coronary syndrome. The issue of bleeding complications is related to the continual improvement of ischemic heart disease treatment, which involves mainly (a) the widespread use of coronary angiography, (b) ...
Tomassini Francesco - - 2013
To assess the impact on in-hospital and long-term survival of thrombus aspiration (TA) during primary percutaneous coronary intervention (PPCI) for ST-segment elevation myocardial infarction (STEMI) complicated by cardiogenic shock (CS). From September 2001 to May 2010 we collected data from 155 patients affected with STEMI complicated by CS undergoing PPCI ...
Chimenti Cristina - - 2013
Use of left ventricular (LV) endomyocardial biopsy (EMB) for investigation of cardiomyopathies is currently discouraged as considered more risky and equally contributive than right ventricular (RV) biopsy. Aim of our study is to report our experience on advantages and disadvantages of this option. In our center from 1983 to 2010, ...
Williams Paul D - - 2013
Transradial access for coronary intervention significantly reduces vascular complications and may be associated with a reduced risk of major adverse cardiovascular events. However, the small caliber of the radial artery has been considered a limitation to performing complex coronary intervention. Fifty-three patients with true bifurcation disease, in whom a two-stent ...
Jabbar Ali Abdul - - 2013
In patients receiving left ventricular assistance for end-stage heart failure, pump-related thrombosis is a potentially fatal complication that may manifest as hemolysis and abnormally high pump power consumption. The optimal approach to treat this complication is unclear, especially in patients who are not heart transplant candidates or who have a ...
Kim Michael S - - 2013
Cardiogenic shock in the setting of acute myocardial infarction is associated with high in-hospital mortality rates. Society guidelines provide a Class Ib recommendation for the use of hemodynamic support devices in patients with cardiogenic shock following ST-elevation myocardial infarction. Exchanging of hemodynamic support devices is often complicated by inability to ...
Barbash Israel M - - 2013
To assess the prognostic implication of the ACCF/AHA/SCAI appropriate use criteria (AUC) for coronary revascularization in a cohort of non-acute coronary syndrome patients. The AUC for coronary revascularization were developed in order to deliver high-quality care; however, the prognostic impact of these criteria remains undefined. Consecutive patients (n=3817) undergoing elective ...
Kutty Ramesh S - - 2013
Acute myocardial infarction (AMI) can result in ischemic, mechanical, arrhythmic, embolic, or inflammatory complications. The development of mechanical complications following AMI is associated with a significantly reduced short-term and long-term survival. Since the introduction of primary percutaneous coronary intervention as the principal reperfusion strategy following acute ST-elevation myocardial infarction, the ...
Fukui Shigefumi - - 2013
A 67-year-old man with recent myocardial infarction underwent a total of five sirolimus-eluting stents (SES) implantation for three vessels stage by stage. A follow-up angiography showed no significant restenosis except one in the side branch. Thereafter, he had remained asymptomatic. Sixty-six months later, he had an acute myocardial infarction with ...
Kobe Daisuke - - 2013
A 22-year-old man complaining of persisting high fever and right hypochondralgia was admitted to our hospital for infectious mononucleosis with splenic infarction detected by computed tomography. The splenic infarction deteriorated with a marked elevation of inflammatory parameters. This necessitated the commencement of methylprednisolone pulse therapy, resulting in prompt amelioration of ...
Sharma Sanjiv S 1Cardiology Division, Department of Medicine, Bakersfield Heart Hospital, Bakersfield, CA 2Central Cardiology Medical Clinic, Bakersfield, CA 3Community Memorial Hospital, Ventura, - - 2013
The authors describe 2 cases of extensive intracoronary thrombus formation leading to acute closure of the left main where bivalirudin (Angiomax) was used as the anticoagulant during percutaneous coronary intervention leading to mortality. Both cases had similarity in the cascade of complications of coronary dissection leading to slow flow and ...
Cockburn James - - 2013
Percutaneous coronary intervention (PCI) has historically required cardiothoracic backup in the event of ischemic complications. However, many complications occurring during PCI can now be effectively treated at the time of the indexed procedure. Equally, ischemic complications, which occur following coronary artery bypass grafting (CABG), which were previously treated medically or ...
Dalén Magnus M Department of Molecular Medicine and Surgery, Department of Cardiothoracic Surgery and Anesthesiology, Karolinska Institute, Karolinska University Hospital, Stockholm, - - 2014
Patient characteristics that increase the risk of continuous-flow left ventricular assist device thrombosis have not been well established. We report a case of HeartWare thrombosis in a patient with aspirin hyporesponsiveness, and discuss the role of platelet function testing in preventing this severe complication. There is a need for clinical ...
Lemaire Anaïs A Department of Cardiac Surgery, University of Caen Basse-Normandie and University Hospital of Caen, Caen, - - 2013
Patients supported by left ventricular-assist devices are at high risk of bleeding, but among the numerous hemorrhagic complications, those involving the corpus callosum are very uncommon. We report the case of a 35-year-old woman who suddenly experienced neurological symptoms 4 months after HeartMate II implantation. Cranial computed tomography showed a ...
García Sáez Diana - - 2013
The implantation of a left ventricular assist device as a bridge to transplantation is a well-established treatment of end-stage heart failure in selected patients. Device-related infection is a well-known complication that may require the removal of the device. We describe a minimally invasive explantation approach with complete removal of all ...
Appleton Darryn L - - 2013
Transradial percutaneous coronary intervention is associated with significant reductions in access site complications and major bleeding as compared with the transfemoral approach. Bivalirudin is now the most commonly used anticoagulant for transradial percutaneous coronary intervention in the U.S., while weight adjusted unfractionated heparin remains the most common choice outside the ...
Mamas Mamas A - - 2013
OBJECTIVES: This study sought to investigate the influence of access site utilization on mortality, major adverse cardiac and cardiovascular events (MACCE), bleeding, and vascular complications in a large number of patients treated by primary percutaneous coronary intervention (PPCI) in the United Kingdom over a 5-year period, through analysis of the ...
Lenoir Marien - - 2013
Right ventricular failure is one of the most feared complications after implantation of a left ventricular assist device. We provide the technical details for a simplified, percutaneous approach to temporary right heart support.
Lupi Alessandro - - 2013
Intracoronary thrombi are a common finding in the setting of acute coronary syndromes and correlate with intraprocedural complications, adverse prognosis and unpredictable response to standard pharmacological and interventional treatment. Interventional cardiologists have learned to fear the so-called hostile thrombus, with its aggressive and unstable behavior often leading to abrupt and ...
Grönberg Toni - - 2013
AIMS: To determine the incidence and risk factors of arrhythmic complications after electrical cardioversion of acute atrial fibrillation (AF).METHODS AND RESULTS: Our retrospective multicentre study collected data from 7660 cardioversions of acute (<48 h) AF in 3143 consecutive patients. Immediate arrhythmic complications were evaluated after 6906 (90.2%) electrical cardioversions performed ...
Lappegård Knut T - - 2013
Atrial fibrillation is highly prevalent, and affected patients carry an increased risk of a number of complications, including heart failure and thrombo-embolism. Over the past years there has been increasing interest in the role of inflammatory processes in atrial fibrillation, from the first occurrence of the arrhythmia to dreaded complications ...
Schweiger Martin - - 2013
Introduction: Management of complications in long-term LVAD support like aortic regurgitation, progressive decline of right ventricular function, or pump thrombosis are challenging.
Methods and Results: After 2.5 years on a HeartMate II left ventricular assist device (LVAD) a 59-year-old patient was admitted to hospital due to severe hemolysis caused by a ...
Misiri Juna - - 2013
Treatment options for advanced stages of congestive heart failure remain limited. Left ventricular assist devices (LVADs) have emerged as a means to support failing circulation. However, these devices are not without significant risk such as major open chest surgery. We utilized a novel approach for device placement at the aorto-left ...
Davies Neil M NM Medical Research Council Centre for Causal Analyses and Translational Epidemiology, School of Social and Community Medicine, Faculty of Medicine and Dentistry, University of Bristol, Barley House, Oakfield Grove, Bristol, United Kingdom. - - 2013
Instrumental variable analysis can estimate treatment effects in the presence of residual or unmeasured confounding. We compared ordinary least squares regression versus instrumental variable estimates of the effects of selective cyclooxygenase-2 inhibitors (COX-2s) relative to nonselective nonsteroidal anti-inflammatory drug (NSAID) prescriptions on incidence of upper gastrointestinal complications and myocardial infarction ...
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