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Abstract 190: Patient Selection for Intracranial Stenting: Impact on Clinical Outcomes and Procedural Success Rates

Stroke: Vascular and Interventional Neurology

The role of intracranial stenting in ICAS remains uncertain. In the SAMMPRIS trial, patients who had experienced recent TIA/CVA secondary to 70‐99% ICAS demonstrated an increased risk of recurrent stroke when treated with angioplasty and stenting compared to medical therapy alone [1].

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Comparative Analysis of Anticoagulation Versus Combination Anticoagulation and Antiplatelet Therapy in Atrial Fibrillation Patients Presenting With Gastrointestinal Bleeding

Journal of Cardiovascular Pharmacology

This study compares outcomes in AF patients with GIB on AC alone to those on combination AP and AC therapy, as part of a larger prospective study from 2013 to 2023. Patients in the combination AP +AC therapy group had a higher prevalence of CAD, myocardial infarction, and coronary/vascular stent placement compared to the AC monotherapy group.

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Right Heart Catheterization in Tetralogy of Fallot

All About Cardiovascular System and Disorders

Stenting of the patent ductus arteriosus can be considered in neonatal period for improving oxygen saturation till corrective surgery. 2013 Dec;23(6):883-7. Anomalous coronary arteries can cross the right ventricular outflow tract and can be damaged during procedures needed for widening of the RVOT. Arch Med Sci Atheroscler Dis.

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Concerning EKG with a Non-obstructive angiogram. What happened?

Dr. Smith's ECG Blog

Unfortunately, we do not have those images for review, but the operators described a ruptured LAD plaque and they stented this area, which ensures the stability of the plaque. The image on the left shows the LAD before intervention, and the red circled portion on the right indicates the stented region.

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Outpatient vascular care : Good, bad or ugly?

Dr. Anish Koka

Jeffery Dormu was a double board certified vascular surgeon who was paid $13 million dollars by Medicare alone between 2013 and 2017. He is again sent to Dr. Dormu, who on the same day, performs another angiogram which revealed an in-stent restenosis of the superficial femoral artery stent and a 60% stenosis of the tibioperoneal trunk.

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Is There a Delayed Activation Wave???

Dr. Smith's ECG Blog

One of our fine interns, Daniel Lee, who is also an ECG whiz, found this paper from 2013 and brought it to my attention: The delayed activation wave in non-ST-elevation myocardial infarction. A 100% occlusion on of the circumflex, proximal to the first obtuse marginal, was found, opened, and stented. The cath lab was activated.

STEMI 52
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A man in his early 40s with chest pain a "normal ECG" by computer algorithm. Should we avoid interrupting a physician to interpret his ECG?

Dr. Smith's ECG Blog

LAD and D1 were stented, but flow unfortunately could not be well restored despite efforts (they list the post intervention TIMI flow still as 0). Serial tracings following stent placement confirmed the large extent of myocardial injury. LCX and RCA were described as "normal" in the cath report.