2015, Outcomes and Stents - Cardiovascular Update

Socioeconomic status as a predictor of post-operative mortality and outcomes in carotid artery stenting vs. carotid endarterectomy

Frontiers in Cardiovascular Medicine

FEBRUARY 6, 2024

Background The association between low socioeconomic status (SES) and worse surgical outcomes has become an emerging area of interest. Literature has demonstrated that carotid artery stenting (CAS) poses greater risk of postoperative complications, particularly stroke, than carotid endarterectomy (CEA).

Stents

Stents Stent Outcomes Inpatient

Abstract 278: Patterns of Mechanical Thrombectomy for Stroke Before and After the 2015 Pivotal Trials:5 Years Follow?up

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionThe 2015 American Heart Association Guidelines recommended mechanical thrombectomy with stent‐retriever devices. We analyze the national trends in mechanical thrombectomy use and outcomes for stroke five years after publication of the US guideline update.MethodsWe analyzed the National Inpatient Sample from 2012‐2019.

Stroke

Stroke Strokes Cardiac Arrest Inpatient

Abstract WP10: Safety and Efficacy of Intravenous Cangrelor for Acute Rescue Cervical and Intracranial Stenting in Ischemic Stroke

Stroke Journal

JANUARY 30, 2025

Background:Increased immediate and delayed re-occlusion rates, up to 33%, are reported in patients undergoing acute stenting for tandem lesions, with symptomatic hemorrhage rates around 10-15%. Intraprocedural intravenous (IV) cangrelor is emerging as a bridging therapy for antiplatelet inhibition during acute stenting in ischemic stroke.

Stent

Stent Stents Stroke Strokes

Webinars

Bridging Innovation & Patient Care: The Growing Role of AI

MORE WEBINARS

Abstract TMP94: Association of Acute Carotid Stenting With Functional Outcome Mediated by Excellent Reperfusion in Tandem Lesions: Analysis of a Multicenter Registry

Stroke Journal

FEBRUARY 1, 2024

Introduction:Current evidence suggests that acute carotid artery stenting (CAS) for cervical lesions is associated with better functional outcomes in patients with acute stroke with tandem lesions (TLs) treated with endovascular treatment (EVT). Stroke, Volume 55, Issue Suppl_1 , Page ATMP94-ATMP94, February 1, 2024. p=<0.001).

Stents

Stents Stent Outcomes Angioplasty

Improved Clinical Outcomes with Intravascular Imaging-Guided PCI: Impact of Standardized Optimization Protocols

Cardiology Update

MAY 14, 2024

Intravascular imaging (IVI), such as intravascular ultrasound (IVUS) and optical coherence tomography (OCT), play a crucial role in assessing lesion characteristics and optimizing stent placement during percutaneous coronary intervention (PCI). Additionally, recent trials suggest similar outcomes between OCT-guided PCI and IVUS-guided PCI.

Outcomes

Outcomes Myocardial Infarction Ultrasound Stents

Abstract 209: Incidence and outcome of perforations during medium?vessel occlusion compared to large?vessel occlusion thrombectomy

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

The primary outcomes were independent functional outcome (i.e. The primary outcomes were independent functional outcome (i.e. Efforts to optimize the procedure may focus on navigation beyond the occlusion site and retraction of stent‐retriever/aspiration catheter.

Outcomes

Outcomes Stent Stents Stroke

First?Line Stent Retriever Versus Contact Aspiration or Combined Technique for Endovascular Therapy of Posterior Cerebral Artery Occlusion Stroke: The PLATO Study

Stroke: Vascular and Interventional Neurology

NOVEMBER 17, 2023

The primary outcome was the first‐pass effect (FPE), defined as expanded Treatment in Cerebral Infarction (TICI) 2c/3 on the first pass. FPE was associated with higher rates of favorable outcomes (modified Rankin scale score 0–2: 58% versus 43.4%;P=0.01; FPE was associated with better 90‐day clinical outcomes. 0.95];P=0.04).

Stents

Stents Stent Stroke Strokes

Texted from a former EM resident: 70 yo with syncope and hypotension, but no chest pain. Make their eyes roll!

Dr. Smith's ECG Blog

SEPTEMBER 11, 2024

The American Journal of Emergency Medicine 2015; 33(6):786-790. Smith : "What was the outcome?" Former resident: "Just saw cath report, LAD stent was 100% acutely occluded." They of course opened and stented it. link] So I responded with these words: Smith : "There are QS waves, which suggest old MI.

Chest Pain

Chest Pain Aneurysm Stents Stent

Abstract 012: First?line Stent Retriever Versus Contact Aspiration or Combined Technique for Posterior Cerebral Artery Occlusion EVT

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Previous studies in LVO and MeVO have demonstrated a correlation between good clinical outcomes and the first pass effect (FPE, eTICI 2c/3 on the first pass) but no differences in FPE rates or clinical outcomes between first‐line endovascular therapy techniques.1‐6 Excellent outcome (mRS 0‐1) occurred in 30.7% of patients.

Stents

Stents Stent Outcomes Thrombolysis

Abstract WMP9: Comparative Analysis of Endovascular Treatment Outcomes in Acute Large Vessel Occlusion Strokes: Intracranial Atherosclerotic vs. Non- Intracranial Atherosclerotic Occlusions

Stroke Journal

FEBRUARY 1, 2024

We assessed the clinical outcomes of endovascular treatment in acute large vessel occlusion (LVO) strokes caused by ICAD and compared them with large vessel occlusion strokes not associated with intracranial atherosclerosis (non-ICAD LVO).Methods:Our Stroke, Volume 55, Issue Suppl_1 , Page AWMP9-AWMP9, February 1, 2024. vs. 4%, p = 0.008).

Stroke

Stroke Strokes Outcomes Angioplasty

Abstract TP257: Comparing Study Designs and Statistical Methods in Mechanical Thrombectomy Trials in Ischemic Stroke: A Systematic Review

Stroke Journal

JANUARY 30, 2025

Trials with functional outcomes measured at 3 months were included. Data extracted included year of publication, estimated and actual sample sizes, observed outcomes, and statistical methods used. This might reflect a shift toward capturing more nuanced outcomes in stroke populations.

Stroke

Stroke Strokes Stents Stent

Abstract 157: Endovascular Treatment of Acute Ischemic Stroke Patients With Tandem Lesions Presenting With Low Alberta Stroke Program Early Computed Tomography Score

Stroke Journal

FEBRUARY 1, 2024

We also compared the safety of acute carotid stenting (CAS) in TLs with low ASPECTS.Methods:This prospective multicenter study from 16 centers included patients with anterior circulation TL from 2015-2020. in patients with stenting (18/44) versus no-stenting (25/44).Conclusion:This 3.05; p=0.32), PH2 (OR: 1.14, CI: 0.26-5.02;

Stent

Stent Stents Stroke Strokes

Abstract WMP96: When to Change? Altering Strategies in Mechanical Thrombectomy May Impact Reperfusion Rates

Stroke Journal

FEBRUARY 1, 2024

Introduction:Earlier and greater reperfusion in mechanical thrombectomy (MT) leads to better clinical outcomes. Our primary endpoint was complete/near-complete reperfusion (eTICI 2c-3) at pass #2 (after pass #1 failure).

Stents

Stents Stent Stroke Strokes

Acute OMI or "Benign" Early Repolarization?

Dr. Smith's ECG Blog

DECEMBER 27, 2023

Just before 10 AM, the patient received a stent to the culprit OM. Comparative early and late outcomes after primary percutaneous coronary intervention in st-segment elevation and Non–St-segment elevation acute myocardial infarction (from the Cadillac trial). Peak troponin was 12 ng/mL. Before and after angiography is shown below.

Chest Pain

Chest Pain Myocardial Infarction Blog Stents

A man in his 70s with acute chest pain and paced rhythm.

Dr. Smith's ECG Blog

MAY 8, 2023

American Heart Journal 170(6):1255-1264; December 2015. So the patient was taken for emergent cath, showing: Culprit artery: LAD (100% stenosis, TIMI 0) requiring thrombectomy and stent. Queen of Hearts Interpretation: Would 20 minutes earlier diagnosis have made a difference in his clinical outcome?

Chest Pain

Chest Pain Myocardial Infarction STEMI Pacemaker

A 50-something with 5 hours of typical chest pain and Left Bundle Branch Block

Dr. Smith's ECG Blog

DECEMBER 16, 2019

This case was texted to me by one of our residency graduates, and with the outcome, so I don't know how I would have interpreted it blindly. It was opened and stented. 21, 2015 post by Dr. Smith ). Here is his ECG (there was no previous ECG available): What do you think? The LAD was 100% occluded. Subsequent Peak cTnI was 46.84

Chest Pain

Chest Pain Myocardial Infarction Stents Stent

Abstract 214: Predictors of Mechanical Thrombectomy Success and Failure: A Preliminary Analysis

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

In the present study, we investigated clinical and procedural characteristics predictive of MT success and failure.MethodsWe conducted a retrospective analysis of MT patients with LVO presenting to our academic comprehensive stroke center from 2015‐2020. Recanalization failure was defined as TICI 0‐2a and success as TICI 2b‐3.

Atherosclerosis

Atherosclerosis Stents Stent Academic

Association of systemic immune-inflammatory index with in-stent restenosis in patients with and without diabetes mellitus

Frontiers in Cardiovascular Medicine

JANUARY 19, 2025

The systemic immune-inflammation index (SII) has been developed as a cost-effective and practical predictor for CAD outcomes. This study aimed to determine the association between the SII and the risk of ISR among ACS patients with and without diabetes mellitus (DM).MethodsIn

Diabetes

Diabetes Stents Stent Cardiovascular Disease

What happens when you give morphine for chest pain in ACS? And what is pseudo-normalization of T-waves?

Dr. Smith's ECG Blog

MARCH 14, 2025

He eventually underwent CAG, where a circumflex occlusion was stented. Here is an old (2015), but still very relevant, lecture on T-wave inversion by Dr. Smith: 40 minute lecture on T-wave inversion Learning points : T-waves are often dynamic in ACS and may hint at reperfusion and re-occlusion before the ST-segment does. Am Heart J.

Chest Pain

Chest Pain STEMI Myocardial Infarction Ischemia

Socioeconomic status as a predictor of post-operative mortality and outcomes in carotid artery stenting vs. carotid endarterectomy

Abstract 278: Patterns of Mechanical Thrombectomy for Stroke Before and After the 2015 Pivotal Trials:5 Years Follow?up

Abstract WP10: Safety and Efficacy of Intravenous Cangrelor for Acute Rescue Cervical and Intracranial Stenting in Ischemic Stroke

Webinars

Abstract TMP94: Association of Acute Carotid Stenting With Functional Outcome Mediated by Excellent Reperfusion in Tandem Lesions: Analysis of a Multicenter Registry

Improved Clinical Outcomes with Intravascular Imaging-Guided PCI: Impact of Standardized Optimization Protocols

Abstract 209: Incidence and outcome of perforations during medium?vessel occlusion compared to large?vessel occlusion thrombectomy

First?Line Stent Retriever Versus Contact Aspiration or Combined Technique for Endovascular Therapy of Posterior Cerebral Artery Occlusion Stroke: The PLATO Study

Texted from a former EM resident: 70 yo with syncope and hypotension, but no chest pain. Make their eyes roll!

Abstract 012: First?line Stent Retriever Versus Contact Aspiration or Combined Technique for Posterior Cerebral Artery Occlusion EVT

Abstract WMP9: Comparative Analysis of Endovascular Treatment Outcomes in Acute Large Vessel Occlusion Strokes: Intracranial Atherosclerotic vs. Non- Intracranial Atherosclerotic Occlusions

Abstract TP257: Comparing Study Designs and Statistical Methods in Mechanical Thrombectomy Trials in Ischemic Stroke: A Systematic Review

Abstract 157: Endovascular Treatment of Acute Ischemic Stroke Patients With Tandem Lesions Presenting With Low Alberta Stroke Program Early Computed Tomography Score

Abstract WMP96: When to Change? Altering Strategies in Mechanical Thrombectomy May Impact Reperfusion Rates

Acute OMI or "Benign" Early Repolarization?

A man in his 70s with acute chest pain and paced rhythm.

A 50-something with 5 hours of typical chest pain and Left Bundle Branch Block

Abstract 214: Predictors of Mechanical Thrombectomy Success and Failure: A Preliminary Analysis

Association of systemic immune-inflammatory index with in-stent restenosis in patients with and without diabetes mellitus

What happens when you give morphine for chest pain in ACS? And what is pseudo-normalization of T-waves?

Stay Connected