All About Cardiovascular System and Disorders

APRIL 21, 2024

If the FFR normalizes after stenting, the restenosis rates at six months is less than 5%. Since the FFR wire can be used for guiding balloon catheters and stents, it is easy to make post procedure measurements without any additional effort. Routine FFR measurement probably lead to more judicious use of stents and improved outcomes.

Myocardial Infarction 52

Myocardial Infarction Stents Stent Coronary Artery Disease 52

The British Journal of Cardiology

APRIL 16, 2024

We present the cumulative percutaneous coronary intervention (PCI) data of all comers (stable angina and acute coronary syndromes [ACS]) who presented to Hadi Clinic between January 2018 and December 2020. A total of 567 patients underwent coronary catheterisation for the three-year period between January 2018 and December 2020.

Outcomes 40

Outcomes Cardiogenic Shock Angina STEMI 40

Frontiers in Cardiovascular Medicine

FEBRUARY 29, 2024

Method Between June 2018 and December 2022, 62 patients with type A aortic dissection (TAAD) underwent reoperation after previous surgical treatment. Outcome In the EVAR group, 47 patients (95.92%) were successfully implanted with overlapping stents, and 2 patients died in the perioperative period.

Aortic 49

Aortic Quality of Life Stents Stent 49

Circulation: Cardiovascular Interventions

OCTOBER 23, 2023

In-stent restenosis was excluded. In the DCB group, 43 patients (29.2%) were treated with DCB only and 104 (70.8%) with a hybrid approach; DCB length was greater than stent length in 55.1% The DCB group included both patients undergoing DCB-only PCI and those receiving hybrid PCI with DCB and DES combined. versus 83.5%;P=0.036)

Angioplasty 40

Angioplasty Stents Stent Cardiovascular Interventions 40

Frontiers in Cardiovascular Medicine

DECEMBER 13, 2024

The most cocited reference was Chaikof EL, 2018, J Vasc Surg, v67, p. Artificial intelligence, clinical outcomes and bridging stent were the primary keywords of emerging research hotspots.ConclusionThis is the first bibliometric study to comprehensively summarize the research trends in abdominal aortic aneurysm research.

Aneurysm 52

Aneurysm Aortic Research Download 52

Dr. Smith's ECG Blog

OCTOBER 6, 2024

The door to balloon time was incredibly short and there was a 100% circumflex occlusion that was opened and stented. Here is the PMcardio version: Because the Queen diagnosed OMI with High Confidence, the cath lab was activated without bothering a physician. Then the high sensitivity troponin T returned at 1400 ng/L.

Hospital 77

Hospital Chest Pain Blog Pulmonary 77

Dr. Smith's ECG Blog

DECEMBER 27, 2023

Just before 10 AM, the patient received a stent to the culprit OM. We know that today's patient has had prior inferior OMI with stenting of his proximal RCA ~3 years earlier. In this view, the culprit lesion is not particularly obvious which is an important principle in angiography, and the reason why we obtain multiple views.

Chest Pain 130

Chest Pain Myocardial Infarction Blog Stents 130

Dr. Smith's ECG Blog

SEPTEMBER 19, 2023

Past medical history includes coronary stenting 17 years prior. A b rief chart review revealed his most recent echo in 2018, with LV EF 67%, “very small” inferior wall motion abnormality. Pretest probability: Even before the ECG, a patient with a history of coronary stent has a 90% chance that his wide complex tachycardia is VT.

Tachycardia 138

Tachycardia Cardiogenic Shock Angina Blog 138

Dr. Smith's ECG Blog

APRIL 18, 2024

Written by Jesse McLaren A 70 year old with prior MIs and stents to LAD and RCA presented to the emergency department with 2 weeks of increasing exertional chest pain radiating to the left arm, associated with nausea. The patient was transferred to CCU to consider surgical options.

STEMI 121

STEMI Chest Pain Myocardial Infarction Blog 121

Stroke Journal

JANUARY 30, 2025

ml/h, P = 0.04), a higher likelihood of parent artery stenosis (65% vs. 20.8%, P < 0.001), and increased need for angioplasty or stenting (50% vs. 17%, P < 0.001). Follow-up lesion volumes and functional outcomes were similar; however, the mismatch group showed a slower infarct growth rate (3.8 ml/h vs. 7.5 vs. 21.2%, P = 0.02).Conclusions:DWI-ADC

Outcomes 40

Outcomes Strokes Stroke Angioplasty 40

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). Patients were divided into two groups based on IVI usage.

Outcomes 52

Outcomes Myocardial Infarction Ultrasound Article 52

Dr. Smith's ECG Blog

NOVEMBER 5, 2023

At that visit the patient was found to have an in-stent RCA occlusion. The patient was referred emergently to the cath lab, and again there was an in-stent RCA occlusion. As I illustrated in detail in My Comment of the October 3, 2018 post of Dr. Smith's ECG Blog — I favor a qualitative approach based on shape.

Chest Pain 111

Chest Pain Pacemaker Ischemia Stent 111

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

years) underwent surgery for unruptured anterior communicating artery aneurysms in our hospital between January 2018 and January 2023.ResultsThe Coil embolization was performed for fifty‐four patients using various adjunctive techniques (simple, 7; double catheter, 15; balloon neck remodeling, 7; stent‐assisted, 26 (LVIS Jr.,

Aneurysm 40

Aneurysm Embolism Stents Stent 40

Stroke Journal

JANUARY 30, 2025

Here we assess the efficacy of technique switching after the first pass failed reperfusion in a large multi-center cohort.Methods:All consecutive patients treated with EVT from 12 centers across the US were prospectively collected between 10/2018 12/2021 (SVIN Registry). Exclusion criteria included incomplete data.

Stents 40

Stents Stent Strokes Stroke 40

Circulation

NOVEMBER 11, 2024

Optimal management is controversial, with options including medical therapy (MT), endovascular stenting (ES), and surgical revascularization (SR). Propensity scores adjusted for baseline differences.

Stenosis 40

Stenosis Inpatient Stents Stent 40

Stroke Journal

FEBRUARY 1, 2024

The purpose of this study was to compare the outcomes of EVT for ICAD with those of cardiogenic cerebral embolism (CE) based on real-world data from a multicenter, prospective registry study (K-NET registry) involving 40 centers in Japan.Methods:The K-NET study enrolled 3187 EVTs in 2018-2021, of which 358 (11%) were ICAD and 1870 (59%) were CE.

Embolism 40

Embolism Outcomes Angioplasty Hemorrhage 40

Stroke Journal

FEBRUARY 1, 2024

We aimed to evaluate the association between RS with functional outcomes compared to medical management (MM) in patients who underwent failed MT.Methods:This is a cross-sectional study using prospectively collected data from the Society of Vascular and Interventional Neurology (SVIN) Registry from 2018 to 2021.

Angioplasty 40

Angioplasty Strokes Stroke Stents 40

Stroke Journal

JANUARY 30, 2025

Background:Postoperative complication rates of carotid endarterectomy (CEA) and carotid artery stenting (CAS) for carotid artery stenosis are recommended to be maintained below a certain threshold. Stroke, Volume 56, Issue Suppl_1 , Page ATP128-ATP128, February 1, 2025.

Hospital 40

Hospital Stenosis Outcomes Inpatient 40

All About Cardiovascular System and Disorders

JANUARY 14, 2024

Stenting of the patent ductus arteriosus can be considered in neonatal period for improving oxygen saturation till corrective surgery. 2018 Jun 28;3:e72-e79. Anomalous coronary arteries can cross the right ventricular outflow tract and can be damaged during procedures needed for widening of the RVOT. References Wagdy R. 2018.76824.

Congenital Heart Disease 52

Congenital Heart Disease Pulmonary Anatomy Congenital 52

Dr. Anish Koka

JULY 23, 2023

In 2018, he even opened a state of the art lab nicknamed “the Watcher” and was paid $18 million from Medicare in the next 3 years. 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.

Vascular Care 52

Vascular Care Outpatient Peripheral Arterial Disease Stents 52

Dr. Smith's ECG Blog

MAY 30, 2023

Angiogram: Culprit Lesion (s): Thrombotic occlusion of the proximal RCA -- stented. For review — GO TO: The June 4, 2018 post ( LA-LL reversal ). The July 29, 2018 post ( LA-RA reversal ). The November 4, 2018 post ( Leads V1,V2 misplacement ). The February 11, 2020 post ( LA-RA reversal ).

Chest Pain 97

Chest Pain Myocardial Infarction STEMI Cardiogenic Shock 97

Dr. Smith's ECG Blog

MAY 13, 2020

One would not expect wall motion to recover so quickly after stenting, so this is good evidence that the POCUS echo was indeed accurate. Angiogram: Severe diffuse left main disease, up to 80% at the ostial left main. Post cath ECG: Normal or near normal Peak troponin I was 15 ng/mL.

Echocardiogram 52

Echocardiogram Ischemia Chest Pain Blog 52

Dr. Smith's ECG Blog

NOVEMBER 29, 2023

The patient was found to have total "mid" LAD occlusion which was stented: Pre-PCI. Patient 2 Clinical Course and Outcome: This patients first ECG was sent to the EM physician who said it did not meet STEMI criteria, but wisely agreed with EMS to get serial ECGs during transport. The cath lab was now activated.

STEMI 125

STEMI Chest Pain Blog Pericarditis 125

Dr. Smith's ECG Blog

JULY 3, 2018

Submitted and written by Alex Bracey with edits by Pendell Meyers and Steve Smith Case A 50ish year old man with a history of CAD w/ prior LAD MI s/p LAD stenting presented to the ED with chest pain similar to his prior MI, but worse. The patient underwent successful placement of one drug eluting stent with restoration of TIMI 3 flow.

Pericarditis 52

Pericarditis Chest Pain Stents Stent 52

Dr. Smith's ECG Blog

JULY 11, 2018

He did, found the true culprit, and went back in to stent it. Comment by KEN GRAUER, MD ( 7/11/2018 ): = Insightful blog post by Dr. Smith regarding ECG criteria for recognizing acute RV involvement in patients with inferior STEMI. Right Ventricular MI seen on ECG helps Angiographer to find Culprit Lesion This is the ECG.

Chest Pain 52

Chest Pain STEMI Ischemia Blog 52

EMS 12-Lead

AUGUST 14, 2022

One stent was deployed with restorative TIMI-0 flow. However, when the Troponin I returned 8.4 ng/mL during the night – in the presence of unmitigated pain – cardiology decided to take him to the Cath Lab. The red arrow shows a 90% LAD occlusion at the D1 branch. it has been subsequently deemed a STEMI-equivalent.

STEMI 52

STEMI Sudden Cardiac Death Thrombosis Thrombolysis 52

EMS 12-Lead

JUNE 20, 2022

He was rushed to the Cath Lab where an LAD culprit lesion was stented. Here is the LAD after stent placement. This is to suggest improved TIMI flow – most likely a combination of the ASA administration in tandem with the body’s own natural tPA – yet the ECG still retains signatures of an active thrombus. 3] Aslanger, E.,

STEMI 52

STEMI Stent Stents Myocardial Infarction 52

EMS 12-Lead

APRIL 2, 2022

He reported a history of ischemic cardiomyopathy with coronary stent placement approximately 10 years prior, but could not recall the specific artery involved. A 99% LAD occlusion was stented. BP 110/67 HR 68 RR 14 (non-labored) SpO2 95 RA Physical exam revealed slight pallor and diaphoresis. Attached is the first ECG. 5] Walsh, B.

Myocardial Infarction 52

Myocardial Infarction Stent Stents STEMI 52

Dr. Smith's ECG Blog

MARCH 27, 2025

The total occlusion was recanalized and stented from 100 to 0%. ii ) Since it is now 7 years since initial publication of the OMI Manifesto ( See the April 18, 2018 post in Dr. Smith's ECG Blog ) We would have expected that emergency providers ( especially cardiologists!

STEMI 80

STEMI Chest Pain Pericarditis Ischemia 80

Dr. Smith's ECG Blog

FEBRUARY 15, 2018

The patient was then taken to the cath lab an found to have a proximal RCA 100% thrombotic occlusion which was successfully stented. J Electrocardiology January–February, 2018; Volume 51, Issue 1, Pages e5–e6. Progression of V2 showing posterior involvement.

Chest Pain 52

Chest Pain Critical Care Article Pacemaker 52

EMS 12-Lead

APRIL 14, 2022

Troponin I returned 80 ng/mL, and the Cath Lab was then reactivated where a 100% LAD occlusion was found and stented. The nearest PCI center was activated but ultimately denied by Cardiology. Utility of the history and physical examination in the detection of Acute Coronary Syndromes in emergency department patients. 2] Costanzo, L.

ACE Inhibitor 52

ACE Inhibitor Physiology Chest Pain Academic 52

Dr. Smith's ECG Blog

SEPTEMBER 20, 2018

They found an acute lesion of the LAD at the site of the prior stents, including 70% proximal LAD lesion and 95% mid-LAD stenosis with TIMI 3 flow at the time of cath. The LAD lesion was acute and required 3 stents to restore flow. They took him almost immediately for catheterization.

Chest Pain 52

Chest Pain STEMI Cardiac Arrest Aneurysm 52

Dr. Paddy Barrett

AUGUST 1, 2023

This is where careful discussion with the patient is required, and an explanation of the most recent literature suggests no reduction in future major heart events with stenting in most obstructive coronary artery disease 5. ( 2018 Sep 6;379(10):924-933. But that’s a whole can of worms for another day). Medicine (Baltimore).

Coronary Angiogram 52

Coronary Angiogram Plaque Coronary Artery Disease Chest Pain 52

Dr. Smith's ECG Blog

OCTOBER 24, 2018

It was stented. My Comment , by K EN G RAUER, MD ( 10/24/2018 ): = Important teaching points are made in this post by Dr. Smith. We have previously discussed this phenomenon ( Please see the P.S. at the bottom of the page in My Comment, from Dr. Smith’s July 11, 2018 blog post ). Values: STE60V3 = 2.0, QRS V2 = 10, RAV4 = 15.5,

STEMI 40

STEMI Angina Myocardial Infarction Plaque 40

EMS 12-Lead

MAY 20, 2022

A mid-LAD culprit lesion was identified and stented. Cardiology felt her chest pain to be, most likely, the result of coronary supply-demand mismatch in the context of HCM endothelial remodeling (i.e. Type II MI), however decided to pursue coronary angiogram out of an abundance of caution. Pacing Clin Electrophysiol. 40; 1234-1241.

Cardiomyopathy 52

Cardiomyopathy Ischemia STEMI Coronary Angiogram 52

Dr. Smith's ECG Blog

SEPTEMBER 11, 2018

Angiogram showed a distal RCA occlusion which was stented. While the cath lab was getting ready, we recorded a right sided ECG: V1=V1R which is the same location as V2 V2 = V2R = same location as V1 V3-V6 = V3R - V6R Inferior MI is obvious There is no right ventricular MI evident on these ECGs. Echo showed inferior wall motion abnormality.

Chest Pain 52

Chest Pain Critical Care Blog Stents 52

Dr. Smith's ECG Blog

JUNE 28, 2018

Ed Burns has a very nice complete summary of Wellens' syndrome here: [link] = Comment by KEN GRAUER, MD ( 6/28/2018 ): = Highly insightful post with superb explanation by Dr. Smith, illustrating by sequential evolution over 5 serial tracings what Wellens’ Syndrome is, and what it is not. Here is the first post-cath ECG (ECG #4).

Chest Pain 52

Chest Pain Myocardial Infarction STEMI Article 52