Dr. Smith's ECG Blog

SEPTEMBER 11, 2024

Former resident: "Just saw cath report, LAD stent was 100% acutely occluded." They of course opened and stented it. They said it looked similar to his old one (in my opinion, similar, but not similar enough to be able to say no OMI)." Smith : "What was the outcome?" You taught us well!"

Chest Pain 114

Chest Pain Aneurysm Stents Stent 114

Circulation

OCTOBER 24, 2023

Background:Stopping aspirin within 1 month after implantation of a drug-eluting stent (DES) for ticagrelor monotherapy has not been exclusively evaluated for patients with acute coronary syndrome (ACS). Circulation, Ahead of Print. versus 3.4%; HR, 0.35 [95% CI, 0.20–0.61];P<0.001).Conclusions:This 0.61];P<0.001).Conclusions:This

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Stents Stent Myocardial Infarction Thrombosis 40

Dr. Smith's ECG Blog

JUNE 23, 2024

Given the presentation, the cardiologist stented the vessel and the patient returned to the ICU for ongoing critical care. On the other hand, if this was idiopathic VF and the interventionalist stented a stable moderate LAD lesion (remember, 60% is considered non-obstructive), the patient should have ICD implantation prior to discharge.

Chest Pain 118

Chest Pain Cardiac Arrest Sudden Cardiac Death Blog 118

DAIC

APRIL 23, 2024

Surgical aortic valve replacement with a stented pericardial bioprosthesis: 5-year outcomes. Surgical aortic valve replacement with a stented pericardial bioprosthesis: 5-year outcomes. Eur J Cardiothorac Surg 2022 Aug 3;62(3) 10 Klautz RJM, Rao V, Reardon MJ, et al. 5 Verbelen T, Roussel JC, Cathenis K, et al.,

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Aortic valve Aortic Innovation Cardiothoracic 111

DAIC

JUNE 13, 2024

Surgical aortic valve replacement with a stented pericardial bioprosthesis: 5-year outcomes. Surgical aortic valve replacement with a stented pericardial bioprosthesis: 5-year outcomes. Eur J Cardiothorac Surg 2022 Aug 3;62(3) 10 Klautz RJM, Rao V, Reardon MJ, et al. 5 Verbelen T, Roussel JC, Cathenis K, et al.,

Aortic valve 109

Aortic valve Aortic Innovation Cardiothoracic 109

Society of Thoracic Surgeons - Technology

NOVEMBER 10, 2022

Webinar New FDA-Approved Aortic Technologies kchalko Thu, 11/10/2022 - 12:30 November 3, 2022 Recent approvals by the U.S. The Thoraflex Hybrid Frozen Elephant Trunk (FET) device is a pre-mated surgical graft and an aortic stent graft to facilitate single-stage treatment of arch and proximal descending aortic pathologies.

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Technology Aortic Webinar Stents 52

Dr. Smith's ECG Blog

MARCH 31, 2024

I advised that perhaps posterior leads would help to persuade the interventionalist, since the 2022 ACC recommendations include posterior STEMI as a formal STEMI equivalent, but only officially by 0.5 Angiogram reportedly showed acute thrombotic occlusion of the first obtuse marginal which was stented. mm STE in the posterior leads.

Chest Pain 111

Chest Pain STEMI Ischemia Myocardial Infarction 111

Stroke: Vascular and Interventional Neurology

NOVEMBER 17, 2023

BACKGROUNDThe optimal reperfusion technique in patients with isolated posterior cerebral artery (PCA) occlusion is uncertain. The primary outcome was the first‐pass effect (FPE), defined as expanded Treatment in Cerebral Infarction (TICI) 2c/3 on the first pass.

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Stents Stent Strokes Stroke 40

Dr. Smith's ECG Blog

APRIL 22, 2024

Here are other very interesting posts: Wellens' syndrome: to stent or not? Despite description of Wellens’ Syndrome over 40 years ago — this syndrome remains misunderstood by all-to-many clinicians ( See My Comment at the bottom of the page in the August 12, 2022 post in Dr. Smith’s ECG Blog ).

Chest Pain 118

Chest Pain Myocardial Infarction Anatomy Angina 118

Frontiers in Cardiovascular Medicine

JANUARY 28, 2025

IntroductionThe accuracy of fenestrations in stent grafts for complex aortic aneurysms and dissections can be significantly improved using three-dimensional (3D)-printed phantoms. Standardization is enhanced by using artificial intelligence (AI) for image pre-processing before 3D printing.

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Aneurysm Aortic Stents Stent 52

Dr. Smith's ECG Blog

OCTOBER 30, 2023

A 60 yo with 2 previous inferior (RCA) STEMIs, stented, called 911 for one hour of chest pain. The first hs troponin I returned at 1100 ng/L Angiogram Lesion on 1st Obtuse Marginal : Proximal subsection = 90% stenosis Stented. He had no h/o heart failure. DBT was 120 minutes, pretty good for a Non-STEMI OMI.

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STEMI Heart Failure Stents Stent 123

Dr. Smith's ECG Blog

DECEMBER 27, 2023

Just before 10 AM, the patient received a stent to the culprit OM. We have discussed repolarization variants on multiple occasions in Dr. Smith's ECG Blog — with detailed description of this entity in the May 23, 2022 post by Dr. McLaren ( Please check out My Comment and illustrative Figure at the bottom of the page of this post ).

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Chest Pain Myocardial Infarction Blog Stents 131

Dr. Smith's ECG Blog

SEPTEMBER 19, 2023

Past medical history includes coronary stenting 17 years prior. If you take old people with a history of MI (he had a stent), that percentage goes far higher since there is scar tissue that acts as a nidus for the PVCs that initiate VT. He had concurrent sharp substernal chest pain that resolved, but palpitations continued.

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Tachycardia Cardiogenic Shock Angina Coronary Angiogram 139

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. Clin Cardiol 2022 4. The patient was transferred to CCU to consider surgical options. Int J Cardiol 2024 3. Lupu et al.

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STEMI Chest Pain Myocardial Infarction Blog 121

DAIC

MAY 14, 2024

If treatment is needed, Medis’ QFR technology can help clinicians select the ultimate lesion(s) for treatment and create the right treatment plan for a balloon or stent-based PCI procedure, while also helping the clinician evaluate the efficacy of that treatment. Leon, Shubin Qiao, Gregg W.

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Coronary Artery Disease Interventional Cardiology Innovation Physiology 111

Dr. Smith's ECG Blog

JULY 14, 2024

The cath lab was activated, and then not cancelled, and the angiogram showed 99% TIMI 2 flow proximal LAD culprit lesion, stented in less than 90 minutes of arrival. Cath days later showed complete occlusion of the LAD, stented. Ultimately, cardiac cath was done in Case #2, with stenting of the "culprit" LAD lesion.

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AFIB Stents Stent Chest Pain 105

Dr. Smith's ECG Blog

MAY 23, 2023

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). 2022 Jan;51:384-387. 2022 May;55:180-182. 2022 May;55:180-182. Epub 2022 Mar 17. LCX and RCA were described as "normal" in the cath report. Am J Emerg Med. 2021.11.023.

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Chest Pain STEMI Blog Stents 98

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

The stent–aspiration (Solumbra) technique uses a large bore aspiration catheter with a stent retriever device for potential synergistic effects. The technique involves deploying a stent retriever through microcatheter and large bore aspiration catheter like ACE 68 (Penumbra, Inc.), years, mean NIHSS 9.1).

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Stents Stent Thrombolysis Embolism 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.

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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

Journal of the American Heart Association

FEBRUARY 26, 2025

ConclusionsARBBB is a predictor of inhospital SCD, CR, and 2year major adverse cardiovascular and cerebrovascular events in patients with firstepisode acute myocardial infarction undergoing percutaneous coronary intervention with a drugeluting stent.

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Sudden Cardiac Death Myocardial Infarction Stents Stent 40

Frontiers in Cardiovascular Medicine

NOVEMBER 21, 2024

ObjectiveThis study aims to summarize the clinical experience of using Hem-o-lok clips for the closure of the left subclavian artery (LSA) stump in patients with acute Stanford type A aortic dissection.MethodsClinical data were collected from 96 patients with acute type A aortic dissection admitted to our hospital from January 2020 to December 2022.

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Aortic Thrombosis Aneurysm Stents 52

Open Heart

DECEMBER 29, 2022

Methods A search was conducted on five databases for randomised controlled trials (RCTs) conducted between 1 January 2000 and 17 July 2022, which included an ADP-specific platelet function assays and P2Y 12 antagonists as part of dual antiplatelet therapy (DAPT) and have reported the efficacy and/or safety outcomes.

Myocardial Infarction 52

Myocardial Infarction Thrombosis Stents Stent 52

Stroke Journal

FEBRUARY 1, 2024

Methods:Within 168 FSR-participating hospitals, between January 2010 and September 2022, we analyzed NCIS patients with NIHSS score >3, without other indication(s) for DAPT (e.g., carotid stenting) or systemic anticoagulation, hemorrhagic complications, and whom received at least one antiplatelet agent upon discharge.

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Stroke Strokes Atherosclerosis Stents 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Angioplasty and stenting typically require the administration of glycoprotein IIb/IIIa inhibitors and/or dual‐antiplatelets which may increase the risk of hemorrhage in the setting of recent thrombolysis administration.MethodsWe conducted a retrospective analysis of a prospectively maintained patient registry at a comprehensive stroke center.

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Angioplasty Thrombolysis Hemorrhage Stents 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Navigation beyond the occlusion and retraction of stent‐retriever/aspiration catheter were the two most common procedural steps that led to perforation.ConclusionIn our cohort, perforation was approximately twice as frequent in MeVO than in LVO thrombectomy. The primary outcomes were independent functional outcome (i.e.

Outcomes 40

Outcomes Stents Stent Strokes 40

Stroke Journal

FEBRUARY 1, 2024

Thus, the QI project aimed to retrospectively examine unexpected or safety events of patients who underwent carotid artery stenting or carotid endarterectomy procedures before versus after implementing the new policy.Objective:To compare and examine the rates of unexpected or safety events that occurred before (5/1/2021 - 10/31/2021; PRE) vs. after (..)

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Nursing Stents Stent Hospital 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Patients included were of Hispanic origin presenting between 2012 and 2022 who underwent thrombectomy for acute ischemic stroke. vs. 20.5%; p = 0.048) and stenting (28.4% We performed this retrospective cohort analysis to assess the impact of poorly controlled diabetes, defined as HbA1C of 9.0% or greater.

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Outcomes Angioplasty Atrial Fibrillation Diabetes 40

Dr. Smith's ECG Blog

OCTOBER 15, 2024

A prehospital “STEMI” activation was called on a 75 year old male ( Patient 1 ) with a history of hyperlipidemia and LAD and Cx OMI with stent placement. It was stented. He wrote most of it and I (Smith) edited. It is also important to recognize that BTWI patterns can be very dynamic. He went to the cath lab at 0900 the next morning.

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Chest Pain STEMI Echocardiogram Stents 116

Dr. Smith's ECG Blog

NOVEMBER 3, 2023

A man in his 70s with past medical history of hypertension, dyslipidemia, CAD s/p left circumflex stent 2 years prior presented to the ED with worsening intermittent exertional chest pain relieved by rest. The reappearance of de Winter's pattern caused by acute stent thrombosis: A case report. Published 2022 Feb 20. As per Drs.

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Chest Pain Cardiogenic Shock Ischemia Myocardial Infarction 83

Dr. Smith's ECG Blog

SEPTEMBER 9, 2024

The operator documented thoughtful consideration of risks and benefits of stent placement. Technically, there was a very narrow landing zone for the stent, and missing this could result in "jailing" the LCx, which is ideally avoided. Unfortunately, a few hours later the patient complained of recurrent chest pain.

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Plaque Stents Stent Chest Pain 66

Dr. Smith's ECG Blog

OCTOBER 8, 2024

She was taken to the cath lab, where she was found to have 100% in-stent restenosis of the proximal LAD. For more on Precordial Swirl — See the October 15, 2022 post in Dr. Smith's ECG Blog ). About 45 minutes after the second EKG, the patient was found in cardiac arrest. She was worked as a full code, and ROSC was achieved.

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Cardiac Arrest Myocardial Infarction STEMI Cardiogenic Shock 123

Stroke: Vascular and Interventional Neurology

JANUARY 4, 2024

Endovascular devices have catalyzed a global industry for advanced technologies such as flow diverters and stent retrievers. As of April 2022, >85% of 500 000+ previously certified devices were without new certification.In Stroke: Vascular and Interventional Neurology, Ahead of Print.

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Stents Stent Article Technology 40

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionFlow diverters (FD) are stent‐type devices that enable the exclusion of intracranial aneurysms in clinical scenarios where coil‐type devices exhibit high failure rates. Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. Adults older than 18 with non‐ruptured intracranial aneurysms were included.

Aneurysm 40

Aneurysm Embolism Angioplasty Stents 40

Stroke Journal

JANUARY 30, 2025

We evaluated the impact of IS+ on different efficacy outcome variables: final complete recanalization (eTICI2c-3), total number of passes, procedural duration, and use of bailout technique (angioplasty, stenting, GP2b2a infusion)Results:Of the 200 evaluated patients, 52 (26%) IS+ were found.

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Stenosis Outcomes Angioplasty Stents 40

Stroke Journal

FEBRUARY 1, 2024

MT cases for strokes between 2020 and 2022 were reviewed. To be included, two or more passes of MT using stent retrievers in combination with aspiration must have occurred. Favorable functional outcomes were identified as mRS of 0 to 2 and NIHSS of 0 to 4 at discharge.

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Stents Stent Outcomes Strokes 40

Dr. Anish Koka

JULY 23, 2023

Based on these results, Dormu performed a percutaneous transluminal balloon angioplasty and a mechanical atherectomy and stenting of the right superficial femoral artery and stenting of the right superficial femoral artery. Another superficial femoral artery stent was placed as well. All stents were occluded. 4.2.2017.

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Vascular Care Outpatient Peripheral Arterial Disease Stents 52