DAIC

APRIL 23, 2024

milla1cf Tue, 04/23/2024 - 15:53 April 23, 2024 — Medtronic plc, a global leader in healthcare technology, today announced the launch of its latest innovation in cardiac surgery, the Avalus Ultra valve. The Avalus Ultra valve received FDA approval in January 2024 and is currently only commercially available in the United States.

Aortic valve 111

Aortic valve Aortic Innovation Cardiothoracic 111

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page ATP185-ATP185, February 1, 2024. Introduction:The Resolute Onyx stent has shown promise as an effective treatment for symptomatic intracranial atherosclerotic disease (sICAD), with positive clinical outcomes and low procedural complication rates.

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Stent Stents Stenosis Hemorrhage 40

DAIC

JUNE 13, 2024

Getty Images milla1cf Thu, 06/13/2024 - 20:38 June 13, 2024 — Medtronic plc, a global leader in healthcare technology, today announced the launch of its latest innovation in cardiac surgery, the Avalus Ultra valve. Presented at Heart Valve Society 2024, Boston, MA. February 18–21, 2024. Eur J Cardiothorac Surg.

Aortic valve 109

Aortic valve Aortic Innovation Cardiothoracic 109

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page AWMP88-AWMP88, February 1, 2024. Background:In stroke patients undergoing EVT, angioplasty and stenting (A&S) has been described as a bailout technique when thrombectomy fails or intracranial stenosis is suspected. Further prospective data is warranted.

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Stent Stents Angioplasty Stenosis 40

Cardiology Update

APRIL 9, 2024

The American College of Cardiology (ACC) held its 73 rd annual scientific session and expo April 6-8, 2024 in Atlanta, Georgia. SMART 4 ( NCT04722250 ) studied patients with severe aortic stenosis and a small aortic annulus who underwent transcatheter aortic valve replacement (TAVR). April 6, 2024. April 7, 2024.

Angina 52

Angina Myocardial Infarction Aortic valve Coronary Artery Disease 52

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page A48-A48, February 1, 2024. Objective:To compare the 1-month stroke, myocardial infarction (MI), and/or death rates among symptomatic patients undergoing either CAS or CEA according to the timing of the procedure in Carotid Revascularization Endarterectomy versus Stenting Trial (CREST).Methods:We

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Stent Stents Stenosis Myocardial Infarction 40

Stroke Journal

JANUARY 30, 2025

We defined high-risk post-EVT stenosis as any stenosis with 50% lumen stenosis, associated dissection, re-occlusion during thrombectomy, and severe residual luminal irregularity. Conclusions:Eptifibatide use is associated with lower re-occlusion rates in patients with residual high-risk stenosis after EVT.

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Stenosis Thrombolysis Strokes Stroke 40

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4145821-A4145821, November 12, 2024. In this hyperacute emergent clinical situation, covered stents have been considered as a primary measure to prevent further serious arterial events. A fabric-based covered graft stents yield poor clinical outcomes. at 2weeks, 26.1 at 1 year).Conclusion:The

Stent 40

Stent Stents Stenosis Outcomes 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page ATP220-ATP220, February 1, 2024. Introduction:Traditional endovascular treatment for acutely symptomatic intracranial atherosclerotic disease (ICAD) includes balloon angioplasty and stenting. Subsequent balloon angioplasty and/or stenting were at operator discretion.

Angioplasty 40

Angioplasty Stenosis Stent Stents 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page ATP299-ATP299, February 1, 2024. PR was calculated as the ratio of proximal to distal pressure at the stenosis site, indicating post-stenosis blood flow. Arterial stenosis severity was categorized using the WASIDMethod:50%-69% for moderate and 70%-99% for severe. PR > 0.76

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Stenosis Stent Stents Strokes 40

Stroke Journal

JANUARY 30, 2025

Baseline angiograms were reviewed to assess the presence or absence of intracranial stenosis lesions (IS+ Vs IS-) different than the target occlusion. Further research is warranted to explore the diagnostic value of multiple intracranial stenosis in patients undergoing mechanical thrombectomy. p<0.01). minutes; p=0.018).

Stenosis 40

Stenosis Outcomes Angioplasty Stent 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page ATP202-ATP202, February 1, 2024. Background:Advancements in arterial stenting technology have challenged prior notions favoring medical management over endovascular intervention for intracranial atherosclerotic disease (ICAD).

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Stent Stents Technology Article 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page ATMP68-ATMP68, February 1, 2024. Purpose:Since the balloon protection device became unavailable in Japan three years ago, the DWI-positive rate after carotid artery stenting (CAS) has increased. Symptomatic stenosis (63.9% vs. 94.7%, p<0.05) was more common in the with-POWER group.

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Stent Stents Stenosis Embolism 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page AWP187-AWP187, February 1, 2024. Background:Persistent hypotension after carotid artery stenting (CAS) can lead to adverse outcomes, prolong length of stay (LOS), and increase hospital costs. BP was recorded at frequent intervals for at least 24 hours post-CAS.

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Stent Stents Blood Pressure Hypertension 40

Stroke Journal

JANUARY 30, 2025

Background:Hyperperfusion phenomenon (HPP) constitutes a significant risk factor for adverse outcomes following carotid artery stenting (CAS). Stroke, Volume 56, Issue Suppl_1 , Page ATP178-ATP178, February 1, 2025. Currently, the sole method for evaluating the risk of HPP post-CAS is the invasive acetazolamide (ACZ) challenge test.

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Stent Stents Stenosis Risk Factors 40

Dr. Smith's ECG Blog

APRIL 22, 2024

Here are other very interesting posts: Wellens' syndrome: to stent or not? In my experience — this ECG pattern is less specific for high-grade LAD stenosis, because other entities ( including non-cardiac CNS conditions ) may also be associated with symmetric T wave inversion.

Chest Pain 117

Chest Pain Myocardial Infarction Anatomy Angina 117

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4135852-A4135852, November 12, 2024. Background:Vertebrobasilar artery stenosis (VBAS) can cause posterior circulation strokes (PCS). Optimal management is controversial, with options including medical therapy (MT), endovascular stenting (ES), and surgical revascularization (SR).

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Stenosis Inpatient Stent Stents 40

Dr. Smith's ECG Blog

JULY 11, 2024

The red arrow shows a roughly 80% stenosis of the proximal LAD. The blue arrow shows another stenosis of the LAD distal to the first diagonal branch of about 99%. The green arrow shows a 95% stenosis of the ostium of the first diagonal branch. All three lesions had TIMI 2 flow prior to stenting.

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Outcomes Stenosis Outpatient Echocardiogram 112

Dr. Smith's ECG Blog

JANUARY 27, 2024

Old ‘NSTEMI’ A history of coronary artery disease and a stent to the same territory further increases pre-test likelihood of acute coronary occlusion, including in-stent thrombosis. The patient had a history of ‘NSTEMI’ a decade prior, with an RCA stent. West J Emerg Med 2024). Does this change your interpretation?

Chest Pain 117

Chest Pain STEMI Aneurysm Stent 117

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page A157-A157, 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

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Stent Stents Strokes Stroke 40

Stroke: Vascular and Interventional Neurology

AUGUST 4, 2024

Stroke: Vascular and Interventional Neurology, Volume 4, Issue 6 , November 1, 2024. BackgroundCarotid endarterectomy (CEA) is an established procedure for the treatment of extracranial internal carotid artery stenosis. Emergency CEA and carotid stenting procedures were excluded from the analysis.

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Hospital Outcomes Myocardial Infarction Stenosis 40

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4142716-A4142716, November 12, 2024. A coronary angiogram revealed non-obstructive left coronary arteries and a dominant right coronary artery (RCA) with heavily calcified stenosis at the bifurcation of the right posterolateral (RPL) and right posterior descending (RPD) branches.

Coronary Angiogram 40

Coronary Angiogram Stenosis Plaque Stent 40

Dr. Smith's ECG Blog

JANUARY 5, 2024

The LAD has diffuse disease with a few areas of moderate stenosis but no flow-limiting lesions. On the combined basis of angiography and IVUS, this patient received stents to his mid RCA, proximal PDA, and OM. RCA and PDA before and after, arrows indicating stented regions. OM before and after, arrow indicating stented region.

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Angina Plaque Document Stent 120

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. Angiography revealed a 30% nonobstructive stenosis of the mid LAD. There was a 70% culprit stenosis of the first obtuse marginal branch in a right dominant system.

Chest Pain 116

Chest Pain STEMI Echocardiogram Stent 116

Dr. Smith's ECG Blog

JUNE 11, 2024

Angiogram findings included: 95% mid RCA stenosis with occluded distal right PDA secondary to thrombus (peristent OMI). Successful drug-eluting stent placement opening up 95% mid RCA stenosis to 0% residual Nonobstructive left system disease. Below the limit of detection.

Chest Pain 113

Chest Pain STEMI Blog Exercise 113

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page AWP181-AWP181, February 1, 2024. The PREMIER study first demonstrated high rates of complete occlusion without parent vessel stenosis or permanent neurological complications after the treatment of wide-necked small and medium-sized intracranial ICA aneurysms with the 48-wire pipeline.

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Aneurysm Stenosis Academic Stent 40

Stroke Journal

FEBRUARY 1, 2024

Stroke, Volume 55, Issue Suppl_1 , Page AWP268-AWP268, February 1, 2024. Conclusions:Although CEA has traditionally been considered superior to stenting for symptomatic carotid stenosis, TCAR may have some advantages over CAS, particularly in the elderly population (≥80 years). 1.38), and mortality (OR:1.35,95%CI:0.87-2.10).

Myocardial Infarction 40

Myocardial Infarction Stent Stents Stenosis 40

Dr. Smith's ECG Blog

MAY 13, 2024

Several hours later, angiogram showed: Culprit lesion mid LAD, 75% stenosis, TIMI 3, thrombotic, likely the source of the distal LAD 100% embolic occlusion, with TIMI 0 flow. The culprit mid LAD lesion was stented. It is not clear in the report whether thrombectomy was performed on the distal LAD occlusion.

Chest Pain 120

Chest Pain STEMI Ultrasound Heart Attack 120

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4140682-A4140682, November 12, 2024. The left circumflex had 80% proximal stenosis with minimal luminal irregularities in the mid to distal portion. After guidewire crossing, balloon angioplasty was performed, and a drug-eluting stent was deployed.

Coronary Artery Disease 40

Coronary Artery Disease Angioplasty Anatomy Angina 40

Dr. Smith's ECG Blog

SEPTEMBER 9, 2024

The cardiologist called this 20% stenosis. 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.

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Plaque Stent Stents Chest Pain 66

Dr. Smith's ECG Blog

SEPTEMBER 25, 2024

The red arrow points to a 90% stenosis in the proximal segment of the LAD. RAO Caudal View Post PCI This is the RAO Caudal view after thrombectomy and stent placement. The lesion had TIMI III flow on angiography, consistent with the spontaneous reperfusion seen on the last EKG before cath. RAO Caudal view: This is the RAO Caudal view.

Chest Pain 120

Chest Pain Blog Hospital Tachycardia 120

DAIC

JANUARY 22, 2024

The International Stroke Conference 2024 will be held Feb. 7-9 in Phoenix, Arizona. 7-9 in Phoenix, Arizona. Late-Breaking Science sessions and concurrent oral abstract presentations are as follows: Wed., 7 Late-Breaking Science Oral Abstracts I (beginning at 2:00 p.m.

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Strokes Stroke Hospital Stent 100

Society of Thoracic Surgeons - Research

APRIL 20, 2023

Adult Cardiac Surgery Database Lead Author Title Publication Date Jacob Raphael Red Blood Cell Transfusion and Pulmonary Complications: The Society of Thoracic Surgeons Adult Cardiac Surgery Database Analysis The Annals of Thoracic Surgery January 2024 Joseph Sabik Multi-Arterial versus Single-Arterial Coronary Surgery: Ten Year Follow-up of One Million (..)

Research 52

Research Coronary Artery Bypass Graft Aortic valve Congenital 52

Dr. S. Venkatesan MD

JANUARY 1, 2025

Top 10 Clinical Trials Preventive PCI on Stenosis With Functionally Insignificant Vulnerable Plaque PREVENT (ACC.24) 24 and TCT 2024) Colchicine in AMI CLEAR SYNERGY (OASIS 9) (TCT 2024 and AHA 2024) Semaglutide Treatment Effect in People With Obesity and HFpEF and Diabetes Mellitus STEP-HFpEF DM (ACC.24)

Cardiogenic Shock 59

Cardiogenic Shock Plaque Academic Bicuspid/Mitral 59

Cardiometabolic Health Congress

JANUARY 2, 2025

August 2024 Approvals Minima Stent System (P240003) (Approval Date: August 28, 2024) The Minima Stent System is an expandable cobalt-chromium metal mesh tube to reopen blood vessels in neonates, infants, and children with Coarctation of the Aorta and Pulmonary Artery Stenosis, specifically designed to expand as younger patients grow.

Coronary Artery Disease 52

Coronary Artery Disease Stent Stents Innovation 52

Dr. Smith's ECG Blog

OCTOBER 31, 2024

Here is the angiogram: Very tight stenosis in circumflex, but with TIMI-3 flow, thanks to thrombolytics. Here is the circumflex after stenting: Wide open The cardiologist called Dr. Lufkin back and said "Great call!!"

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STEMI Arrhythmia Stent Hospital 116

Dr. Smith's ECG Blog

DECEMBER 10, 2024

She underwent angiogram within a few hours and was found to have mid-RCA culprit lesion, 99% stenosis, TIMI 3 flow. Putting It All Together As per Dr. Meyers the case ended well with cardiac cath showing an RCA "culprit" which was successfully stented. Initial troponin (high sensitivity trop I): 212 ng/L. PCI was performed.

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Chest Pain Ischemia Echocardiogram Stent 108