Angioplasty, Ischemia and Outcomes - Cardiovascular Update

BioCardia’s CardiAMP Cell Therapy Chronic Myocardial Ischemia Trial Results Show Patient Benefits in Important Outcomes

DAIC

MAY 2, 2024

a developer of cellular and cell-derived therapeutics for the treatment of cardiovascular and pulmonary diseases, today announced the primary endpoint results of the open label roll-in cohort of the CardiAMP Cell Therapy in Chronic Myocardial Ischemia Trial. Getty Images milla1cf Thu, 05/02/2024 - 10:12 May 2, 2024 — BioCardia, Inc. ,

Ischemia

Ischemia Angina Heart Failure Outcomes

Abstract 044: Single?Step Intracranial Angioplasty followed by Atlas Stent Deployment Through Mini Trek Rx Balloon

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Santa Clara, CA, USA) semi compliant balloon adapted from cardiovascular literature which showed a pre‐dilation angioplasty capability in coronary stenotic lesions.MethodsWe performed a retrospective review of prospectively maintained mechanical thrombectomy (MT) databases of 2 comprehensive stroke centers between November 2020, and May 2023.

Angioplasty

Angioplasty Stent Stents Strokes

Percutaneous revascularisation in chronic coronary syndromes: when real-world data unveil the other side of the coin

Heart BMJ

OCTOBER 28, 2024

1 Indeed, if the recently published ORBITA-2 trial demonstrated the benefit of revascularisation in relieving angina symptoms, 2 many other trials aiming to show a benefit on hard outcomes have failed in their purpose. 3 The ISCHEMIA-EXTEND reported the extended follow-up of the recent ISCHEMIA trial.

Coronary Artery Bypass Graft

Coronary Artery Bypass Graft Angioplasty Angina Ischemia

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Bridging Innovation & Patient Care: The Growing Role of AI

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First ED ECG is Wellens' (pain free). What do you think the prehospital ECG showed (with pain)?

Dr. Smith's ECG Blog

MARCH 9, 2013

For those who depend on echocardiogram to confirm the ECG findings of ischemia, this should be sobering. I have seen cases of Wellens' syndrome that were ignored because of either negative troponins or normal echo or both and the patient did not get an angiogram and had a bad outcome. Wellen's syndrome is a Reperfusion syndrome.

Chest Pain

Chest Pain Myocardial Infarction Ischemia Angina

A Non STEMI that needs the cath lab now.

Dr. Smith's ECG Blog

APRIL 2, 2014

There is about 1 mm of STE in aVR I con sidered but rejected subendocardial ischemia. Is it subendocardial ischemia, or inferior MI? Outcome : Was it RCA or LCX with inferior MI? The RCA was opened with POBA ("plain old balloon angioplasty") and eptifibatide was started.

STEMI

STEMI Ischemia Chest Pain Angioplasty

American College of Cardiology ACC.24 Late-breaking Science and Guidelines Session Summary

DAIC

FEBRUARY 29, 2024

This year’s theme, “Advancing Cardiovascular Care for All” brings the latest practice-changing breakthroughs, along with top experts debating and discussing outcomes of highly-anticipated clinical trials. 24 from April 6 - 8, 2024 in Atlanta, GA at the Georgia World Congress Center. 24 and find out what it all means for your patients.

Aortic valve

Aortic valve Myocardial Infarction Aortic Blood Pressure

Abstract TP247: Iatrogenic Cervical Artery Dissections during Endovascular Interventions

Stroke Journal

JANUARY 30, 2025

Due to the rarity of iatrogenic CeAD, existing literature on management and outcomes is limited. Of the 32 patients, 9(28.1%) had dissection with diagnostic angiograms, 6(18.8%) endovascular thrombectomy, 15(46.9%) aneurysm treatment, and 2(6.3%) angioplasty with or without stenting.

Stent

Stent Stents Angioplasty Aneurysm

Abstract 225: Rescue Stenting for Posterior Circulation Strokes

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Rescue treatment with stenting, balloon angioplasty, and/or intraarterial thrombolysis or antiplatelets are often required to treat the underlying stenosis. ConclusionPTAS appears to be an effective and safe treatment for ICAD after MT in the posterior circulation both improving likelihood of good outcomes and overall survival.

Stent

Stent Stents Circulation Strokes

Right precordial ST depression in a patient with chest pain

Dr. Smith's ECG Blog

AUGUST 3, 2017

Computer read: "Non-specific ST abnormality, consider anterior subendocardial ischemia" There are very poor R-waves in V1-V4 suggesting old anterior MI. Firstly, subendocardial ischemia does not localize on 12-Lead ECG. But the real question at hand is: Are these precordial ST-depressions a result of subendocardial ischemia?

Chest Pain

Chest Pain Myocardial Infarction STEMI Ischemia

How does Acute Total Left Main Coronary occlusion present on the ECG?

Dr. Smith's ECG Blog

AUGUST 9, 2019

Post by Smith and Meyers Sam Ghali ( [link] ) just asked me (Smith): "Steve, do left main coronary artery *occlusions* (actual ones with transmural ischemia) have ST Depression or ST Elevation in aVR?" That said, complete LM occlusion would be expected to have subepicardial ischemia (STE) in these myocardial territories: STE vector 1.

Myocardial Infarction

Myocardial Infarction Ischemia STEMI Cardiogenic Shock

Four anterior STEMIs: acute and reperfused vs. won't reperfuse, subacute and reperfused vs. not reperfused

Dr. Smith's ECG Blog

OCTOBER 26, 2011

The patient continued to have ischemia after PCI, and in fact had an episode of polymorphic VT shortly after while in the ICU. Determinants and prognostic implications of persistent ST-segment elevation after primary angioplasty for acute myocardial infarction: importance of microvascular reperfusion injury on clinical outcome.

STEMI

STEMI Chest Pain Myocardial Infarction Angioplasty

Rise of the Lysenkoist Cardiologists

Dr. Anish Koka

MAY 16, 2023

Soviet biologist Trofim Lysenko famously rejected the objective reality of Mendelian genetics because it clashed with the Marxist philosophy that the environment, not genetics, was the primary determinant of outcomes. But what should matter is outcomes not diagnoses. Physician assessments often misclassify chest pain as nonanginal.

Chest Pain

Chest Pain Coronary Artery Disease Cancer Heart Attack

A young peripartum woman with Chest Pain

Dr. Smith's ECG Blog

OCTOBER 24, 2019

This strongly suggests reperfusing RCA ischemia. Troponins, echocardiogram An echocardiogram showed inferobasilar hypokinesis, further supporting a diagnosis of regional ischemia , likely of the area supplied by the RCA. Outcome of our case Once the type 2 SCAD was identified, the heparin drip was stopped. Lobo et al.

Chest Pain

Chest Pain SCAD STEMI Cardiogenic Shock

Compare these two ECGs. Do either, neither, or both show anything important?

Dr. Smith's ECG Blog

APRIL 17, 2023

Full case details and outcomes are below. Cardiologist interpretation: "Technically does not meet STEMI criteria but concerning for ischemia." Ongoing ischemia despite medical management has always been an indication for emergent cath, which is frequently ignored as it was in this case. Case 1: Case 2: Case 1: What do you think?

Chest Pain

Chest Pain STEMI Document Ischemia

Surgical outcomes in adolescents and adults with anomalous aortic origin of a coronary artery

Frontiers in Cardiovascular Medicine

NOVEMBER 21, 2024

BackgroundAnomalous aortic origin of a coronary artery (AAOCA) is associated with an increased risk of myocardial ischemia and sudden cardiac death. Properly selected surgical procedures can lead to successful outcomes in patients with AAOCA. Properly selected surgical procedures can lead to successful outcomes in patients with AAOCA.

Aortic

Aortic Sudden Cardiac Death Angioplasty Outcomes

BioCardia’s CardiAMP Cell Therapy Chronic Myocardial Ischemia Trial Results Show Patient Benefits in Important Outcomes

Abstract 044: Single?Step Intracranial Angioplasty followed by Atlas Stent Deployment Through Mini Trek Rx Balloon

Percutaneous revascularisation in chronic coronary syndromes: when real-world data unveil the other side of the coin

Webinars

First ED ECG is Wellens' (pain free). What do you think the prehospital ECG showed (with pain)?

A Non STEMI that needs the cath lab now.

American College of Cardiology ACC.24 Late-breaking Science and Guidelines Session Summary

Abstract TP247: Iatrogenic Cervical Artery Dissections during Endovascular Interventions

Abstract 225: Rescue Stenting for Posterior Circulation Strokes

Right precordial ST depression in a patient with chest pain

How does Acute Total Left Main Coronary occlusion present on the ECG?

Four anterior STEMIs: acute and reperfused vs. won't reperfuse, subacute and reperfused vs. not reperfused

Rise of the Lysenkoist Cardiologists

A young peripartum woman with Chest Pain

Compare these two ECGs. Do either, neither, or both show anything important?

Surgical outcomes in adolescents and adults with anomalous aortic origin of a coronary artery

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