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These key takeaways from the research letter on IVL-facilitated valvuloplasty for severely calcified mitral valve stenosis are published in the Journal of the American College of Cardiology (JACC) CardiovascularInterventions. an interventional cardiologist and structural heart disease expert at Henry Ford Health. “We
Circulation: CardiovascularInterventions , 7(5), 645–655. Learning Points: Type 1 MI is the type we are most familiar with: rupture of atherosclerotic plaque with production thrombus or platelet fibrin aggregates. Starovoytov, A., Robinson, S., Vuurmans, T., Humphries, K., & & Mancini, G.
Here’s the angiogram of the RCA : No thrombus or plaque rupture in the RCA (or any coronary artery) was found. This MI wasn’t caused by a ruptured plaque of CAD - it was a coronary artery dissection of the RCA. Angiography Angiography was performed after aspirin and heparin were started. JACC 2019 Sep 10;74(10):1290-1300.
But, still they also did not increase MACCE, major bleeding or death when a large database of the British CardiovascularInterventional Society was analyzed and published in 2021, which had nearly 1500 cases of laser angioplasty and about 150 cases of RASER angioplasty.
CardiovascularInterventions: Journal of the American College of Cardiology) After gaining the CE Mark, Penumbra announced that their Indigo intelligent aspiration devices, which include computer-assisted suction for mechanical thrombectomy, are now available in Europe. Reconsider your position.
Advancements in CardiovascularInterventions and Clinical Guidelines 2024 ESC Guidelines for Chronic Coronary Syndromes : Updated guidelines from the European Society of Cardiology (ESC) emphasized shortened dual antiplatelet therapy (DAPT) durations and the potential for P2Y12 inhibitor monotherapy after percutaneous coronary intervention (PCI).
Nevertheless, the operator performed intravascular ultrasound and saw erupted calcium nodule consistent with plaque erosion. As you can see, the lesion is not very angiographically impressive , more on this below. Echocardiogram showed inferior hypokinesis. Troponin was rising when last checked, 8928 ng/L.
In my review of the literature, there are many articles which purport to demonstrate an acutely increased risk of plaque rupture from emotional stress, but I could not find any credible case reports that were not at least as likely to be takotsubo. Catheterization and CardiovascularInterventions , 82 (6), 909913. SanzRuiz, R.,
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