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IntroductionIntracranial atherosclerotic disease (ICAD) is associated with up to 32% of posterior circulation strokes.1 Rescue treatment with stenting, balloon angioplasty, and/or intraarterial thrombolysis or antiplatelets are often required to treat the underlying stenosis.
Introduction:Aspiration and stent retriever thrombectomy are the primary approaches for endovascular management of posterior circulation stroke. However, the optimal first-line choice of surgical technique remains unclear. Data analysis was performed using RevMan version 5.4.1, with statistical significance set at p < 0.05.Result:A
16, 2024 — Sahajanand Medical Technologies (SMT) recently announced the publication of the COMPARE 60/80 HBR trial results in Circulation: Cardiovascular Interventions , a journal of The American Heart Association. tim.hodson Wed, 10/16/2024 - 09:00 Oct. Led by Dr. Pieter C. and 17.1%, respectively (P=0.02 for noninferiority).
Circulation: Cardiovascular Interventions, Volume 17, Issue 1 , Page e013006, January 1, 2024. BACKGROUND:We previously reported the use of minimal stent area to predict angiographic in-stent restenosis after drug-eluting stent implantation for unprotected left main (LM) disease. P=0.15), 8.3 P=0.02), and 5.7 P=0.15), 8.3
In a recent study published in Circulation , examined how diabetes influences outcomes in left main coronary revascularization procedures, specifically PCI versus CABG, is crucial for tailored treatment strategies. Circulation. Original article: Gaba P et al. 2024;149:00–00.
Circulation, Volume 150, Issue Suppl_1 , Page A4144093-A4144093, November 12, 2024. Although stents are commonly used with over 3 million stents implanted in cardiovascular arteries every year, there have been minimal efforts to integrate sensing functionality with stents.
Use of intravenous tissue‐type plasminogen activator, hypertension, final Thrombolysis in Cerebral Infarction 3, and lower baseline National Institutes of Health Stroke Scale score were independent predictors of functional outcome.
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. The stent-retriever was re-sheathed into the microcatheter before retrieval. Additionally, 10-15 ml of tirofiban were administered intravenously.
Circulation: Cardiovascular Interventions, Ahead of Print. BACKGROUND:Current therapy for in-stent restenosis (ISR) is based on drug-eluting stents (DES) or drug-eluting balloon catheters. mm), except in the post hoc subanalysis for the BMS-ISR group (0.203 mm [95% CI, 0.584 to 0.178]).
In cases of stent-retriever thrombectomy failure, rescue stent angioplasty might be the sole option for achieving permanent recanalization. Among patients who underwent emergency intracranial stenting, 66 (30.6%) received intravenous thrombolytic treatment. 10.43, p=0.0325).Conclusions:The 10.43, p=0.0325).Conclusions:The
IntroductionDespite technical advances in mechanical thrombectomy (MT), failure to achieve recanalization in the posterior circulation remains a significant challenge. Rescue strategies to increase MT success in the posterior circulation have been explored. Mechanical thrombectomy failed after several unsuccessful passes (Fig 1).
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. x 24 mm). at 2weeks, 26.1
IntroductionCombined technique mechanical thrombectomy with contact aspiration with stent‐retriever has been shown to lead to comparable final reperfusion rates compared with stent retriever alone. Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023. The SR group had higher IV‐tPA use (41.9%vs.26.1%,P=0.04),
Safety and efficacy of mechanical thrombectomy in posterior circulation MVO is unclear compared to medical treatment only (1). Of note, patient had a with left cavernous‐ICA stent placement a month before the presentation and was noncompliant to antiplatelets. arterial dissection and or perforations). ED presentation was 2.5
Over time, robust anastomoses may develop between the patent ipsilateral external carotid artery and the anterior circulation distal to the site of occlusion. We describe a case of external carotid stenting with carotid stump coil occlusion.MethodsWe present a case report.
Circulation, Volume 151, Issue 12 , Page 835-846, March 25, 2025. BACKGROUND:In patients with post-thrombotic syndrome, stent recanalization of iliofemoral veins or the inferior vena cava can restore venous patency and improve functional outcomes.
Circulation: Cardiovascular Interventions, Ahead of Print. BACKGROUND:The treatment of complex infra-inguinal disease with drug-coated balloons (DCBs) is associated with a significant number of patients undergoing provisional stenting to treat a suboptimal result. stented versus 70.0% stented versus 68.2% versus 10.98
Circulation: Cardiovascular Interventions, Volume 17, Issue 12 , Page e013964, December 1, 2024. BACKGROUND:Covered stent correction (CSC) of a superior sinus venosus atrial septal defect is an alternative to surgery in selected patients, but anatomic variation means that assessment for CSC requires a 3-dimensional anatomic understanding.
Circulation, Ahead of Print. 3.30]) and subacute definite or probable stent thrombosis (0.58% and 0.17%; hazard ratio, 3.40 [95% CI, 1.26–9.23]) mg/day) monotherapy or to DAPT with aspirin (81–100 mg/day) and prasugrel (3.75 mg/day) after loading of 20 mg of prasugrel in both groups. years; men, 76.6%; acute coronary syndrome, 75.0%).
Circulation, Ahead of Print. 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). versus 3.4%; HR, 0.35 [95% CI, 0.20–0.61];P<0.001).Conclusions:This 0.61];P<0.001).Conclusions:This
Circulation, Volume 150, Issue Suppl_1 , Page A4146935-A4146935, November 12, 2024. Inclusion criteria encompassed randomized controlled trials of ticagrelor comparing<3 month of DAPT with 12 month of DAPT in ACS patients undergoing coronary stenting with a minimum follow up of one year.
Rescue strategies options, including balloon angioplasty alone, rescue stenting (RS) alone, or stent with balloon angioplasty, have shown promise in observational studies and meta‐analyses [3, 4].
Circulation, Ahead of Print. BACKGROUND:Diabetes may be associated with differential outcomes in patients undergoing left main coronary revascularization with percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG).
Introduction:Current evidence suggests that acute carotid artery stenting (CAS) for cervical lesions is associated with better functional outcomes in patients with acute stroke with tandem lesions (TLs) treated with endovascular treatment (EVT). Stroke, Volume 55, Issue Suppl_1 , Page ATMP94-ATMP94, February 1, 2024.
Circulation: Cardiovascular Interventions, Ahead of Print. BACKGROUND:Geographic stent-ostium mismatch is an important predictor of target lesion failure after percutaneous coronary intervention of an aorto-ostial right coronary artery lesion.
They shocked him twice before return of spontaneous circulation. Given the presentation, the cardiologist stented the vessel and the patient returned to the ICU for ongoing critical care. His daughter immediately started CPR and another family member called EMS. When EMS arrived the patient was in ventricular fibrillation.
Circulation, Volume 150, Issue Suppl_1 , Page A4145424-A4145424, November 12, 2024. The outcome was any 30-day event defined as death, stent thrombosis, major bleeding events, and composites of ischemic and bleeding events. 41% patients were treated with immediate dual therapy, and 59% were discharged on triple therapy.
IntroductionWith the advent of smaller stent retrievers (SR) and aspiration catheters (AC) capable of accessing more distal locations, distal and medium vessel occlusions (DMVO) are emerging as promising targets for endovascular thrombectomy (EVT). Stroke: Vascular and Interventional Neurology, Volume 3, Issue S2 , November 1, 2023.
Circulation: Cardiovascular Interventions, Ahead of Print. 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% versus 83.5%;P=0.036) P=0.036) in the DES cohort.
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 3.05; p=0.32), PH2 (OR: 1.14, CI: 0.26-5.02;
Circulation: Cardiovascular Interventions, Volume 18, Issue 1 , Page e014665, January 1, 2025. BACKGROUND:Bioresorbable scaffolds (BRS) were developed to overcome limitations related to late stent failures of drug-eluting stents, but lumen reductions over time after implantation of BRS have been reported.
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
Computed tomography (CT) of head showed patchy hypo density in right posterior circulation artery (PCA) territory. Our case describes a young patient with posterior circulation stroke caused by a vertebral artery web which was confirmed with DSA. Neurological examination positive for bi nasal superior quadrantanopia. Lenck et al.
Circulation, Volume 150, Issue Suppl_1 , Page A4145631-A4145631, November 12, 2024. This was treated with a drug-eluting stent, but TIMI 3 flow was not achieved. Due to ongoing shock despite initial mechanical support, the patient was escalated to an Impella CP device after a transthoracic echo confirmed no left ventricle thrombus.
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