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BACKGROUND:Diabetes may be associated with differential outcomes in patients undergoing left main coronary revascularization with percutaneous coronary intervention (PCI) or coronaryarterybypassgrafting (CABG).
Objective To investigate the impact of prior coronaryarterybypassgrafting (CABG) and coronary lesion complexity on transcatheter aortic valve replacement (TAVR) outcomes for aortic stenosis. The impact of the CABG SYNTAX score was also evaluated in patients with prior CABG.
Left main coronaryarterydisease (CAD) and diabetes pose significant challenges in cardiovascular care, often leading to adverse outcomes. However, the comparative long-term efficacy of percutaneous coronary intervention (PCI) versus coronaryarterybypassgrafting (CABG) in patients with these conditions remains unclear.
Coronary physiology assessment, including epicardial and microvascular investigations, is a fundamental tool in the contemporary management of patients with coronaryarterydisease. Coronary revascularisation guided by functional evaluation has demonstrated superiority over angiography-only-guided treatment.
The goal of the TCW trial was to test the noninferiority and, if positive, superiority, of percutaneous coronary intervention (PCI) with transcatheter aortic valve implantation (TAVI) compared with surgical aortic valve replacement (SAVR) and coronaryarterybypassgrafting (CABG) in severe aortic stenosis (AS) with comorbid coronaryarterydisease (..)
Objective Saphenous vein graftdisease (SVGD) remains a challenging issue for patients with coronaryarterybypassgrafting (CABG). Methods We retrospectively enrolled 237 patients who underwent elective coronary angiography (CAG) for stable angina or positive stress test results >1 year after CABG.
BackgroundCoronary arterybypassgrafting (CABG) surgery has been a widely accepted method for treating coronaryarterydisease. However, its postoperative complications can have a significant effect on long-term patient outcomes.
In the subsample of patients with proximal left anterior descending artery plus circumflex and right coronaryartery, CABG was a predominant procedure until 2011, and the proportion of both procedures did not differ thereafter. CABG and PCI had comparable 30‐day risk‐adjusted mortality risks.
Such a pattern is consistent with significant left main coronaryarterystenosis. Angiography done after initial stabilization showed severe stenosis of distal left main coronaryartery. A similar ECG pattern can also occur in severe proximal triple vessel disease. References Sen F et al.
Coronary angiography revealed a tortuous and extremely aneurysmal RCA, as well as multivessel coronaryarterydisease (mvCAD) involving LAD, D1, LCx, OM1. Notably, the LAD had multiple aneurysmal segments and areas of eccentric stenosis upto 90%.Multislice
The patient was brought directly to the cardiac catheterization lab for PCI, bypassing the ED. The diagnostic coronary angiogram identified only minimal coronaryarterydisease, but there was a severely calcified, ‘immobile’ aortic valve. In the cath lab, the patient’s blood pressure remained low.
Background:Previous reports have established a relationship between asymptomatic high-grade carotid arterystenosis (CAS) and impaired cognition. Different forms of cardiac disease have also been associated with cognitive impairment and dementia. Stroke, Volume 56, Issue Suppl_1 , Page ATP29-ATP29, February 1, 2025.
There was no significant sex difference in the frequencies of significant coronaryarterydisease (38.2% of men;P=0.073), but female participants had significantly less coronary flow impairment, according to the presence of at least 1 fractional flow reserve derived from computed tomography0.8 of women versus 51.3%
All enrolled patients underwent carotid artery ultrasound prior to OPCAB. The information was extracted independently by two authors of the study from the medical records.
More troponin values were measured at the cardiac center: 2327- 267 ng/L 0821- 355 ng/L 1108- 305 ng/L An echocardiogram on day three of the patients admission showed an ejection fraction of 46% with abnormal basal inferior and basal lateral segments, and severe aortic stenosis. What "initiates" the aortic stenosis cascade?
Angiogram: Severe two-vessel coronaryarterydisease of a left dominant system including 70 to 80% stenosis involving the distal left main/bifurcation. The estimated left ventricular ejection fraction is 64%. There is no left ventricular wall motion abnormality identified. Smith: not sure why that is.
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