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The patient is female in her 80s with a medical hx of previous MI with PCI and stent placement. She also has a hx of paroxysmal atrial fibrillation and is on oral anticoagulant treatment. She had a single chamber ICD/Pacemaker implanted several years prior due to ventricular tachycardia. The last echocardiography 12 months ago showed HFmrEF.
The stenosis was treated with a stent. years later he presented with an in-stent restenosis that was successfully treated with a stent-in-stent strategy. Conclusion Our case demonstrates stenting as a viable alternative strategy with potentiallyfavorable long-term outcome.
Subsequent coronary angiography (CAG) revealed 70% in-stent restenosis and an abnormal shunt of contrast originating from the left circumflex artery (LCA) to the LAA tip which did not exist before. The restenosis was successfully dilated using a drug-coated balloon, the procedure was safely completed without pericardial effusion.
There is STE in inferior leads now (The unfortunate thing about these leads is the conventional naming that labels them as inferior, which could not be more misleading in electrophysiological terms. The lesion was successfully stented, but it was unfortunately done after a significant myocardial loss. See bibliography).
These acquisitions complement and build on Johnson & Johnson’s established global leadership position in electrophysiology through the Biosense Webster portfolio. IVL helps restore blood flow by cracking calcium lesions using sonic pressure waves and is used in both CAD and PAD, often in combination with stenting.
A novel flexible stented blood inlet will conform to the shape of the patient’s heart to prevent flow stasis and clotting. The stent material will encourage the growth of the patient’s own endothelial cells into the inlet, further reducing the risk of clot formation.
We present our experience performing concurrent lead extraction and dilation/stenting of venous pathways, including patients with complete venous obstruction. Three patients had complete obstructions, three required stenting of their innominate veins and three required recanalization of their femoral vessels. years (range 3.6−35.3
This was stented. The cause and electrophysiologic consequences of this hypokalemia are unknown; in most cases, it is apparently caused by a shift of potassium from the intravascular compartment rather than a total body depletion of potassium. After pacing, there was no recurrence of Torsades. The patient stabilized.
The primary non-inferiority endpoint was MACCE (a composite of cardiac death, MI, ischaemic stroke, stent thrombosis, or target vessel revascularisation). The primary superiority endpoint was clinically relevant bleeding (Bleeding Academic Research Consortium [known as BARC] types 2, 3, or 5).
Hunter Mehaffey Aortic Annular Enlargement in the Elderly: Short and Long-Term Outcomes in the United States The Annals of Thoracic Surgery January 2021 Shinichi Fukuhara Surgical Explant of Transcatheter Aortic Bioprosthesis: Results and Clinical Implications from The Society of Thoracic Surgeons Adult Cardiac Database Analysis Circulation December (..)
Hunter Mehaffey 1 Aortic Annular Enlargement in the Elderly: Short and Long-Term Outcomes in the United States The Annals of Thoracic Surgery January 2021 Shinichi Fukuhara 2 Surgical Explant of Transcatheter Aortic Bioprosthesis: Results and Clinical Implications from The Society of Thoracic Surgeons Adult Cardiac Database Analysis Circulation December (..)
Discharge ECG showed new Q wave and reperfusion TWI in III: Because the patient had the cath lab activated and received a stent, the discharge diagnosis was STEMI even though none of their ECGs met STEMI criteria. Troponin was 2,000 before cath but no subsequent troponin were done. This was STEMI(-)OMI.
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