Frontiers in Cardiovascular Medicine

JULY 5, 2024

IntroductionPrimary pulmonary vein stenosis (PVS) is a rare congenital heart disease that proves to be a clinical challenge due to the rapidly progressive disease course and high rates of treatment complications.

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Stenosis Pulmonary Congenital Heart Disease Stents 52

Circulation: Cardiovascular Interventions

JANUARY 15, 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. mm2for distal LM (area under the curve, 0.57;P=0.15), P=0.15), 8.3 mm2for LAD ostium (area under the curve, 0.62;P=0.02), P=0.02), and 5.7

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Stents Stent Myocardial Infarction Stenosis 40

Stroke Journal

JANUARY 30, 2025

Initial suspicion of underlying ICAD could help in the early adoption of rescue techniques, reducing the total number of passes and increasing the chances of sustained final recanalization and favorable outcomes. Bailout strategies were required more often in the IS+ group (34.6% Vs12.8%; p=0.001), and procedural times were longer (56.6

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Stenosis Outcomes Angioplasty Stents 40

Stroke Journal

JANUARY 30, 2025

Introduction:Medical therapy and endovascular therapy for intracranial atherosclerotic disease (ICAD) have evolved over the past two decades with improved medical therapy benchmarks, and improved techniques and patient selection for stenting. There were significantly higher incidences in uncontrolled hypertension (28.2%

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Stroke Journal

FEBRUARY 1, 2024

Introduction:The Resolute Onyx stent has shown promise as an effective treatment for symptomatic intracranial atherosclerotic disease (sICAD), with positive clinical outcomes and low procedural complication rates. Stroke, Volume 55, Issue Suppl_1 , Page ATP185-ATP185, February 1, 2024.

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Dr. Smith's ECG Blog

JULY 11, 2024

The red arrow shows a roughly 80% stenosis of the proximal LAD. The blue arrow shows another stenosis of the LAD distal to the first diagonal branch of about 99%. The green arrow shows a 95% stenosis of the ostium of the first diagonal branch. All three lesions had TIMI 2 flow prior to stenting.

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Outcomes Stenosis Outpatient Echocardiogram 113

Stroke Journal

JANUARY 17, 2025

BACKGROUND:Carotid artery stenting (CAS) is an alternative treatment for patients with carotid artery stenosis who are not eligible for carotid endarterectomy. The primary outcome was a composite of ischemic stroke, gastrointestinal bleeding, and intracranial hemorrhage within 12 months of switching to single antiplatelet therapy.

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Stents Stent Hemorrhage Stroke 49

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. 4 Recent literature has reported clinical benefits associated with rescue stenting in the setting of ICAD‐related MT‐refractory strokes.5

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Stents Stent Circulation Stroke 40

Stroke Journal

JANUARY 30, 2025

We defined high-risk post-EVT stenosis as any stenosis with 50% lumen stenosis, associated dissection, re-occlusion during thrombectomy, and severe residual luminal irregularity. Conclusions:Eptifibatide use is associated with lower re-occlusion rates in patients with residual high-risk stenosis after EVT.

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Stenosis Thrombolysis Stroke Strokes 40

DAIC

APRIL 23, 2024

Aortic stenosis is a common heart problem typically caused by a narrowing of the heart’s aortic valve due to excessive calcium deposited on the valve leaflets. Surgical aortic valve replacement with a stented pericardial bioprosthesis: 5-year outcomes. Presented at Heart Valve Society 2024, Boston, MA. February 18–21, 2024.

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Aortic valve Aortic Innovation Cardiothoracic 111

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionVertebral artery stenting represents a viable option in treating symptomatic vertebral artery atherosclerotic stenosis. We included articles reporting patients > 18 years old with symptomatic extracranial vertebral artery stenoses due to atherosclerosis treated with stenting (with or without angioplasty).

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Angioplasty Stents Stent Stenosis 40

Stroke: Vascular and Interventional Neurology

FEBRUARY 6, 2024

OBJECTIVECarotid artery stenting for heavily calcified lesions is challenging for interventionists. A calcium burden is associated with suboptimal dilatation, periprocedural complications, high rates of restenosis, and poor outcomes. After postdilatation, the stenosis rates decreased to 21% and 23%, respectively.

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Circulation

NOVEMBER 11, 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. Future human studies are warranted to validate these findings and elucidate the clinical outcomes of the study.

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DAIC

JUNE 13, 2024

Aortic stenosis is a common heart problem typically caused by a narrowing of the heart’s aortic valve due to excessive calcium deposited on the valve leaflets. Surgical aortic valve replacement with a stented pericardial bioprosthesis: 5-year outcomes. Presented at Heart Valve Society 2024, Boston, MA. February 18–21, 2024.

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Aortic valve Aortic Innovation Cardiothoracic 109

Stroke Journal

JANUARY 30, 2025

Background:Patients with atrial fibrillation were excluded from clinical trials evaluating carotid artery stent(CAS) or carotid endarterectomy (CEA).We Background:Patients with atrial fibrillation were excluded from clinical trials evaluating carotid artery stent(CAS) or carotid endarterectomy (CEA).We

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Atrial Fibrillation Stents Stent Outcomes 40

Stroke Journal

JANUARY 30, 2025

Background:Postoperative complication rates of carotid endarterectomy (CEA) and carotid artery stenting (CAS) for carotid artery stenosis are recommended to be maintained below a certain threshold. This study indicates the importance of considering surgical volume as a factor to improve outcomes of CEA and CAS in Japan.

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Dr. Smith's ECG Blog

MARCH 19, 2024

The patient presented to an outside hospital An 80yo female per triage “patient presents with chest pain, also hurts to breathe” PMH: CAD, s/p stent placement, CHF, atrial fibrillation, pacemaker (placed 1 month earlier), LBBB. This was stented with a 2.25 x 38mm stent, post dilated with a 2.75mm balloon proximally.

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Chest Pain Myocardial Infarction Stents Stent 111

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

1, 2)These patients are also more likely to experience poor functional outcomes. (3) 3) Rescue stenting (RS) in these patients has shown promising rates of recanalization and better outcomes in preliminary studies. Therefore, rescue stenting can be considered as a safe and viable option in these patients.

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Circulation

JANUARY 27, 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. The risk of stent thrombosis is particularly increased during the first 6 months after intervention. points (P=0.36), respectively.

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Thrombosis Stents Stent Quality of Life 40

Stroke Journal

FEBRUARY 1, 2024

Background:Advancements in arterial stenting technology have challenged prior notions favoring medical management over endovascular intervention for intracranial atherosclerotic disease (ICAD). Stroke, Volume 55, Issue Suppl_1 , Page ATP202-ATP202, February 1, 2024. Incidence of post-procedural complications was 8.1% (95% CI 3.1-15.1%)

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Stents Stent Technology Article 40

All About Cardiovascular System and Disorders

APRIL 21, 2024

Coronary angiography gives a visual impression about the severity of the stenosis. But it need not imply the actual functional significance of the stenosis in terms of flow physiology. If the FFR normalizes after stenting, the restenosis rates at six months is less than 5%. Normal FFR is 1.0 and an FFR below 0.75 in the study.

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Myocardial Infarction Stents Stent Coronary Artery Disease 52

Stroke Journal

FEBRUARY 1, 2024

Background:Persistent hypotension after carotid artery stenting (CAS) can lead to adverse outcomes, prolong length of stay (LOS), and increase hospital costs. A relation between decline of norepinephrine after stenting and persistent hypotension supports the role of catecholamine in BP control.

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Stents Stent Blood Pressure Hypertension 40

Stroke: Vascular and Interventional Neurology

AUGUST 4, 2024

BackgroundCarotid endarterectomy (CEA) is an established procedure for the treatment of extracranial internal carotid artery stenosis. Emergency CEA and carotid stenting procedures were excluded from the analysis. The primary outcome event was the combined inhospital rate of stroke or death.

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Hospital Outcomes Myocardial Infarction Stenosis 40

Circulation

MARCH 11, 2024

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). Circulation, Ahead of Print.

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Coronary Artery Bypass Graft Diabetes Coronary Artery Disease Stents 81

Stroke Journal

JANUARY 30, 2025

Background:Hemodynamic evaluation is crucial in assessing stroke risk in patients with symptomatic intracranial atherosclerotic stenosis (sICAS). The primary outcome was a composite of recurrent ischemic stroke or TIA within the same arterial territory over one year.Results:In the first study, involving 22 patients (median age = 53 years, 81.8%

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Stroke Journal

JANUARY 30, 2025

We compared demographics, radiological findings, clinical outcomes, and follow-up results between mismatch and no mismatch groups.Results:Among 73 patients, 20 (27.4%) had DWI-ADC mismatch. 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

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Outcomes Stroke Strokes Angioplasty 40

Stroke: Vascular and Interventional Neurology

DECEMBER 27, 2023

BACKGROUNDCarotid artery stenting (CAS) has emerged as a viable alternative to carotid endarterectomy for managing carotid artery stenosis in high‐risk patients. Consequently, exploring transradial artery access as a potential option becomes crucial in optimizing patient outcomes and procedural success rates.

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Stents Stent Myocardial Infarction Stenosis 40

Stroke Journal

JANUARY 30, 2025

Background:Hyperperfusion phenomenon (HPP) constitutes a significant risk factor for adverse outcomes following carotid artery stenting (CAS). Stroke, Volume 56, Issue Suppl_1 , Page ATP178-ATP178, February 1, 2025. Currently, the sole method for evaluating the risk of HPP post-CAS is the invasive acetazolamide (ACZ) challenge test.

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Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

IntroductionCarotid artery stenting (CAS) has emerged as a viable alternative to carotid endarterectomy for managing carotid artery stenosis in high‐risk patients (1). Consequently, exploring the transradial artery access (TR) as a potential option becomes crucial in optimizing patient outcomes and procedural success rates.

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Stents Stent Myocardial Infarction Stroke 40

Dr. Smith's ECG Blog

APRIL 22, 2024

Available from: [link] In this study, the major outcomes were the same for both groups, but of 70 patients in the delayed group, 4 required emergent intervention for sudden re-occlusion. Here are other very interesting posts: Wellens' syndrome: to stent or not? Eur Heart J [Internet]. 2019;40:283–291.

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Chest Pain Myocardial Infarction Anatomy Angina 118

Circulation

NOVEMBER 11, 2024

Background:Vertebrobasilar artery stenosis (VBAS) can cause posterior circulation strokes (PCS). Optimal management is controversial, with options including medical therapy (MT), endovascular stenting (ES), and surgical revascularization (SR). Circulation, Volume 150, Issue Suppl_1 , Page A4135852-A4135852, November 12, 2024.

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Dr. Smith's ECG Blog

JANUARY 27, 2024

Old ‘NSTEMI’ A history of coronary artery disease and a stent to the same territory further increases pre-test likelihood of acute coronary occlusion, including in-stent thrombosis. The patient had a history of ‘NSTEMI’ a decade prior, with an RCA stent. Does this change your interpretation?

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Chest Pain STEMI Aneurysm Stents 117

Stroke Journal

JANUARY 30, 2025

Introduction:Current guidelines do not support the use of stenting for severe symptomatic intracranial atherosclerotic disease (ICAD) over maximal medical therapy (MMT) as first line treatment. Periprocedural stroke was defined as <7d from stent placement.

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Stroke Journal

FEBRUARY 1, 2024

In this study, we evaluate the safety and efficacy of TCAR in patients with symptomatic internal carotid artery disease compared with carotid endarterectomy (CEA) and carotid artery stenting (CAS).METHODS:A The primary outcomes included a 30-day stroke or transient ischemic attack, myocardial infarction, and mortality.

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Myocardial Infarction Stents Stent Stenosis 40

Stroke Journal

FEBRUARY 1, 2024

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;

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Stents Stent Stroke Strokes 40

Dr. Smith's ECG Blog

FEBRUARY 25, 2009

Angiography revealed a very tight LAD stenosis with some flow (confirming the reperfusion that we see on the ECG). A stent was placed, and the patient had an excellent outcome with no wall motion abnormality. There are abnormal T waves in V2-V4, with straightening of the ST segment which is typical of hyperacute T waves.

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Cardiac Arrest Chest Pain Defibrillator STEMI 52

Stroke Journal

FEBRUARY 1, 2024

The primary outcomes included 30-day combined stroke and transient ischemic attack (TIA), myocardial infarction (MI), and mortality. Conclusions:Although CEA has traditionally been considered superior to stenting for symptomatic carotid stenosis, TCAR may have some advantages over CAS, particularly in the elderly population (≥80 years).

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