The American Journal of Cardiology

JULY 6, 2024

Publication date: Available online 5 July 2024 Source: The American Journal of Cardiology Author(s): Kazumasa Kurogi, Tatsuya Tokai, Yuichiro Shirahama, Nobuyasu Yamamoto, Takeshi Serikawa, Masanobu Ishii, Kenichi Tsujita

Ultrasound 52

Ultrasound Stents Stent 52

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.

Thrombosis 40

Thrombosis Stents Stent Quality of Life 40

Dr. Smith's ECG Blog

APRIL 12, 2013

A male in his 40's who had been discharged 6 hours prior after stenting of an inferoposterior STEMI had sudden severe SOB at home 2 hours prior to calling 911. He had diffuse crackles on exam and B-lines on chest ultrasound, and chest x-ray also confirmed pulmonary edema. He had no chest pain.

STEMI 52

STEMI Pulmonary Stents Stent 52

Dr. Smith's ECG Blog

OCTOBER 1, 2023

A man in his mid 60s with history of CAD and stents experienced sudden onset epigastric abdominal pain radiating up into his chest at home, waking him from sleep. Gallbladder ultrasound was negative for stones. It is stented with good angiographic result. See it again now, along with our new Queen of Hearts functionality.

Stent 127

Stent Stents STEMI Physiology 127

Frontiers in Cardiovascular Medicine

MAY 21, 2024

We report a case of TRAD in the early postoperative period, which was successfully managed with intravascular ultrasound-assisted endovascular intervention.Case presentationA 38-year-old man underwent HLA-compatible living kidney transplantation. The transplant renal artery lesion was intervened with a stent.

Transplant 52

Transplant Ultrasound Plaque Atherosclerosis 52

DAIC

JANUARY 9, 2024

During the roundtable, participants highlighted the potential of IVUS in guiding revascularization procedures, such as angioplasty and stenting, to optimize outcomes for patients. It provides detailed information about the vessel wall, plaque composition, and blood flow characteristics, enabling more accurate diagnosis and treatment planning.

Peripheral Arterial Disease 105

Peripheral Arterial Disease Ultrasound Angioplasty Interventional Cardiology 105

Circulation: Cardiovascular Interventions

JANUARY 15, 2024

Circulation: Cardiovascular Interventions, Volume 17, Issue 1 , Page e013691, January 1, 2024.

Ultrasound 40

Ultrasound Stents Stent Cardiovascular Interventions 40

Dr. Smith's ECG Blog

APRIL 14, 2024

A bedside cardiac ultrasound performed by a true EM expert (Robert Reardon, who wrote the cardiac ultrasound chapter in Ma and Mateer) showed an inferior wall motion abnormality. The culprit was opened and stented. But there are also new Q-waves, stronly suggesting new infarction.

Chest Pain 119

Chest Pain Ischemia Myocardial Infarction Ultrasound 119

Circulation: Cardiovascular Interventions

JANUARY 29, 2025

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. Optimal visualization of the aorto-ostial plane is crucial for precise stent implantation at the level of the ostium.

Stent 40

Stent Stents Laboratory Ultrasound 40

The British Journal of Cardiology

NOVEMBER 29, 2023

Successful PPCI was performed via right femoral artery, with access gained under ultrasound guidance. Additional arterial access via left brachial artery was obtained, and a covered stent was deployed successfully in the right femoral artery with satisfactory haemostasis.

STEMI 52

STEMI Cardiac Arrest Myocardial Infarction Ultrasound 52

ADN Center of Excellence

SEPTEMBER 27, 2023

In the rapidly changing field of cardiology, IVUS (Intravascular Ultrasound) and OCT (Optical Coherence Tomography) have seen significant growth. IVUS reveals plaque characteristics, optimal stent usage, and vessel measurements. On the other hand, OCT, with its microscopic accuracy, unveils fine stent positioning and tissue reactions.

Education 52

Education Best Practices Stent Stents 52

Circulation: Cardiovascular Interventions

JANUARY 20, 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. Six-month angiographic follow-up with optical coherence tomography and intravascular ultrasound was available in 74 patients.

Stenosis 40

Stenosis Ultrasound Stent Stents 40

Dr. Smith's ECG Blog

DECEMBER 6, 2010

I performed a bedside cardiac ultrasound and the posterior wall appeared to be contracting and shortening normally. Two stents were placed. A posterior ECG was done and showed no ST elevation, not even 0.5 mm in only one posterior lead is highly sensitive and specific for posterior STEMI). The ECG normalized overnight.

STEMI 52

STEMI Chest Pain Ultrasound Blood Pressure 52

Dr. Smith's ECG Blog

JANUARY 5, 2024

On intravascular ultrasound (IVUS), the mid RCA plaque was described as "cratered, inflamed, and bulky," and the OM plaque was described as "bulky with evidence of inflammation and probably ulceration." On the combined basis of angiography and IVUS, this patient received stents to his mid RCA, proximal PDA, and OM.

Angina 120

Angina Plaque Document Stent 120

Dr. S. Venkatesan MD

FEBRUARY 29, 2024

Meanwhile, over the years, ultrasound moved up from the pelvis, abdomen, right into coronary arteries and heart. Intravascular ultrasound-based interventions are being done in coronary artery, in a few cases to avoid contrast in patients with CKD. (We With zero radiation, MRI came close in the fight with innocuous proton imaging.

Ultrasound 52

Ultrasound Anatomy Stent Innovation 52

Dr. Smith's ECG Blog

APRIL 22, 2024

Bedside ultrasound with no apparent wall motion abnormalities, no pericardial effusion, no right heart strain. Here are other very interesting posts: Wellens' syndrome: to stent or not? Course : Aspirin 325mg, chemistry, CBC, troponin panel all ordered. Aorta briefly viewed, appears normal caliber and diameter.

Chest Pain 117

Chest Pain Myocardial Infarction Anatomy Angina 117

Circulation

NOVEMBER 11, 2024

Once stabilized, intravascular ultrasound showed significant thrombus and plaque in the LAD. This was treated with a drug-eluting stent, but TIMI 3 flow was not achieved. The patient was placed on an integrilin drip with plans to reevaluate in 24 hours.

Aortic valve 40

Aortic valve TAVR Aortic Chest Pain 40

Dr. Smith's ECG Blog

SEPTEMBER 9, 2024

Fortunately, this operator used intravascular ultrasound (IVUS). The operator documented thoughtful consideration of risks and benefits of stent placement. Technically, there was a very narrow landing zone for the stent, and missing this could result in "jailing" the LCx, which is ideally avoided.

Plaque 66

Plaque Stent Stents Chest Pain 66

Stroke: Vascular and Interventional Neurology

NOVEMBER 9, 2023

Under ultrasound guidance, her PT disappeared when the posterior auricular vein collapsed under applied pressure and returned when the pressure was released. Initially, he underwent stent‐assisted coiling of a high‐riding jugular bulb with no change in symptoms. Balloon occlusion test (BOT) of the PCV demonstrated improvement in PT.

Embolism 40

Embolism Stent Stents Stenosis 40

Dr. Smith's ECG Blog

OCTOBER 24, 2013

He underwent coronary stenting (uncertain which artery). An emergency cardiac ultrasound could be very useful. He underwent immediate CPR, was found to be in ventricular fibrillation, and was successfully resuscitated. I do not have the post-resuscitation ECG. Could this have been avoided?

Cardiac Arrest 52

Cardiac Arrest Myocardial Infarction Chest Pain Ischemia 52

Dr. Smith's ECG Blog

MAY 20, 2024

This was a presumed culprit and a stent was placed. And angiographers tell me that it is sometimes difficult to say for certain based on angiogram alone, without intravascular ultrasound or, better yet, optical coherence tomography. Assuming that was indeed a culprit, then this was ACS.

Chest Pain 125

Chest Pain Blood Pressure Ischemia STEMI 125

Circulation

NOVEMBER 11, 2024

After guidewire crossing, balloon angioplasty was performed, and a drug-eluting stent was deployed. An intravascular ultrasound was also performed, which was negative for vessel dissection. The left circumflex had 80% proximal stenosis with minimal luminal irregularities in the mid to distal portion.

Coronary Artery Disease 40

Coronary Artery Disease Angioplasty Anatomy Angina 40

Dr. Smith's ECG Blog

DECEMBER 19, 2023

Two thirds of MINOCA cases are due to atherosclerotic causes One way to prove the diagnosis in this case would have been with intravascular imaging such as optical coherence tomography (OCT) or intravascular ultrasound (IVUS). Fortunately, that is exactly what happened. The patient did well afterward without any recurrence of symptoms.

Plaque 127

Plaque Angina Blog Stent 127

Dr. Smith's ECG Blog

MAY 13, 2020

This was a point of care ultrasound, not a bubble contrast echo. One would not expect wall motion to recover so quickly after stenting, so this is good evidence that the POCUS echo was indeed accurate. What do you think the echocardiogram shows? First trop I returns at 1.5.

Echocardiogram 52

Echocardiogram Ischemia Chest Pain Blog 52

Dr. Smith's ECG Blog

FEBRUARY 14, 2009

A bedside ultrasound revealed a possible anterior wall motion abnormality. There was an LAD occlusion that was opened and stented. The patient was treated with Calcium, Insulin, D50, and bicarbonate, with no change in the ECG. The K returned at 2.9 These T waves are NOT typical for hyperK.

Chest Pain 52

Chest Pain Ultrasound STEMI Stent 52

Dr. Smith's ECG Blog

JUNE 11, 2021

Thirty minutes later the first Troponin I came back elevated at 650 ng/L (normal <26), and bedside ultrasound found anteroseptal akinesia. So the RCA was stented. The patient continued to have chest pain after the RCA was reperfused, so the LAD was then stented. The patient still had chest pain and a third ECG was performed.

Chest Pain 52

Chest Pain Cardiac Arrest Ischemia Cardiogenic Shock 52

Dr. Smith's ECG Blog

SEPTEMBER 4, 2016

It was opened and stented. There was an old ECG for comparison: One year prior with no ST segment abnormalities A bedside cardiac ultrasound was done by the emergency physician. Culprit, stented) 3. A stent was placed and the patient became pain free. Later, the patient was taken to the cath lab. The artery was occluded.

Ischemia 40

Ischemia Chest Pain STEMI Stenosis 40

Dr. Smith's ECG Blog

MAY 30, 2023

Case continued A bedside ultrasound showed diminished LV EF and of course bradycardia. Angiogram: Culprit Lesion (s): Thrombotic occlusion of the proximal RCA -- stented. When narrow (above His bundle), it is likely to be atropine responsive. 1 mg of Atropine was given and the heart rate increased transiently to 60.

Chest Pain 97

Chest Pain Myocardial Infarction STEMI Cardiogenic Shock 97

DAIC

APRIL 2, 2025

Stone, MD Mount Sinai Health System tim.hodson Wed, 04/02/2025 - 15:26 March 31, 2025 Using intravascular imaging (IVI) to guide stent implantation during complex stenting procedures is safer and more effective for patients with severely calcified coronary artery disease than conventional angiography, the more commonly used technique.

Stents 40

Stents Stent Outcomes Coronary Angiogram 40

Dr. Smith's ECG Blog

MARCH 28, 2017

Here are a couple shots with strain, or "speckle tracking" on ED Echo: To, me these look like anterior wall motion abnormality, but I showed them to one of our ultrasound fellows who is very interested in this. It was stented. They read it as normal. She said: This is a tough one. Learning Points : 1. Use the 4-variable formula!!

STEMI 40

STEMI Risk Factors Bicuspid/Mitral Ultrasound 40

Dr. Sanjay Gupta

MARCH 6, 2022

This is an ultrasound (a bit like the type that we use on pregnant women to look at the baby). An ultrasound will allow you to visualise the heart, measure the sizes of the chambers, assess the heart valves and work out how well the heart functions as a pump.

Heart Attack 52

Heart Attack Heart attacks Heart Rhythm Exercise 52

Dr. Smith's ECG Blog

JANUARY 6, 2023

Smith comment: Point of Care ultrasound is not adequate to rule out wall motion abnormality; moreover, diffuse subendocardial ischemia often has no wall motion abnormality because the epicardium is still contracting. A single DES stent was placed, and the patient did well post-procedure. Academic Emergency Medicine 27(S1): S220.

Chest Pain 52

Chest Pain Ischemia Myocardial Infarction ICU 52

Dr. Smith's ECG Blog

NOVEMBER 3, 2017

After many hours, the decided that it was appropriate to do an angiogram and they found a distal LAD occlusion which was opened and stented. This was missed by the physicians, even with a bedside speckle tracking ultrasound: no wall motion abnormality was seen. It was stented. There was no wall motion abnormality. STE60V3 = 2.5

Chest Pain 52

Chest Pain STEMI Bradycardia Stenosis 52

Dr. Smith's ECG Blog

OCTOBER 23, 2022

To, me these look like anterior wall motion abnormality, but I showed them to one of our ultrasound fellows who is very interested in this. It was stented. Here are a couple shots with strain, or "speckle tracking" on ED Echo: hyperacute T-waves speckle 1 x4 from Stephen Smith on Vimeo. She said: This is a tough one.

STEMI 40

STEMI Chest Pain Hospital Risk Factors 40

Circulation

FEBRUARY 12, 2024

The secondary outcomes included ischemia-driven target lesion revascularization, target vessel myocardial infarction, death, cardiac death, target vessel revascularization, stent thrombosis, and major adverse cardiac events. OCT was associated with a significant reduction of stent thrombosis compared with ICA (OR, 0.49 [95% CI, 0.26–0.92])

Ultrasound 67

Ultrasound Myocardial Infarction Thrombosis Stent 67

Open Heart

APRIL 18, 2022

Introduction Intravascular ultrasound (IVUS) improves clinical outcome in patients undergoing percutaneous coronary intervention (PCI) but dedicated prospective studies assessing the safety and efficacy of IVUS guidance during primary PCI are lacking. Other endpoints include clinical and procedural outcomes along with post-PCI IVUS findings.

Ultrasound 52

Ultrasound Myocardial Infarction Cardiovascular Imaging Plaque 52

Dr. Anish Koka

JULY 23, 2023

A lower extremity arterial ultrasound revealed elevated velocities in the right proximal superficial femoral artery. Based on these results, Dormu performed a percutaneous transluminal balloon angioplasty and a mechanical atherectomy and stenting of the right superficial femoral artery and stenting of the right superficial femoral artery.

Vascular Care 52

Vascular Care Outpatient Peripheral Arterial Disease Stent 52