Search results for "REVASCULARIZATION"
showing 10 items of 159 documents
Risk Burden of Coronary Perforation in Chronic Total Occlusion Recanalization: Latin American CTO Registry Analysis
2022
Background Coronary perforation is a life‐threatening complication of acute percutaneous coronary intervention (PCI) for chronic total occlusions (CTO), but data on midterm outcomes are limited. Methods and Results Data from LATAM (Latin American)‐CTO Registry (57 centers; 9 countries) were analyzed. We assessed the risk of 30‐day, 1‐year major adverse cardiac events of coronary perforation using time‐to‐event and weighted composite end point analysis having CTO PCI without perforation as comparators. Additionally, we studied the independent predictors of perforation in these patients. Of 2054 patients who underwent CTO PCI between 2015 and 2018, the median Multicenter CTO Registry in Japa…
The study of myocardial viability after myocardial infarction: Valve and limitations of magnetic resonance imaging compared with myocardial scintigra…
1997
International audience; Abstract: The aim of this study was to compare myocardial thickness measured by magnetic resonance imaging and quantified fixation of thallium. Twenty-one patients 61.2+/-11 years were investigated after myocardial infarction of the anterior wall in 8 cases, inferior in 10 cases, lateral in 2 cases and apical in one case. The mean angiographic ejection fraction was 46.5 +/- 19 %. Myocardial scintigraphy was performed after an exercise or pharmacological stress test and followed by a study of redistribution. The data was analysed by a quantitative method. Magnetic resonance imaging was performed with Vertical and horizontal long axis views in systole and diastole with…
Temporary occlusions of coronaries arteries by thermoreversible gel : leGoo.To experimental to human case
2011
ObjectifsThe objective of this work is to assess the feasibility of using the LeGoo gel to occlude the coronary arteries temporarily, to facilitate the performance of coronary bypass (off-pump technique), initially in pigs then in human. A Secondary objective was to evaluate the impact of the injection on the endothelium and myocardium.MethodesThe first study evaluated in pigs the feasibility of using LeGoo, while performing coronary bypass on the left anterior descending or on the right coronary artery and to evaluate the endothelial function of coronary arteries occluded by the gel.The second study analyzed endothelial function of internal thoracic arteries, in the area occluded by the ge…
Asymptomatic carotid lesions add to cardiovascular risk prediction.
2010
AIM To show that subclinical atherosclerosis (subclinical-ATS) of carotid arteries [intima-media thickness (IMT) or asymptomatic carotid plaque (ACP)], may provide additional information for risk stratification, in asymptomatic patients, aged greater than 45 years, with a cluster of risk factors (RFs). METHODS AND RESULTS We studied 558 asymptomatic patients (235 males). RFs for atherosclerosis were assessed and the 10-year-risk was calculated according to the Italian risk score. Doppler ultrasound of carotid arteries identified the presence of IMT greater than 0.9 mm in 183 patients and ACP in 147 patients. One hundred and fifty-three patients developed cerebrovascular or cardiovascular (C…
Critical limb ischaemia: definition and natural hystory
2004
The term critical limb ischemia refers to a condition characterized by chronic ischemic at-rest pain, ulcers, or gangrene in one or both legs attributable to objectively proven arterial occlusive disease. Critical limb ischemia implies chronicity and is to be distinguished from acute limb ischemia. Its incidence is approximately 500 to 1000 per million year, with the highest rates among older subjects, smokers and diabetics. The rate of primary amputation ranges from 10% to 40%, and was performed only when no graftable distal vessels were present, or in neurologically impaired or hopelessly nonambulatory patients. Contrarily, in some highly specialized and aggressive centres about 90% of pa…
Reduced Admissions for Cerebrovascular Events during COVID-19 Outbreak in Italy
2020
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Operācijas rezultātu korelācija ar miega artērijas revaskularizācijas metodēm
2014
Anotācija Miega artēriju stenozes ķirurģiskai korekcijai karotīdu endarterectomijai ir būtiska nozīme insulta profilaksē. Promocijas darba mērķis: Izvērtēt miega artērijas endarterektomiju operāciju rezultātus, ņemot vērā intima-media slāņa biezumu un pacienta dzīves kvalitāti. Promocijas darbā autore veikusi pētījumu, kas atspoguļo karotīdu endarterektomijas operāciju rezultātus (komplikācijas, dzīves kvalitātes izmaiņas) un intīmas hiperplāzijas attīstību postoperatīvā periodā. Izveidota speciāla dzīves kvalitātes novērtēšanas anketa pacientiem ar miega artērijas sašaurinājumu. Pētījuma materiālu veido 104 pacienti, kuriem veiktas karotīdu endarterektomijas. Darbs veikts Latvijas Universi…
Pressor amines in coronary artery bypass grafting procedure with and without the use of extracorporeal circulation
2017
Wstęp: Operacje rewaskularyzacji mięśnia sercowego są najczęściej wykonywanymi procedurami w praktyce kardiochirurgicznej. Rozwój technik pomostowania tętnic wieńcowych bez użycia krążenia pozaustrojowego spowodował, iż modyfikacjom uległy również techniki znieczulenia. W prowadzeniu znieczulenia do zabiegów typu OPCA B anestezjolog musi szczególnie szybko reagować na częste, czasem nieprzewidywalne zmiany sytuacji hemodynamicznej. Cel pracy: Celem pracy było porównanie zastosowania amin presyjnych wśród pacjentów poddanych chirurgicznej rewaskularyzacji mięśnia sercowego z krążeniem pozaustrojowym i bez niego. Materiał i metody: Badanie miało charakter retrospektywny. Badaniem objęto 80 ch…
Carga de comorbilidad y beneficio de la revascularización en ancianos con síndrome coronario agudo
2021
Introduction and objectives: To evaluate the interaction between comorbidity burden and the benefits of in-hospital revascularization in elderly patients with non-ST-segment elevation acute coronary syndrome (NSTEACS). Methods: This retrospective study included 7211 patients aged ≥ 70 years from 11 Spanish NSTEACS registries. Six comorbidities were evaluated: diabetes, peripheral artery disease, cerebrovascular disease, chronic pulmonary disease, renal failure, and anemia. A propensity score was estimated to enable an adjusted comparison of in-hospital revascularization and conservative management. The end point was 1-year all-cause mortality. Results: In total, 1090 patients (15%) died. Th…
Coronary Revascularization and Long-Term Survivorship in Chronic Coronary Syndrome
2021
Ischemic heart disease (IHD) persists as the leading cause of death in the Western world. In recent decades, great headway has been made in reducing mortality due to IHD, based around secondary prevention. The advent of coronary revascularization techniques, first coronary artery bypass grafting (CABG) surgery in the 1960s and then percutaneous coronary intervention (PCI) in the 1970s, has represented one of the major breakthroughs in medicine during the last century. The benefit provided by these techniques, especially PCI, has been crucial in lowering mortality rates in acute coronary syndrome (ACS). However, in the setting where IHD is most prevalent, namely chronic coronary syndrome (CC…