Search results for "occlusions."

Optical noninvasive monitoring of skin blood pulsations

2005

Time-resolved detection and analysis of skin backscattered optical signals (remission photoplethysmography or PPG) provide rich information on skin blood volume pulsations and can serve for reliable cardiovascular assessment. Single- and multiple-channel PPG concepts are discussed. Simultaneous data flow from several locations on the human body allows us to study heartbeat pulse-wave propagation in real time and to evaluate vascular resistance. Portable single-, dual-, and four-channel PPG monitoring devices with special software have been designed for real-time data acquisition and processing. The prototype devices have been clinically studied, and their potential for monitoring heart arrh…

Excimer laser technology in percutaneous coronary interventions: Cardiovascular laser society's position paper

2022

Excimer Laser Coronary Atherectomy (ELCA) is a well-established therapy that emerged for the treatment of peripheral vascular atherosclerosis in the late 1980s, at a time when catheters and materials were rudimentary and associated with the most serious complications. Refinements in catheter technology and the introduction of improved laser techniques have led to their effective use for the treatment of a wide spectrum of complex coronary lesions, such as thrombotic lesions, severe calcific lesions, non-crossable or non-expandable lesions, chronic occlusions, and stent under-expansion. The gradual introduction of high-energy strategies combined with the contrast infusion technique has enabl…

Optical systems for non-invasive cardiovascular biosensing

2005

Three portable prototype devices for cardiovascular biosensing based on reflection-type photoplethysmography (PPG) principle have been designed and clinically tested. The single-channel PPG finger sensor provides real-time measurements with fast calculation of the mean single-period PPG signal shape ("cardiovascular fingerprint", potentially useful for recognition). The dual-channel PPG system gives additional possibility to monitor on-line the arterial pulse wave transit time and its responses to physical exercises. The four-channel PPG system proved to be applicable for fast detection of cardiovascular pathologies, e.g. arterial occlusions in extremities. Design principles and software al…

Optical multichannel sensing of skin blood pulsations

2004

Time resolved detection and analysis of the skin back-scattered optical signals (reflection photoplethysmography or PPG) provide information on skin blood volume pulsations and can serve for cardiovascular assessment. The multi-channel PPG concept has been developed and clinically verified in this study. Portable two- and four-channel PPG monitoring devices have been designed for real-time data acquisition and processing. The multi-channel devices were successfully applied for cardiovascular fitness tests and for early detection of arterial occlusions in extremities. The optically measured heartbeat pulse wave propagation made possible to estimate relative arterial resistances for numerous …

<title>Optical non-invasive monitoring of skin blood pulsations</title>

2005

Time resolved detection and analysis of the skin backscattered optical signals (remission photoplethysmography or PPG) provide rich information on skin blood volume pulsations and can serve for reliable cardiovascular assessment. The single- and multi-channel PPG concepts are discussed in this work. Simultaneous data flow from several body locations allows one to study the heartbeat pulse wave propagation in real time and evaluate the vascular resistance. Portable single-, dual- and four-channel PPG monitoring devices with special software have been designed for real-time data acquisition and processing. The clinical studies confirmed their potential in the monitoring of heart arrhythmias, …

Reentry devices for chronic arterial occlusions.

2019

Procedural, Functional and Prognostic Outcomes Following Recanalization of Coronary Chronic Total Occlusions. Results of the Iberian Registry.

2019

Introduction and objectives: There is current controversy regarding the benefits of percutaneous recanalization (PCI) of chronic total coronary occlusions (CTO). Our aim was to determine acute and follow-up outcomes in our setting. Methods: Two-year prospective registry of consecutive patients undergoing PCI of CTO in 24 centers. Results: A total of 1000 PCIs of CTO were performed in 952 patients. Most were symptomatic (81.5%), with chronic ischemic heart disease (59.2%). Previous recanalization attempts had been made in 15%. The mean SYNTAX score was 19.5 +/- 10.6 and J-score was > 2 in 17.3%. A retrograde procedure was performed in 92 patients (9.2%). The success rate was 74.9% and was hi…

Retrograde Recanalization of Chronic Total Occlusions in Europe: Procedural, In-Hospital, and Long-Term Outcomes From the Multicenter ERCTO Registry.

2015

BACKGROUND A retrograde approach improves the success rate of percutaneous coronary interventions (PCIs) for chronic total occlusions (CTOs). OBJECTIVES The authors describe the European experience with and outcomes of retrograde PCI revascularization for coronary CTOs. METHODS Follow-up data were collected from 1,395 patients with 1,582 CTO lesions enrolled between January 2008 and December 2012 for retrograde CTO PCI at 44 European centers. Major adverse cardiac and cerebrovascular events were defined as the composite of cardiac death, myocardial infarction, stroke, and further revascularization. RESULTS The mean patient age was 62.0 +/- 10.4 years; 88.5% were men. Procedural and clinical…

Efficacy of swm appliance in the expression of first-, second- and third-order information in Class I and Class II

2019

Background To assess the efficacy of a multibracket appliance-Straight-wire Mirabella (SWM) prescription-in terms of achieving the ideal first-, second- and third-order values proposed by Andrews. Material and methods A total sample of 46 Caucasian subjects was divided into two groups: 23 with class I malocclusion (Group 1), and 23 with class II malocclusion (Group 2). The treatment protocol involved fixed multibracket appliances-SWM prescription-for both groups, with the addition of class II elastics for Group 2. Values for ΔU1-PP, ΔIMPA, in-out, tip and torque were measured on digital scans, and the results obtained were compared with the ideal values proposed by Andrews. Results Statisti…

Chronic Total Coronary Artery Occlusion Recanalisation with Percutaneous Coronary Intervention — Single Centre 10-Year Experience

2018

Abstract Coronary artery chronic total occlusions (CTO) are common — approximately one-third of patients with significant coronary artery disease on angiography have at least 1 CTO. Invasive treatment of these lesions still remain a major challenge for interventional cardiology due to their complexity. Historically, success rates have improved to about 60–70% by using only the traditional antegrade approach. The results have dramatically improved during the last decade after more widespread application of new retrograde techniques. The aim of our study was to review and analyse single hospital experience in CTO invasive treatment and to evaluate the long-term results. A total of 519 patient…