Cardiovascular revascularization medicine : including molecular interventions
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Cardiovasc Revasc Med · Apr 2014
Outcomes among patients requiring unplanned intra-aortic balloon pump reinsertion in cardiogenic shock.
The intra-aortic balloon pump (IABP) is the most frequently utilized form of temporary mechanical circulatory support (MCS) in cardiogenic shock (CS). Withdrawal of IABP support may precipitate hemodynamic compromise such that IABP reinsertion is required. Data are scarce regarding the incidence and outcomes of patients undergoing IABP reinsertion in this setting. ⋯ Among patients with CS undergoing IABP removal, hemodynamic deterioration requiring IABP reinsertion is associated with extremely poor outcomes and, in appropriate patients, should prompt consideration of more advanced cardiac support.
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Cardiovasc Revasc Med · Mar 2014
Case ReportsPercutaneous wire rescue during radial sheath insertion.
Radial artery catheterization is a common procedure performed in the cardiac catheterization laboratory. Transradial accesssing is becoming an increasingly widespread choice because of its lower complications compared with the transfemoral approach. Although complications related to this procedure are well established, troubles associated with the guide wire are rare. We present the first reported case of a percutaneous rescue of a wire during radial sheath insertion using the balloon entrapment technique to retrieve it without surgery.
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Cardiovasc Revasc Med · Mar 2014
Management of distal/bifurcation left main restenosis after drug eluting stents implantation: single center experience.
Restenosis after drug eluting stent (DES) implantation in the distal/bifurcation left main (DBLM) remains challenging to manage. The aim of this study was to assess the in-stent restenosis (ISR) after DES implantation in DLM and to evaluate current management strategy. ⋯ The occurrence of restenosis after DBLM following DES implantation is not frequent but remains difficult to manage. In our small anecdotal series, all the different strategies including implantation of different DES, balloon angioplasty, bare-metal stent implantation and drug-eluting balloon angioplasty appeared equally effective in maintaining arterial patency.
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Cardiovasc Revasc Med · Jan 2014
ReviewAcute cardiac sympathetic disruption in the pathogenesis of the takotsubo syndrome: a systematic review of the literature to date.
Takotsubo syndrome (TS), also known as broken heart syndrome and neurogenic stunned myocardium, is an acute cardiac disease entity characterized by a clinical picture mimicking that of an acute coronary syndrome. The pathogenesis of TS has not been established yet. ⋯ The aim of this review is to provide a thorough analysis of the literature data coming mainly from the neurological literature and dealing with the pathogenesis of TS. Substantial evidence challenging the first five hypotheses and arguing in favor of the hypothesis that acute cardiac sympathetic eruption and norepinephrine seethe and spillover is causing TS in predisposed patients is presented.