Journal of cardiovascular medicine
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J Cardiovasc Med (Hagerstown) · Jan 2012
Case ReportsPercutaneous antegrade transarterial treatment of iatrogenic radial arteriovenous fistula.
Site of access vascular complications is infrequent after transradial interventions. We report the case of a 66-year-old man referred to our hospital because of right forearm swelling, oedema and pain with functional forearm disability, 1 year after a transradial primary percutaneous coronary intervention (PCI). The diagnostic and procedural issues are discussed. This is the first description of a successful and well-tolerated radial arteriovenous fistula (AVF) treatment by means of percutaneous antegrade approach with the use of a short introducer and a biocompatible covered stent.
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Early revascularization with primary percutaneous coronary intervention (PPCI) in patients with ST-elevation myocardial infarction (STEMI) has been shown to reduce mortality, rates of nonfatal reinfarction and stroke, as compared to previous standard of care with thrombolytic therapy. Despite substantial evidence of its effectiveness, the use of PPCI varies considerably across Europe. ⋯ Launching a successful programme for PPCI requires the commitment and collaboration of a broad variety of members of the healthcare system. This narrative review is intended to describe some of the progress already seen in the 10 countries currently included in the Stent for Life Initiative and to report and discuss the engagement of the various stakeholders involved.
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J Cardiovasc Med (Hagerstown) · Nov 2011
Randomized Controlled TrialProtective effect of lipid microspheres 1 on myocardial injury following elective percutaneous coronary intervention in patients with angina pectoris: a pilot study.
Prostaglandin E1 incorporated into lipid microspheres (lipo-PGE1) is effective in the treatment of peripheral vascular disorders and diabetic neuropathy. It is unknown whether it has protective effects in patients with angina pectoris undergoing percutaneous coronary intervention (PCI). ⋯ Lipo-PGE1 treatment appears to reduce myocardial injury following elective PCI in angina patients.
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J Cardiovasc Med (Hagerstown) · Nov 2011
Case ReportsCollateral coronary circulation in acute coronary syndrome: sometimes it's enough, sometimes it's not!
A young patient experienced two subsequent acute coronary syndromes due to left anterior descending (LAD) artery occlusion. Different ability of homocoronary collateral vessels to supply the ischemic territories, depending on the site of LAD artery occlusion, was associated with different clinical consequences. The case underscores the crucial role of the collateral circulation in limiting the effects of acute coronary occlusions.