Journal of interventional cardiology
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Comparative Study
The Utility of Preemptive Distal Perfusion Cannulation During Peripheral Venoarterial Extracorporeal Membrane Oxygenation Support.
We compared the ischemia and rescue rates according to the strategy of distal cannulation. ⋯ Preemptive distal perfusion cannulation is safe and effective when used to prevent lower limb ischemia in patients undergoing femoral cannulation to treat ECMO. However, delayed distal cannulation increases the extent of cannulation site bleeding, without improving the ischemia.
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Multicenter Study
Women With Cardiogenic Shock Derive Greater Benefit From Early Mechanical Circulatory Support: An Update From the cVAD Registry.
The aim of this analysis was to assess survival differences between men and women supported with Impella 2.5 (Abiomed Inc., Danvers) in the setting of acute myocardial infarction (AMI) complicated by cardiogenic shock (CS). ⋯ Early initiation of hemodynamic support prior to PCI with Impella 2.5, in the setting of AMI complicated by CS, was associated with a greater survival benefit to hospital discharge in women compared to men, despite a higher predicted risk of mortality and a greater revascularization failure rate for women. (J Interven Cardiol 2016;29:248-256).
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To compare the utilization and outcomes in patients who had percutaneous coronary interventions (PCIs) performed with intra-aortic balloon pump (IABP) versus percutaneous ventricular assist devices (PVADs) such as Impella and TandemHeart and identify a sub-group of patient population who may derive the most benefit from the use of PVADs over IABP. ⋯ This largest and the most contemporary study on the use of hemodynamic support demonstrates significantly reduced mortality with PVADs when compared to IABP in patients undergoing PCI. The results are largely driven by the improved outcomes in non-AMI and non-cardiogenic shock patients.
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Ultrasound evaluation of both the radial artery (RA) and ulnar artery (UA) in patients undergoing cardiac catheterization/percutaneous coronary intervention. ⋯ In 10.9 % of patients, a larger UA or a dual RA with a more accessible confluens was observed. This information can only be obtained using ultrasound and may improve arterial access from the wrist if the larger UA or RA confluens is accessed instead of blind palpation guided RA access.
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To determine whether initiation of clopidogrel before discontinuation of cangrelor would impact on the recovery of platelet reactivity. ⋯ Our results support the previously established strategy of administering clopidogrel immediately after discontinuation of cangrelor. Earlier administration increases the recovery of platelet function.