The Journal of invasive cardiology
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We evaluate the yield and safety of coronary angiography (CA) in adult patients who underwent cardiac catheterization for percutaneous transcatheter closure of secundum atrial septal defect (ASD) or patent foramen ovale (PFO). Out of 268 patients, 180 were adults; 82 were adults with ASD and 98 were adults with PFO. ⋯ No complications associated with coronary angiography were observed. CA should be considered a part of cardiac catheterization in selected patients referred for transcatheter closure of secundum ASD or PFO.
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We present a case of delayed rupture of a femoro-popliteal saphenous vein bypass graft after stent-supported angioplasty, resulting in a large, severely symptomatic pseudoaneurysm of the thigh. This was successfully treated with deployment of a covered stent graft. The possible mechanisms of pseudoaneurysm formation in this case are discussed, and a brief review of the literature regarding the endovascular management of this clinical entity is offered.
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We sought to evaluate the effects and optimal application time of a eutectic mixture of local anesthetic cream (EMLA-C) in relieving wrist pain during transradial coronary procedures (TRCP). ⋯ EMLA-C can be effective in reducing wrist pain during TRCP without any significant drug-related complications when the application time is 1 to 3 hours before the procedure.