The Journal of invasive cardiology
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Review Case Reports
Myopericarditis secondary to embolization of fractured inferior vena cava filter limbs.
Vena cava filters are placed for the prevention of pulmonary embolism in the setting of venous thromboembolism, especially when there is a contraindication to anticoagulation or complication secondary to anticoagulation. Here we discuss a rare complication of vena cava filters. We present the first documented case of inferior vena cava filter limb fracture presenting as myopericarditis. Six other cases of embolization of vena cava filter limbs are reviewed and a mechanism for fracture and embolization is proposed.
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The present study determined the utility and needle control characteristics of highly controlled vascular syringes for image-guided pericardiocentesis. ⋯ Vascular syringes improve needle control in pericardiocentesis, promote patient safety and permit one-handed aspiration and injection.
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Iatrogenic coronary artery stenosis (ICAS) after aortic valve replacement (AVR) is a rare but potentially fatal complication. Immediate traumatic lesions or late stenoses caused by insertion of an antegrade cardioplegia catheter during AVR mostly occur at the site of the left main trunk or right coronary ostium. ⋯ Histological examination of the specimen taken by DCA demonstrated intimal hyperplasia and no findings of atheromatous plaque with lipid core or thrombus. The patient has been asymptomatic after the procedure and the follow-up multidetector computed tomography at 1 year showed no restenosis.