The Journal of invasive cardiology
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Review Meta Analysis
Effect of remote ischemic preconditioning on myocardial and renal injury: meta-analysis of randomized controlled trials.
The purpose of this study was to assess the effect of remote ischemic precondition (RIPC) on the incidence of myocardial and renal injury in patients undergoing cardiovascular interventions as measured by biomarkers. Clinical data were pooled to evaluate the usefulness of RIPC to benefit clinical outcomes. ⋯ RIPC appears to be associated with a favorable effect on serological markers of myocardial and renal injury during cardiovascular interventions. Larger trials should be conducted to substantiate this initial impression.
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The management of cardiac arrest during coronary angiography and intervention presents substantial challenges. Patients presenting with ST-segment elevation myocardial infarction or following resuscitation from cardiac arrest are at greatest risk and may represent a significant portion of patients in some centers. ⋯ To this end, the use of mechanical compression devices provides multiple patient- and provider-level benefits. This series provides a description of the use of the LUCAS mechanical CPR device and examples of coronary imaging and intervention during mechanical CPR.
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Case Reports
Successful transradial retrieval of broken catheter fragment during transradial coronary angiography.
Intravascular fracture of angiographic catheters is very uncommon, but it happens. Removal of an intravascular foreign body may require surgical intervention or non-surgical retrieval necessitating additional vascular access (mostly via femoral artery). ⋯ We were able to pass two guidewires (0.035-inch guidewire and 0.014-inch standard percutaneous transluminal coronary angioplasty guidewire) through the fragment. The 0.014-inch guidewire twirled, winding around the 0.035-inch wire, and the catheter fragment was retrieved successfully through the radial sheath.