Kardiol Pol
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New therapies for pulmonary arterial hypertension have prolonged survival but simultaneously increased the number of hospital admissions because of decompensated right heart failure (DRHF). The optimal approach in DRHF has not been established yet. ⋯ Mortality in patients with pulmonary hypertension and DRHF remains very high and seems to be related to haemodynamic profile on admission. The newly introduced therapy with parenteral prostanoids may be more beneficial than dopamine infusion.
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Case Reports
[Subintimal recanalisation of chronic superficial femoral artery occlusion with the use of a re-entry system].
We present a case of a 59-year-old man with symptomatic long-segment occlusion of the superficial femoral artery. Subintimal recanalization was initially unsuccessful due to the inability to re-enter the true lumen after crossing the occlusion in the subintimal space. ⋯ We indicate that the Outback catheter can be used safely in case of an unsuccessful conventional re-entry to the true lumen artery. This catheter can allow reduction the time of the procedure and minimize potential complications.