Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions
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Catheter Cardiovasc Interv · Jul 2000
Transcarotid balloon valvuloplasty for critical aortic valve stenosis at the bedside via continuous transesophageal echocardiographic guidance.
We describe the first two successful cases of transcarotid balloon aortic valvuloplasty for critical aortic valve stenosis in the neonate utilizing continuous transesophageal echocardiographic guidance performed at the bedside. This method obviates the need for transporting a sick and hemodynamically unstable neonate to the catheterization laboratory and additionally reduces costs without compromising clinical care.
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Catheter Cardiovasc Interv · Jul 2000
Combination therapy with clopidogrel and aspirin after coronary stenting.
Combination antiplatelet therapy using aspirin and ticlopidine has been the standard of care for prevention of subacute thrombosis following coronary stent implantation. However, the use of ticlopidine is associated with a significant risk of adverse hematologic side effects. Clopidogrel is an inhibitor of ADP-induced platelet aggregation that has a better safety profile than ticlopidine. ⋯ The combined frequency of subacute stent thrombosis and death was 1.6%. This is comparable to prior studies using the combination of ticlopidine and aspirin following stenting. Therefore, clopidogrel in combination with aspirin appears to be a safe and effective therapy in the prevention of subacute thrombosis following coronary stent implantation.