Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions
-
Catheter Cardiovasc Interv · Jul 2010
Management of residual shunts after initial percutaneous patent foramen ovale closure: a single center experience with immediate and long-term follow-up.
Moderate-to-large residual shunts following percutaneous patent foramen ovale (PFO) closure are clinically important and associated with recurrent neuroembolic events. However, their management has not been clearly established in clinical practice. We report our experience in patients of these patients with a prior history of cryptogenic stroke and/or transient ischemic attack (TIA). ⋯ Our study suggests that in patients with moderate-to-large residual PFO shunts, percutaneous reintervention using a second device implant is safe and effective.
-
Catheter Cardiovasc Interv · Jun 2010
Comparative StudyPrognostic benefit of transcatheter aortic valve implantation compared with medical therapy in patients with inoperable aortic stenosis.
To compare survival in patients with inoperable aortic stenosis who undergo transcatheter aortic valve implantation against those managed medically. ⋯ Patients with severe aortic valve disease who are not suitable for surgical aortic valve replacement have an improved prognosis if treated with transcatheter aortic valve implantation rather than continuing on medical management alone.
-
Catheter Cardiovasc Interv · Jun 2010
Impact of 24-hr in-hospital interventional cardiology team on timeliness of reperfusion for ST-segment elevation myocardial infarction.
We studied the effect of 24 hr a day, 7 days a week interventional cardiology staff on door-to-balloon (D2B) time and mortality in patients undergoing primary percutaneous coronary intervention (PPCI) for ST-segment elevation myocardial infarction (STEMI). ⋯ Round-the-clock, in-hospital interventional cardiology team consistently and significantly reduces D2B time, in-hospital cardiovascular mortality, MACE, and 1-year mortality in patients with STEMI.
-
Catheter Cardiovasc Interv · Apr 2010
Case ReportsBrain salvage for cardiac cerebral embolism following myocardial infarction.
Acute ischemic stroke due to thromboembolism from the left ventricle is a serious complication following myocardial infarction (MI). Despite the attention given to acute stroke intervention, peri-MI ischemic stroke is an underappreciated condition. Here, we describe a case of acute cardiac thromboembolic occlusion of the middle cerebral artery with preceding MI in which brain salvage was achieved by balloon angioplasty.