Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions
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Catheter Cardiovasc Interv · Nov 2015
Direct physician reporting is associated with reductions in radiation exposure in pediatric cardiac catheterizations.
The objective is to quantify radiation dose in children undergoing cardiac catheterization and determine the impact of increased reporting transparency on total radiation exposure. ⋯ Increased physician awareness of radiation exposure is associated with a significant reduction in radiation dose across a variety of cath procedures. This is seen not only by the overall reduction in radiation across case types, but also as the frame rate was more frequently changed during individual cases, indicating an important change in physician behavior and practice.
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Catheter Cardiovasc Interv · Nov 2015
Assessment of clinical occupational dose reduction effect of a new interventional cardiology shield for radial access combined with a scatter reducing drape.
To assess the occupational dose reduction effect of a new interventional cardiology shield for radial access combined with a scatter reducing drape. ⋯ The shield/drape combination can significantly reduce operator exposure in a cardiac catheterization laboratory.
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Catheter Cardiovasc Interv · Oct 2015
Multicenter StudyRisk and outcomes of complications during and after MitraClip implantation: Experience in 828 patients from the German TRAnscatheter mitral valve interventions (TRAMI) registry.
To analyze risk and outcomes of complications during and after MitraClip implantation using multicenter data from the prospective German Transcatheter Mitral Valve Interventions (TRAMI) registry. ⋯ MitraClip implantation appears to be a safe treatment option with low rates of MACCE and clip-specific complications. Nevertheless, MitraClip therapy is not without complications. Careful patient selection and improvements in preventing peri-procedural bleeding have the potential of reducing post-procedural complications and improving outcomes.
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Catheter Cardiovasc Interv · Oct 2015
Retrievable inferior vena cava filters can be placed and removed with a high degree of success: Initial experience.
Evaluate the success rate of retrievable inferior vena cava filter (IVC) removal in a tertiary care practice. ⋯ Retrievable IVC filters can be removed with a high degree of success. Approximately one in ten retrievable IVC filter removal attempts may fail initially, usually because of significant thrombus within the filter. This does not preclude possible removal at a later date.
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Catheter Cardiovasc Interv · Oct 2015
Multicenter Study Observational StudyUse and outcome of radial versus femoral approach for primary PCI in patients with acute ST elevation myocardial infarction without cardiogenic shock: results from the ALKK PCI registry.
This study sought to compare the use and outcome of radial versus femoral access in patients treated with primary percutaneous coronary intervention (PCI) for acute ST elevation myocardial infarction (STEMI) in clinical practice. ⋯ The radial approach for PCI can be performed with excellent procedural success in selected STEMI patients and is associated with a lower rate of vascular access complications and hospital mortality.