Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions
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Catheter Cardiovasc Interv · May 2013
Adjunctive thrombus aspiration versus conventional percutaneous coronary intervention in ST-elevation myocardial infarction.
The objective of this analysis is to determine the effects on mortality of thrombus aspiration during primary percutaneous coronary intervention (PPCI) for ST-elevation myocardial infarction (STEMI) compared with conventional PCI. ⋯ The routine use of thrombus aspiration was associated with reduced one-year mortality in this large real-world patient cohort. These data support the observed survival benefit in the TAPAS trial.
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Catheter Cardiovasc Interv · May 2013
Multicenter Study Comparative StudyAdverse events rates and risk factors in adults undergoing cardiac catheterization at pediatric hospitals--results from the C3PO.
Determine the frequency and risk factors for adverse events (AE) for adults undergoing cardiac catheterization at pediatric hospitals. ⋯ Adults undergoing catheterization at pediatric hospitals encountered AE less frequently than children did. The congenital heart disease adjustment for risk method for adults with congenital heart disease is a new tool for assessing procedural risk in adult patients.
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Catheter Cardiovasc Interv · May 2013
Randomized Controlled TrialRemote ischemic preconditioning immediately before percutaneous coronary intervention does not impact myocardial necrosis, inflammatory response, and circulating endothelial progenitor cell counts: a single center randomized sham controlled trial.
Percutaneous coronary intervention (PCI) is frequently accompanied by myocardial injury. The present study was performed to determine whether remote ischemic preconditioning (IP) induces cardioprotection during PCI. ⋯ Our study indicates that remote IP immediately before PCI does not induce cardioprotection in low to moderate risk patients.
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Catheter Cardiovasc Interv · May 2013
Comparative StudyIs EuroSCORE II better than EuroSCORE in predicting mortality after transcatheter aortic valve implantation?
The purpose of this study was to examine the performance of the European system for cardiac operative risk evaluation II (ESII) in patients undergoing transcatheter aortic valve implantation (TAVI). ⋯ Although the ESII demonstrated better predictive performance especially in the TF cohort, ESII is still inadequate in predicting mortality after TAVI as are LES and STS.
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Catheter Cardiovasc Interv · May 2013
Case ReportsFailed repeated thrombolysis requiring left ventricular assist device pump exchange.
A 51-year-old male with untreated hepatitis C infection, cirrhosis, and dilated cardiomyopathy with a HeartMate II LVAD presented with right heart failure and cardiogenic shock, INR of 7, hemolysis, and renal failure. Acute LVAD thrombosis was suspected. Alteplase was injected into the inflow cannula of the LVAD with little effect. ⋯ The patient had an uncomplicated postoperative recovery and was discharged uneventfully. Inspection of the pump identified a thrombus wedged between the spines of the impeller. Our case highlights the challenges in managing pump thrombosis which is often resistant to thrombolysis and may instead rely upon prompt surgical intervention to be resolved.