Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions
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Catheter Cardiovasc Interv · Apr 2013
Usefulness of balloon angioplasty for the right ventricle-pulmonary artery shunt with the modified Norwood procedure.
We sought to evaluate the efficacy of balloon angioplasty (BA) for severely desaturated patients due to a stenotic right ventricle (RV) to pulmonary artery (PA) shunt following modified Norwood procedure. ⋯ A BA-alone strategy for a stenotic RV-PA shunt was effective for all three shunt portions, minimizing shunt-related premature surgical intervention.
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Catheter Cardiovasc Interv · Apr 2013
Case ReportsBalloon-assisted tracking of a guide catheter through difficult radial anatomy: a technical report.
A small caliber or significant tortuosity of radial artery may create difficulty in negotiating a 6F or 7F guide catheter while performing intervention through transradial approach. We describe a technique that helps tracking a guide catheter in such demanding situation for successful completion of procedure without increasing the chance of perforation and dissection.
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Catheter Cardiovasc Interv · Apr 2013
Case ReportsComplete interventional heart repair of multiple concomitant cardiac pathologies in a staged approach.
The evidence of multiple percutaneous cardiac procedures in patients with numerous concomitant cardiac pathologies is limited. ⋯ The case demonstrates feasibility of a staged interventional approach in a select high-risk patient.
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Catheter Cardiovasc Interv · Mar 2013
Residual mitral valve regurgitation after percutaneous mitral valve repair with the MitraClip® system is a risk factor for adverse one-year outcome.
We undertook this study to investigate the mid-term clinical results after MitraClip® implantation and the impact of post-repair mitral valve (MV) function and anatomy on survival and outcome composite endpoint in high-risk patients. ⋯ MitraClip® is a valid tool with favorable outcomes in high-risk patients. The degree of residual MR seems to impact on follow-up composite endpoint outcome. An optimal correction of MR after MitraClip placement could be advocated to optimize the benefits of the procedure and minimize the risk of adverse outcomes.