Cardiologist uses real images of the heart to explain different types of heart blockages, likelihood of recovery for each type & how to better understand what a heart blockage is.
We recently had a very unusual “STEMI” patient. His presentation, ECG and cath results demonstrated one end of the patient spectrum that the cath lab call team may encounter. from Cath Lab Digest. STEMI
The following case is the third in a series of transradial-focused reports directed by section editor Dr. Samir Pancholy. This case series is supported by an educational grant from Medtronic. Transradial Series from Cath Lab Digest. Chronic Total Occlusion Transradial
Coronary arterial fistulas (CAF) or malformations are connections between one or more of the coronary arteries, and a cardiac chamber or a great vessel. Case Report from Cath Lab Digest. Fistulas Anomaly
The Resolute Integrity drug-eluting stent (DES) (Medtronic) was approved for use in the U.S. in February 2012. The first stent to have an indication for the treatment of coronary artery disease in diabetic patients, the stent has enjoyed rapid adoption in the clinical arena. The following case study illustrates the effective use of this stent in a diabetic patient. from Cath Lab Digest.
The American College of Cardiology (ACC) launched its D2B (door to balloon) Alliance for Quality campaign in 2006. The continuing campaign aims to reduce the D2B time for ST-elevated myocardial infarction (STEMI) patients to 90 minutes or less. from Cath Lab Digest.
“Orlando, we had a case that we were unable to do from the femoral approach. It was scheduled as a percutaneous transluminal angioplasty (PTA) of the iliac. Have you ever done an iliac from the radial approach?”Excellent question, and the answer is yes. It is best to use the left arm, so all your equipment can reach. from Cath Lab Digest.
A 66-year-old Hispanic man with a past medical history of diabetes mellitus, hypertension, dyslipidemia, and history of previous percutaneous interventions to his left anterior descending (LAD) coronary artery, as well as right coronary artery (RCA) presented to an outside hospital with exertional angina. His coronary angiography had revealed an in-stent occlusion of the dominant mid RCA with left to right collaterals. from Cath Lab Digest.
This is a 79-year-old gentleman with a history of coronary artery disease, status post bypass x 3 (left internal mammary artery to the left anterior descending coronary artery [LIMA->LAD]; saphenous vein graft to the right posterior descending artery [SVG->RPDA] and SVG to the lateral branch) in 2004. from Cath Lab Digest.
While most patients are asymptomatic from subclavian stenosis, some patients present with symptoms of upper extremity ischemia, including arm or hand claudication with or without neurologic symptoms or symptoms of subclavian steal syndrome. from Cath Lab Digest.
Our case report is a first of its kind where the right subclavian artery was involved in a steal phenomenon from the left internal mammary artery graft. from Cath Lab Digest.
This case demonstrates the ability to access the right heart from the forearm, thereby extending benefits of the transradial approach. Utilization of this approach is conditional upon obtaining venous access. from Cath Lab Digest.
Case 1An 83-year-old male, with history of a bioprosthetic aortic valve replacement (Medtronic Mosaic #25) and coronary artery bypass grafting approximately eight months earlier, presented with severe shortness of breath secondary to acute decompensated heart failure. from Cath Lab Digest.
We describe here a case of a man who developed ventriculoseptal rupture with cardiogenic shock after a large myocardial infarction and later received hemodynamic support with a TandemHeart assist device, allowing myocardial recovery and eventual definitive therapy with surgical closure of the defect. from Cath Lab Digest.
We do transradial approach as the default approach for all STEMIs, regardless of age or sex. There are, however, a few things to consider when doing transradial PCI in the elderly. The following is a complex STEMI case performed in an octagenarian. from Cath Lab Digest.
AbstractPercutaneous devices have been developed to provide hemodynamic support during complex coronary interventions. However, the presence of a mechanical aortic valve excludes the use of the Impella left ventricular assist device. from Cath Lab Digest.
In procedures requiring LV mechanical circulatory support, high-risk PCI via transradial access is feasible, and might even be preferred over a “bi-femoral” approach. Transradial Series from Cath Lab Digest. Transradial Left ventricular assist devices (LVADs)
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