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VIRTUAL RESTING PD/PA FROM 3-DIMENSIONAL QUANTITATIVE CORONARY ANGIOGRAPHY AND FLOW MODELING: COMPARISON AGAINST FRACTIONAL FLOW RESERVE IN REAL-WORLD PATIENTS. J Am Coll Cardiol 2016. [DOI: 10.1016/s0735-1097(16)30371-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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152
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PROSPECTIVE EVALUATION OF THE IMPACT OF SIDE-HOLES AND GUIDE CATHETER DISENGAGEMENT FROM THE CORONARY OSTIUM ON FRACTIONAL FLOW RESERVE MEASUREMENTS. J Am Coll Cardiol 2016. [DOI: 10.1016/s0735-1097(16)30232-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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153
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FACTORS ASSOCIATED WITH HIGH PATIENT RADIATION DOSE DURING CHRONIC TOTAL OCCLUSION PERCUTANEOUS CORONARY INTERVENTION: INSIGHTS FROM A CONTEMPORARY MULTICENTER REGISTRY. J Am Coll Cardiol 2016. [DOI: 10.1016/s0735-1097(16)30143-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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154
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DIRECT PROCEDURE COST AND 30-DAY OUTCOMES OF DRUG-COATED BALLOON USE IN FEMOROPOPLITEAL INTERVENTION: INSIGHTS FROM THE XLPAD REGISTRY. J Am Coll Cardiol 2016. [DOI: 10.1016/s0735-1097(16)32254-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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155
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156
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IMPACT OF AGE ON OUTCOMES OF PERCUTANEOUS CORONARY INTERVENTION IN CHRONIC TOTAL OCCLUSIONS: INSIGHTS FROM A MULTICENTER US REGISTRY. J Am Coll Cardiol 2016. [DOI: 10.1016/s0735-1097(16)30148-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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157
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TCT-790 Safety and Effectiveness of the Nav-6 Filter in Preventing Distal Embolization during JetStream Atherectomy of Infrainguinal Peripheral Artery Lesions. J Am Coll Cardiol 2015. [DOI: 10.1016/j.jacc.2015.08.1100] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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158
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TCT-429 Radial versus Femoral Approach for Coronary Angiography and Intervention in Patients with CABG: Systematic Review and Meta-analysis. J Am Coll Cardiol 2015. [DOI: 10.1016/j.jacc.2015.08.444] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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159
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TCT-21 Guidewire and Microcatheter Utilization for Antegrade wire escalation in Chronic Total Occlusion Percutaneous Coronary Intervention: Insights from a Contemporary Multicenter Registry. J Am Coll Cardiol 2015. [DOI: 10.1016/j.jacc.2015.08.066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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160
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TCT-392 Application and Outcomes of a Hybrid Approach to Chronic Total Occlusion Percutaneous Coronary Intervention in a Contemporary Multicenter US Registry. J Am Coll Cardiol 2015. [DOI: 10.1016/j.jacc.2015.08.1008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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161
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TCT-789 Comparison of stent-based revascularization strategies for femoropopliteal peripheral artery disease in diabetics and non-diabetics. J Am Coll Cardiol 2015. [DOI: 10.1016/j.jacc.2015.08.1099] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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162
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Predictors of restenosis following contemporary subintimal tracking and reentry technique: The importance of final TIMI flow grade. Catheter Cardiovasc Interv 2015; 87:884-92. [PMID: 26308750 DOI: 10.1002/ccd.26103] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/10/2015] [Accepted: 06/20/2015] [Indexed: 12/15/2022]
Abstract
OBJECTIVES To identify predictors of restenosis after recanalization of chronic total occlusions (CTOs) with the Subintimal Tracking And Reentry (STAR) technique. BACKGROUND STAR is associated with high rates of restenosis but the associated factors are not clear. Understanding the underlying mechanisms may be important to improve STAR outcomes and possibly other contemporary CTO recanalization techniques utilizing extensive subintimal dissection and stenting. METHODS We retrospectively analyzed 211 lesions that underwent a STAR procedure (between 2002 and 2013) with a final Thrombolysis in Myocardial Infarction (TIMI) flow grade 2 or 3. One-hundred and nineteen lesions that received drug eluting stents (DES) and underwent follow-up angiography were included in the final analysis. RESULTS Of the 119 lesions treated with DES following STAR, 75 restenoses were observed (63.0%). Utilizing multivariate analysis, TIMI flow grade in the recanalized artery following stent implantation at the end of the index procedure was the only independent predictor of restenosis. CONCLUSIONS Following recanalization of a CTO with STAR, final TIMI flow predicted future restenosis or reocclusion. As a bailout technique, STAR resulted in a high acute success rate with good safety and acceptable long-term results. When poor flow is observed following recanalization, and prior to stent implantation, a two-step strategy whereby a second procedure is performed at an interval to maximize coronary flow at the end of the procedure may be considered with the goal to reduce the risk of future restenosis or total vessel occlusion following STAR.
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Safety and clinical effectiveness of drug-eluting stents for saphenous vein graft intervention in older individuals: Results from the medicare-linked National Cardiovascular Data Registry(®) CathPCI Registry(®) (2005-2009). Catheter Cardiovasc Interv 2015; 87:43-9. [PMID: 26153480 DOI: 10.1002/ccd.25979] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/21/2014] [Accepted: 04/04/2015] [Indexed: 11/12/2022]
Abstract
OBJECTIVES To evaluate the safety of drug-eluting stents (DES) when treating patients with failing saphenous vein grafts (SVG). BACKGROUND DES reduce target vessel revascularization in patients with failing SVGs; however, compared with bare metal stents (BMS), DES have been variably associated with increased mortality. METHODS Clinical records from National Cardiovascular Data Registry(®) CathPCI Registry(®) (49,325 older individuals [≥65 years] who underwent SVG stenting 2005-2009) were linked to Medicare claims to create a longitudinal record. Death, myocardial infarction (MI), and urgent revascularization with DES versus BMS were evaluated to 3 years using propensity matching (PM). Results were stratified by clinical presentation (acute coronary syndrome [ACS], non-ACS), previous lesion treatment (in-stent, de novo), and graft segment (aortic, body, distal anastomosis). RESULTS In this older cohort (median age, 75 years), acute presentations were prevalent (ACS, 69%; TIMI flow <3, 45%), and adverse clinical outcomes were common by 3 years (death, 24.5%; MI, 14.6%; urgent revascularization, 29.5%). Among DES patients (n = 31,403), 3-year mortality was lower (vs. BMS) (22.7% vs. 28.0%, P < 0.001; PM hazard ratio [HR] 0.87, 95% confidence interval 0.83-0.91), and no difference was observed in the adjusted risk for MI (PM HR 0.97, 0.91 to 1.03) or urgent revascularization (PM HR 1.04, 0.99-1.08). These findings were independent of clinical presentation, previous lesion treatment, and graft segment (P interaction, ns). CONCLUSIONS In this large SVG PCI cohort, all-cause mortality was lower among those receiving DES, and no difference in MI or urgent revascularization was observed to 3 years. © 2015 Wiley Periodicals, Inc.
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CONTRAST MEDIA USE DURING ENDOVASCULAR THERAPY FOR INFRAINGUINAL PERIPHERAL ARTERIAL DISEASE: INSIGHTS FROM THE MULTI-CENTER XLPAD REGISTRY. J Am Coll Cardiol 2015. [DOI: 10.1016/s0735-1097(15)61745-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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165
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APPLICATION OF THE “HYBRID APPROACH” TO CHRONIC TOTAL OCCLUSIONS IN A CONTEMPORARY MULTICENTER US REGISTRY. J Am Coll Cardiol 2015. [DOI: 10.1016/s0735-1097(15)61796-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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166
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CLINICAL OUTCOMES OF PATIENTS UNDERGOING PERCUTANEOUS CORONARY CHRONIC TOTAL OCCLUSION INTERVENTIONS: A WEIGHTED META-ANALYSIS OF 28,486 PATIENTS FROM 25 STUDIES. J Am Coll Cardiol 2015. [DOI: 10.1016/s0735-1097(15)61691-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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167
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REVASCULARIZATION TRENDS IN PATIENTS WITH DIABETES MELLITUS AND MULTIVESSEL CORONARY ARTERY DISEASE PRESENTING WITH NON-ST ELEVATION MYOCARDIAL INFARCTION: INSIGHTS FROM THE NCDR®. J Am Coll Cardiol 2015. [DOI: 10.1016/s0735-1097(15)60022-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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168
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CLINICAL UTILITY OF THE J-CTO SCORE IN CORONARY CHRONIC TOTAL OCCLUSION INTERVENTIONS: RESULTS FROM A MULTICENTER REGISTRY. J Am Coll Cardiol 2015. [DOI: 10.1016/s0735-1097(15)61807-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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169
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170
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ZILVER PTX DRUG-COATED PERIPHERAL ARTERY STENT USE IN A U.S. MULTICENTER REGISTRY. J Am Coll Cardiol 2015. [DOI: 10.1016/s0735-1097(15)61811-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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171
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EFFECT OF EXTENDED-RELEASE NIACIN ON REACTIVE HYPEREMIA PERIPHERAL ARTERIAL TONOMETRY AND ENDOTHELIAL PROGENITOR CELL MOBILIZATION: INSIGHTS FROM THE ATHEROSCLEROSIS LESION PROGRESSION INTERVENTION USING NIACIN EXTENDED RELEASE IN SAPHENOUS VEIN GRAFTS (ALPINE-SVG) PILOT TRIAL. J Am Coll Cardiol 2015. [DOI: 10.1016/s0735-1097(15)61661-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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172
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IMPACT OF CORONARY REVASCULARIZATION STRATEGY ON CLINICAL OUTCOMES OF PATIENTS WITH CHRONIC TOTAL OCCLUSIONS. J Am Coll Cardiol 2015. [DOI: 10.1016/s0735-1097(15)61640-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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173
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IMPACT OF A DISPOSABLE STERILE RADIATION SHIELD ON OPERATOR RADIATION EXPOSURE DURING PERCUTANEOUS CORONARY INTERVENTION OF CHRONIC TOTAL OCCLUSIONS. J Am Coll Cardiol 2015. [DOI: 10.1016/s0735-1097(15)61779-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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174
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TCT-505 Optimal Dual Antiplatelet Therapy Duration after Lower Extremity Peripheral Artery Intervention. J Am Coll Cardiol 2014. [DOI: 10.1016/j.jacc.2014.07.559] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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175
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TCT-192 Procedural Outcomes of Chronic Total Occlusion Percutaneous Coronary Intervention: A Report from NCDR. J Am Coll Cardiol 2014. [DOI: 10.1016/j.jacc.2014.07.233] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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176
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TCT-546 Predictors and Implications of Subintimal Tracking During Endovascular Revascularization of Chronic Total Occlusions in the Infrainguinal Arteries. J Am Coll Cardiol 2014. [DOI: 10.1016/j.jacc.2014.07.605] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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177
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TCT- 529 Comparison of Peripheral Arterial Chronic Total Occlusion Crossing Strategies in the XLPAD Registry. J Am Coll Cardiol 2014. [DOI: 10.1016/j.jacc.2014.07.588] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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178
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Percutaneous Treatment of Coronary Chronic Total Occlusions Part 1: Rationale and Outcomes. Interv Cardiol 2014; 9:195-200. [PMID: 29588802 DOI: 10.15420/icr.2014.9.3.195] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023] Open
Abstract
Coronary chronic total occlusions (CTOs) are commonly encountered in patients with coronary artery disease. Compared to patients without coronary CTOs, those with CTO have worse clinical outcomes and lower likelihood of complete coronary revascularisation. Successful CTO percutaneous coronary intervention (PCI) can significantly improve angina and improve left ventricular function. Although currently unproven, successful CTO PCI might also reduce the risk for arrhythmic events in patients with ischaemic cardiomyopathy, provide better tolerance of future acute coronary syndrome, and possibly improve survival. Evaluation by a heart team comprised of both interventional and non-interventional cardiologists and cardiac surgeons is important for determining the optimal revascularisation strategy in patients with coronary artery disease and CTOs. Ad hoc CTO PCI is generally not recommended, so as to allow sufficient time for (a) discussion with the patient about the indications, goals, risks, and alternatives to PCI; (b) careful procedural planning; and (c) contrast and radiation exposure minimisation. Use of drug-eluting stents is recommended for CTO PCI, given the lower rates of angiographic restenosis compared to bare metal stents.
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LATE INCOMPLETE STENT APPOSITION IS COMMON AFTER CHRONIC TOTAL OCCLUSION PERCUTANEOUS CORONARY INTERVENTION WITH SECOND-GENERATION DRUG-ELUTING STENTS: OPTICAL COHERENCE TOMOGRAPHY INSIGHTS FROM THE ANGIOGRAPHIC EVALUATION OF THE EVEROLIMUS-ELUTING STENT IN CHRONIC TOTAL OCCLUSIONS STUDY. J Am Coll Cardiol 2014. [DOI: 10.1016/s0735-1097(14)61897-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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180
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ANTIANGINAL MEDICAL THERAPY IN PATIENTS WITH CHRONIC ISCHEMIC HEART DISEASE REFERRED FOR CORONARY REVASCULARIZATION. J Am Coll Cardiol 2014. [DOI: 10.1016/s0735-1097(14)61573-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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181
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THE USE OF NEAR-INFRARED SPECTROSCOPY TO IDENTIFY PATIENTS AT HIGH-RISK FOR PERI-PROCEDURAL MYOCARDIAL INFARCTION: RESULTS FROM THE COLOR REGISTRY. J Am Coll Cardiol 2014. [DOI: 10.1016/s0735-1097(14)61773-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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182
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SERIAL OPTICAL COHERENCE TOMOGRAPHY IMAGING FOR THE EVALUATION OF AORTOCORONARY SAPHENOUS VEIN GRAFT DISEASE. INSIGHTS FROM THE CARDIAC CATHETERIZATION FOR BYPASS GRAFT PATENCY RATE OPTIMIZATION (CABG-PRO) STUDY. J Am Coll Cardiol 2014. [DOI: 10.1016/s0735-1097(14)61784-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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183
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RELATIONSHIP BETWEEN THE EXTENT OF LIPID-RICH PLAQUE ASSESSED BY NEAR-INFRARED SPECTROSCOPY AND CLINICAL PRESENTATION: A COLOR REGISTRY ANALYSIS. J Am Coll Cardiol 2014. [DOI: 10.1016/s0735-1097(14)61791-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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184
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FACTORS ASSOCIATED WITH A REDUCTION OF LIPID CORE PLAQUE IN PATIENTS UNDERGOING PCI: NEAR-INFRARED SPECTROSCOPY RESULTS FROM THE COLOR REGISTRY. J Am Coll Cardiol 2014. [DOI: 10.1016/s0735-1097(14)61772-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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185
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CRT-213 Comparison of Revascularization Outcomes for Patients with Lifestyle Limiting Claudication to Critical Limb Ischemia. JACC Cardiovasc Interv 2014. [DOI: 10.1016/j.jcin.2014.01.095] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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186
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Abstract
Dual injection is recommended for nearly all chronic total occlusion (CTO) percutaneous coronary intervention (PCI) to determine the optimal crossing strategy and guide wire advancement into the distal true lumen. Strategies that provide enhanced guide catheter support (such as long sheaths, large-bore guiding catheters, use of guide catheter extensions, and anchor techniques) are important for maximising the success rate and efficiency of CTO PCI. Use of a microcatheter or over-the-wire balloon is strongly recommended in CTO PCI for enhancing the penetrating power of the guidewire, enabling change in tip shape and allowing guidewire change (stiff CTO guidewires are not optimal for crossing non-occluded coronary segments). Adherence to a procedural strategy that standardises CTO technique and facilitates procedural success is recommended. Such a strategy would permit stepwise decision-making for antegrade and retrograde methods; inform guidewire selection; and incorporate alternative approaches for instances of initial failure. Given the paucity of long-term outcomes with use of novel crossing techniques (antegrade dissection/re-entry and retrograde), antegrade wire escalation is the preferred CTO crossing technique, if technically feasible. Using measures to minimise radiation exposure (including but not limited to use of 7.5 frames per second fluoroscopy and use of low magnification) and contrast administration is recommended. CTO PCI is best performed at centres with dedicated CTO PCI experience and expertise. Use of crossing difficulty prediction tools, such as the J-CTO score, can facilitate the selection of cases with a high likelihood of quick crossing that can be attempted at less experienced centres.
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TCT-523 Multicenter Registry for Peripheral Arterial Disease Interventions and Outcomes (XLPAD Registry). J Am Coll Cardiol 2013. [DOI: 10.1016/j.jacc.2013.08.1269] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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TCT-383 Incremental Benefit of Hybrid CTO Technique Adoption-4 center experience. J Am Coll Cardiol 2013. [DOI: 10.1016/j.jacc.2013.08.1122] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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TCT-381 The Safety And Efficacy Of The "Hybrid Approach" To Chronic Total Occlusions: Insights From A Contemporary Multicenter US Registry. J Am Coll Cardiol 2013. [DOI: 10.1016/j.jacc.2013.08.1120] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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190
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TCT-655 Evaluation of Aortocoronary Saphenous Vein Graft Disease Using Serial Intravascular Ultrasound Imaging. Insights From The Cardiac CAtheterization For Bypass Graft Patency Rate Optimization (CABG-PRO) Study. J Am Coll Cardiol 2013. [DOI: 10.1016/j.jacc.2013.08.1404] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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191
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TCT-357 Prevalence and Management of Coronary Chronic Total Occlusions in a Tertiary Veterans Affairs Hospital. J Am Coll Cardiol 2013. [DOI: 10.1016/j.jacc.2013.08.1096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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192
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Use of the retrograde approach for primary percutaneous coronary intervention of an inferior ST-segment elevation myocardial infarction. THE JOURNAL OF INVASIVE CARDIOLOGY 2013; 25:483-484. [PMID: 23995726] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
Percutaneous coronary intervention (PCI) during ST-segment elevation myocardial infarction (STEMI) can be challenging due to limited distal vessel visualization. We present a case of challenging antegrade wiring during PCI of an inferior STEMI resulting in inadvertent subintimal wiring and ballooning. Recognition of this scenario prior to stenting allowed vessel rescue using the retrograde chronic total occlusion revascularization technique.
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Abstract
Open ankle dislocation without an associated fracture is an extremely rare injury. We present the case of a 24-year-old male athlete who had sprained his left ankle during volleyball playing. He sustained an open posteromedial dislocation of his left ankle, without an associated malleolar fracture. The treatment consisted of wound irrigation, debridement, reduction, and suture of the skin, followed by immobilization with a short leg cast. The ankle was immobilized in a neutral position for 8 weeks, and weight bearing was restricted for the first 6 weeks. At the 3-month follow-up visit, the patient reported that both ankle and feet had regained full, pain-free range of motion. At the 6-month follow-up visit, he returned to sports activities. At 9 months of follow-up, the patient participated in volleyball games at the same level as before his injury. At 2 years after the initial injury, he did not have any clinical complaints, and his ankle had no clinical or subjective signs of instability.
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SAPHENOUS VEIN GRAFT BODY LESIONS HAVE HIGHER LIPID CONTENT COMPARED TO ANASTOMOTIC LESIONS: A NEAR–INFRARED SPECTROSCOPY IN VIVO STUDY. J Am Coll Cardiol 2013. [DOI: 10.1016/s0735-1097(13)61850-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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195
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PLATELET–MIMICKING MULTI–LIGAND NANOPARTICLES INHIBIT ENDOTHELIAL CELL INFLAMMATION AND NEOINTIMAL RESTENOSIS. J Am Coll Cardiol 2013. [DOI: 10.1016/s0735-1097(13)62016-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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196
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CLINICAL, ANGIOGRAPHIC AND PROCEDURAL PREDICTORS OF PERIPROCEDURAL COMPLICATIONS IN CORONARY CHRONIC TOTAL OCCLUSION PCI. J Am Coll Cardiol 2013. [DOI: 10.1016/s0735-1097(13)61695-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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TCT-717 Impact of Anti-anginal Therapy and Rate Pressure Product Control on the Need for Repeat Revascularization Post-PCI. J Am Coll Cardiol 2012. [DOI: 10.1016/j.jacc.2012.08.757] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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198
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TCT-454 Peri-procedural Myocardial Infarction in Chronic Total Occlusion Percutaneous Coronary Interventions: a Systematic Cardiac Biomarker Evaluation Study. J Am Coll Cardiol 2012. [DOI: 10.1016/j.jacc.2012.08.485] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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199
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TCT-451 Application of the “Hybrid Approach” To Chronic Total Occlusion Interventions. J Am Coll Cardiol 2012. [DOI: 10.1016/j.jacc.2012.08.482] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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200
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TCT-23 Detection by Near-infrared Spectroscopy of Large Lipid Core Plaques at Culprit Sites in Patients with Acute ST-Segment Elevation Myocardial Infarction. J Am Coll Cardiol 2012. [DOI: 10.1016/j.jacc.2012.08.029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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