1
|
Camacho Freire SJ, Gómez Menchero AE, Garrido JR, Rojas ML, Piris RC, Díaz Fernández JF. Thrombotic Left Main Coronary Artery Occlusion Treated With Bioresorbable Scaffold. Tex Heart Inst J 2022; 49:483625. [PMID: 35797656 DOI: 10.14503/thij-18-6912] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Affiliation(s)
| | | | - Jessica Roa Garrido
- Cardiology Department, University Hospital Juan Ramón Jiménez, Huelva, Spain
| | - Marcos López Rojas
- Cardiology Department, University Hospital Juan Ramón Jiménez, Huelva, Spain
| | - Rosa Cardenal Piris
- Cardiology Department, University Hospital Juan Ramón Jiménez, Huelva, Spain
| | | |
Collapse
|
2
|
Arévalos V, Ortega-Paz L, Fernandez-Rodríguez D, Alfonso Jiménez-Díaz V, Rius JB, Campo G, Rodríguez-Santamarta M, de Prado AP, Gómez-Menchero A, Díaz Fernández JF, Scardino C, Gonzalo N, Pernigotti A, Alfonso F, Jesús Amat-Santos I, Silvestro A, Ielasi A, María de la Torre J, Bastidas G, Gómez-Lara J, Sabaté M, Brugaletta S. Long-term effects of coronavirus disease 2019 on the cardiovascular system, CV COVID registry: A structured summary of a study protocol. PLoS One 2021; 16:e0255263. [PMID: 34324524 PMCID: PMC8320971 DOI: 10.1371/journal.pone.0255263] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2021] [Accepted: 07/02/2021] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Patients presenting with the coronavirus-2019 disease (COVID-19) may have a high risk of cardiovascular adverse events, including death from cardiovascular causes. The long-term cardiovascular outcomes of these patients are entirely unknown. We aim to perform a registry of patients who have undergone a diagnostic nasopharyngeal swab for SARS-CoV-2 and to determine their long-term cardiovascular outcomes. STUDY AND DESIGN This is a multicenter, observational, retrospective registry to be conducted at 17 centers in Spain and Italy (ClinicalTrials.gov number: NCT04359927). Consecutive patients older than 18 years, who underwent a real-time reverse transcriptase-polymerase chain reaction (RT-PCR) for SARS-CoV2 in the participating institutions, will be included since March 2020, to August 2020. Patients will be classified into two groups, according to the results of the RT-PCR: COVID-19 positive or negative. The primary outcome will be cardiovascular mortality at 1 year. The secondary outcomes will be acute myocardial infarction, stroke, heart failure hospitalization, pulmonary embolism, and serious cardiac arrhythmias, at 1 year. Outcomes will be compared between the two groups. Events will be adjudicated by an independent clinical event committee. CONCLUSION The results of this registry will contribute to a better understanding of the long-term cardiovascular implications of the COVID19.
Collapse
Affiliation(s)
- Victor Arévalos
- Department of Cardiology, Clinic Cardiovascular Institute, Hospital Universitari Clinic, Barcelona, Spain
| | - Luis Ortega-Paz
- Department of Cardiology, Clinic Cardiovascular Institute, Hospital Universitari Clinic, Barcelona, Spain
| | | | | | - Jordi Bañeras Rius
- Department of Cardiology, Hospital Universitari Vall d’Hebron, Barcelona, Spain
| | - Gianluca Campo
- Department of Cardiology, Azienda Ospedaliero-Universitaria di Ferrara, Ferrara, Italy
| | | | | | | | | | - Claudia Scardino
- Department of Cardiology, Hospital Universitari Joan XXIII, Tarragona, Spain
| | - Nieves Gonzalo
- Department of Cardiology, Hospital Universitario Clínico San Carlos Madrid, Madrid, Spain
| | - Alberto Pernigotti
- Department of Cardiology, Hospital de Tortosa Verge de la Cinta, Tarragona, Spain
| | - Fernando Alfonso
- Department of Cardiology, Hospital Universitario La Princesa, Madrid, Spain
| | | | - Antonio Silvestro
- Department of Cardiology, Ospedale Bolognini di Seriate, Bérgamo, Italy
| | - Alfonso Ielasi
- Department of Cardiology, Istituto Clinico Sant’Ambrogio, Milano, Italy
| | | | - Gabriela Bastidas
- Department of Cardiology, Hospital Universitari Sagrat Cor, Barcelona, Spain
| | - Josep Gómez-Lara
- Department of Cardiology, Hospital Universitari de Bellvitge, Barcelona, Spain
| | - Manel Sabaté
- Department of Cardiology, Clinic Cardiovascular Institute, Hospital Universitari Clinic, Barcelona, Spain
| | - Salvatore Brugaletta
- Department of Cardiology, Clinic Cardiovascular Institute, Hospital Universitari Clinic, Barcelona, Spain
| | | |
Collapse
|
3
|
Roa Garrido J, Carrasco Salas P, Toscano Pérez C, Arrobas Velilla T, Vázquez Rico I, Díaz Fernández JF. Genetics and biochemistry of familial hypercholesterolemia in Southwest of the Iberian Peninsula. Clin Investig Arterioscler 2021; 33:62-69. [PMID: 33069457 DOI: 10.1016/j.arteri.2020.08.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/02/2020] [Revised: 07/23/2020] [Accepted: 08/11/2020] [Indexed: 06/11/2023]
Abstract
So far, most cases of hypercholesterolaemia (60-80%) are attributed to pathogenic variants in the LDLR gene. Only 1-5% of cases are caused by variants in the APOB gene, and 0-3% by variants in the PCSK9 gene. There is a large variety in known pathogenic mutations of the LDLR gene, while for those affecting the APOB gene, the highest incidence is p.Arg3527Gln, described predominantly in Central European and North American populations. In the Iberian Peninsula the predominant gene affected is that of the LDL receptor, similar to the rest of the world, with the involvement of the APOB gene being described in individuals from the northwest, and anecdotal in the rest of the territory. A genetics analysis was performed on the population attending the first year of a lipid clinic in southwestern Spain with a 6-point score from the Dutch lipid clinics. The genetic, biochemical and clinical findings are described. The first findings show indications of a possible higher prevalence of patients with mutation in the APOB gene compared to other territories. Historical evidence is presented that could give a possible explanation to this, thus supporting the assumption.
Collapse
Affiliation(s)
- Jessica Roa Garrido
- Unidad de Lípidos y Riesgo Cardiovascular, Servicio de Cardiología, Hospital Juan Ramón Jiménez, Huelva, España.
| | - Pilar Carrasco Salas
- Unidad de Genética, Servicio de Análisis Clínicos, Hospital Juan Ramón Jiménez, Huelva, España
| | - Clara Toscano Pérez
- Centro de Investigación en Patrimonio Histórico, Cultural y Natural (CIPHCN), Universidad de Huelva, Huelva, España
| | | | | | | |
Collapse
|
4
|
|
5
|
Raposeiras-Roubín S, Alonso Rodríguez D, Camacho Freire SJ, Abu-Assi E, Cobas-Paz R, Rodríguez Pascual C, García Comesaña J, González-Carrero López A, Cubelos Fernández N, López-Masjuán Ríos Á, Cespón-Fernández M, Muñoz-Pousa I, Caneiro-Queija B, Rodríguez Albarrán A, Castañera SÁ, Guillén JV, Carpintero Vara A, Barreiro Pardal C, Domínguez-Erquicia P, Domínguez-Rodríguez LM, Díaz Fernández JF, Fernández Vázquez F, Iñíguez-Romo A. Vitamin K Antagonists and Direct Oral Anticoagulants in Nonagenarian Patients With Atrial Fibrillation. J Am Med Dir Assoc 2020; 21:367-373.e1. [DOI: 10.1016/j.jamda.2019.08.033] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2019] [Revised: 08/23/2019] [Accepted: 08/30/2019] [Indexed: 02/01/2023]
|
6
|
Sánchez R, Vañó E, Fernández Soto JM, Ten JI, Escaned J, Delgado C, García B, Carrera Magariño F, Fernández JFD, Luna RJM, Moreno MAR, Catalán A, Ojeda FB, Rosales Espizua FJ, Moreno JRS, Pifarré X, Goicolea J, Ordiales JM, Nogales JM, Martinez G, García P, Benedicto A, Castillo MFR, Torres LP, Font J, Bethencourt A, Cesteros MJ, Pérez A, Pinar E, Tobarra B. Updating national diagnostic reference levels for interventional cardiology and methodological aspects. Phys Med 2020; 70:169-175. [DOI: 10.1016/j.ejmp.2020.01.014] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/12/2019] [Revised: 12/05/2019] [Accepted: 01/14/2020] [Indexed: 10/25/2022] Open
|
7
|
Camacho Freire SJ, Gómez Menchero AE, Díaz Fernández JF. Deep circumferential calcium fracture after coronary lithotripsy. ACTA ACUST UNITED AC 2019; 73:577. [PMID: 31826825 DOI: 10.1016/j.rec.2019.10.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2019] [Accepted: 10/08/2019] [Indexed: 11/18/2022]
|
8
|
Cardenal Piris RM, Araji Tiliani O, Díaz Fernández JF, Miranda Balbuena N, Gómez Menchero A, Barquero Aroca JM. Sheathless transaxillary transcatheter aortic valve implantation using the Portico valve system. Initial experience of a real-world "Heart Team". ACTA ACUST UNITED AC 2019; 73:178-180. [PMID: 31699642 DOI: 10.1016/j.rec.2019.07.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2019] [Accepted: 07/01/2019] [Indexed: 12/01/2022]
Affiliation(s)
- Rosa María Cardenal Piris
- Unidad de Cardiología Intervencionista, Servicio de Cardiología, Hospital Juan Ramón Jiménez, Huelva, Spain.
| | - Omar Araji Tiliani
- Servicio de Cirugía Cardiovascular, Hospital Universitario Virgen Macarena, Sevilla, Spain
| | | | - Nuria Miranda Balbuena
- Servicio de Cirugía Cardiovascular, Hospital Universitario Virgen Macarena, Sevilla, Spain
| | - Antonio Gómez Menchero
- Unidad de Cardiología Intervencionista, Servicio de Cardiología, Hospital Juan Ramón Jiménez, Huelva, Spain
| | | |
Collapse
|
9
|
Nour MK, Fathelbab HT, Mwafy AH, Shawky MA, Freire SJC, Jiménez JL, Garrido JR, Menchero AEG, Piris RC, Fernández JFD, Tawfik SEL. Angiographically Based Direct Implantation of the Bioresorbable Vascular Scaffold in Non-ST Segment Elevation Acute Coronary Syndrome: Feasibility and Outcome. Open Access Maced J Med Sci 2019; 7:2419-2423. [PMID: 31666839 PMCID: PMC6814461 DOI: 10.3889/oamjms.2019.648] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2019] [Revised: 08/10/2019] [Accepted: 08/11/2019] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND: Direct implantation of metallic drug-eluting stents is recommended for lesions with high thrombotic burden; however, this can’t be applied to bioresorbable scaffold for which adequate lesion preparation is recommended. AIM: We aimed at assessing the feasibility and safety of direct scaffold implantation based only on angiographic assessment in patients presented with non-ST segment elevation acute coronary syndrome. METHODS: The study was a retrospective two-centre study conducted over patients diagnosed with NSTE-ACS presented to cardiology department at Juan Ramon Hospital, Spain and critical care department, Cairo University in the period between February 2016 to May 2017. We included patients for whom we depend only on angiographic assessment for decision making whether to directly implant the scaffold or predilate the lesion and we excluded patients for whom intracoronary imaging was used at the index procedure either for pre or post-implantation. The primary outcome of interest was the device-oriented composite endpoints (DOCE) including cardiac death, and MI attributed to the target vessel and TLR. The secondary endpoints were the broader patient-oriented composite outcome (POCE) and scaffold/stent thrombosis. POCE includes all-cause mortality, any MI and any revascularisation (including TLR, TVR and revascularisation of non- target vessel) RESULTS: Among 46 patients with NSTE-ACS treated with BVS, we did direct implantation in 20 patients (group A), and we used pre dilatation in 26 patients (group B). The two groups have similar demographics and clinical criteria. Procedural success was obtained in all study population. Mean follow up duration was 12 months. We have total of 10% device-oriented composite endpoints in group A versus 15% in group B (p-value = 0.684). We didn’t document any cardiac death in both groups. In group B we had one (3.8%) non-fatal MI while there was no MI in group A (P-value = 1). In group A we had 2 cases (10%) of TLR while in group B there were 3 cases (11.5%) TLR (P-value = 1). We have two cases (7.7%) of TVR in group B and one in group A p-value = 1. All cases were planned staged PCI. Scaffold thrombosis occurred in one case in group A (5%) and two cases in group B (7.7%) p-value = 1. CONCLUSION: With proper lesion selection, direct BVS implantation in all-comers NSTE-ACS patients is feasible and safe even without the aid of intracoronary imaging.
Collapse
|
10
|
Camacho Freire SJ, Díaz Fernández JF, Gheorghe LL, Gómez Menchero AE, León Jiménez J, Roa Garrido J, Cardenal Piris R, Pedregal González M, Bastante T, García Guimaraes M, Vera A, Cuesta J, Rivero F, Alfonso F. Disección coronaria espontánea e hipotiroidismo. Rev Esp Cardiol 2019. [DOI: 10.1016/j.recesp.2018.06.003] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
|
11
|
Rothenbühler M, Valgimigli M, Odutayo A, Frigoli E, Leonardi S, Vranckx P, Turturo M, Moretti L, Amico F, Uguccioni L, Contarini M, Gómez-Hospital JA, Mainar V, Creaco M, Petronio AS, Cremonesi A, Tamburino C, Fresco C, Bonmassari R, Díaz Fernández JF, Romagnoli E, Beyersmann J, Heg D, Jüni P. Association of acute kidney injury and bleeding events with mortality after radial or femoral access in patients with acute coronary syndrome undergoing invasive management: secondary analysis of a randomized clinical trial. Eur Heart J 2019; 40:1226-1232. [DOI: 10.1093/eurheartj/ehy860] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/09/2018] [Revised: 06/29/2018] [Accepted: 11/30/2018] [Indexed: 01/01/2023] Open
Affiliation(s)
- Martina Rothenbühler
- CTU Bern, and Institute of Social and Preventive Medicine (ISPM), University of Bern, Mittelstrasse 43, Bern, Switzerland
| | - Marco Valgimigli
- Swiss Cardiovascular Center Bern, Bern University Hospital, Freiburgstrasse 8, Bern, Switzerland
| | - Ayodele Odutayo
- Applied Health Research Centre, Li Ka Shing Knowledge Institute of St Michael’s Hospital, Department of Medicine and Institute of Health Policy, Management and Evaluation, University of Toronto, 30 Bond Street, Toronto, Ontario, Canada
| | - Enrico Frigoli
- CTU Bern, and Institute of Social and Preventive Medicine (ISPM), University of Bern, Mittelstrasse 43, Bern, Switzerland
| | - Sergio Leonardi
- Coronary Care Unit, Fondazione IRCCS Policlinico San Matteo, Viale Golgi 19, Pavia, Italy
| | - Pascal Vranckx
- Department of Cardiology and Critical Care Medicine, Hartcentrum Hasselt, Jessa Ziekenhuis, Stadsomvaart 11, 3500 Hasselt, Belgium, and Faculty of Medicine and Life Sciences, University of Hasselt, Martelarenlaan 42, Hasselt, Belgium
| | - Maurizio Turturo
- Division of Cardiology, P.O. Di Venere, Via Ospedale di Venere 1, Bari, Italy
| | - Luciano Moretti
- Division of Cardiology, Mazzoni Hospital, Via Degli Iris, Ascoli Piceno, Italy
| | - Francesco Amico
- Cardiology Unit, S. Elia Hospital, Via Luigi Russo 6, Caltanissetta, Italy
| | - Lucia Uguccioni
- Interventional Cardiology, Ospedali Riuniti Marche Nord, Piazzale Cinelli 4, Pesaro, Italy
| | - Marco Contarini
- Interventional Cardiology Unit, Umberto I Hospital, Via Testaferrata 1, Siracusa, Italy
| | - Joan Antoni Gómez-Hospital
- Heart Diseases Institute, Bellvitge University Hospital, Feixa Llarga s/n, L'Hospitalet, Barcelona, Spain
| | - Vicente Mainar
- Department of Cardiology, Hospital General of Alicante, Pintor Baeza 11, Alicante, Spain
| | - Manuela Creaco
- Cardiology Unit, Gravina Hospital, Via Portosalvo 9, Caltagirone, Italy
| | - Anna Sonia Petronio
- Unit of Interventional Cardiology, Cardiothoracic and Vascular Department, Ospedale di Cisanello, University of Pisa, Via Paradisa 2, Pisa, Italy
| | - Alberto Cremonesi
- Cardiovascular Department, Humanitas Gavazzeni Hospital, Via M. Gavazzeni 21, Bergamo, Italy
| | - Corrado Tamburino
- Cardiology Division, C.A.S.T. Policlinico University Hospital, Cardio-Thorax-Vascular and Transplant Department, Via S. Sofia 76, Catania, Italy
| | - Claudio Fresco
- Cardiology Unit, Azienda Sanitaria Universitaria Integrata di Udine, Piazzale S. Maria della Misericordia 15, Udine, Italy
| | - Roberto Bonmassari
- Division of Cardiology, Santa Chiara Hospital, Largo Medaglie D'oro 9, Trento, Italy
| | | | - Enrico Romagnoli
- Department of Cardiology, Fondazione Policlinico Universitario A. Gemelli, Largo Agostino Gemelli 8, Rome, Italy
| | - Jan Beyersmann
- Institute of Statistics, Ulm University, Helmholtzstrasse 20, Ulm, Germany
| | - Dik Heg
- CTU Bern, and Institute of Social and Preventive Medicine (ISPM), University of Bern, Mittelstrasse 43, Bern, Switzerland
| | - Peter Jüni
- Applied Health Research Centre, Li Ka Shing Knowledge Institute of St Michael’s Hospital, Department of Medicine and Institute of Health Policy, Management and Evaluation, University of Toronto, 30 Bond Street, Toronto, Ontario, Canada
| |
Collapse
|
12
|
Díaz Fernández JF, Camacho Freire SJ, Fernández Guerrero JC, Delarche N, Bretelle C, Zueco Gil J, Palop RL, García del Blanco B, Mainar Tello V, Albert F. Everolimus drug‐eluting stent performance in patients with long coronary lesions: The multicenter Longprime registry. Catheter Cardiovasc Interv 2018; 92:E493-E501. [DOI: 10.1002/ccd.27657] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/27/2017] [Revised: 04/04/2018] [Accepted: 04/15/2018] [Indexed: 11/09/2022]
Affiliation(s)
| | | | | | - Nicolas Delarche
- Department of CardiologyCentre Hospitalier Francois MitterandPau France
| | | | - Javier Zueco Gil
- Department of CardiologyMarques de Valdecilla HospitalSantander Spain
| | | | | | - Vicente Mainar Tello
- Department of CardiologyHospital General Universitario de AlicanteAlicante Spain
| | - Franck Albert
- Department of CardiologyCentre Hospitalier de ChartresChartres France
| |
Collapse
|
13
|
Díaz Fernández JF, Peraza Mc Liberty RA. Synovial osteochondromatosis of the shoulder: Case report and literature review. Reumatol Clin (Engl Ed) 2018; 14:56-58. [PMID: 27613313 DOI: 10.1016/j.reuma.2016.07.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/25/2016] [Revised: 07/19/2016] [Accepted: 07/28/2016] [Indexed: 06/06/2023]
Affiliation(s)
- José Francisco Díaz Fernández
- Hospital Regional de Alta Especialidad de la Península de Yucatán, Mérida, México; Departamento de Imagenología y Rayos X, Hospital General Agustín O'Horan, Mérida, México.
| | | |
Collapse
|
14
|
Camacho Freire SJ, Gómez Menchero AE, Roa Garrido J, León Jiménez J, Cardenal Piris R, Díaz Fernández JF. Bioresorbable Scaffolds in Spontaneous Coronary Artery Dissection: Long-Term Follow-Up in 4 Patients. Tex Heart Inst J 2017; 44:405-410. [PMID: 29276441 DOI: 10.14503/thij-16-6059] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
Abstract
Spontaneous coronary artery dissection is a rare condition, and diagnosis and treatment are challenging among patients who present with acute coronary syndrome. Typically, the condition affects young females who have no underlying atherosclerotic disease. To date, few cases of bioresorbable scaffold implantation for the treatment of spontaneous coronary artery dissection have been reported. Therefore, we describe the cases of 4 patients whom we treated with scaffolds. We evaluated the long-term results by using intravascular ultrasound and optical coherence tomographic scanning.
Collapse
|
15
|
Camacho Freire SJ, Limpo B, León Jiménez J, Gómez Menchero AE, Roa Garrido J, Cardenal Piris R, Díaz Fernández JF. Abluminal Neointimal Healing by Optical Coherence Tomography Assessment After Drug-Eluting Stent Implantation on Organized Recanalized Thrombus. J Invasive Cardiol 2017; 29:E161-E162. [PMID: 29086734] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Six-month PCI follow-up results of left anterior descending (LAD) and circumflex (CX) drug-eluting stent implantation are presented. Angiography showed patent LAD and CX stents. However, OCT revealed almost all abluminal cavities were completely filled, which the authors surmise was due to a neointimal healing process.
Collapse
|
16
|
León Jiménez J, Roa Garrido J, Camacho Freire SJ, Díaz Fernández JF. Trapping as retrieval technique to resolve a ruptured and entrapped coronary balloon catheter. Catheter Cardiovasc Interv 2017; 90:773-776. [PMID: 28766865 DOI: 10.1002/ccd.27216] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/16/2016] [Revised: 06/13/2017] [Accepted: 06/24/2017] [Indexed: 11/09/2022]
Abstract
A 69 year old male, with a previous percutaneous revascularization of the mid-circumflex with a bare metal stent in 2007 was admitted to our centre for unstable angina. The angiography showed a severely calcified coronary tree with a functionally severe plaque on the proximal left anterior descending artery (LAD) and a critical focal lesion on the proximal right coronary artery. After a high pressure predilation on the proximal LAD, the balloon ruptured causing a retrograde LAD-left main (LM) dissection that was rapidly sealed with three overlapping zotarolimus-eluting stents from medial LAD to LM. We then used a new non-compliant balloon for successive aggressive postdilation. After a difficult handling, when the balloon catheter was pulled out of the body and we realized that the tip and membranous part of the balloon-catheter was separated from the rest, and entangled at the LM. After a first approach to retrieve the dislodged balloon with a snare, the ruptured balloon was successfully removed by trapping and withdrawing the whole system, including the guiding catheter and the wire.
Collapse
Affiliation(s)
- Javier León Jiménez
- Interventional Cardiology Unit, Cardiology Department, Juan Ramón Jiménez Universitary Hospital, Huelva, Spain
| | - Jessica Roa Garrido
- Interventional Cardiology Unit, Cardiology Department, Juan Ramón Jiménez Universitary Hospital, Huelva, Spain
| | | | | |
Collapse
|
17
|
Camacho Freire SJ, León Jiménez J, Gómez Menchero AE, Roa Garrido J, Cardenal Piris R, Díaz Fernández JF. Utility of 3D-OCT Imaging With Angiographic Co-Registration in Acute Coronary Syndrome With Normal or Near-Normal Coronary Arteries. J Invasive Cardiol 2017; 29:E84-E85. [PMID: 28667812] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
The OPTIS integrated system (St. Jude Medical) is a new technology allowing the online co-registration of optical coherence tomography (OCT) images with the angiogram in the catheterization laboratory. Additionally, 3D navigation can be performed. This integration of OCT information on an angiographic roadmap could find broad application in the characterization of substrates causing acute coronary syndromes with normal or near-normal coronary arteries. The utility of OCT with co-registration for the guidance of percutaneous coronary intervention could be considerable in the management of patients with acute coronary syndromes.
Collapse
|
18
|
Camacho Freire SJ, Gómez Menchero AE, León Jiménez J, Roa Garrido J, Cardenal Piris R, Díaz Fernández JF. Radial/Ulnar angioplasty in selected patients undergoing elective angiography or PCI using complex forearm approach. Cardiovasc Revasc Med 2017; 18:501-503. [PMID: 28432005 DOI: 10.1016/j.carrev.2017.04.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2017] [Revised: 04/02/2017] [Accepted: 04/05/2017] [Indexed: 10/19/2022]
Abstract
BACKGROUND Angioplasty on the radial artery have been performed with good success rates in patients with critical hand ischemia. We sought to assess the feasibility and safety of radial angioplasty on complex radial access in patients undergoing coronary angiography. METHODS/MATERIAL A prospective series of procedures with complex radial/ulnar access to which radial-ulnar angioplasty (RU-A) was performed. We set goals of efficacy and safety that included the success rate of the procedure (need for ¨Crossover femoral¨) and the existence of radial pulse at one month. RESULTS 18 cases of RU-A out of 11,500 procedures from March 2010 to July 2016 (0.15%) were included. The majority of the patients were men with a variety of cardiovascular risk factors (age 71±9; 94% Hypertensive, 56% Diabetic, 18% chronic kidney disease). The most common indication for radial/ulnar angioplasty was severe arteriosclerotic stenosis. Angioplasty was performed with different types of over the wire peripheral balloons (Mean diameter 4,3±1 and mean length 42±15mm), in one case a stent implantation was needed. The success rate was 100% without vascular complications at 1-month clinical and vascular doppler follow-up. CONCLUSIONS Radial/ulnar artery angioplasty is feasible and safe in selected patients undergoing elective angiography or percutaneous coronary intervention using complex forearm approach.
Collapse
Affiliation(s)
- Santiago Jesús Camacho Freire
- Interventional Cardiology Department, Juan Ramón Jiménez University Hospital, Ronda exterior norte s/n. Postal Code: 21005, Huelva, Spain.
| | - Antonio Enrique Gómez Menchero
- Interventional Cardiology Department, Juan Ramón Jiménez University Hospital, Ronda exterior norte s/n. Postal Code: 21005, Huelva, Spain
| | - Javier León Jiménez
- Interventional Cardiology Department, Juan Ramón Jiménez University Hospital, Ronda exterior norte s/n. Postal Code: 21005, Huelva, Spain
| | - Jessica Roa Garrido
- Interventional Cardiology Department, Juan Ramón Jiménez University Hospital, Ronda exterior norte s/n. Postal Code: 21005, Huelva, Spain
| | - Rosa Cardenal Piris
- Interventional Cardiology Department, Juan Ramón Jiménez University Hospital, Ronda exterior norte s/n. Postal Code: 21005, Huelva, Spain
| | - José Francisco Díaz Fernández
- Interventional Cardiology Department, Juan Ramón Jiménez University Hospital, Ronda exterior norte s/n. Postal Code: 21005, Huelva, Spain
| |
Collapse
|
19
|
Gómez Menchero AE, Camacho Freire SJ, Díaz Fernández JF, Roa Garrido J, León Jiménez J, Cardenal Piris R. The Absorb Limits. J Invasive Cardiol 2016; 28:E122-E123. [PMID: 27705895] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
A patient presented with an inferior non-ST segment elevation myocardial infarction and a tight lesion on the distal right coronary artery. After stent implantation, a large scaffold malapposition was observed by optical coherence tomography. This case emphasizes the importance of not expanding a bioresorbable vascular scaffold more than 0.5 mm over its nominal size.
Collapse
|
20
|
Camacho Freire SJ, León Jiménez J, Cardenal Piris R, Díaz Fernández JF. Left ventricle rupture during percutaneous coronary intervention. Kardiol Pol 2016; 74:795. [PMID: 27553347 DOI: 10.5603/kp.2016.0113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2016] [Accepted: 02/03/2016] [Indexed: 11/25/2022]
|