The Beneficial Effect of Extracorporeal Shockwave Myocardial Revascularization: two years of follow-up
Despite the advancememts achieved by revascularization technique and pharmacological therapies, the number of patients with refractory angina (RA) is still high, carrying together a poor prognosis. Experimental data and small clinical studies suggest that the use of extracorporeal shockwave myocardial revascularization (ESMR) might improve symptoms of angina in patients with RA. The aim of our study is evaluate the efficacy of cardiac shock wave therapy in a long term follow-up of patients with coronary artery disease (CAD) otherwise not suitable for revascularization. (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - May 9, 2017 Category: Cardiology Authors: Gianluca Alunni, Umberto Barbero, Alessandro Vairo, Salvo D ’Amico, Martina Pianelli, Zema Domenica, Bongiovanni Federica, Fiorenzo Gaita Source Type: research

Prophylactic Warfarin Post Anterior ST-Elevation Myocardial Infarction: A Systematic Review and Meta-Analysis
To determine the role of warfarin (WF) prophylaxis in the prevention of left ventricular thrombus (LVT) formation and subsequent embolic complications following an anterior ST elevation myocardial infarction (STEMI) complicated by reduced left ventricular ejection fraction (LVEF) and wall motion abnormalities. (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - May 8, 2017 Category: Cardiology Authors: Nathaniel Moulson, Stephen A. LaHaye, Olivier F. Bertrand, Jimmy MacHaalany Source Type: research

Severe Aortic Stenosis in Dextrocardia with Situs Invertus and Anomalous Single Coronary Ostium Treated with Transcatherter Aortic Valve Replacement
Dextrocardia with situs inversus presents a unique anatomy with right-sided vascular system that may be associated with a number of additional cardiac and vascular malformations. A rare association is the presence of a single coronary artery ostium. To our knowledge, this is the first reported case of transcatherter aortic valve replacement using Edwards SAPIEN S3 valve in Dextrocardia patient with single coronary artery take off. (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - May 8, 2017 Category: Cardiology Authors: Abdulah Alrifai, Mohammad Kabbach, Larry Lovitz, Mark Rothemberg, Marcos Nores, Zaher Fanari Source Type: research

Understanding Operator Stent Choice in the Catheterization Laboratory Using a Pre-Procedure Survey: Opportunities for Quality Improvement
We sought to characterize how the perceived risk of early dual antiplatelet therapy (DAPT) discontinuation is incorporated into operator decision-making regarding stent choice, using a simple pre-procedure survey screening for clinical variables that may lead to early DAPT discontinuation. (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - May 8, 2017 Category: Cardiology Authors: Matthew J. Chung, Jonathan D. Hansen, Ryan D. Schulteis, Joel C. Boggan, W. Schuyler Jones, Thomas J. Povsic, Susan Roberts, Mitchell W. Krucoff, Sunil V. Rao Source Type: research

Outcomes of Patients with Myocardial Infarction Who Underwent Orbital Atherectomy for Severely Calcified Lesions
This study analyzed the outcomes of patients who presented with non-ST-elevation myocardial infarction (NSTEMI) and subsequently underwent orbital atherectomy for severe coronary artery calcification (CAC). (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - May 7, 2017 Category: Cardiology Authors: Michael S. Lee, Evan Shlofmitz, Gentian Lluri, Jeremy Kong, Natalya Neverova, Richard Shlofmitz Source Type: research

A Case of Influenza type A Myocarditis that presents with ST elevation MI, Cardiogenic Shock, Acute Renal Failure, and Rhabdomyolysis and with rapid recovery after Treatment with Oseltamivir and Intra-Aortic Balloon Pump Support
We present a 59-year old black male with history of type-1 diabetes and alcohol abuse. Patient became critically ill after a 5-day period of burning throat discomfort. On arrival patient was lethargic, in cardiogenic shock with a blood pressure of 81/47mmHg. Immediate diagnoses included diabetic ketoacidosis, acute renal failure, and possible septic shock. He was intubated, resuscitated with intravenous fluids, maintained on three inotropic agents, and given empiric wide spectrum antibiotics. An ECG showed a new ST elevation MI and an echocardiogram showed severe LV dysfunction. (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - May 1, 2017 Category: Cardiology Authors: Eleni Geladari, Vasilios Papademetriou, Hans Moore, David Lu Source Type: research

Takotsubo cardiomyopathy after microwave ablation for metastatic liver lesions
We present a case of a 79 year old woman with a hypertensive crisis after microwave ablation (MWA) for metastatic liver lesions. Initial evaluation suggested an acute coronary syndrome with an ST segment elevation and with elevated serum troponin T. No associated chest pain or dyspnea was present. Further evaluation with ECG, echocardiography, coronarography with left ventricle angiogram and MRI was consistent with an apical ballooning syndrome. (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - April 29, 2017 Category: Cardiology Authors: Mostafa Afennas, Hans Bonnier, Danny Schoors Tags: Case report Source Type: research

Takotsubo Cardiomyopathy after Microwave Ablation for Metastasic Liver Lesions
We present a case of Takotsubo cardiomyopathy after microwave ablation for liver metastasis. (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - April 29, 2017 Category: Cardiology Authors: M. Afennas, H. Bonnier, D. Schoors Tags: Case report Source Type: research

First experience with the Watchman FLX occluder for percutaneous left atrial appendage closure
We aimed to evaluate efficacy and safety of left atrial appendage (LAA) closure with the new Watchman FLX and analyse procedural features in a consecutive series of high risk non-valvular atrial fibrillation patients. (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - April 29, 2017 Category: Cardiology Authors: Julia Seeger, Ralf Birkemeyer, Wolfgang Rottbauer, Jochen W öhrle Source Type: research

Trans-ulnar Recanalization of a Chronic Radial Artery Occlusion
We report a challenging case of ipsilateral trans-ulnar recanalization of a chronic radial artery occlusion, which allowed to perform a complex trans-ulnar PCI. (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - April 23, 2017 Category: Cardiology Authors: Orazio Valsecchi, Matteo Nardin, Angelina Vassileva, Chiara Bernelli Source Type: research

Safety and efficacy of anti-thrombotic regimens in patients with percutaneous coronary intervention requiring oral anticoagulation: A traditional and network meta-analysis
Previous reports have been inconsistent in generating a consensus for optimal treatment strategy for patients with percutaneous coronary intervention (PCI) who also require oral anticoagulation (OAC). We conducted a traditional and network meta-analysis to evaluate the safety and efficacy of anti-thrombotic regimens in this subset of patients. (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - April 22, 2017 Category: Cardiology Authors: Safi U. Khan, Muhammad A. Saleem, Amirahwaty Abdullah, Subash Ghimire, Manidhar Lekkala, Hammad Rahman, Ahmad N Lone, Edo Kaluski Source Type: research

Safety and Efficacy of Anti-thrombic Regimens in Patients with Percutaneous Coronary Intervention Requiring Oral Anticoagulation: A Traditional and Network Meta -Analysis
Previous reports have been inconsistent in generating a consensus for optimal treatment strategy for patients with percutaneous coronary intervention (PCI) who also require oral anticoagulation (OAC). We conducted a traditional and network Meta -analysis to evaluate the safety and efficacy of anti-thrombotic regimen in this subset of patients. (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - April 22, 2017 Category: Cardiology Authors: Safi U. Khan, Muhammad A. Saleem, Amirahwaty Abdullah, Subash Ghimrie, Manidhar Lekkala, Hammad Rahman, Ahmad N Lone, Edo Kaluski Source Type: research

Radiation safety in the cardiac catheterization lab: a time series quality improvement initiative
This study sought to reduce the frequency of radiation exposure, for PCI procedures, above 1.5Gy in labs utilizing a Phillips system at our local institution by 40%, over a 12-month period. (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - April 22, 2017 Category: Cardiology Authors: Wael Abuzeid, Joseph Abunassar, Jerome A. Leis, Vicky Tang, Brian Wong, Dennis T. Ko, Harindra C. Wijeysundera Source Type: research

Complex Endovascular Repair of Bilateral Iliac Artery Stenosis and Coexisting Aneurysm
Concomitant stenosis and aneurysmal disease in the iliac artery lumen is a rare finding. Surgery has been the modality of choice for this degree of complexity; however, advancement in techniques, evolution of stent grafts and increasing operator experience has made endovascular intervention a feasible option. TransAtlantic InterSociety Classification (TASC) categorizes the presence of iliac stenosis adjacent to iliac aneurysm as the most severe category for aortoiliac lesions or a TASC II D lesion. (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - April 22, 2017 Category: Cardiology Authors: Sameer Arora, Amol A Bahekar Source Type: research

The promise of leaving nothing behind — And how to manage its failure
Until a few years ago, the world of percutaneous coronary intervention (PCI) was clear and simple: coronary arteries require metallic stent implantation with controlled release of rapamycin analogues. Stents were introduced to cover flow-limiting dissections [1]. Later on, it was realized that stenting creates more favorable acute results and reduces restenosis compared to angioplasty alone [2]. Stents became standard of care despite the fact that a provisional stent rate of 20% to 40% would have been appropriate [3]. (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - April 21, 2017 Category: Cardiology Authors: Bruno Scheller Source Type: research