scholarly journals Percutaneous coronary intervention in four month old infant for acute myocardial ischemia after repaired ALCAPA

2019 ◽  
Author(s):  
Mirsad Kacila ◽  
Mirza Halimic ◽  
Merjema Karavdic ◽  
Almira Kadic ◽  
Sasa Lukic ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Left Coronary Artery ◽  
Pediatric Population ◽  
Coronary Intervention ◽  
Life Saving ◽  
Percutaneous Coronary ◽  
Threatening Condition ◽  
Coronary Artery Diameter ◽  
Life Threatening

Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is rare, but life-threatening condition. The treatment of choice in patients with ALCAPA is the establishment of a dual coronary artery system with surgical reimplantation of the left coronary artery in the left coronary sinus. Percutaneous coronary intervention is infrequent in the pediatric population but can be a life-saving by promptly restoring flow to an obstructed coronary artery. It is a highly demanding and high-risk procedure in infants due to the technical difficulties and the small coronary artery diameter in infants.

scholarly journals Clinical case of successful left coronary artery stenting in patient with acute myocardial infarction and acute decompensated left-sided heart failure

2013 ◽  
Vol 94 (2) ◽  
pp. 255-258
Author(s):  
A S Galyavich ◽  
A G Ivanov ◽  
I F Yakupov ◽  
A A Khakimzyanov ◽  
E A Soboleva
Keyword(s):  
Myocardial Infarction ◽  
Heart Failure ◽  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Coronary Angiography ◽  
Pulmonary Edema ◽  
Left Coronary Artery ◽  
Coronary Intervention ◽  
Percutaneous Coronary ◽  
Life Threatening

Patients with major coronary artery involvement are a very tough group to treat in terms of emergent revascularization possibility by percutaneous coronary intervention. Concomitant myocardial infarction and pulmonary edema makes the treatment even more complicated and requires proper anesthetic approach. A patient who had underwent a coronary artery bypass graft surgery for a late stage coronary artery disease 5 years before was admitted to the cardiac intensive care unit with myocardial infarction and acute decompensated left-sided heart failure. Considering the life-threatening angina leading to a serious complications (acute pulmonary edema) and the results of the latest coronary angiography, an urgent coronary angiography with the revision of coronary arteries condition and further possible percutaneous coronary intervention due to life-threatening emergency was offered. Mechanical ventilation was started, the patient’s condition stabilized. Left coronary artery trunk stenting, a difficult approach considering the risk for complications, was performed as the second stage intervention, saving patient’s life.

scholarly journals Double guide double wrist 5F left coronary artery transradial percutaneous coronary intervention and the X-Kiss technique

2016 ◽  
Vol 18 (3) ◽  
pp. 45-52 ◽  
Author(s):  
Dangoisse Vincent ◽  
Schroëder Erwin ◽  
Claude Hanet ◽  
Antoine Guédès ◽  
Pancholy Samir
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Left Coronary Artery ◽  
Coronary Intervention ◽  
Percutaneous Coronary

scholarly journals Percutaneous Coronary Intervention for the Anomalous Left Coronary Artery Originating from the Noncoronary Cusp

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Toshiki Kuno ◽  
Yohei Numasawa ◽  
Toshiyuki Takahsashi
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Left Coronary Artery ◽  
Coronary Intervention ◽  
Anomalous Left Coronary Artery ◽  
Diffuse Plaque ◽  
Percutaneous Coronary ◽  
Diagnostic Catheter ◽  
Anomalous Left Coronary ◽  
Guiding Catheter

Percutaneous coronary intervention (PCI) for anomalous left coronary artery (LCA) originating from the noncoronary cusp (NCC) is challenging, as it poses difficulties with the engagement of the guiding catheter and the establishment of backup support. This report examines the case of a 69-year-old woman with unstable angina of anomalous LCA origin. The computed tomography showed a diffuse plaque in the middle of the left anterior descending (LAD) artery and an anomalous LCA originating from the NCC. After successful engagement of a straightened Judkins-Left diagnostic catheter, the angiography revealed a diffuse plaque in the middle of the LAD artery. We then engaged a Judkins-Right guiding catheter. Due to the weak backup support of the guiding catheter, we used another wire to stabilize it, and the stent was then implanted successfully. To our knowledge, this is the first case report of PCI for an anomalous LCA originating from the NCC.

Disparity in Coronary Artery Diameter in Diabetic and Nondiabetic Subjects undergoing Percutaneous Coronary Intervention in Bangladesh: A 2-Year Retrospective Analysis

2017 ◽  
Vol 32 (1) ◽  
pp. 23-28 ◽  
Author(s):  
CM Shaheen Kabir ◽  
M Maksumul Haq ◽  
F Aaysha Cader
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Coronary Arteries ◽  
Coronary Intervention ◽  
Diabetic Group ◽  
Diabetic Patients ◽  
Catheterization Laboratory ◽  
Cardiac Catheterization Laboratory ◽  
Percutaneous Coronary ◽  
Coronary Artery Diameter

Objective: Coronary arteries in diabetic patients were found to be narrower than in non-diabetic subjects. The aim of the study was to compare the coronary arteries diameter between diabetic and non-diabetic patients undergoing percutaneous coronary intervention (PCI) using stent diameter for greater accuracy.Methods: This was a randomized observational study. From a dedicated database, we retrospectively analysed all consecutive patients of both gender who underwent PCI in the cardiac catheterization laboratory of Ibrahim Cardiac Hospital and Research Institute, Dhaka, Bangladesh, from January 2011 to December 2012. Patients who required left main coronary artery stenting were excluded from this study. Patients were divided into two groups; diabetics and non-diabetics. We calculated the coronary artery diameter according to the diameter of the stent, achieved at the final pressure at which the stent was deployed. The diameter which was achieved at a given atmospheric pressure was taken from the attached booklet provided with the stent packaging. If post dilatation was required then the diameter achieved by the non-compliant balloon after post dilatation was taken as the reference diameter of the artery.Results: A total of 571 patients, 333 in diabetic and 238 in non-diabetic group were included in the study. Proximal segments of left anterior descending (LAD) coronary artery in diabetics and non-diabetics were 2.99±0.44 vs 3.14±0.50 mm (p=0.00) while mid and distal segments were 2.90±0.38 vs 3.10±0.42 mm (p=0.00) and 2.25±0.39 vs 2.42±0.45 mm (p=0.00) respectively. Various segments of proximal left Circumflex (LCx) coronary artery in diabetics and non-diabetics were 2.98±0.21 vs 3.01±0.25 mm (p=0.39) while distal circumflex were 2.35±0.40 vs 2.49±0.43 mm (p=0.00) respectively. Proximal segments of right coronary artery (RCA) in diabetic and nondiabetics were 3.0±0.28 vs 3.28±0.25 mm (p=0.00) while mid and distal segments were 2.97±0.26 vs 3.19±0.25 mm (p=0.00) and 2.43±0.51 vs 2.87±0.32 mm (p=0.00) respectively. The number of stents (1.34±0.87 vs 1.30±0.65; p=0.40) and type of stent utilized (DES & non DES: 87.3 & 12.7% vs 85.2 & 14.8%; p=0.50) between diabetic & non-diabetic groups were not significantly different; however the total stent length (23.1±13.3 vs 21.5±9.52 mm; p=0.03) in diabetic group was significantly longer.Conclusions: The diameter of LAD, distal circumflex and right coronary arteries were significantly narrower in diabetic than non-diabetic subjects.Bangladesh Heart Journal 2017; 32(1) : 23-28

scholarly journals Coronary Artery Dissection and Perforation Complicating Percutaneous Coronary Intervention – A Review

1970 ◽  
Vol 3 (2) ◽  
pp. 239-247 ◽  
Author(s):  
Z Rahman ◽  
M Ullah ◽  
AK Choudhury
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Coronary Intervention ◽  
Artery Dissection ◽  
Covered Stents ◽  
Coronary Artery Dissection ◽  
Percutaneous Coronary ◽  
Interventional Devices ◽  
Life Threatening ◽  
Artery Disease

After its introduction by Andrew R. Gruentzig in 1977 percutaneous coronary intervention (PCI) is widely utilized in the treatment of symptomatic coronary artery disease. Though it has numerous benefits, serious and potentially life-threatening complications of PCI can occur, including iatrogenic coronary artery dissection and perforation. The incidence of these complications has been augmented by the development of coronary interventional devices intended to remove or ablate tissue. Here we review the classification, incidence, pathogenesis, clinical sequelae and management of coronary artery dissection and perforation in the current era due to PCI. Specifically, the current angiographic classifications of coronary artery dissections and perforations are reviewed. The findings of several recent, registries of PCI-related coronary artery perforations and dissection are summarized. The management of coronary artery dissection and perforation is discussed in details, including the application of newer modalities such as covered stents. Keywords: Percutaneous coronary intervention (PCI); Coronary artery dissection DOI: http://dx.doi.org/10.3329/cardio.v3i2.9198   Cardiovasc. J. 2011; 3(2): 239-247

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