ABSTRACT
In medicine, wide variations in healthcare delivery or outcomes are a sign of missing information and beg for more information in a timely resolution. While differences in patient selection for intervention in out-of-hospital-cardiac-arrest in Wales and England might seem regional, there is little reason to assume this is not true across many other geographical areas.
Subject(s)
Coronary Artery Disease , Out-of-Hospital Cardiac Arrest , Percutaneous Coronary Intervention , Coronary Artery Disease/diagnosis , Delivery of Health Care , England , Humans , Treatment OutcomeABSTRACT
If you have transitioned to the radial artery as the preferred approach, congratulations. If you are in training or currently transitioning, good for you, too. Your patient satisfaction scores are going to rise, and complications will be less frequent. If you are still a femoral first, you are as old or older than me, and you should master this approach soon before you retire. Left radial approach is pretty much just like femoral, but with fewer complications.
Subject(s)
Percutaneous Coronary Intervention , Radial Artery , Femoral Artery/diagnostic imaging , Humans , Radial Artery/diagnostic imaging , Treatment Outcome , Vascular Surgical ProceduresABSTRACT
In a registry, it is all about any differences. PCI and CABG for multivessel disease are comparable with regard to risk of death/MI/stroke, but PCI has a significantly higher risk of return to Cath Lab for PCI or even CABG in follow-up.
Subject(s)
Coronary Artery Disease , Drug-Eluting Stents , Percutaneous Coronary Intervention , Coronary Artery Bypass/adverse effects , Coronary Artery Disease/diagnostic imaging , Coronary Artery Disease/surgery , Humans , Percutaneous Coronary Intervention/adverse effects , Registries , Treatment OutcomeABSTRACT
A provisional stent strategy for bifurcation disease is a good rule of thumb. The Tryton bifurcation stent is an additional potential useful tool for use in complex coronary disease. If and when this device has a drug-eluting side branch, its true role may be clearer.
ABSTRACT
There is large variation in the utilization of the appropriate Use-Criteria (AUC). There has been a significant decrease in the number of Percutaneous coronary intervention (PCI) cases deemed rarely appropriate. The value of the AUC remains a questionable tool for many clinicians.
Subject(s)
Cardiology , Percutaneous Coronary Intervention , Cardiologists , Catheterization , Humans , Surveys and Questionnaires , Treatment Outcome , United StatesABSTRACT
Readmission after myocardial infarction is not uncommon. The likely readmission patient is by and large predictable. Coronary interventions appear to reduce the rate of readmissions.
Subject(s)
Acute Coronary Syndrome , Myocardial Infarction , Hospitals , Humans , Patient Readmission , PatientsABSTRACT
There is some surrogate outcome data supporting deferring PCI in STEMI No hard data to support deferring PCI in STEMI No hard data to refute deferring PCI in STEMI Current national quality measures do not offer a method to adequately document appropriateness of deferring PCI.
Subject(s)
Myocardial Infarction , Percutaneous Coronary Intervention , Electrocardiography , Humans , Randomized Controlled Trials as Topic , Stents , Treatment OutcomeABSTRACT
There is less bleeding with a radial approach There is less bleeding with a radial approach See above.
Subject(s)
Punctures , Radial Artery , Hemorrhage , Humans , RegistriesABSTRACT
The BADFORM technique is a novel technique in getting devices across otherwise uncrossable lesions It is critical to perform the pulling parallel to the vessel The technique and its success has only been described in the 10 cases reported so caution is advised.
ABSTRACT
The rate of surgical turndowns (1.5-2.5%) in this report that went on to PCI is relatively consistent across centers. Unprotected left main intervention in patients turned down for surgery has high hospital mortality. With certain caveats, the HEART Team approach to these unique patients may be the answer.
Subject(s)
Coronary Artery Disease , Percutaneous Coronary Intervention , Surgeons , Coronary Artery Bypass , Humans , Treatment OutcomeABSTRACT
Low gradient (<40 mm) aortic valve stenosis (AVA < 1.0 cm2 ) outcomes with TAVR are worse than when gradients are > 40 mm Hg. Concomitant coronary disease, older age, presence of diabetes, and lower ejection fraction in patients with low gradient aortic valve stenosis account for the poorer outcome after TAVR. Historically, similar results have been seen with surgical AVR.
Subject(s)
Aortic Valve Stenosis/surgery , Heart Valve Prosthesis Implantation , Transcatheter Aortic Valve Replacement , Aortic Valve/surgery , Humans , Severity of Illness Index , Stroke Volume , Treatment OutcomeSubject(s)
Coronary Aneurysm/epidemiology , Coronary Vessels/physiopathology , Percutaneous Coronary Intervention/adverse effects , Postoperative Complications , ST Elevation Myocardial Infarction/surgery , Coronary Aneurysm/diagnostic imaging , Coronary Aneurysm/etiology , Coronary Angiography , Coronary Vessels/diagnostic imaging , Coronary Vessels/surgery , Elasticity , Electrocardiography , Hospital Mortality/trends , Humans , Incidence , Odds Ratio , Prognosis , Risk Factors , ST Elevation Myocardial Infarction/diagnosis , Turkey/epidemiologyABSTRACT
A scoring or cutting balloon is always useful in preventing slippage during therapy of in-stent restenosis. A drug-coated scoring balloon for in-stent restenosis may be an alternative to a drug-coated balloon Definitive comparison trials are needed and likely to help define their exact role in patients with in-stent restenosis.
