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Philip L. Mar MD Luke Chong MD Arturo Perez MD Dhanunjaya Lakkireddy MD Rakesh Gopinathannair MD MA FAHA FACC FHRS 《Journal of cardiovascular electrophysiology》2021,32(3):860-861
The potential for catheter entanglement with the HD Grid mapping catheter is explicitly stated in the manufacturer's product manual. A case of an entrapped 6 French quadripolar diagnostic catheter within an HD Grid mapping catheter is presented. We discuss the diagnosis, management, and resolution of this complication in our patient. The patient's arrhythmia was successfully eliminated, and no vascular complication in the postprocedural setting nor arrhythmia recurrence at follow-up were observed. Strategies to prevent and safely manage this complication, while salvaging access, are also discussed. 相似文献
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Peripheral arterial calcification: Prevalence,mechanism, detection,and clinical implications 下载免费PDF全文
Krishna J. Rocha‐Singh MD FACC FAHA Thomas Zeller MD Michael R. Jaff DO FACC FAHA 《Catheterization and cardiovascular interventions》2014,83(6):E212-E220
Vascular calcification (VC), particularly medial (Mönckeberg's medial sclerosis) arterial calcification, is common in patients with diabetes mellitus and chronic kidney disease and is associated with increased cardiovascular morbidity and mortality. Although, the underlying pathophysiological mechanisms and genetic pathways of VC are not fully known, hypocalcemia, hyperphosphatemia, and the suppression of parathyroid hormone activity are central to the development of vessel mineralization and, consequently, bone demineralization. In addition to preventive measures, such as the modification of atherosclerotic cardiovascular risk factors, current treatment strategies include the use of calcium‐free phosphate binders, vitamin D analogs, and calcium mimetics that have shown promising results, albeit in small patient cohorts. The impact of intimal and medial VC on the safety and effectiveness of endovascular devices to treat symptomatic peripheral arterial disease (PAD) remains poorly defined. The absence of a generally accepted, validated vascular calcium grading scale hampers clinical progress in assessing the safety and utility of various endovascular devices (e.g., atherectomy) in treating calcified vessels. Accordingly, we propose the peripheral arterial calcium scoring system (PACSS) and a method for its clinical validation. A better understanding of the pathogenesis of vascular calcification and the development of optimal medical and endovascular treatment strategies are crucial as the population ages and presents with more chronic comorbidities. © 2014 Wiley Periodicals, Inc. 相似文献
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Melody® pulmonary valve bacterial endocarditis: Experience in four pediatric patients and a review of the literature 下载免费PDF全文
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Dhayan Timbadia Ashlynn Ler Faizus Sazzad MBBS MS FCPS FACS Christos Alexiou MD PhD FRCS FRCS CCST Theo Kofidis MD PD FRCS FAHA FAMS 《Journal of cardiac surgery》2020,35(10):2785-2793
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Srihari S. Naidu MD FACC FAHA FSCAI J. Dawn Abbott MD FACC FSCAI Jayant Bagai MD FSCAI James Blankenship MD MSc MSCAI Santiago Garcia MD FACC FSCAI Sohah N. Iqbal MD FACC FSCAI Prashant Kaul MD FSCAI Matheen A. Khuddus MD FACC FSCAI Lorrena Kirkwood RN BSN MS Steven V. Manoukian MD FACC FAHA FSCAI Manesh R. Patel MD FAHA Kimberly Skelding MD FACC FAHA FSCAI David Slotwiner MD FACC FHRS Rajesh V. Swaminathan MD FSCAI Frederick G. Welt MD FACC FSCAI Daniel M. Kolansky MD FACC FAHA FSCAI 《Catheterization and cardiovascular interventions》2021,98(2):255-276
The current document commissioned by the Society for Cardiovascular Angiography and Interventions (SCAI) and endorsed by the American College of Cardiology, the American Heart Association, and Heart Rhythm Society represents a comprehensive update to the 2012 and 2016 consensus documents on patient-centered best practices in the cardiac catheterization laboratory. Comprising updates to staffing and credentialing, as well as evidence-based updates to the pre-, intra-, and post-procedural logistics, clinical standards and patient flow, the document also includes an expanded section on CCL governance, administration, and approach to quality metrics. This update also acknowledges the collaboration with various specialties, including discussion of the heart team approach to management, and working with electrophysiology colleagues in particular. It is hoped that this document will be utilized by hospitals, health systems, as well as regulatory bodies involved in assuring and maintaining quality, safety, efficiency, and cost-effectiveness of patient throughput in this high volume area. 相似文献
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