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Francesco Amico MD FANMCO Salvatore Geraci MD Corrado Tamburino MD PhD FESC FSCAI 《Catheterization and cardiovascular interventions》2013,81(1):52-56
Despite drug eluting stents (DES), as compared to bare metal stents, have reduced in‐stent restenosis, complex and long lesions remains a challenge for interventional cardiologist. Their treatment is often associated with an unfavorable outcome, related to in‐stent restenosis, stent thrombosis, and target lesion revascularization. These complications may derive from the contact between metallic structures and coronary artery endothelium, and consequent overexpression of platelet activating factors, growth factors, and inflammatory cytokines. Recently, an additional mechanism has emerged as new cause of these complications: “stent fracture.” Several factors are involved in this phenomenon including material and stent platform, target vessel features, stent implantation technique, and implant duration. We reported a case of 69 years old man with rare early and complex DES fractures on right coronary that caused acute coronary syndrome 36 hr after a previous percutaneous coronary intervention.© 2012 Wiley Periodicals, Inc. 相似文献
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Gianluca Rigatelli MD PhD EBIR FSCAI Filippo Gianese RT Marco Zuin MD FESC FACC FANMCO Giulio Rodino’ MD Giuseppe Marchese MD Giampaolo Pasquetto MD 《Catheterization and cardiovascular interventions》2023,101(2):363-366
Among the angiographic views used to evaluate left coronary system, the so-called “spider view” represents one of the most iconic, in particular for its ability to evaluate the Left Main stem (LM) and/or to guide percutaneous coronary interventions (PCIs) on LM bifurcation disease. Unfortunately, the use of such view is graved by a high X-ray exposure for both the operator and the patient. To overcome these limitations, we described an alternative coronary angiographic view, called “reverse spider” which is able to give more information about LM body and bifurcation disease with less X-ray exposure for the operator. 相似文献
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Marco Zuin MD FESC FACC FANMCO Stefano Turchetta MD Alessandro Drudi MD Marco Gasparetto MD Lorenzo Rubin MD Gianluca Rigatelli MD PhD FSCAI EBIR 《Catheterization and cardiovascular interventions》2023,101(2):367-371
Over the latest years, the use of distal radial access (dTRA), also called “snuffbox,” has become more and more popular for cardiac catheterization. Indeed, dTRA has several advantages compared to the traditional proximal radial approach, such as a lower risk of hand ischemia, radial artery occlusion (RAO) and faster post-procedural hemostasis. However, due to the presence of different muscular-skeletal structures, as well as to the small diameter of the distal radial artery (dRA), an ultrasound-guided cannulation would be preferred since a blind puncture increases the risk of tendon damage and/or the irritation of the underlying periosteum. The present article is aimed to provide the key tips for performing US-guided access using the dRA in patients undergoing percutaneous cardiac procedures. 相似文献
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