Pub Date : 2025-02-21DOI: 10.1016/j.crmic.2025.100060
Samantha L. Weller, Katherine Lutz, Colter Wichern, Castigliano M. Bhamidipati, Jeffrey A. Marbach
We report the case of a 44-year-old male with sepsis secondary to Streptococcus oralis bacteremia complicated by bioprosthetic tricuspid valve endocarditis and severe, symptomatic tricuspid stenosis. Due to significant comorbidities and ongoing polysubstance abuse, initial vegetation debulking using the AngioVac F22 (Angiodynamics NY, USA) mechanical aspiration system was pursued prior to consideration of re-do surgical tricuspid valve replacement. Mechanical aspiration successfully removed the majority of the large valve vegetation, resulting in significantly improved tricuspid valve gradients. This case highlights the AngioVac system's clinical utility in reducing the hemodynamic consequences of large valvular vegetations in high surgical risks patients.
{"title":"Minimally invasive management of bioprosthetic tricuspid valve endocarditis with hemodynamically significant tricuspid stenosis using AngioVac: A case report","authors":"Samantha L. Weller, Katherine Lutz, Colter Wichern, Castigliano M. Bhamidipati, Jeffrey A. Marbach","doi":"10.1016/j.crmic.2025.100060","DOIUrl":"10.1016/j.crmic.2025.100060","url":null,"abstract":"<div><div>We report the case of a 44-year-old male with sepsis secondary to <em>Streptococcus oralis</em> bacteremia complicated by bioprosthetic tricuspid valve endocarditis and severe, symptomatic tricuspid stenosis. Due to significant comorbidities and ongoing polysubstance abuse, initial vegetation debulking using the AngioVac F22 (Angiodynamics NY, USA) mechanical aspiration system was pursued prior to consideration of re-do surgical tricuspid valve replacement. Mechanical aspiration successfully removed the majority of the large valve vegetation, resulting in significantly improved tricuspid valve gradients. This case highlights the AngioVac system's clinical utility in reducing the hemodynamic consequences of large valvular vegetations in high surgical risks patients.</div></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"6 ","pages":"Article 100060"},"PeriodicalIF":0.0,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143479178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.crmic.2025.100055
Daisuke Yamazaki
Background
In cases of highly calcified lesions of the common femoral artery with intermittent claudication, it is common to try exercise therapy first and, if there is little improvement, to try surgical endarterectomy, but the method of treatment may vary depending on whether a vascular surgeon is available at the same institution. Also, atherectomy devices may not yet be available in some centers. Therefore, an atherectomy is sometimes performed with biopsy forceps for myocardial biopsy of highly calcified lesions in the common femoral artery to the proximal part of the superficial femoral artery.
Case description
We report three cases with intermittent claudication in which atherectomy with biopsy forceps was performed for severe calcified lesions of the common femoral artery using a crossover approach from the contralateral femoral artery and a retrograde distal approach from the ipsilateral peripheral side. In all three cases, intermittent claudication and ankle-brachial pressure index improved, and the postoperative course was good without complications.
Conclusions
Calcified plaque ablation with biopsy forceps requires many points of caution with off-label use, but the bidirectional approach allows for effective and efficient ablation.
{"title":"Bidirectional biopsy forceps approach for calcified common femoral artery lesion","authors":"Daisuke Yamazaki","doi":"10.1016/j.crmic.2025.100055","DOIUrl":"10.1016/j.crmic.2025.100055","url":null,"abstract":"<div><h3>Background</h3><div>In cases of highly calcified lesions of the common femoral artery with intermittent claudication, it is common to try exercise therapy first and, if there is little improvement, to try surgical endarterectomy, but the method of treatment may vary depending on whether a vascular surgeon is available at the same institution. Also, atherectomy devices may not yet be available in some centers. Therefore, an atherectomy is sometimes performed with biopsy forceps for myocardial biopsy of highly calcified lesions in the common femoral artery to the proximal part of the superficial femoral artery.</div></div><div><h3>Case description</h3><div>We report three cases with intermittent claudication in which atherectomy with biopsy forceps was performed for severe calcified lesions of the common femoral artery using a crossover approach from the contralateral femoral artery and a retrograde distal approach from the ipsilateral peripheral side. In all three cases, intermittent claudication and ankle-brachial pressure index improved, and the postoperative course was good without complications.</div></div><div><h3>Conclusions</h3><div>Calcified plaque ablation with biopsy forceps requires many points of caution with off-label use, but the bidirectional approach allows for effective and efficient ablation.</div></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"5 ","pages":"Article 100055"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143144459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.crmic.2024.100054
Arnoldo E. Loáisiga Sáenz, Norman Said Vega, Gian-Manuel Jiménez-Rodríguez, Guering Eid-Lidt
We describe a case of an ascending thoracic aortic pseudoaneurysm in a patient with a history of successful treatment of a dissecting aortic arch aneurysm with thoracic endovascular aortic repair (TEVAR) performed two years earlier. Comprehensive imaging evaluation and the appropriate technical considerations were essential for the successful exclusion of the pseudoaneurysm using a transcatheter-based approach. The patient's prior history of aortic pathology and endovascular intervention required thoughtful planning and execution of the procedure to effectively manage this rare but serious complication.
{"title":"Successful catheter-based treatment of endoprosthesis related ascending aortic pseudoaneurysm, a case report","authors":"Arnoldo E. Loáisiga Sáenz, Norman Said Vega, Gian-Manuel Jiménez-Rodríguez, Guering Eid-Lidt","doi":"10.1016/j.crmic.2024.100054","DOIUrl":"10.1016/j.crmic.2024.100054","url":null,"abstract":"<div><div>We describe a case of an ascending thoracic aortic pseudoaneurysm in a patient with a history of successful treatment of a dissecting aortic arch aneurysm with thoracic endovascular aortic repair (TEVAR) performed two years earlier. Comprehensive imaging evaluation and the appropriate technical considerations were essential for the successful exclusion of the pseudoaneurysm using a transcatheter-based approach. The patient's prior history of aortic pathology and endovascular intervention required thoughtful planning and execution of the procedure to effectively manage this rare but serious complication.</div></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"5 ","pages":"Article 100054"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143144462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.crmic.2025.100056
Marc El Khoury , Louay Zaghlol , Kalyan R. Chitturi , Hayder D. Hashim , Ron Waksman
Concurrent cardio-cerebral infarction (CCCI) is a rare phenomenon in which an acute myocardial infarction (MI) and acute ischemic stroke (AIS) occur simultaneously. With a reported incidence ranging between 0.009 % to 0.9 %, this condition poses significant management challenges due to the competing need to rapidly restore perfusion to both the brain and heart. We present the case of a 71-year-old female with simultaneous left main coronary artery (LMCA) occlusion and ischemic stroke. Medical management with dual antiplatelet therapy (DAPT) and anticoagulation led to an excellent outcome. This case adds to the available literature on CCCI and highlights the importance of individualized care. A review of the literature reveals varied approaches to management, with no standardized treatment protocols established for CCCI.
{"title":"Concurrent cardio-cerebral infarction: Case report and current management strategies","authors":"Marc El Khoury , Louay Zaghlol , Kalyan R. Chitturi , Hayder D. Hashim , Ron Waksman","doi":"10.1016/j.crmic.2025.100056","DOIUrl":"10.1016/j.crmic.2025.100056","url":null,"abstract":"<div><div>Concurrent cardio-cerebral infarction (CCCI) is a rare phenomenon in which an acute myocardial infarction (MI) and acute ischemic stroke (AIS) occur simultaneously. With a reported incidence ranging between 0.009 % to 0.9 %, this condition poses significant management challenges due to the competing need to rapidly restore perfusion to both the brain and heart. We present the case of a 71-year-old female with simultaneous left main coronary artery (LMCA) occlusion and ischemic stroke. Medical management with dual antiplatelet therapy (DAPT) and anticoagulation led to an excellent outcome. This case adds to the available literature on CCCI and highlights the importance of individualized care. A review of the literature reveals varied approaches to management, with no standardized treatment protocols established for CCCI.</div></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"5 ","pages":"Article 100056"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143144463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-01DOI: 10.1016/j.crmic.2024.100053
Akhil Avunoori Chandra , Matteo Sturla , Andrea Scotti , Antonella Millin , Victoria B. Leonichev , Edwin C. Ho , Azeem Latib
Patent foramen ovale (PFO) is a common congenital heart defect that can lead to significant complications. This case report discusses a 92-year-old female patient with refractory hypoxia and platypnea-orthodeoxia syndrome. The patient underwent successful transcatheter PFO closure, which significantly improved her oxygenation and quality of life. This case underscores the importance of considering PFO closure in elderly patients under specific circumstances, particularly when it offers substantial therapeutic benefits and aligns with the patient's goals of care.
{"title":"Therapeutic patent foramen ovale closure in a 92-year-old patient","authors":"Akhil Avunoori Chandra , Matteo Sturla , Andrea Scotti , Antonella Millin , Victoria B. Leonichev , Edwin C. Ho , Azeem Latib","doi":"10.1016/j.crmic.2024.100053","DOIUrl":"10.1016/j.crmic.2024.100053","url":null,"abstract":"<div><div>Patent foramen ovale (PFO) is a common congenital heart defect that can lead to significant complications. This case report discusses a 92-year-old female patient with refractory hypoxia and platypnea-orthodeoxia syndrome. The patient underwent successful transcatheter PFO closure, which significantly improved her oxygenation and quality of life. This case underscores the importance of considering PFO closure in elderly patients under specific circumstances, particularly when it offers substantial therapeutic benefits and aligns with the patient's goals of care.</div></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"5 ","pages":"Article 100053"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143144458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Coronary artery calcification is significantly associated with major adverse cardiac events in patients with coronary artery disease. However, percutaneous coronary intervention (PCI) for calcified lesions presents challenges. This report presents a series of 20 cases that underwent intravascular imaging-guided PCI using a combination therapy involving an orbital atherectomy system (OAS) followed by rotational atherectomy (RA) specifically designed to address calcified lesions. Intravascular imaging during OAS allowed the use of guidewire bias to the calcified lesion, thereby allowing targeted ablative therapy using RA. These findings suggest that this approach significantly reduces the risk of slow flow compared with the use of a large burr in RA monotherapy, offering a safer and more effective treatment method.
{"title":"Outcomes of an enhanced percutaneous coronary intervention combining orbital and rotational atherectomy for calcified lesions: A case series report","authors":"Daisuke Kanda, Kenta Ohmure, Daichi Fukumoto, Hirokazu Shimono, Hiroyuki Tabata, Nobuhiro Ito, Mitsuru Ohishi","doi":"10.1016/j.crmic.2025.100057","DOIUrl":"10.1016/j.crmic.2025.100057","url":null,"abstract":"<div><div>Coronary artery calcification is significantly associated with major adverse cardiac events in patients with coronary artery disease. However, percutaneous coronary intervention (PCI) for calcified lesions presents challenges. This report presents a series of 20 cases that underwent intravascular imaging-guided PCI using a combination therapy involving an orbital atherectomy system (OAS) followed by rotational atherectomy (RA) specifically designed to address calcified lesions. Intravascular imaging during OAS allowed the use of guidewire bias to the calcified lesion, thereby allowing targeted ablative therapy using RA. These findings suggest that this approach significantly reduces the risk of slow flow compared with the use of a large burr in RA monotherapy, offering a safer and more effective treatment method.</div></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"5 ","pages":"Article 100057"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143144461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Inserting a guidewire into an extremely angulated side branch (SB) is difficult in percutaneous coronary intervention (PCI). Reversed wire technique (RWT) method was developed to specifically overcome this challenging situation, and it has become common among operators performing PCI. During the procedure of RWT, we sometimes have difficulty in straightening the reversed bend due to lack of intentional control of the RW and fail in an attempt of wire insertion into target branch. BTS (balloon-trap straightening) technique is a novel method we developed to facilitate straightening the reverse bend. It consists of the following steps: 1) Extracting a dual lumen catheter (DLC). 2) Advancing a balloon via a guidewire of the main vessel and dilating it at the bifurcation to stabilize the RW position. 3) Pulling back the RW gently to straighten the reversed bend while trapping the RW at the bifurcation. 4) Inserting a micro-catheter via the RW to steer the guidewire distally. This technique could be a simple yet effective method to overcome the difficulty of straightening the bend of the reverse wire. It also helps us to save time and effort in accomplishing SB access, even during the treatment of complex bifurcated lesions.
{"title":"BTS (balloon-trap straightening) technique for the completion of reversed wire technique","authors":"Hirofumi Kusumoto, Katsuyuki Hasegawa, Kasumi Ishibuchi, Wataru Yamamoto","doi":"10.1016/j.crmic.2024.100052","DOIUrl":"10.1016/j.crmic.2024.100052","url":null,"abstract":"<div><div>Inserting a guidewire into an extremely angulated side branch (SB) is difficult in percutaneous coronary intervention (PCI). Reversed wire technique (RWT) method was developed to specifically overcome this challenging situation, and it has become common among operators performing PCI. During the procedure of RWT, we sometimes have difficulty in straightening the reversed bend due to lack of intentional control of the RW and fail in an attempt of wire insertion into target branch. BTS (balloon-trap straightening) technique is a novel method we developed to facilitate straightening the reverse bend. It consists of the following steps: 1) Extracting a dual lumen catheter (DLC). 2) Advancing a balloon via a guidewire of the main vessel and dilating it at the bifurcation to stabilize the RW position. 3) Pulling back the RW gently to straighten the reversed bend while trapping the RW at the bifurcation. 4) Inserting a micro-catheter via the RW to steer the guidewire distally. This technique could be a simple yet effective method to overcome the difficulty of straightening the bend of the reverse wire. It also helps us to save time and effort in accomplishing SB access, even during the treatment of complex bifurcated lesions.</div></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"5 ","pages":"Article 100052"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143144457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-01DOI: 10.1016/j.crmic.2024.100050
Ryan Wallace , Ryan Kabir , Benjamin B. Kenigsberg , Monvadi B. Srichai , Christian C. Shults , Michael Slack , Toby Rogers
A 39-year-old man with a history of bicuspid aortic valve and limited medical follow up presented with cardiogenic shock. He was discovered to have aortic coarctation, for which he underwent percutaneous endovascular intervention to optimize hemodynamics and lower surgical risk prior to aortic valve and aortic arch replacement. This case highlights the role of a heart team approach when managing critically ill patients with bicuspid aortic valve disease and associated aortopathies.
{"title":"Percutaneous repair of aortic coarctation: Bridging the gap to surgical repair","authors":"Ryan Wallace , Ryan Kabir , Benjamin B. Kenigsberg , Monvadi B. Srichai , Christian C. Shults , Michael Slack , Toby Rogers","doi":"10.1016/j.crmic.2024.100050","DOIUrl":"10.1016/j.crmic.2024.100050","url":null,"abstract":"<div><div>A 39-year-old man with a history of bicuspid aortic valve and limited medical follow up presented with cardiogenic shock. He was discovered to have aortic coarctation, for which he underwent percutaneous endovascular intervention to optimize hemodynamics and lower surgical risk prior to aortic valve and aortic arch replacement. This case highlights the role of a heart team approach when managing critically ill patients with bicuspid aortic valve disease and associated aortopathies.</div></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"4 ","pages":"Article 100050"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142743688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-14DOI: 10.1016/j.crmic.2024.100051
Sreenivas Reddy S , Raghavendra Rao K , Ankit Gupta , Jaspreet Kaur , Vikas Kadiyala , Munish Dev , Manpreet Kaur
Background
Left main coronary artery (LMCA) chronic total occlusion (CTO) is a rare presentation of atherosclerotic coronary artery disease (CAD). Clinical spectrum of presentations range from angina, heart failure, sudden cardiac arrest to very rarely asymptomatic. Percutaneous coronary intervention (PCI) of a LMCA CTO is technically challenging and complex.
Case summary
We report a 60 year old diabetic male who presented with angina on exertion of 2 years with a positive treadmill exercise stress testing. Coronary angiography showed left main coronary artery ostial CTO with retrograde filling of left anterior descending artery (LAD) and left circumflex artery (LCX) via collaterals from right coronary artery (RCA) which was dominant. The J-CTO Score was 2, SYNTAX score was 31 and the EuroSCORE II was 0.55 %. The CTO was successfully revascularized using antegrade wire escalation technique and a left main provisional stenting was performed under intravascular ultrasound (IVUS) guidance.
Discussion
Coronary artery bypass surgery is the preferred treatment option for left main chronic total occlusion. The technical advances in wire helps antegrade wire escalation and de-escalation (AWE) strategy. IVUS helped us in identification of strategies to deal with calcification and plaque modification using cutting balloon to further optimization of the stents. The guide catheter extension system (GCES) was utilized to deliver the stents in long, diffuse and calcified coronary segments. Coronary angiography at 1 year showed patent stents.
Conclusion
Left main coronary artery (LMCA) chronic total occlusion (CTO) is challenging. AWE strategy is an option for safe revascularisation and IVUS assists in plaque modification along with stent optimisation to achieve good long term outcomes.
{"title":"Percutaneous coronary intervention of ostial left main coronary artery chronic total occlusion","authors":"Sreenivas Reddy S , Raghavendra Rao K , Ankit Gupta , Jaspreet Kaur , Vikas Kadiyala , Munish Dev , Manpreet Kaur","doi":"10.1016/j.crmic.2024.100051","DOIUrl":"10.1016/j.crmic.2024.100051","url":null,"abstract":"<div><h3>Background</h3><div>Left main coronary artery (LMCA) chronic total occlusion (CTO) is a rare presentation of atherosclerotic coronary artery disease (CAD). Clinical spectrum of presentations range from angina, heart failure, sudden cardiac arrest to very rarely asymptomatic. Percutaneous coronary intervention (PCI) of a LMCA CTO is technically challenging and complex.</div></div><div><h3>Case summary</h3><div>We report a 60 year old diabetic male who presented with angina on exertion of 2 years with a positive treadmill exercise stress testing. Coronary angiography showed left main coronary artery ostial CTO with retrograde filling of left anterior descending artery (LAD) and left circumflex artery (LCX) via collaterals from right coronary artery (RCA) which was dominant. The J-CTO Score was 2, SYNTAX score was 31 and the EuroSCORE II was 0.55 %. The CTO was successfully revascularized using antegrade wire escalation technique and a left main provisional stenting was performed under intravascular ultrasound (IVUS) guidance.</div></div><div><h3>Discussion</h3><div>Coronary artery bypass surgery is the preferred treatment option for left main chronic total occlusion. The technical advances in wire helps antegrade wire escalation and de-escalation (AWE) strategy. IVUS helped us in identification of strategies to deal with calcification and plaque modification using cutting balloon to further optimization of the stents. The guide catheter extension system (GCES) was utilized to deliver the stents in long, diffuse and calcified coronary segments. Coronary angiography at 1 year showed patent stents.</div></div><div><h3>Conclusion</h3><div>Left main coronary artery (LMCA) chronic total occlusion (CTO) is challenging. AWE strategy is an option for safe revascularisation and IVUS assists in plaque modification along with stent optimisation to achieve good long term outcomes.</div></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":"4 ","pages":"Article 100051"},"PeriodicalIF":0.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142699422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号