Pub Date : 2024-01-14DOI: 10.1016/j.crmic.2024.100007
Shuichi Yoneda, Kota Murai, Yasuhide Asaumi, Teruo Noguchi
The Conquest Pro 12 Sharpened Tip (CP12ST) is a novel guidewire used in intervention for coronary chronic total occlusion, with strong penetration force for hard plaques. Antegrade dissection and reentry techniques using the CP12ST have been reported, and their success and safety have been established. This report describes successful retrograde dissection and reentry using the CP12ST under intravascular ultrasound guidance in a situation in which reverse controlled antegrade and retrograde tracking was difficult to perform.
Conquest Pro 12 磨尖导丝(CP12ST)是一种用于冠状动脉慢性全闭塞介入治疗的新型导丝,对硬斑块具有很强的穿透力。使用 CP12ST 的前行剥离和再入技术已有报道,其成功性和安全性已得到证实。本报告描述了在血管内超声引导下使用 CP12ST 成功进行逆行剥离和再通的情况,在这种情况下很难进行反向控制的逆行和顺行追踪。
{"title":"Intravascular ultrasound-guided retrograde dissection and reentry using a Conquest Pro 12 Sharpened Tip in a case of coronary chronic total occlusion","authors":"Shuichi Yoneda, Kota Murai, Yasuhide Asaumi, Teruo Noguchi","doi":"10.1016/j.crmic.2024.100007","DOIUrl":"10.1016/j.crmic.2024.100007","url":null,"abstract":"<div><p>The Conquest Pro 12 Sharpened Tip (CP12ST) is a novel guidewire used in intervention for coronary chronic total occlusion, with strong penetration force for hard plaques. Antegrade dissection and reentry techniques using the CP12ST have been reported, and their success and safety have been established. This report describes successful retrograde dissection and reentry using the CP12ST under intravascular ultrasound guidance in a situation in which reverse controlled antegrade and retrograde tracking was difficult to perform.</p></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950275624000030/pdfft?md5=311a84aba35eef368a12c79ca5079886&pid=1-s2.0-S2950275624000030-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139539192","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 : 2024-01-12DOI: 10.1016/j.crmic.2024.100006
Jesse A. Kane , Jasleen Tiwana , William L. Lombardi , Lorenzo Azzalini
A 78-year-old man with angina and ischemic cardiomyopathy presented for LAD CTO PCI. After several failed techniques, the LAD was recanalized with subintimal tracking and reentry (STAR) with subsequent balloon angioplasty of the false lumen. No stent was deployed and the patient did not follow-up for 10-months for definitive PCI. On follow-up, IVUS findings suggested the presence of a new external elastic lamina in the false lumen (side-by-side to the true lumen), indicating favorable healing. PCI was performed with an excellent angiographic result. Our case highlights a mechanism of vascular healing following dissection and re-entry-based recanalization of an LAD CTO.
{"title":"Vascular healing following subintimal tracking and reentry for chronic total occlusion percutaneous coronary intervention","authors":"Jesse A. Kane , Jasleen Tiwana , William L. Lombardi , Lorenzo Azzalini","doi":"10.1016/j.crmic.2024.100006","DOIUrl":"https://doi.org/10.1016/j.crmic.2024.100006","url":null,"abstract":"<div><p>A 78-year-old man with angina and ischemic cardiomyopathy presented for LAD CTO PCI. After several failed techniques, the LAD was recanalized with subintimal tracking and reentry (STAR) with subsequent balloon angioplasty of the false lumen. No stent was deployed and the patient did not follow-up for 10-months for definitive PCI. On follow-up, IVUS findings suggested the presence of a new external elastic lamina in the false lumen (side-by-side to the true lumen), indicating favorable healing. PCI was performed with an excellent angiographic result. Our case highlights a mechanism of vascular healing following dissection and re-entry-based recanalization of an LAD CTO.</p></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950275624000029/pdfft?md5=8cdb62b0b66a3112b62bb15ca2e30550&pid=1-s2.0-S2950275624000029-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139487535","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}
We describe a case of sub-adventitial hematoma of the ascending aorta at the level of the crown of supra-annular TAVR presenting 4 months post procedure. Acute aortic syndromes following TAVR portend grave prognosis and warrant emergent reconstructive surgery. However, the less known, chronic aortic complications may have an indolent presentation. Our patient underwent aortic reconstructive surgery with TAVR explant and bio-prosthetic AVR implantation and had a favorable outcome.
{"title":"Chronic aortic sub-adventitial hematoma following supra-annular TAVR","authors":"Surya Teja Chaturvedula , Ramprakash Devadoss , Tsuyoshi Kaneko","doi":"10.1016/j.crmic.2024.100005","DOIUrl":"10.1016/j.crmic.2024.100005","url":null,"abstract":"<div><p>We describe a case of sub-adventitial hematoma of the ascending aorta at the level of the crown of supra-annular TAVR presenting 4 months post procedure. Acute aortic syndromes following TAVR portend grave prognosis and warrant emergent reconstructive surgery. However, the less known, chronic aortic complications may have an indolent presentation. Our patient underwent aortic reconstructive surgery with TAVR explant and bio-prosthetic AVR implantation and had a favorable outcome.</p></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950275624000017/pdfft?md5=f5c6b5bd00c83164a57fb93cfa5d03d0&pid=1-s2.0-S2950275624000017-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139393378","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 : 2023-12-29DOI: 10.1016/j.crmic.2023.100004
Marcelo Harada Ribeiro , Michael S. Megaly , Luis Augusto Palma Dallan , Tays Berti , Lucas Ogliari , Lorenzo Azzalini
Rotational atherectomy (RA) is a necessary procedure for severely calcified lesions. We describe for the first time a case of RA through the left upper limb into LIMA to LAD in a last remaining vessel.
旋转动脉粥样硬化切除术(RA)是严重钙化病变的必要手术。我们首次描述了一例通过左上肢进入 LIMA 至 LAD 的最后一根残存血管的 RA 病例。
{"title":"Rotational atherectomy of the left anterior descending artery via a left internal mammary artery bypass","authors":"Marcelo Harada Ribeiro , Michael S. Megaly , Luis Augusto Palma Dallan , Tays Berti , Lucas Ogliari , Lorenzo Azzalini","doi":"10.1016/j.crmic.2023.100004","DOIUrl":"https://doi.org/10.1016/j.crmic.2023.100004","url":null,"abstract":"<div><p>Rotational atherectomy (RA) is a necessary procedure for severely calcified lesions. We describe for the first time a case of RA through the left upper limb into LIMA to LAD in a last remaining vessel.</p></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950275623000047/pdfft?md5=aac53f6b56882813fae4cbdb80b05005&pid=1-s2.0-S2950275623000047-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139108453","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 : 2023-12-20DOI: 10.1016/j.crmic.2023.11.001
Ilan Merdler, Brian C. Case, Mohamad N. Al-Otaibi, Sukhdeep Bhogal, Pavan K. Reddy, Itsik Ben-Dor, Ron Waksman
A 38-year-old male presented with recurrent myocardial infarction (MI). Subsequent investigations led to the diagnosis of essential thrombocytosis (ET) with a positive JAK2-V617F mutation. ET should be ruled out in young patients presenting with MI, even in the presence of typical cardiac risk factors.
一名 38 岁的男性因反复心肌梗死(MI)就诊。随后的检查确诊他患上了 JAK2-V617F 突变阳性的原发性血小板增多症(ET)。对于出现心肌梗死的年轻患者,即使存在典型的心脏风险因素,也应排除 ET 的可能。
{"title":"Myocardial infarction as the initial presentation of essential thrombocytosis in a young patient","authors":"Ilan Merdler, Brian C. Case, Mohamad N. Al-Otaibi, Sukhdeep Bhogal, Pavan K. Reddy, Itsik Ben-Dor, Ron Waksman","doi":"10.1016/j.crmic.2023.11.001","DOIUrl":"https://doi.org/10.1016/j.crmic.2023.11.001","url":null,"abstract":"<div><p>A 38-year-old male presented with recurrent myocardial infarction (MI). Subsequent investigations led to the diagnosis of essential thrombocytosis (ET) with a positive JAK2-V617F mutation. ET should be ruled out in young patients presenting with MI, even in the presence of typical cardiac risk factors.</p></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950275623000011/pdfft?md5=86852a4bee08d81c3e9d31a59e2a1d1d&pid=1-s2.0-S2950275623000011-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139038558","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 : 2023-12-20DOI: 10.1016/j.crmic.2023.100003
Yu Mao, Ping Jin, Yang Liu, Jian Yang
Rheumatic mitral stenosis has a large patient base and a certain incidence in developing countries. Percutaneous balloon valvuloplasty is one of the main treatments for such patients, but this method is limited by the degree of mitral regurgitation. Here, we describe a 74-year-old patient with rheumatic mitral stenosis without calcification observed by transthoracic echocardiography and computed cardiac tomography, and no calcification was found in the mitral annulus. The score of Society of Thoracic Surgeons was 14.2%, with Wilkins score of 12. Under the guidance of 3-dimensional printing technology, transcatheter mitral valve replacement was successfully performed. Before discharge, the stability and function of the bioprosthesis were confirmed.
{"title":"Transcatheter mitral valve replacement in rheumatic mitral stenosis under 3-dimensional printing","authors":"Yu Mao, Ping Jin, Yang Liu, Jian Yang","doi":"10.1016/j.crmic.2023.100003","DOIUrl":"https://doi.org/10.1016/j.crmic.2023.100003","url":null,"abstract":"<div><p>Rheumatic mitral stenosis has a large patient base and a certain incidence in developing countries. Percutaneous balloon valvuloplasty is one of the main treatments for such patients, but this method is limited by the degree of mitral regurgitation. Here, we describe a 74-year-old patient with rheumatic mitral stenosis without calcification observed by transthoracic echocardiography and computed cardiac tomography, and no calcification was found in the mitral annulus. The score of Society of Thoracic Surgeons was 14.2%, with Wilkins score of 12. Under the guidance of 3-dimensional printing technology, transcatheter mitral valve replacement was successfully performed. Before discharge, the stability and function of the bioprosthesis were confirmed.</p></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950275623000035/pdfft?md5=5996cc200e0c8610d46b02c969935c67&pid=1-s2.0-S2950275623000035-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139038559","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 : 2023-12-19DOI: 10.1016/j.crmic.2023.100002
Rachael M. Hall, Hannah Kempton, Stephanie Wilson, David Roy
We present a case of symptomatic left anterior descending (LAD) artery to right ventricle fistula formation, following orthotopic heart transplant. Closure of the shunt with a covered stent in the LAD was a satisfactory initial management strategy, however long-term is limited by recurrent severe in-stent restenosis. The etiology, as well as the best long-term management strategy for this unusual complication is not well defined.
{"title":"Coronary artery fistula causing myocardial ischemia after heart transplantation","authors":"Rachael M. Hall, Hannah Kempton, Stephanie Wilson, David Roy","doi":"10.1016/j.crmic.2023.100002","DOIUrl":"https://doi.org/10.1016/j.crmic.2023.100002","url":null,"abstract":"<div><p>We present a case of symptomatic left anterior descending (LAD) artery to right ventricle fistula formation, following orthotopic heart transplant. Closure of the shunt with a covered stent in the LAD was a satisfactory initial management strategy, however long-term is limited by recurrent severe in-stent restenosis. The etiology, as well as the best long-term management strategy for this unusual complication is not well defined.</p></div>","PeriodicalId":100217,"journal":{"name":"Cardiovascular Revascularization Medicine: Interesting Cases","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2950275623000023/pdfft?md5=1b64415a937aecef111c62210b3d22d7&pid=1-s2.0-S2950275623000023-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138769503","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}