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Angiography Demonstrating Treatment of a Challenging Aorto-Coronary Occlusion

01/03/2019

Video Supplement to “Challenging Aorto-Coronary Occlusion: Which Solution?" [January 2019 Clinical Images article by Lorenzoni, et al.]

An 86-year-old woman was rescued by the emergency team for inferior STEMI complicated by cardiogenic shock. Echocardiogram showed severe dilation of the right ventricle with compromise of its ejection function. It was impossible to perform a retrograde approach or plaque debulking as described in the literature; this is the first description of the use of a microcatheter not to support the guidewire, but to open an aorto-coronary calcific occlusion with anterograde approach in an emergent situation. The subsequent result is shown in the angiographic video below.


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Psychological Stress & HD
Adding 9th Psychological Health Metric to Life’s Essential 8 Enhances Cardiovascular Health Construct for Predicting Mortality Risk
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Clinical Images
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Journal of Invasive Cardiology
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The study population consisted of 414,649 patients. Of those, 53,398 patients received an embolic protection device. This is the largest study to date among patients undergoing a transcatheter aortic valve replacement.
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"Our research highlights the critical role of TTR levels in predicting heart disease risk," said Pankaj Arora, MD. "By understanding the factors that influence TTR levels, we can better identify individuals at high risk and develop targeted...
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Al-Ogaili Figure
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Scientists report that their AI algorithm can recreate full 12-lead ECGs with data from only three ECG leads. Moreover, clinicians can identify heart attacks with nearly the same accuracy when they review the AI-generated ECGs as compared to...
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Cath Lab Digest

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