Abstract:
:Excimer lasers are being extensively used for coronary angioplasty along with multifiber over-the-wire catheters. To determine whether another wavelength could be an alternative, the laser-tissue interaction and the clinical usefulness of an infrared laser were studied. The laser consisted of a Holmium YAG pulsed laser coupled into a multifiber catheter. Experimental data from our laboratory showed that this solid state laser had the ability to cut calcified tissue, to be preferentially absorbed by atheroma, and to ablate tissue even when the catheter tip was positioned at a distance from the target. These results were obtained with only minimal thermal effects. After assessment of the efficacy and safety of this technique, laser angioplasty was performed in 53 consecutive patients with totally occluded (40%) or stenosed (mean percent 94) coronary arteries with a mean length of 6 mm. The primary laser and the procedure success rate were 64% and 94%, respectively. Failures were due to inability to advance the catheter against the lesion or to cross the obstruction. Stand-alone laser therapy could be achieved in only 18% of patients. In previous dilatation failures, laser irradiation allowed for subsequent balloon angioplasty to be successfully performed at a lower inflation pressure than that used in the failed dilatation. Complications included abrupt (during the procedure) and early (within 24 hours) vessel closure in 19% of cases, dissection without hemodynamic consequence in 28% and spasm. Reoccluded arteries could all be recanalized with dilatation.(ABSTRACT TRUNCATED AT 250 WORDS)
journal_name
J Interv Cardioljournal_title
Journal of interventional cardiologyauthors
Geschwind HJ,Tomaru T,Nakamura F,Kvasnicka Jdoi
10.1111/j.1540-8183.1991.tb00790.xsubject
Has Abstractpub_date
1991-01-01 00:00:00pages
171-9issue
3eissn
0896-4327issn
1540-8183journal_volume
4pub_type
杂志文章abstract:INTRODUCTION:Contrast induced nephropathy is linked to contrast utilization and strategies for minimizing renal injury are incorporated into many laboratories that perform coronary angiography. Contrast limits have been described, below which there is minimal incremental increase in the risk of renal injury. Whether a ...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/joic.12482
更新日期:2018-08-01 00:00:00
abstract:BACKGROUND:There are limitations of using 2D imaging to accurately size the aortic annulus. This article highlights the limitations of 2D technology and proposes a new 3D TEE method for sizing of the aortic annulus. METHODS:Three-dimensional echocardiography with the method described can identify the "true" aortic ann...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/joic.12033
更新日期:2013-06-01 00:00:00
abstract::Degenerative aortic valve stenosis is the most common valvular heart disease seen in developed countries. Since the implementation of transcatheter aortic valve replacement, there has been a surge of efforts to improve procedural technique as well as reduce mortality. Until recently, the mainstay method of assessment ...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章,评审
doi:10.1111/joic.12478
更新日期:2018-06-01 00:00:00
abstract:OBJECTIVE:To compare the safety and efficacy of transcathether aortic valve-in-valve implantation (ViV-TAVI) in degenerated stentless bioprostheses with failed stented valves and degenerated native aortic valves. INTRODUCTION:Little is known about ViV-TAVI in degenerated stentless valves. METHODS:Out of 45 ViV-TAVI p...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/joic.12540
更新日期:2018-12-01 00:00:00
abstract::Critical ostial left main disease may lead rapidly to sudden death and is, therefore, of paramount importance to diagnose. While the number of cardiac catheterizations is increasing, government and third party reimbursement sources are imposing pressure to perform more studies in an outpatient setting, as the economi...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.1993.tb00845.x
更新日期:1993-06-01 00:00:00
abstract:OBJECTIVES:To prospectively compare the impact of ultrathin-strut cobalt-chromium (Cro-Co) bare metal stent (BMS) versus thin-strut stainless steel (SS) BMS on clinically driven target lesion revascularization (TLR). BACKGROUND:Stent characteristics are an important determinant of restenosis. Thinner strut Cro-Co BMS ...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/joic.12300
更新日期:2016-06-01 00:00:00
abstract:OBJECTIVE:To examine the long-term outcome of the stent fracture (SF) and the potential predictive factors contributing to in-stent restenosis (ISR) in the fractured stent. BACKGROUND:The SF is thought to be a higher risk of ISR in drug-eluting stent, although SF does not always develop ISR. METHODS:The consecutive 1...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2010.00614.x
更新日期:2011-04-01 00:00:00
abstract:OBJECTIVES:To propose an original approach based on simultaneous dual vascular access site (DAS) using 2 small-size guiding catheters to easily perform complex 2-stent techniques for bifurcation coronary lesions (BL). BACKGROUND:Simultaneous kissing stenting and classic crush technique require large 7 or 8Fr guiding c...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2012.00745.x
更新日期:2012-10-01 00:00:00
abstract:OBJECTIVES:We present our single center experience with Medtronic CoreValve and Evolut R regarding procedural outcome and 3 years follow-up in patients with degenerated bioprostheses. METHODS:From 1645 patients who underwent transfemoral TAVI at our institution between February 2009 and December 2016, 37 patients with...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/joic.12498
更新日期:2018-06-01 00:00:00
abstract::The reliability, rapidity, and safety of nonsurgical, transatrial pericardial access for local cardiac therapy have been demonstrated in healthy animals. Since many patients take aspirin or have increased right-sided pressures, we evaluated the procedure's safety under these conditions. Transatrial pericardial access ...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2001.tb00364.x
更新日期:2001-10-01 00:00:00
abstract:OBJECTIVES:We report our evaluation of a novel retrograde wiring technique known as the Rendezvous method. BACKGROUND:Different strategies of retrograde approaches can be used to improve the success rate of recanalization of coronary chronic total occlusion (CTO). We previously introduced the Rendezvous technique as a...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章,多中心研究
doi:10.1111/joic.12031
更新日期:2013-06-01 00:00:00
abstract:BACKGROUND:Ideally, percutaneous, mechanical closure of defects of the atrial septum should completely resolve shunt. To achieve this goal, more information is needed about the factors associated with device failure. METHODS:Consecutive patients with cryptogenic neurological events who had severe baseline Valsalva shu...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2011.00644.x
更新日期:2011-08-01 00:00:00
abstract::The antithrombotic effect of three different types of antithrombotic agents (antithrombin:argatroban, heparin, defibrinogenating agent:batroxobin) were evaluated in canine coronary and iliac arteries. An occlusive thrombus was produced by balloon injury. One of the three agents was infused intravenously at 1 hour afte...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.1994.tb00478.x
更新日期:1994-10-01 00:00:00
abstract:OBJECTIVES:While the efficacy of drug-eluting coronary stents (DES) has been demonstrated by several clinical trials, the impact of DES on health-care costs and recipient quality of life (QOL) is controversial. We performed a systematic review of the published literature on DES costs and the QOL effects of restenosis a...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章,评审
doi:10.1111/j.1540-8183.2007.00214.x
更新日期:2007-02-01 00:00:00
abstract:PURPOSE:In patients on oral anticoagulation (OAC) undergoing coronary stenting (PCI-S), procedural management and in-hospital outcome have never been specifically and prospectively investigated. Also, the contribution of early bleeding to the relevant hemorrhagic rate reported at follow-up with triple therapy of OAC, a...
journal_title:Journal of interventional cardiology
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1111/j.1540-8183.2009.00468.x
更新日期:2009-08-01 00:00:00
abstract::A significant proportion of patients with coronary artery disease have symptoms refractory to medical treatment, yet are unsuitable for conventional revascularization techniques, like percutaneous coronary intervention and coronary artery bypass surgery. Such patients are potential candidates for alternative forms of ...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章,评审
doi:10.1111/j.1540-8183.2002.tb01062.x
更新日期:2002-06-01 00:00:00
abstract:OBJECTIVES:We evaluated the impact of stent inflation pressure and type of guidewire on "jailed" coronary guidewire damage occurring during bifurcation angioplasty. BACKGROUND:Despite new techniques and treatment options during percutaneous coronary intervention (PCI) we still observe peri- and postoperative complicat...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/joic.12523
更新日期:2018-10-01 00:00:00
abstract:INTRODUCTION:Conventional percutaneous coronary intervention for the treatment of in-stent restenosis (ISR) has shown a high rate of ISR (30-55%). Considering the need for both extrusion of hyperplastic intima and additional stent expansion, a cutting balloon might be more effective for the treatment of ISR. METHODS:W...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2004.00378.x
更新日期:2004-08-01 00:00:00
abstract:BACKGROUND:An anomalous origin of the right coronary artery (ARCA) from the left sinus of Valsalva (LSOV) has been reported in 6-27% of patients with coronary anomalies. The unusual location and course of this anomaly poses a technical challenge for the interventionalist. Appropriate guiding catheter selection is criti...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2009.00463.x
更新日期:2009-06-01 00:00:00
abstract::We describe a patient with an intracardiac intravenous catheter fragment in the right heart that was found during fluoroscopy. The catheter fragment had broken off from an intravenous catheter inserted 25 years previously when the patient was admitted after a road accident. There were no complications during these yea...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2002.tb01080.x
更新日期:2002-10-01 00:00:00
abstract:BACKGROUND:Prevalence of patent foramen ovale (PFO) with detectable right-to-left shunt is higher in young adults with transient ischemic attack (TIA) and stroke compared to the general population. So far, published series included different occluder systems, various indications and regimens of postprocedural anticoagu...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2010.00593.x
更新日期:2011-02-01 00:00:00
abstract:BACKGROUND:Intramyocardial injection of bone marrow cells (BMC) in refractory angina patients with chronic myocardial ischemia has shown to be safe and improve clinical status during short-term follow-up. However, scarce data are available on long-term (>12 months) safety and efficacy. Therefore, the occurrence of clin...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/joic.12408
更新日期:2017-10-01 00:00:00
abstract:Background:Contrast-induced nephropathy (CIN) becomes more and more frequent after percutaneous coronary intervention (PCI) in patients with ST-segment elevation myocardial infarction (STEMI). There have been no reported meta-analyses to determine the role of these risk factors in predicting CIN in patients with STEMI ...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章,meta分析,评审
doi:10.1155/2019/2750173
更新日期:2019-08-25 00:00:00
abstract::Direct stenting could potentially lead to a reduction in dissections, time, and restenosis at 6-month follow-up. Using the premounted Palmaz-Schatz Crown stent elective stenting was performed without predilatation in 61 consecutive patients who were compared with a control group of provisional stenting. All patients u...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2002.tb01101.x
更新日期:2002-08-01 00:00:00
abstract:OBJECTIVE:This study sought to identify patient and left atrial morphology specific factors associated with early complications for left atrial appendage occlusion with the Watchman™ (Boston Scientific, Natick, MA) device. BACKGROUND:Oral anticoagulation (OAC) is recommended for patients with atrial fibrillation, howe...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/joic.12374
更新日期:2017-04-01 00:00:00
abstract::The 6Fr Hydrolyser thrombectomy catheter for acute myocardial infarction (AMI) successfully removed a massive thrombus in the coronary artery in three patients. The 6Fr Hydrolyser catheter could be advanced into the right coronary artery with bare-wire methods via a 6Fr sheath at the radial artery. This approach sugge...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2001.tb00356.x
更新日期:2001-08-01 00:00:00
abstract:AIMS:In severe myocardial dysfunction, extracorporeal life support (ECLS) can preserve organ perfusion. Occasionally, the high resulting afterload can lead to refractory pulmonary edema. We report our experience with percutaneous balloon atrioseptostomy used in this circumstance to discharge the left heart and prevent ...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2011.00681.x
更新日期:2012-02-01 00:00:00
abstract:OBJECTIVE:In the present study, we investigated the effectiveness and reliability of a new method that reveals whether guidewire advanced distal to the lesion is in the lumen in patients with acute (ATO) or chronic coronary total occlusion (CTO). METHODS:Forty-one patients with symptomatic ATO and 22 patients with CTO...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/joic.12444
更新日期:2017-12-01 00:00:00
abstract:AIMS:We sought to define the predictive value and evolution of N-terminal pro-B-type natriuretic peptide (NT-proBNP) levels following transcutaneous aortic valve implantation (TAVI). METHODS AND RESULTS:We investigated 91 consecutive patients who underwent TAVI (59 transfemoral [TF], 32 transapical [TA]) in our instit...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2011.00654.x
更新日期:2011-10-01 00:00:00
abstract:OBJECTIVES:We evaluated the occlusion rate and safety of Cook detachable coils versus Gianturco coils in transcatheter closure of patent ductus arteriosus (PDA). BACKGROUND:The Cook detachable coil recently was introduced in an attempt to improve the safety of transcatheter closure of PDA. METHODS:Between January 199...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2001.tb00730.x
更新日期:2001-04-01 00:00:00