Abstract:
BACKGROUND:Although catheter-induced left main coronary artery (LMCA) dissection is a rare complication of coronary catheterization, it is a common cause of periprocedural mortality. Emergent coronary artery bypass surgery (CABG) is the mainstay for managing this acute complication. However, hemodynamic deterioration may progress while patients await emergent CABG; consequently, a high postoperative mortality rate has been reported. Although the number of cases was small, prompt bail-out stenting for iatrogenic LMCA dissection had reportedly reversed this complication with favorable clinical outcomes. METHODS:This study included 13 cases of attempted stenting for iatrogenic LMCA dissection classified as grades C-F based on the National Heart, Lung and Blood Institute (NHLBI) classification system. Angiographic success, in-hospital mortality and long-term outcomes were analyzed. RESULTS:The incidence of iatrogenic LM dissection was 0.071%. Most of the patients were initially asymptomatic. Angiographic success was achieved in 11 of 13 patients (84.6%). Including one patient who underwent emergent CABG after a failed wiring attempt, two mortalities occurred in this series. Mean follow-up duration of the ten patients discharged was 30.1+/-11.8 months, and no cardiac deaths occurred. Follow-up angiogram of eight patients with a mean interval of 5.2+/-2.3 months after initial event demonstrated restenosis in three patients occurring either at the ostiums of the left anterior descending artery or left circumflex artery. Revascularization was performed on two patients. CONCLUSIONS:Successful bail-out stenting resulted in good long-term survival and should be considered for initial management of iatrogenic LMCA dissection.
journal_name
Int J Cardioljournal_title
International journal of cardiologyauthors
Cheng CI,Wu CJ,Hsieh YK,Chen YH,Chen CJ,Chen SM,Yang CH,Hung WC,Yip HK,Chen MC,Fu M,Fang CYdoi
10.1016/j.ijcard.2007.03.125subject
Has Abstractpub_date
2008-05-23 00:00:00pages
177-82issue
2eissn
0167-5273issn
1874-1754pii
S0167-5273(07)00798-Xjournal_volume
126pub_type
杂志文章,评审abstract::In developed countries, the incidence of cardiac beriberi is rare. It can lead to high output cardiac failure and pulmonary hypertension. We hereby report an atypical case of beriberi heart with reversible right heart failure and severe pulmonary hypertension. Thiamine deficiency can cause reversible pulmonary hyperte...
journal_title:International journal of cardiology
pub_type: 信件
doi:10.1016/j.ijcard.2006.08.054
更新日期:2007-09-14 00:00:00
abstract::A novel cardiac syndrome of left ventricular apical ballooning (Takotsubo cardiomyopathy-ampulla cardiomyopathy) involves reversible left ventricular apical ballooning (during systole) of acute onset with chest pain, electrocardiographic changes, and minimal elevation of cardiac enzymes resembling acute myocardial inf...
journal_title:International journal of cardiology
pub_type: 信件
doi:10.1016/j.ijcard.2004.05.070
更新日期:2005-07-10 00:00:00
abstract:BACKGROUND AND OBJECTIVES:ATP-binding cassette transporter 1 (ABCA1) is a trans-membrane protein responsible for the efflux of cholesterol and phospholipids across the cell membrane, an essential step in the reverse cholesterol transport system. This study investigates the effect of five non-synonymous SNPs of ABCA1 ge...
journal_title:International journal of cardiology
pub_type: 杂志文章
doi:10.1016/j.ijcard.2005.12.020
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abstract::A sterile inflammatory response has been observed at the access site in a small number of patients who have undergone radial artery cannulation with a hydrophilic sheath. This reaction generally appears from several days to weeks after use of the sheath, and while a distinct cause has not been established it is not th...
journal_title:International journal of cardiology
pub_type: 信件
doi:10.1016/j.ijcard.2007.06.146
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abstract::The effect of isosorbide dinitrate or indoramin on myocardial ischaemia was examined in patients with stable angina pectoris. In a prospective trial, randomization resulted in 8 and 9 patients, respectively, given isosorbide dinitrate in a dose of 30-90 mg daily, and indoramin in a dose of 75-225 mg daily; 2 of these ...
journal_title:International journal of cardiology
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1988-06-01 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章,meta分析,评审
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更新日期:2016-08-15 00:00:00
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pub_type: 杂志文章
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更新日期:2013-09-10 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章,meta分析,评审
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journal_title:International journal of cardiology
pub_type: 杂志文章,多中心研究
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更新日期:2015-03-15 00:00:00
abstract::Isolated noncompaction of the ventricular myocardium is an unclassified cardiomyopathy and is thought to be due to arrest of myocardial morphogenesis. Fetal arrhythmias may occur in approximately half of the patients and account for the death in this disorder. We describe a patient with isolated noncompaction of the r...
journal_title:International journal of cardiology
pub_type: 信件
doi:10.1016/j.ijcard.2007.07.037
更新日期:2008-12-17 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章
doi:10.1016/0167-5273(84)90113-x
更新日期:1984-03-01 00:00:00
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pub_type: 杂志文章
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journal_title:International journal of cardiology
pub_type: 杂志文章
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更新日期:2017-12-01 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章,评审
doi:10.1016/j.ijcard.2012.12.002
更新日期:2013-09-30 00:00:00
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journal_title:International journal of cardiology
pub_type: 信件
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更新日期:2008-07-04 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章
doi:10.1016/j.ijcard.2005.11.004
更新日期:2006-10-26 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章,评审
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journal_title:International journal of cardiology
pub_type: 杂志文章
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更新日期:2013-04-30 00:00:00
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journal_title:International journal of cardiology
pub_type: 信件
doi:10.1016/j.ijcard.2007.01.026
更新日期:2008-06-06 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章
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更新日期:2013-03-10 00:00:00
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journal_title:International journal of cardiology
pub_type: 信件
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更新日期:2009-04-17 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章
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journal_title:International journal of cardiology
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journal_title:International journal of cardiology
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journal_title:International journal of cardiology
pub_type: 杂志文章
doi:10.1016/0167-5273(88)90293-8
更新日期:1988-09-01 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章
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