Abstract:
INTRODUCTION:Percutaneous mechanical thrombectomy (PMT) for treatment of massive pulmonary embolism (PE) has been shown to be technically feasible, although the complication rate of the procedure appears relatively high. Whether a conservative treatment approach defined by an early termination of the PMT procedure once hemodynamic and clinical parameters of the patient have improved is associated with lower complication rates is unknown. We report our experience of PMT in patients with massive PE using the Angiojet system following a conservative treatment strategy. METHODS:From April 2003 until November 2007, 13 patients underwent PMT with the Angiojet system. Indications for PMT were massive PE and either failed thrombolysis or contraindications to thrombolytic therapy. All patients were deemed high risk for surgical thrombectomy. RESULTS:Technical success was achieved in 12 patients (92%). Mean systemic arterial pressure increased from 87 to 106 mmHg following PMT (P = 0.011), while the heart rate decreased from 119 to 97 beats per minute (P = 0.041). In-hospital mortality was 15% (2 of 13 patients). No complications occurred which were attributable to the PMT procedure. Right ventricular size and function improved in the majority of patients following the PMT procedure. CONCLUSION:Using a conservative treatment approach of PMT for the treatment of massive PE carries a low periprocedural complication rate. The low morbidity was achieved without compromising clinical outcome, documented by an in-hospital mortality of 15%. PMT using a conservative treatment approach may result in comparable mortality, but lower morbidity than PMT using more aggressive, angiographically guided treatment strategies.
journal_name
J Interv Cardioljournal_title
Journal of interventional cardiologyauthors
Spies C,Khandelwal A,Smith TH,Jolly N,Kavinsky CJdoi
10.1111/j.1540-8183.2008.00405.xsubject
Has Abstractpub_date
2008-12-01 00:00:00pages
566-71issue
6eissn
0896-4327issn
1540-8183pii
JOIC405journal_volume
21pub_type
杂志文章abstract:Background:Patients with multivessel disease (MVD) often pursue complete revascularization (CR) during percutaneous coronary intervention (PCI) to improve prognosis. However, angiographic CR is not always feasible and is associated with some procedure-related complications in heart failure (HF) patients with MVD. Clini...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1155/2020/9506124
更新日期:2020-07-27 00:00:00
abstract:OBJECTIVES:Our aim was to establish the frequency of arterial anatomic variations and its relation to coronary procedural outcome in patients undergoing a first transradial coronary procedure. METHODS:This was a single center prospective study. A total of 1,446 consecutive patients undergoing their first transradial c...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2012.00693.x
更新日期:2012-08-01 00:00:00
abstract::Transcatheter aortic valve replacement (TAVR) has emerged as an attractive option for patients with severe symptomatic aortic stenosis (AS) who are either at high risk or extreme risk for surgical aortic valve replacement (SAVR). This article summarizes the major advances in TAVR that were published or reported in 201...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章,评审
doi:10.1111/joic.12274
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:Stent thrombosis is a major complication after percutaneous coronary intervention (PCI) for ST-segment elevation acute myocardial infarction (AMI) and is associated with reinfarction and increased risk of death. METHODS:Patients treated with the turbostratic carbon-coated stent (CID, Saluggia, Italy) for AM...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2010.00564.x
更新日期:2010-12-01 00:00:00
abstract:OBJECTIVES:The present study assesses clinical outcomes in patients from the Potential Angina Class Improvement From Intramyocardial Channels (PACIFIC) trial of percutaneous transmyocardial revascularization (PTMR) who had previously been considered "no-option," but who subsequently underwent percutaneous coronary inte...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2004.00325.x
更新日期:2004-04-01 00:00:00
abstract:Objectives:We aimed to assess the quality of optical frequency domain imaging (OFDI) of the left main (LM) arterial wall and describe and analyse potential artefacts in this setting. Background:OFDI is increasingly used to assess ambiguous lesions and optimize LM percutaneous coronary intervention. However, its abilit...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1155/2020/4817239
更新日期:2020-06-12 00:00:00
abstract:Background:Urinary kidney injury molecule 1 (uKIM-1) is a proximal tubular injury biomarker for predicting acute kidney injury (AKI); its prognostic value varies depending on the clinical and population characteristics. However, the predictive value of uKIM-1 for diagnosis of contrast-induced acute kidney injury (CI-AK...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章,meta分析
doi:10.1155/2020/4982987
更新日期:2020-08-13 00:00:00
abstract::Four different types of occluder systems were used to close a persistent foramen ovale (PFO) in 162 patients with paradoxical embolic events. Ninety-eight patients had ischemic stroke, 60 transient ischemic attacks (TIA) or prolonged reversible ischemic neurological deficit (PRIND), and 4 had peripheral arterial embol...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2001.tb00740.x
更新日期:2001-04-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to identify potential predictors, including clinical, procedural, angiographic, and intravascular ultrasound (IVUS) parameters, for recurrent in-stent restenosis (ISR) following beta-radiation 90Strontium/Yttrium (90Sr/Y) in a large multicenter trial. BACKGROUND:Although adjunct...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1540-8183.2006.00188.x
更新日期:2006-10-01 00:00:00
abstract:BACKGROUND:Routine use of adjunctive devices to percutaneous coronary intervention (PCI) for the treatment of patients of ST-segment elevation myocardial infarction (STEMI) is questionable. Also, the clinical characteristics of STEMI patients that can modulate the treatment benefits of adjunctive devices are not fully ...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章,meta分析
doi:10.1111/j.1540-8183.2008.00420.x
更新日期:2009-02-01 00:00:00
abstract::Catheter closure of atrial septal defects (ASDs) is an accepted procedure among pediatric cardiologists. We report our early experience with the newest of these devices in clinical trials in the United States. Between April and October 2001, 14 patients were enrolled in an FDA phase II multicenter trial comparing the ...
journal_title:Journal of interventional cardiology
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1046/j.1540-8183.2003.08005.x
更新日期:2003-02-01 00:00:00
abstract:OBJECTIVES:We investigated and compared the clinical outcomes between biodegradable polymer biolimus-eluting stents (BES) and durable polymer everolimus-eluting stents (EES) in a single-center prospective registry. BACKGROUND:There is limited data regarding the safety and efficacy of the biodegradable BES compared to ...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/joic.12140
更新日期:2014-08-01 00:00:00
abstract::The purpose of this study is to evaluate long-term clinical and angiographic follow-up results after placement of the Palmaz-Schatz stent and angiographic follow-up results of repeat interventions for stent restenosis. From June 1990 to September 1993, the Palmaz-Schatz stent was placed in 411 patients, 427 lesions. ...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.1994.tb00896.x
更新日期:1994-04-01 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::While coronary revascularization strategies guided by instantaneous wave-free ratio (iFR) are, in general, noninferior to those guided by fractional flow reserve (FFR) with respect to the rate of major adverse cardiac events at one-year follow-up in patients with stable angina or an acute coronary syndrome, the overal...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1155/2020/4094121
更新日期:2020-05-11 00:00:00
abstract:BACKGROUND:Using optical coherence tomography (OCT), we evaluated the relationship between malapposed and uncovered struts following implantation of drug-eluting stents (DESs). METHODS:A total of 271 patients with 306 lesions who underwent DES implantation and follow-up OCT were included in the study. The lesions were...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2011.00706.x
更新日期:2012-06-01 00:00:00
abstract:BACKGROUND:The zotarolimus-eluting stent (ZES) has been documented as significantly reducing restenosis and target lesion revascularization (TLR) requirement compared to bare metal stents (BMS). METHODS:In this single-centered, prospective study we sought to evaluate the short- and medium-term outcomes of ZES placemen...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2010.00538.x
更新日期:2010-04-01 00:00:00
abstract:BACKGROUND:Conventional two-dimensional angiography lacks the ability to properly image the true bifurcation geometry, and its percutaneous coronary intervention-induced changes in the clinical setting. METHODS AND RESULTS:A novel three-dimensional reconstruction system was investigated by retrospectively analyzing 39...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2009.00512.x
更新日期:2010-02-01 00:00:00
abstract:UNLABELLED:Despite its prognostic importance, accurate assessment of microvascular perfusion in patients with ST elevation acute myocardial infarction (STEMI) is difficult. As a new tool, the index of microvascular resistance (IMR) measurement provides us a new opportunity for interrogating microvascular condition afte...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2007.00274.x
更新日期:2007-10-01 00:00:00
abstract:INTRODUCTION:Irrigated tip radiofrequency ablation of cardiac arrhythmias was developed to increase the size of the radiofrequency-induced lesion, since cooling of the electrode tip allows use of higher power settings. The purpose of this study was to determine if the increased lesion size during irrigated tip ablation...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2004.09879.x
更新日期:2004-06-01 00:00:00
abstract:OBJECTIVE:The following retrospective observational study assesses the long-term results of intracoronary beta-radiation therapy for patients with in-stent restenosis. BACKGROUND:Beta-radiation has been used to treat patients with coronary in-stent restenosis. However, long-term clinical success using this technique h...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2009.00522.x
更新日期:2010-02-01 00:00:00
abstract:INTRODUCTION:Nonsurgical closure of pathologic vascular communications can be achieved by coil embolization. Different systems used in patients with congenital heart disease (e.g., patent ductus arteriosus) allow controlled release of the devices. However, they are too stiff for coil occlusion of small or tortuous vess...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2001.tb00338.x
更新日期:2001-06-01 00:00:00
abstract:BACKGROUND:Drug-eluting stents showed a better angiographic and clinical outcome in comparison with bare metal stent in chronic total occlusions (CTOs) percutaneous revascularization, however, great concerns still remain regarding the rate of restenosis and reocclusion in comparison with nonocclusive lesions. AIM:To e...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2011.00648.x
更新日期:2011-10-01 00:00:00
abstract:AIMS:To investigate the safety and efficacy of everolimus-eluting stents (EES) in a real world population, including those with high-risk characteristics and complex lesions. METHODS:In this report, we analyze 2-year outcomes in 500 consecutive unselected patients treated with EES between April 2007 and March 2008. Al...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2011.00633.x
更新日期:2011-06-01 00:00:00
abstract::Atrial septal defect (ASD) is a common diagnosis in young adults with congenital heart disease. The aim of this study was to determine if ocular symptoms following percutaneous treatment are due to microemboli. The study group included 20 adult patients (9 men, 11 women, mean age 57.2 years) with ASD who had undergone...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2005.00392.x
更新日期:2005-02-01 00:00:00
abstract:OBJECTIVES:To determine whether drug-eluting stent (DES) coronary complete revascularization (CR) confers clinical benefit over incomplete revascularization (IR) in patients with multivessel coronary artery disease (MVD). BACKGROUND:Clinical benefit of CR over IR in patients with MVD with angina (both stable and unsta...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章,meta分析,评审
doi:10.1111/joic.12390
更新日期:2017-08-01 00:00:00
abstract::A modification of a previously described double balloon mitral valvuloplasty procedure is described. This involves dual femoral vein punctures with a single atrial septal puncture. After initial transseptal catheterization and predilatation of the interatrial septum with an 8-mm balloon, a second catheter is advance...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.1993.tb00859.x
更新日期:1993-09-01 00:00:00
abstract:PURPOSE:Patients undergoing coronary stenting must take dual antiplatelet therapy during a variable period. The combination of chronic oral anticoagulants (COA) with antiplatelet therapy has been related to an increased risk of hemorrhage. The aim of this study was to evaluate the level of the antiplatelet therapy obse...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章
doi:10.1111/j.1540-8183.2008.00354.x
更新日期:2008-06-01 00:00:00
abstract:OBJECTIVES:To compare the effectiveness and safety of balloon aortic valvuloplasty (BAV) performed with or without rapid ventricular pacing (RP). BACKGROUND:BAV technique is poorly standardized. METHODS:One hundred consecutive patients were randomly assigned 1:1 between BAV performed with or without RP. Exclusion cri...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章,随机对照试验
doi:10.1111/joic.12452
更新日期:2018-02-01 00:00:00
abstract::The use of radiofrequency energy for the treatment of supraventricular tachycardia in pediatric patients has gained widespread acceptance, especially for tachyarrhythmias associated with palpitations, dizziness, presyncope or syncope, cardiomyopathy, and cardiac arrest. Ablation of the substrate supporting atrioventri...
journal_title:Journal of interventional cardiology
pub_type: 杂志文章,评审
doi:10.1111/j.1540-8183.1995.tb00583.x
更新日期:1995-10-01 00:00:00