When Calcium Gets Tough, the Tough Cardiologist Starts to Play ….

Abstract:

:Coronary calcification is a hard challenge for the interventional cardiologist, as it is associated with incomplete stent expansion and frequently stent failure. In recent years, innovative techniques, such as rotational atherectomy, have been developed to treat coronary calcification. However, these are burdened with an increased procedural risk. We report the case of a 60-year-old Caucasian man treated 1 month before at another center with primary coronary angioplasty and stenting of the ramus intermedius for coronary syndrome. Coronary angiography showed a critical stenosis of the left main coronary artery as well as critical calcified stenosis of the left anterior descending artery and the diagonal branch. Coronary calcification was treated with rotational atherectomy that preceded the angioplasty and stenting. Because of persistence of the symptomatology, coronary angiography was repeated 1 month later and showed a critical calcified restenosis of the ramus intermedius at the site of the previous stenting. Considering the high risk of traditional atherectomy, we performed lithotripsy-enhanced disruption of calcium beyond the stents with the Shockwave Coronary Lithoplasty System. The Shockwave Coronary Lithoplasty System has been introduced recently in order to treat calcified coronary lesions with greater safety. The procedure allows most calcified coronary lesions to be treated with simplicity and safety. This system employs sound waves, similar to those used for treating kidney stones, to crush the calcified lesions. We present the first case described to date in whom this technique was successfully used to treat calcified restenosis in a previous stent.

journal_name

Cardiology

journal_title

Cardiology

authors

Tassone EJ,Tripolino C,Morabito G,Grillo P,Missiroli B

doi

10.1159/000495177

subject

Has Abstract

pub_date

2018-01-01 00:00:00

pages

167-171

issue

3

eissn

0008-6312

issn

1421-9751

pii

000495177

journal_volume

141

pub_type

杂志文章
  • Rheumatic Mitral Stenosis: Long-Term Follow-Up of Adult Patients with Nonsevere Initial Disease.

    abstract:INTRODUCTION:There is no consensus regarding the natural history of rheumatic mitral stenosis (MS) among adults presenting with nonsevere disease. This study aims to describe the progression of stenosis among adult rheumatic MS patients, to identify predictive factors for progression, and to assess the incidence of com...

    journal_title:Cardiology

    pub_type: 杂志文章

    doi:10.1159/000505481

    authors: Bitan A,Mazor-Dray E,Weinstein JM,Carmel S,Ilia R

    更新日期:2020-01-01 00:00:00

  • When an MI is not an MI: a case of varicella zoster myocarditis.

    abstract::A sixteen-year-old male presented with symptoms and investigations suggestive of acute myocardial infarction. The patient had suffered from a varicella zoster infection 5 days prior to presentation. Varicella myocarditis was suspected and diagnosed following treatment and positive varicella serology. This case highlig...

    journal_title:Cardiology

    pub_type: 杂志文章

    doi:10.1159/000106682

    authors: Kelly E,Cullen G,McGurk C

    更新日期:2008-01-01 00:00:00

  • Early cardiac evaluation of thoracically conjoined twins.

    abstract::Thoracopagus conjoined twins were delivered at 31 weeks gestation by cesarean section. Although there was a single heart, the possibility of salvaging one twin only was contemplated. Echocardiography revealed an A-V canal and suspected transposition of the great vessels. To determine the possibility of surgery, cardia...

    journal_title:Cardiology

    pub_type: 杂志文章

    doi:10.1159/000173585

    authors: Kaplan M,Glaser J,Eidelman AI

    更新日期:1983-01-01 00:00:00

  • Relationship between endogenous sex hormone levels, lipoproteins and coronary atherosclerosis in men undergoing coronary angiography.

    abstract::This study was carried out in order to investigate the relationship between endogenous sex steroid hormones and coronary artery disease (CAD). Three hundred and thirty-seven men undergoing coronary angiography were enrolled in the study. Total testosterone, estradiol, free testosterone levels in men with CAD (n = 213)...

    journal_title:Cardiology

    pub_type: 临床试验,杂志文章

    doi:10.1159/000006977

    authors: Kabakci G,Yildirir A,Can I,Unsal I,Erbas B

    更新日期:1999-01-01 00:00:00

  • Effect of amiodarone on blood lipids.

    abstract::Amiodarone is a potent antiarrhythmic drug with a prolonged half life. The administration of amiodarone for 6 weeks in rabbits caused a significant elevation of serum lipids. We measured serum lipoproteins in 24 patients before, 30 and 90 days after treatment with amiodarone. Serum triglycerides decreased for all pati...

    journal_title:Cardiology

    pub_type: 杂志文章

    doi:10.1159/000173998

    authors: Sonnenblick M,Gottlieb S,Goldstein R,Abraham AS

    更新日期:1986-01-01 00:00:00

  • Digitalis Therapy and Risk of Recurrent Ventricular Tachyarrhythmias and ICD Therapies in Atrial Fibrillation and Heart Failure.

    abstract:OBJECTIVE:This study sought to assess the impact of treatment with digitalis on recurrences of ventricular tachyarrhythmias in implantable cardioverter defibrillator (ICD) recipients with atrial fibrillation (AF) and heart failure (HF). BACKGROUND:The data regarding outcomes of digitalis therapy in ICD recipients are ...

    journal_title:Cardiology

    pub_type: 杂志文章

    doi:10.1159/000497271

    authors: Schupp T,Behnes M,Weiss C,Nienaber C,Reiser L,Bollow A,Taton G,Reichelt T,Ellguth D,Engelke N,Rusnak J,Weidner K,Akin M,Mashayekhi K,Borggrefe M,Akin I

    更新日期:2019-01-01 00:00:00

  • Systolic time intervals in the experimental animal with aortic outflow obstruction. Effect of digoxin.

    abstract::This study shows significant changes occurring in systolic time intervals in an experimental animal model of aortic outflow obstruction with cardiac hypertrophy. The left ventricular ejection time is markedly prolonged and the preejection period/left ventricular ejection time ratio shortened. These changes are in the ...

    journal_title:Cardiology

    pub_type: 杂志文章

    doi:10.1159/000173260

    authors: Murphy ML,Doherty JE,de Soyza N,Kane JJ,Straub KD

    更新日期:1981-01-01 00:00:00

  • Acute Coronary Stent Thrombosis in Modern Era: Etiology, Treatment, and Prognosis.

    abstract::Acute stent thrombosis (AST) is a rare but life-threatening complication of coronary artery stenting. AST remains a challenging task for cardiologists, despite the application of modern procedural techniques and dual-antiplatelet therapy strategies as well as improved understanding of the underlying pathophysiology. T...

    journal_title:Cardiology

    pub_type: 杂志文章,评审

    doi:10.1159/000464404

    authors: Ge J,Yu H,Li J

    更新日期:2017-01-01 00:00:00

  • Coronary hemodynamics in simulated paroxysms of ventricular tachycardia: role of myocardial impairment and of extravascular resistance.

    abstract::In 6 patients with healthy hearts (controls), 17 with coronary artery disease (CAD) and 6 with left ventricular hypertrophy due to aortic valvular disease, aortic pressure, coronary sinus blood flow (CSF) and lactate extraction were determined before and after the sudden onset of a paced ventricular tachycardia of 170...

    journal_title:Cardiology

    pub_type: 杂志文章

    doi:10.1159/000173524

    authors: Thormann J,Schlepper M,Neuss H

    更新日期:1982-01-01 00:00:00

  • Multivariate approach to the treadmill stress test: prospective study.

    abstract::The multivariate analysis approach in 30 normal subjects and 84 patients significantly improved the sensitivity and correct classification rate when compared to the stress test (ST) response (p less than 0.05). Although the probability of disease could separate normal from diseased subjects, it could not separate sing...

    journal_title:Cardiology

    pub_type: 杂志文章

    doi:10.1159/000173314

    authors: Ellestad MH,Greenberg PS

    更新日期:1981-01-01 00:00:00

  • Myocardial turnover of endogenous opioids and calcitonin-gene-related peptide in the human heart and the effects of spinal cord stimulation on pacing-induced angina pectoris.

    abstract::Earlier studies have shown that spinal cord stimulation (SCS) has antianginal and anti-ischemic effects in severe coronary artery disease. In the present study, 14 patients were subjected to right-sided atrial catheterization and atrial pacing. The patients were paced to angina during a control session and during spin...

    journal_title:Cardiology

    pub_type: 杂志文章

    doi:10.1159/000006783

    authors: Eliasson T,Mannheimer C,Waagstein F,Andersson B,Bergh CH,Augustinsson LE,Hedner T,Larson G

    更新日期:1998-03-01 00:00:00

  • A "bad responder" to statins.

    abstract::We report the case of a man whose high-density lipoprotein cholesterol (HDL-C) and the ratios of total cholesterol to HDL-C and low-density lipoprotein cholesterol to HDL-C worsened dramatically during pravastatin treatment. After 3 years, pravastatin was replaced by fenofibrate. The result was spectacular. The HDL-C ...

    journal_title:Cardiology

    pub_type: 杂志文章

    doi:10.1159/000063114

    authors: Devroey D,Betz W,Coigniez P,Lauwers R,Velkeniers B

    更新日期:2002-01-01 00:00:00

  • Low lymphocyte ratio as a novel prognostic factor in acute heart failure: results from the Pre-RELAX-AHF study.

    abstract:BACKGROUND:Previous studies have suggested that a lower lymphocyte ratio (Ly%) in the white blood cell (WBC) differential count is related to worse outcomes in patients with acute heart failure (AHF) and other cardiovascular disorders. METHODS:In the Pre-RELAX-AHF study, 234 patients with AHF, systolic blood pressure ...

    journal_title:Cardiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1159/000321416

    authors: Milo-Cotter O,Teerlink JR,Metra M,Felker GM,Ponikowski P,Voors AA,Edwards C,Weatherley BD,Greenberg B,Filippatos G,Unemori E,Teichman SL,Cotter G

    更新日期:2010-01-01 00:00:00

  • Syncope in dilated cardiomyopathy is a predictor of sudden cardiac death.

    abstract::Fifty percent of patients with dilated cardiomyopathy die within 5 years of diagnosis. Syncope is known to be a predictor of poor outcome in patients with advanced heart failure. To assess the risk of patients with dilated cardiomyopathy with a history of syncope during standard medical treatment we compared this grou...

    journal_title:Cardiology

    pub_type: 杂志文章

    doi:10.1159/000177083

    authors: Fruhwald FM,Eber B,Schumacher M,Zweiker R,Watzinger N,Klein WW

    更新日期:1996-05-01 00:00:00

  • Hemodynamic comparison of combined therapy by nitroglycerin tape and ibopamine with combination of nitroglycerin tape and nifedipine.

    abstract::Fifteen congestive heart failure patients (NYHA: class III or IV) were enrolled in the study and were classified into two groups. Six patients (group I) received combined therapy by nitroglycerin tape (5 mg) and ibopamine (100 mg), while the remaining 9 patients (group II) were given nitroglycerin tape (5 mg) and nife...

    journal_title:Cardiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1159/000174696

    authors: Taniguchi K,Tsujibayashi T,Itoh H

    更新日期:1990-01-01 00:00:00

  • Circulating Erythrocyte Microparticles and the Biochemical Extent of Myocardial Injury in ST Elevation Myocardial Infarction.

    abstract:OBJECTIVES:Red blood cell microparticles (RBCm) have potential adverse vascular effects and they have been shown to be elevated in ST elevation myocardial infarction (STEMI). The purpose of this study is to investigate their relationship with biochemical infarct size. METHODS:RBCm were quantified with flow cytometry i...

    journal_title:Cardiology

    pub_type: 杂志文章

    doi:10.1159/000447625

    authors: Giannopoulos G,Vrachatis DA,Oudatzis G,Paterakis G,Angelidis C,Koutivas A,Sianos G,Cleman MW,Filippatos G,Lekakis J,Deftereos S

    更新日期:2017-01-01 00:00:00

  • Optimal treatment of stable angina.

    abstract::Angina pectoris due to coronary artery disease is a common manifestation of myocardial ischemia. Reduction of oxygen demand (beta-blockers) and relief of coronary vasoconstriction (calcium blocker or nitrate) are additive approaches to controlling ischemia. Risk factor reduction may improve coronary vascular physiolog...

    journal_title:Cardiology

    pub_type: 杂志文章,评审

    doi:10.1159/000177503

    authors: Parmley WW

    更新日期:1997-01-01 00:00:00

  • Influence of propranolol on exercise prescription of training heart rates.

    abstract::Review of a longitudinal study of the effects of 40 mg of propranolol orally in 14 patients with coronary heart disease demonstrated a minor but not statistically significant change in the relationship of percentage of maximal oxygen uptake to percentage of maximal heart rate. In a cross-sectional comparison of severa...

    journal_title:Cardiology

    pub_type: 杂志文章

    doi:10.1159/000170794

    authors: Hossack KF,Bruce RA,Clarke LJ

    更新日期:1980-01-01 00:00:00

  • Renal function in borderline hypertensive first-degree relatives of essential hypertensives. Effects of sodium load.

    abstract::Renal function in the basal state and after sodium load has been investigated in 21 borderline, hypertensive, first-degree relatives of established hypertensives and in 21 age- and sex-matched, normal subjects with no family history of hypertension. During intravenous infusion of inulin and p-aminohippurate in saline,...

    journal_title:Cardiology

    pub_type: 杂志文章

    doi:10.1159/000173517

    authors: Trimarco B,De Simone A,Volpe M,Ricciardelli B,Ungaro B,Sacca L,Rengo F,Condorelli M

    更新日期:1982-01-01 00:00:00

  • Value of three-dimensional echocardiography as an adjunct to conventional transesophageal echocardiography.

    abstract::Three-dimensional imaging of cardiac structures could enhance the functional understanding and the interpretation of pathologies. Limited processing capabilities, relocation problems and inadequate two-dimensional image quality have previously limited its applicability. Recently, an integrated echocardiographic comput...

    journal_title:Cardiology

    pub_type: 杂志文章

    doi:10.1159/000177116

    authors: Binder T,Globits S,Zangeneh M,Gabriel H,Röthy W,Glogar D,Maurer G,Baumgartner H

    更新日期:1996-07-01 00:00:00

  • Height Is Associated with Dyslipidemia in Korean Premenopausal Women: Data from the Korea National Health and Nutrition Examination Survey.

    abstract:BACKGROUND:The association between height and cardiovascular disease (CVD) has been reported in epidemiological studies for decades; however, the mechanism for this relationship is still unclear. We previously reported that dyslipidemia was associated with adult height in Korean men without CVD. OBJECTIVES:This study ...

    journal_title:Cardiology

    pub_type: 新闻

    doi:10.1159/000509631

    authors: Hwang IC,Park YM,Kang WC,Moon J

    更新日期:2020-01-01 00:00:00

  • Transcatheter aortic valve implantation for a failed bio-bentall in patients with Marfan syndrome.

    abstract::Patients with Marfan syndrome are at risk for ascending aortic dilation and dissection at the level of the aortic sinuses, making aortic root and valve replacement common. Patients undergoing an aortic root replacement with concomitant replacement of the aortic valve with a bioprosthesis (Bio-Bentall) are predisposed ...

    journal_title:Cardiology

    pub_type: 杂志文章

    doi:10.1159/000357265

    authors: Beigel R,Siegel RJ,Kahlon RS,Jilaihawi H,Cheng W,Makkar RR

    更新日期:2014-01-01 00:00:00

  • Calcium antagonists.

    abstract::At present nitrates remain the initial treatment for relief or prevention of angina in patients with coronary artery disease. In cases where nitrates and beta blockers have been used and are ineffective for managing effort angina, calcium antagonists may be substituted or added to the beta-blocking treatment. When the...

    journal_title:Cardiology

    pub_type: 杂志文章,评审

    doi:10.1159/000173886

    authors: Conti CR,Pepine CJ,Feldman RL,Hill JA

    更新日期:1985-01-01 00:00:00

  • ACP1 genetic polymorphism and coronary artery disease: an association study.

    abstract:OBJECTIVES:Assuming an immune component in the pathogenesis of atherosclerosis, we have investigated a possible association between coronary artery disease (CAD) and the acid phosphatase locus 1 (ACP1) genetic polymorphism, which has previously been found to be associated with immune disorders. METHODS:226 subjects ad...

    journal_title:Cardiology

    pub_type: 杂志文章

    doi:10.1159/000203405

    authors: Banci M,Saccucci P,D'Annibale F,Dofcaci A,Trionfera G,Magrini A,Bottini N,Bottini E,Gloria-Bottini F

    更新日期:2009-01-01 00:00:00

  • Effect of autologous bone marrow cell transplantation combined with off-pump coronary artery bypass grafting on cardiac function in patients with chronic myocardial infarction.

    abstract:OBJECTIVES:This study aimed to investigate the feasibility and effects of intramuscular injections of autologous bone marrow cells (BMC) combined with off-pump coronary artery bypass grafts (OPCAB) on improving cardiac function in chronic myocardial infarction patients. METHODS:Ninety patients with chronic myocardial ...

    journal_title:Cardiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1159/000369381

    authors: Wang H,Wang Z,Jiang H,Ma D,Zhou W,Zhang G,Chen W,Huang J,Liu Y

    更新日期:2015-01-01 00:00:00

  • Objective Physical Activity Assessment in Clinical Congenital Heart Disease Research: A Systematic Review on Study Quality, Methodology, and Outcomes.

    abstract:BACKGROUND:The shift toward a preventative approach in medical aftercare of congenital heart disease (CHD) patients has led to encouragement of regular physical activity (PA) in this patient population. Objective measures are crucial in accurately displaying PA levels and have increasingly found their way into clinical...

    journal_title:Cardiology

    pub_type:

    doi:10.1159/000512186

    authors: Brudy L,Meyer M,Garcia-Cuenllas L,Oberhoffer R,Hager A,Ewert P,Müller J

    更新日期:2021-01-13 00:00:00

  • Aortic stiffness is an independent predictor of left ventricular function in patients with coronary heart disease.

    abstract::Although aortic stiffness plays an important role in patients with coronary artery disease (CAD), the influence of aortic stiffness on left ventricular systolic function has not yet been fully evaluated. In the present study, we measured brachial-ankle pulse wave velocity (baPWV), which is a new index of aortic stiffn...

    journal_title:Cardiology

    pub_type: 杂志文章

    doi:10.1159/000082472

    authors: Sakuragi S,Iwasaki J,Tokunaga N,Hiramatsu S,Ohe T

    更新日期:2005-01-01 00:00:00

  • The Role of Platelet-Derived Growth Factor-B/Platelet-Derived Growth Factor Receptor-β Signaling in Chronic Atrial Fibrillation.

    abstract:OBJECTIVE:To explore the role of platelet-derived growth factor-B (PDGF-B)/platelet-derived growth factor receptor-β (PDGFR-β) signaling in chronic atrial fibrillation (AF). METHODS:Thirty-nine AF patients and 33 patients with sinus rhythm (SR) were enrolled. Twenty canines were randomized into 5 groups: control, sham...

    journal_title:Cardiology

    pub_type: 杂志文章

    doi:10.1159/000442940

    authors: Jiang Z,Zhong G,Wen L,Hong Y,Fang S,Sun P,Li S,Li S,Feng G

    更新日期:2016-01-01 00:00:00

  • The use of ticagrelor in a patient at increased risk of stent thrombosis resistant to multiple thienopyridines.

    abstract::Ticagrelor has been shown to be superior to clopidogrel in patients presenting with acute myocardial infarction who undergo early invasive treatment. We discuss a hitherto unreported use of ticagrelor in the management of a patient resistant to multiple thienopyridines at high risk of stent thrombosis. ...

    journal_title:Cardiology

    pub_type: 杂志文章

    doi:10.1159/000329916

    authors: Morgan KP,More RS,Chauhan A

    更新日期:2011-01-01 00:00:00

  • Haemodynamic changes in essential hypertension in young subjects.

    abstract::The haemodynamic changes in essential hypertension were investigated in 7 girls and 4 boys under the age of 18 years. The Fick method was used for the estimation of cardiac output (CO). The cardiac indices (CIs) ranged form 2.8 to 6.6 litres/min/m2 and the total peripheral resistance (TPR) from 1,100 to 2,860 dyn/s/cm...

    journal_title:Cardiology

    pub_type: 杂志文章

    doi:10.1159/000173507

    authors: Uhari M,Paavilainen T

    更新日期:1982-01-01 00:00:00