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Trans-Catheter Pulmonary Valve Implantation: Procedure
Trans-Catheter Pulmonary Valve Implantation: Procedure

... pulmonary branches, which has to be excluded after stentimplantation. A large low pressure balloon may help to define the correct implantation site. Compared to conventional pulmonary angiography, this approach may improve flare and will reduce the amount of contrast used. Patients with previous bio ...
The Posterior Ventricular Branches of the Coronary Arteries in the
The Posterior Ventricular Branches of the Coronary Arteries in the

... The clinical application of the anatomical study of the ventricular branches of coronary arteries is the execution and interpretation of examination methods and the planning and performing of cardiovascular disease treatment 1-6. In 1940, Schlesinger 1 developed the anatomical concept of balance or ...
Superior vena cava syndrome caused by a - Heart
Superior vena cava syndrome caused by a - Heart

... completely understood, but suture line tension and persistent bleeding into the space between the graft and the wrapped aorta wall seem to be most important.3 SVCS is a clinical entity resulting from intravascular obstruction or extrinsic compression. McIntire and Sykes4 reported in 1949 a series of ...
Issues in Anesthesia for the Post
Issues in Anesthesia for the Post

... Another important aspect in care of these patients is emotional care. These children have been through many medical procedures and contacts with physicians and hospitals. Therefore we must address their emotional needs and the emotional needs of their parents when they come for surgical procedures. ...
Cigarette Smoking and Coronary Blood Flow
Cigarette Smoking and Coronary Blood Flow

... toxic effects on the vascular system is the endothelium, and, specifically with regards to the coronary system, the coronary endothelium. Nicotine alters the shape of endothelial cells and reduces prostacycline production.5 Increased endothelial cell proliferation and intimal hyperplasia as a result ...
Biventricular pacemaker implantation with the BV Pulsera
Biventricular pacemaker implantation with the BV Pulsera

... pacing, both the left and the right ventricle are resynchronized, providing better cardiac output and stroke volume. Biventricular pacing is usually applied in patients with very poor ejection fractions of less than 30%, and the heart must be paced 100% of the time to provide symptomatic benefit. Th ...
The Potential Impact of Primary Percutaneous
The Potential Impact of Primary Percutaneous

... AMI was defined as typical chest pain lasting for ⬎ 30 min with ST-segment elevation of ⬎ 1 mm in two consecutive precordial or inferior leads, or typical chest pain lasting for ⬎ 30 min with a new onset of complete left bundle branch block. Early MI was defined as an AMI that developed at ⬎ 12 h an ...
The Potential Impact of Primary Percutaneous Coronary Intervention
The Potential Impact of Primary Percutaneous Coronary Intervention

... AMI was defined as typical chest pain lasting for ⬎ 30 min with ST-segment elevation of ⬎ 1 mm in two consecutive precordial or inferior leads, or typical chest pain lasting for ⬎ 30 min with a new onset of complete left bundle branch block. Early MI was defined as an AMI that developed at ⬎ 12 h an ...
12 Lead EKG 101
12 Lead EKG 101

... •The 12-lead can provide a computer generated interpretation. •When you see “ACUTE MI SUSPECTED” the machine is right about 98% of the time. •In order to attain specificity, if the computer isn’t absolutely sure that an AMI is present, it will not say anything about it. •In other words YOU are the p ...
Fig. 2
Fig. 2

... segment may serve as a region of interest for the analysis of changes in the high-frequency content of pressure signal. The recent introduction of the miniature pressure wires with the acquisition of high-fidelity pressure signal across intracoronary lesions enables the application of spectral analy ...
A Study of Hemodynamics and Coronary Blood Flow in
A Study of Hemodynamics and Coronary Blood Flow in

... 25% occlusion of the anterior descending coronary artery. Disease of the left mainstem coronary artery was considered to be a special circumstance since it supplies both the circumflex and the anterior descending arteries. Consequently a value of 200 was assigned to the left mainstem coronary artery ...
Diagnosis of Acute Myocardial Infarction
Diagnosis of Acute Myocardial Infarction

... excludes myocardial ischemia or infarction, and the presence of regional wall motion abnormalities helps in confirming the diagnosis. It helps in diagnosis and exclusion of acute MI in patients with prolonged chest pain and nondiagnostic elec­trocardiographic findings; esti­mation of the amount of m ...
Management of Stable Angina Pectoris
Management of Stable Angina Pectoris

... Albany Medical College ...
Case report: Persistent truncus arteriosus with intact ventricular
Case report: Persistent truncus arteriosus with intact ventricular

... case of PTA with intact interventricular septum and left ventricular hypoplasia in animals. However, concurrence of these malformations was reported as a rare variant in a few human infants [1]. In these reports; TA arising from left ventricle or right ventricle [1] co-existed with the opposite vent ...
this PDF file - Smart Science Technology
this PDF file - Smart Science Technology

... CPB. They showed that the immune reaction was less in patients exposed to desflurane anesthesia when compared to propofol anesthesia, as indicated by lower plasma concentrations of IL-8 and IL-6. Mixed intravenous/Inhalation anesthesia Renewed interest in volatile agents came about following studies ...
Comparison of pulmonary uptake with transient cavity dilation after
Comparison of pulmonary uptake with transient cavity dilation after

... section to adjust for relative defect size in relation to the entire left ventricle. A redistribution score was calculated in an analogous manner from the redistribution images and the stress defect score. A size index was calculated from the total number of short axis sections and from the average ...
Original Article Ventricular septal rupture complicating acute
Original Article Ventricular septal rupture complicating acute

... (AMI). While the incidence has decreased, the mortality rate from VSR has remained extremely high. The use of mechanical circulatory support with intra-aortic balloon pump (IABP) and extracorporal membrane oxygenation (ECMO) may be useful in providing hemodynamic stability and time for myocardial sc ...
Defining the mid-diastolic imaging period for cardiac CT – lessons
Defining the mid-diastolic imaging period for cardiac CT – lessons

... University of New South Wales, Sydney, NSW, Australia ...
Impaired fasting glucose is associated with increased
Impaired fasting glucose is associated with increased

... hyperglycaemia and CAD burden.16 Conventional angiography, however, is limited by its inability to identify the non-obstructive plaque burden. CCTA, on the other hand, is ideally suited to identify and semiquantify all plaque. DM has been evaluated by CAC in multiple studies, and the increased preva ...
Effects of supplemental oxygen administration on coronary blood
Effects of supplemental oxygen administration on coronary blood

... affect the magnitude of the CBF response to the endotheliumindependent dilator adenosine; thus postadenosine CBF averaged 108 ⫾ 34 cm3/min with subjects breathing room air vs. 108 ⫾ 32 cm3/min with subjects breathing 100% oxygen (P ⫽ NS). In contrast, oxygen administration blunted the CBF response t ...
CAR Guidelines and Standards for Cardiac Computed Tomography
CAR Guidelines and Standards for Cardiac Computed Tomography

... the sensitivity or specificity of an investigation is not affected by disease prevalence, they are influenced by the composition of the population on which an investigation is assessed [47, 48]. In the context of CCTA, in a population with a low or intermediate likelihood of coronary disease, not on ...
Apical Hypertrophic Cardiomyopathy: The Ace-of
Apical Hypertrophic Cardiomyopathy: The Ace-of

... sarcomeric mutation (as in apical HCM). 8 In patients with apical HCM, first-pass gadolinium delayed-enhanced cardiac MRI may show local delayed enhancement in the subendocardium in the hypertrophic lesion.8 A more recent method of evaluating cardiomyopathy is cardiac MSCT. Cardiac MSCT has the adva ...
PDF - Medical Journal of Australia
PDF - Medical Journal of Australia

... risk reduction in the context of secondary CHD prevention, and hence a lower number needed to treat to prevent one coronary event (about 20–30 compared with about 50–60). One report presents the results of meta-analysis in a helpful manner.5 In 58 statin trials, an average reduction in LDL-C concent ...
Plavix® Consultants Kit Blue
Plavix® Consultants Kit Blue

... Cumulative CRUSADE data (adjusted) through September 2004. Adapted with permission from CRUSADE Web site. Available at: http://www.crusadeqi.com. Accessed February 10, 2005. ...
Exam C 2009 - Pharm D Notes
Exam C 2009 - Pharm D Notes

... NNH = 1/ARR = 1/.013 = 76.9 or 77 patients. For every 77 patients treated with the novel antiplatelet drug, 1 will have a major bleed. 24. In your opinion, do the benefits of the novel antiplatelet drug outweigh the risks? (3pts) The students should generally discuss that the NNT of 44 is lower than ...
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Drug-eluting stent



A drug-eluting stent (DES) is a peripheral or coronary stent (a scaffold) placed into narrowed, diseased peripheral or coronary arteries that slowly releases a drug to block cell proliferation. This prevents fibrosis that, together with clots (thrombi), could otherwise block the stented artery, a process called restenosis. The stent is usually placed within the peripheral or coronary artery by an interventional cardiologist or interventional radiologist during an angioplasty procedure.Drug-eluting stents in current clinical use were approved by the FDA after clinical trials showed they were statistically superior to bare-metal stents for the treatment of native coronary artery narrowings, having lower rates of major adverse cardiac events (usually defined as a composite clinical endpoint of death + myocardial infarction + repeat intervention because of restenosis). The first drug-eluting stents to be approved in Europe and the U.S. were coated with paclitaxel or an mTOR inhibitor, such as sirolimus.
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