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Bioresorbable stent unloading during percutaneous coronary intervention:Early detection and management
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作者 Nabil Eid Mohamed Abdel Wahab Amardev Singh Thanu 《World Journal of Cardiology》 2024年第10期616-618,共3页
In this letter,we comment on a recent case report by Sun et al in the World Journal of Cardiology.The report describes the successful management of a rare complication:The unloading or detachment of a bioresorbable st... In this letter,we comment on a recent case report by Sun et al in the World Journal of Cardiology.The report describes the successful management of a rare complication:The unloading or detachment of a bioresorbable stent(BRS)during percutaneous coronary intervention(PCI)in a male patient.The unloading of BRS was detected via angiography and intravascular ultrasound(IVUS)imaging of the left coronary artery and left anterior descending artery.Although this case is interesting,the authors’report lacked crucial details.Specifically,insufficient information about the type of BRS used,potential causes of BRS unloading,or whether optical coherence tomography(OCT)imaging for coronary arteries was performed before,during,or after PCI.The OCT imaging of coronary arteries before PCI can potentially prevent BRS unloading due to its higher resolution compared to IVUS.In addition,despite detecting myocardial bridging during the PCI,the authors did not provide any details regarding this variation.Here we discuss the various types of BRS,the importance of OCT in PCI,and the clinical relevance of myocardial bridging. 展开更多
关键词 coronary artery diseases percutaneous coronary intervention Optical coherence tomography Bioresorbable/Biodegradable stents Stent unloading/detachment Myocardial bridge Intravascular ultrasound coronary angiography
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Application of the interventional limb raising management strategy(ILRMS) at radial vascular access sites in coronary angiography and percutaneous coronary intervention:A randomized trial 被引量:2
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作者 Wen-Jie Zhang Jin-Chuan Yan Zhong-Qun Wang 《International Journal of Nursing Sciences》 2016年第1期54-57,共4页
Purpose:To compare the effectiveness of the interventional limb raising management strategy(ILRMS)to elastic bandage compression at radial vascular access sites following coronary angiographies(CAGs)and percutaneous c... Purpose:To compare the effectiveness of the interventional limb raising management strategy(ILRMS)to elastic bandage compression at radial vascular access sites following coronary angiographies(CAGs)and percutaneous coronary interventions(PCIs).Methods:Patients with ischemic coronary heart disease whose condition was stable over three months were enrolled in this clinical study(n=590;aged 25e80).All participants had just undergone CAG and PCI.Patients were randomized into either the ILRMS group(n=360)or standard post-intervention care with an elastic bandage(n=230).Overall comfort and wrist pain was assessed and the degree of index finger swelling and oxygen saturation was measured on the affected arm.All variables were measured prior to postintervention treatment and again at six hours after CAG and PCI.Results:We found that patients receiving ILRMS had significantly lower wrist pain scores and swelling around the index finger compared to the elastic bandage group(p<0.05).Oxygen saturation of the index finger was not statistically significant(p>0.05).We also found that 19.57%of the elastic bandage patients were comfortable,while ILRMS patients were significantly more comfortable(93.06%;p<0.05).Conclusions:We find that ILRMS alleviates swelling and pain of the wrist more effectively than current practices and improves the degree of overall comfort of patients who undergo CAG and PCI. 展开更多
关键词 interventional limb raising management strategy coronary angiography percutaneous coronary intervention NURSING
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Comparison of Clinical Value between Right Distal Radial Artery Access and Right Radial Artery Access in Patients Undergoing Coronary Angiography or Percutaneous Coronary Intervention
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作者 Wen Pan Haixiang Xu +1 位作者 Qingjun Liu Jianhua Fan 《Cardiovascular Innovations and Applications》 2020年第4期103-107,共5页
Objective:To compare the feasibility and safety between right distal radial artery access and right radial artery access in patients undergoing coronary angiography(CAG)or percutaneous coronary intervention(PCI).Metho... Objective:To compare the feasibility and safety between right distal radial artery access and right radial artery access in patients undergoing coronary angiography(CAG)or percutaneous coronary intervention(PCI).Methods:On the basis of arterial access,113 patients who underwent CAG or PCI in Kunshan Hospital of Traditional Chinese Medicine between January and October 2018 were divided into two groups:a right distal radial artery group(52 patients)and a right radial artery group(61 patients).We collected general information,the number of puncture attempts,access times,postoperative compression time,and complications.Results:The general characteristics,rate of successful radial artery puncture,and rate of successful catheter placement in the two groups were not different.The right radial artery group had fewer puncture attempts(1.26±0.44 times vs.2.19±0.53 times,P=0.001)and a shorter access time(3.23±0.86 min vs.4.77±1.49 min,P=0.001)than the right distal radial artery group.However,the postoperative compression time in the right distal radial artery group was shorter(3.44±0.9 h vs.7.16±1.21 h,P=0.001).Two cases of bleeding,four cases of hematoma,and one case of artery occlusion in the right radial artery group and one case of hematoma in the right distal artery group occurred before discharge.The rate of total complications in the right distal radial artery group was lower than in the right radial artery group(1.93%vs.11.48%,P=0.048).Conclusion:CAG or PCI through the right distal radial artery is feasible and safe. 展开更多
关键词 distal radial artery access radial artery access coronary angiography percutaneous coronary intervention
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Homocysteine is associated with the progression of non-culprit coronary lesions in elderly acute coronary syndrome patients after percutaneous coronary intervention 被引量:24
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作者 Tian-Wen HAN Shan-Shan ZHOU +5 位作者 Jian-Tao LI Feng TIAN Yang MU Jing JING Yun-Feng HAN Yun-Dai CHEN 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2016年第4期299-305,共7页
Background The influence of homocysteine (Hcy) on the migration and proliferation of vascular smooth muscle cells has been well established. However, the impact of Hcy levels on the progression of non-culprit corona... Background The influence of homocysteine (Hcy) on the migration and proliferation of vascular smooth muscle cells has been well established. However, the impact of Hcy levels on the progression of non-culprit coronary lesions (NCCLs) is controversial. This study aims to evaluate whether the plasma level of Hcy is related to the progression of NCCLs after percutaneous coronary stent implantation in elderly patients with acute coronary syndrome (ACS). Methods A total of 223 elderly patients (〉 65 years old) with ACS undergoing stent im- plantation and follow-up coronary angiography were enrolled. Laboratory determination comprised of blood sample evaluation for Hcy was carried out before baseline coronary intervention. The patients were classified into two groups according to the blood Hcy tertiles (〉 15 mmol/L or 〈 15 mmol/L). Patients were followed up for 12.2 months. NCCL progression was assessed by three-dimensional quantitative coronary angiography. Results A significantly higher ratio of NCCL progression was observed in the group with baseline Hcy concentrations above 15 mmol/L compared to the group with concentrations below 15 mmol/L (41/127, 32.3% vs. 14/96, 14.6%, P = 0.002). Multivariate Cox regression analysis showed that Hcy and diabetes mellitus were independent risk factors for NCCL progression. The crude haz- ard ratio (HR) of NCCL progression for Hcy level was 1.056 (95% CI: 1.01-1.104, P = 0.015). The adjusted HR of NCCL progression for Hcy level was 1.024 (95% CI: 1.007-1.042, P = 0.007). The adjusted HR of NCCL progression for diabetes mellitus was 1.992 (95% CI: 1.15-3.44, P = 0.013). Conclusions Hcy is an independent risk factor for NCCL progression after 12 months of follow-up in elderly patients with ACS who has undergone percutaneous coronary stenting. 展开更多
关键词 coronary angiography Elderly patients HOMOCYSTEINE Non-culprit coronary lesion percutaneous coronary intervention
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Diagnostic and prognostic value of minor elevated cardiac troponin levels for percutaneous coronary intervention-related myocardial injury:a prospective,single-center and double-blind study 被引量:12
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作者 Min Zhang Huiwei He +9 位作者 Ze-Mu Wang Zhihui Xu Ningtian Zhou Zhengxian Tao Bo Chen Chunjian Li Tiebing Zhu Di Yang Liansheng Wang Zhijian Yang 《The Journal of Biomedical Research》 CAS 2014年第2期98-107,共10页
Cardiac troponin-I (cTnI) and -T (cTnT) are sensitive and specific markers of myocardial injury. However, the role of increased cTnI and cTnT in percutaneous coronary intervention (PCI)-related myocardial injury... Cardiac troponin-I (cTnI) and -T (cTnT) are sensitive and specific markers of myocardial injury. However, the role of increased cTnI and cTnT in percutaneous coronary intervention (PCI)-related myocardial injury remains controversial. In this prospective, single-center and double-blind study, we aimed to determine the diagnostic and prognostic value of cTnI as well as cTnT (cTns) in PCI-related myocardial injury in a Chinese population. A total of 1,008 patients with stable angina pectoris and non-ST-segment elevation acute coronary syndrome were recruited. The levels of cTnI and cTnT were examined before and after PCI. All patients were followed up for 26± 9 months to observe the incidence of major adverse cardiac events (MACEs). Our results showed that post- PCI cTnI and/or cTnT levels were increased to more than the 99^th percentile upper reference limit (URL) in 133 (13.2%) patients, among which 22 (2.2%) were more than 5 × 99^th percentile URL. By univariate analysis, an elevation in cTns after PCI was not an independent predictor of increased MACEs, HR 1.35 (P = 0.33, 95% CI: 0.74-2.46). In conclusion, our data demonstrate that the incidence of PCI-related myocardial injury is not common in a Chinese population and minor elevated cTns levels may not be a sensitive prognostic marker for MACEs. 展开更多
关键词 percutaneous coronary intervention (pci TROPONINS pci-related myocardial injury major adversecardiac events diagnosis prognosis
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Effect of a distal protection device on epicardial blood flow and myocardial perfusion in primary percutaneous coronary intervention 被引量:5
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作者 ZHOU Bin-quan TAHK Seung-Jea 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2007年第8期575-579,共5页
Objective: The beneficial effect of percutaneous coronary intervention (PCI) in patients with acute myocardial infarction (AMI) has been well established, but there is the problem of no-reflow phenomenon which is an a... Objective: The beneficial effect of percutaneous coronary intervention (PCI) in patients with acute myocardial infarction (AMI) has been well established, but there is the problem of no-reflow phenomenon which is an adverse prognostic factor in primary PCI. In the present study the effect of a distal protection device (PercuSurge GuardWire; GW) on epicardial blood flow and myocardial perfusion was evaluated. Methods and Results: Patients with AMI were randomly divided into 2 groups, the GW and the control groups. The GW group included 52 patients with AMI who underwent primary PCI with GW protection and the control group included 60 patients who underwent primary PCI without GW protection. Epicardial blood flow in the infarct-related artery (IRA) and myocardial perfusion were evaluated according to the thrombolysis in myocardial infarction (TIMI) flow grade and the myocardial blush grade (MBG). We found TIMI score of 3 was obtained significantly more frequently in the GW group (96%) than in the control group (80%). The MBG score of 3 was obtained also significantly greater in the GW group (65%) than in the control group (33%). Conclusion: Primary PCI with GW protection can significantly improve epicardial blood flow and myocardial perfusion. 展开更多
关键词 Acute myocardial infarction (AMI) Distal protection device percutaneous coronary intervention (pci
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Initial Experience on Anatomical Snuff Box Approach for Coronary Angiogram &Percutaneous Coronary Intervention in a Tertiary Care Center Nepal 被引量:3
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作者 Ratna Mani Gajurel Ravi Sahi +2 位作者 Hemant Shrestha Sanjeev Thapa Rajaram Khanal 《World Journal of Cardiovascular Diseases》 2018年第12期578-587,共10页
Introduction: Coronary Angiogram and Percutaneous Coronary Interventions are commonly performed via the femoral route. Then, transradial coronary catheterization became a popular & default technique due to less va... Introduction: Coronary Angiogram and Percutaneous Coronary Interventions are commonly performed via the femoral route. Then, transradial coronary catheterization became a popular & default technique due to less vascular access site complications and bleeding as compared to femoral route. Distal puncture of the radial artery through the anatomical snuff box access, however, has recently been shown potential benefit, like comfort to patients and operators, as well as maintenance of blood flow through the superficial palmar arch, in case of radial artery occlusion. Our aim was to evaluate the safety and feasibility of this new approach. Methods: A cross-sectional observational prospective study of patients underwent invasive diagnostic or therapeutic coronary procedures through the distal trans-radial access and traditional radial access. The primary endpoints were to access difficulties and in-hospital access-site related complications. Results: In 2 months, 190 patients underwent coronary procedures, of which 82 (43%) were selected in both distal transradial & traditional radial group. In 2(2.4%) & 3 (3.6%) cases, distal radial & traditional radial access cannulation was unsuccessful respectively (p >0.05). The mean age was 57.7 ± 10 & 57.2 ± 10 years in successful distal transradial & traditional radial cases respectively. There were no any major vascular complications in distal transradial group while there were 2 vascular complications in traditional radial group (p > 0.05). Conclusions: Distal transradial access is feasible and safe in selected cases, when performed by experienced operators. Larger case series and randomized trials are required to determine its efficacy in reducing vascular complications when comparing to the traditional technique. 展开更多
关键词 CAD: coronary ARTERY Disease cag: coronary ANGIOGRAM pci: percutaneous coronary intervention Radial Artery: RA
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Stent visualization methods to guide percutaneous coronary interventions and assess long-term patency 被引量:1
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作者 Chadi Ghafari Stéphane Carlier 《World Journal of Cardiology》 2021年第9期416-437,共22页
Evaluation of acute percutaneous coronary intervention(PCI)results and longterm follow-up remains challenging with ongoing stent designs.Several imaging tools have been developed to assess native vessel atherosclerosi... Evaluation of acute percutaneous coronary intervention(PCI)results and longterm follow-up remains challenging with ongoing stent designs.Several imaging tools have been developed to assess native vessel atherosclerosis and stent expansion,improving overall PCI results and reducing adverse cardiac events.Quantitative coronary analysis has played a crucial role in quantifying the extent of coronary artery disease and stent results.Digital stent enhancement methods have been well validated and improved stent strut visualization.Intravascular imaging remains the gold standard in PCI guidance but adds costs and time to the procedure.With a recent shift towards non-invasive imaging assessment and coronary computed tomography angiography imaging have shown promising results.We hereby review novel stent visualization techniques used to guide PCI and assess stent patency in the modern PCI era. 展开更多
关键词 percutaneous coronary intervention Stent visualization Stent underexpansion Quantitative coronary analysis Digital stent enhancement Intravascular ultrasound Optical coherence tomography coronary computed tomography angiography
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The changes of Hs-CRP and WBC count after percutaneous coronary intervention in different types of coronary heart diseases 被引量:1
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作者 Xiaobing Ji Zhijian Yang Chunjian Li Enzhi Jia Zhuowen Xu Sheng Zhang Keijiang Cao Wenzhu Ma 《Journal of Nanjing Medical University》 2008年第4期246-249,共4页
Objective: To investigate the regulation of High sensitive C-reactive protein(Hs-CRP) and WBC count in patients with coronary heart disease(CHD) by percutaneous transluminal intervention(PCI) and to discuss the... Objective: To investigate the regulation of High sensitive C-reactive protein(Hs-CRP) and WBC count in patients with coronary heart disease(CHD) by percutaneous transluminal intervention(PCI) and to discuss the mechanism of inflammatory reaction after coronary stenting. Methods:127 patients who received successful percutaneous transluminal coronary stenting, were divided into groups of stable angina(SAP), unstable angina(UAP), and acute myocardial infarction(AMI) according to their clinical types. Another 41 stable angina patients with more than 70% of coronary artery tenosis who did not receive PCI served as control. Serum Hs-CRP levels and WBC count were determined before intervention, 3 days and 7 days post PCI and the data were analyzed statistically by t-test. Results: There showed no difference in clinical baseline characteristics between groups. The serum Hs-CRP level and WBC count was gradually raised in the UAP and AMI group(how about SAP group, andhad no difference in CAG group and SAP group). After PCI serum HsCRP levels and WBC counts were significantly higher in the SAP group than in the coronary angiography group(CAG) at 3 days and had no difference at 7 days. In the UAP and AMI group, the serum Hs-CRP level at 3 days and 7 days declined obviously, however serum WBC count did not decrease apparently. Conclusion: The serum Hs-CRP level and WBC count elevate transiently after PCI. There are different inflammatory reactions in different types of coronary heart diseases after coronary stenting procedure. 展开更多
关键词 high sensitive C-reactive protein(Hs-CRP) coronary heart disease percutaneous transluminal intervention(pci) WBC count
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Unfavorable Outcome of Percutaneous Coronary Intervention for Coronary Heart Disease with Rare Severe Pericoronary Fat Stranding 被引量:1
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作者 Hui Hui Yousheng Yuan +4 位作者 Zhaoqian Wang Yana Dou Xixia Sun Yujie Zou Chongfu Jia 《World Journal of Cardiovascular Diseases》 2021年第6期292-297,共6页
<strong>Background:</strong> <span style="font-family:;" "=""><span style="font-family:Verdana;">Pericoronary fat stranding (PCFS) is a novel noninvasive imag... <strong>Background:</strong> <span style="font-family:;" "=""><span style="font-family:Verdana;">Pericoronary fat stranding (PCFS) is a novel noninvasive imaging sign of coronary inflammation, and has important implications for cardiovascular risk stratification, and the outcome of percutaneous coronary intervention (PCI) for coronary heart disease patients with pericoronary fat stranding remains unknown. </span><b><span style="font-family:Verdana;">Aim: </span></b><span style="font-family:Verdana;">We report two rare cases of PCI-treated coronary heart disease patients with severe PCFS. </span><b><span style="font-family:Verdana;">Case Presentation: </span></b><span style="font-family:Verdana;">This is the first report of two rare cases of PCI for patients with coronary heart disease surrounded by severe PCFS. We demonstrated that the outcome in these cases is poor, and in-stent restenosis or occlusion occurs rapidly within 2</span></span><span style="font-family:;" "=""></span><span style="font-family:Verdana;">-</span><span style="font-family:Verdana;"> </span><span style="font-family:;" "=""><span style="font-family:Verdana;">6 months following PCI. However, Case 2 underwent coronary artery bypass grafting after the rapid occurrence of in-stent occlusion, and the bypass graft remained intact over the 5 years following coronary artery bypass grafting. </span><b><span style="font-family:Verdana;">Conclusion: </span></b><span style="font-family:Verdana;">Coronary artery bypass grafting rather than PCI may be appropriate for coronary heart disease patients with severe PCFS.</span></span> 展开更多
关键词 Computed Tomographic angiography coronary Artery Disease Pericoronary Fat percutaneous coronary intervention OUTCOME
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Percutaneous coronary intervention in the elderly:a growing need for a growing population
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作者 Samuel J.Shubrooks 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2005年第1期3-9,共7页
Persons aged 80 and above are the fastest growing age group in the United States population, having increased 50% since 1990 and predicted to grow another 25% by 2020.
关键词 pci percutaneous coronary intervention in the elderly CABG THAN
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Percutaneous Coronary Intervention in Chronic Total Occlusion of Anomalous Right Coronary Artery
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作者 Sanjay C. Porwal H. Vishwanath +2 位作者 Rajesh Tasgaonkar Tulsee Sitapara Ashok Thakkar 《International Journal of Clinical Medicine》 2014年第10期567-571,共5页
Chronic total occlusion of an anomalous right coronary artery arising from left coronary sinus is uncommon. We are describing a case of a 71 years old patient presented with severe chest pain along with exertional dys... Chronic total occlusion of an anomalous right coronary artery arising from left coronary sinus is uncommon. We are describing a case of a 71 years old patient presented with severe chest pain along with exertional dyspnea with an inferior wall myocardial infarction. Coronary angiography showed anomalous right coronary artery originating from left coronary sinus having chronic total occlusion in proximal portion and normal left anterior descending artery and left circumflex artery. We were successful in implanting the two stents at an occlusive region with good angiographic results. 展开更多
关键词 ANOMALOUS Right coronary ARTERY percutaneous coronary intervention coronary angiography
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Advances in Periprocedural Anticoagulation for Percutaneous Coronary Interventions
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作者 Dan Yao 《Open Journal of Internal Medicine》 CAS 2022年第4期199-206,共8页
Percutaneous coronary intervention (PCI) is commonly used in the surgical treatment of patients with various types of cardiac diseases. Some patients require long-term anticoagulation in the presence of deep vein thro... Percutaneous coronary intervention (PCI) is commonly used in the surgical treatment of patients with various types of cardiac diseases. Some patients require long-term anticoagulation in the presence of deep vein thrombosis, atrial fibrillation and mechanical heart valves, and inappropriate anticoagulation during the perioperative period may lead to bleeding events or thrombotic events. In this paper, the importance of anticoagulation in the practical application of percutaneous coronary intervention (PCI) is first introduced, and then the various drug regimens used in the perioperative anticoagulation of percutaneous coronary intervention are explored in detail in the light of current research advances, with a view to providing guidance for clinical practice. 展开更多
关键词 percutaneous coronary intervention (pci) ANTICOAGULATION HEPARIN WARFARIN
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Comparative Nursing Study of Patients Undergoing Coronary Intervention Therapy in Different Ways
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作者 Qilian He Yuquan Luan +1 位作者 Yanfen Fu Jun Tang 《Journal of Biosciences and Medicines》 2019年第5期203-212,共10页
Purpose: To compare the surgical indicators, perioperative complications and postoperative psychological status of patients with coronary interventional therapy (CIT) by radical artery and femoral artery puncture appr... Purpose: To compare the surgical indicators, perioperative complications and postoperative psychological status of patients with coronary interventional therapy (CIT) by radical artery and femoral artery puncture approaches. Methods: 120 patients with CIT were divided into femoral artery group (FAG) and radial artery group (RAG) according to the operation ways. The interventional operation was performed by the same surgeon team and methods. Data of surgical indicators and perioperative complications were recorded and collected. The psychological questionare survey was made within 48 hours the after surgery by the hospital anxiety and depression scale (HAD), and the results were scored by the psychiatrist. Results: The age, sex, ethnicity, education level, disease type, and combined diseases of the two groups had homogeneity without statistical difference. There was no obvious difference in X-ray exposure time, contrast agent usage and operation time in two ways (P > 0.05). The success rate of one-time catheterization was higher in FAG than in RAG (P Conclusion: CIT via radial artery can reduce the incidence of postoperative complications, postoperative physical discomfort and psychological problems such as anxiety and depression of patients. 展开更多
关键词 NURSING coronary interventionAL Therapy (CIT) coronary Arterial angiography (cag) percutaneous coronary intervention (pci) Radical ARTERY FEMORAL ARTERY The Hospital Anxiety and Depression Scale (HAD)
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Performance of dual-source CT with high pitch spiral mode for coronary stent patency compared with invasive coronary angiography 被引量:10
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作者 Xia YANG Qiang YU +4 位作者 Wei DONG Zhen-Hong FU Jun-Jue YANG Jun GUO Yun-Dai CHEN 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2016年第10期817-823,共7页
Objective To investigate the performance of dual-source computed tomography (DSCT) using high-pitch spiral fliPS) mode for coronary stents patency. Methods We conducted a prospective study on 120 patients with 260 ... Objective To investigate the performance of dual-source computed tomography (DSCT) using high-pitch spiral fliPS) mode for coronary stents patency. Methods We conducted a prospective study on 120 patients with 260 previous stents implanted due to recurred suspicious symptoms of angina scheduled for invasive coronary angiography (ICA), while DSCT were conducted using HPS mode. Results There was no significant impact of age, body mass index or heat rate (HR) on image quality (P 〉 0.05), while HR variability had a slight impact on that (P 〈 0.05). Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) of DSCT in detection of in-stent restenosis (ISR) based per-patient were 92.3%, 96.7%, 88.9%, and 97.8%, respectively. And those based per-stent were 87%, 96.8%, 83.3%, and 97.7% with un-assessment stents, 97.4%, 99.5%, 97.4%, and 99.5% without un-assessment stents. There was significant differ- ence on sensitivity, specificity, PPV and NPV between diameter 〉 3.0 mm group (93.3%, 97.9%, 87.5%, and 98.9%) and diameter 〈 3.0 mm group (80%, 93.3%, 80.0%, and 93.3%) (P 〈 0.05), and that between stent number 〉 3 group (82.3%, 77.8%, 66.7%, and 60%) with 〈 3 group (97.3%, 80%, 96.5%, and 75%). The effective dose of DSCT (1.4 ± 0.5 mSv) is significantly less than that by invasive coronary angiography [4.0 ± 0.8 mSv (P 〈 0.01)]. Conclusion DSCT using HPS mode provides good diagnostic performance on stent patency with lower effective dose in patients with HR 〈 65 beats/rain. 展开更多
关键词 coronary angiography High-pitch spiral mode percutaneous coronary intervention STENT
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Coronary angiography findings in cardiac arrest patients with non-diagnostic post-resuscitation electrocardiogram:A comparison of shockable and non-shockable initial rhythms 被引量:3
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作者 Pedro Martínez-Losas Pablo Salinas +11 位作者 Carlos Ferrera María Teresa Nogales-Romo Francisco Noriega María Del Trigo Iván Javier Núnez-Gil Luis Nombela-Franco Nieves Gonzalo Pilar Jiménez-Quevedo Javier Escaned Antonio Fernández-Ortiz Carlos Macaya Ana Viana-Tejedor 《World Journal of Cardiology》 CAS 2017年第8期702-709,共8页
AIM To investigate the impact of coronary artery disease in a cohort of patients resuscitated from cardiac arrest with non-diagnostic electrocardiogram.METHODS From March 2004 to February 2016, 203 consecutive patient... AIM To investigate the impact of coronary artery disease in a cohort of patients resuscitated from cardiac arrest with non-diagnostic electrocardiogram.METHODS From March 2004 to February 2016, 203 consecutive patients resuscitated from in or out-of-hospital sudden cardiac arrest and non-diagnostic post-resuscitation electrocardiogram(defined as ST segment elevation or pre-sumably new left bundle branch block) whounderwent invasive coronary angiogram during hospitalization were included. For purpose of analysis and comparison, patients were classified in two groups: Initial shockable rhythm(ventricular tachycardia or ventricular fibrillation; n = 148, 72.9%) and initial non-shockable rhythm(n = 55, 27.1%). Baseline characteristics, coronary angiogram findings including Syntax Score and long-term survival rates were compared. RESULTS Sudden cardiac arrest was witnessed in 95.2% of cases, 66.7% were out-of-hospital patients and 72.4% were male. There were no significant differences in baseline characteristics between groups except for higher mean age(68.1 years vs 61 years, P = 0.001) in the nonshockable rhythm group. Overall 5-year mortality of the resuscitated patients was 37.4%. Patients with non-shockable rhythms had higher mortality(60% vs 29.1%, P < 0.001) and a worst neurological status at hospital discharge based on cerebral performance category score(CPC 1-2: 32.7% vs 53.4%, P = 0.02). Although there were no significant differences in global burden of coronary artery disease defined by Syntax Score(mean Syntax Score: 10.2 vs 10.3, P = 0.96) there was a trend towards a higher incidence of acute coronary lesions in patients with shockable rhythm(29.7% vs 16.4%, P = 0.054). There was also a higher need for ad-hoc percutaneous coronary intervention in this group(21.9% vs 9.1%, P = 0.03). CONCLUSION Initial shockable group of patients had a trend towards higher incidence of acute coronary lesions and higher need of ad-hoc percutaneous intervention vs nonshockable group. 展开更多
关键词 Sudden cardiac arrest ELECTROCARDIOGRAM Invasive coronary angiography percutaneous coronary intervention Syntax score coronary artery disease
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Congenital coronary artery anomalies silent until geriatric age: non-invasive assessment, angiography tips, and treatment 被引量:2
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作者 Gianluca Rigatelli Fabio Dell'Avvocata +2 位作者 Nguyen Van Tan Rames Daggubati AravindaNanijundappa 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2015年第1期66-75,共10页
Coronary artery anomalies (CAAs) may be discovered more often as incidental findings during the normal diagnostic process for other cardiac diseases or less frequently on the basis of manifestations of myocardial is... Coronary artery anomalies (CAAs) may be discovered more often as incidental findings during the normal diagnostic process for other cardiac diseases or less frequently on the basis of manifestations of myocardial ischemia. The cardiovascular professional may be involved in their angiographic diagnosis, fimctional assessment and eventual endovascular treatment. A complete angiographic definition is mandatory in order to understand the functional effects and plan any intervention in CAAs: computed tomography and magnetic resonance imaging are useful non-invasive tools to detect three-dimensional morphology of the anomalies and its relationships with contiguous cardiac structures, whereas coronary arteriography remains the gold standard for a definitive anatomic picture. A practical idea of the possible functional sig- nificance is mandatory for deciding how to manage CAAs: non-invasive stress tests and in particular the invasive pharmacological stress tests with or without intravascular ultrasound monitoring can assess correctly the functional significance of the most CAAs. Finally, the knowledge of the particular endovascular techniques and material is of paramount importance for achieving technical and clinical success. CAAs represent a complex issue, which rarely involve the cardiovascular professional at different levels. A timely practical knowledge of the main issues regarding CAAs is important in the management of such entities. 展开更多
关键词 coronary artery anomaly Congenital heart disease coronary artery angiography percutaneous coronary interventions
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全方位优化护理在经桡动脉穿刺行CAG检查及PCI患者中的应用效果
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作者 郝春艳 高纯纯 +2 位作者 唐丽丽 宁彬 任磊 《保健医学研究与实践》 2024年第6期123-127,共5页
目的探讨全方位优化护理预防经桡动脉穿刺行冠状动脉造影(CAG)检查及经皮冠状动脉介入治疗(PCI)患者术后穿刺部位渗血的效果。方法选取2021年2月—2023年3月阜阳市人民医院收治的118例经桡动脉穿刺行CAG检查及PCI的患者作为研究对象,采... 目的探讨全方位优化护理预防经桡动脉穿刺行冠状动脉造影(CAG)检查及经皮冠状动脉介入治疗(PCI)患者术后穿刺部位渗血的效果。方法选取2021年2月—2023年3月阜阳市人民医院收治的118例经桡动脉穿刺行CAG检查及PCI的患者作为研究对象,采用随机数字表法分为对照组和观察组,每组59例。对照组患者围手术期接受常规护理干预,观察组患者围手术期接受全方位优化护理干预,比较2组患者术后出血情况、疼痛程度、舒适度以及护理满意度。结果观察组患者术后出血发生率为3.38%(2/59),低于对照组的13.55%(8/59),差异有统计学意义(χ2=3.933,P=0.047)。2组患者干预前疼痛数字评分法(NRS)评分比较,差异无统计学意义(P>0.05);2组患者干预后NRS评分均高于干预前,但观察组低于对照组,差异均有统计学意义(P<0.05)。2组患者干预前Kolcaba舒适状况量表(GCQ)的社会、心理、精神、生理4个维度评分及总分比较,差异均无统计学意义(P>0.05);2组患者干预后GCQ各维度评分及总分均高于干预前,且观察组均高于对照组,差异均有统计学意义(P<0.05)。观察组患者住院病人护理满意度量表的服务质量、环境设施、结果3个维度评分及总分均高于对照组,差异均有统计学意义(P<0.05)。结论全方位优化护理可显著减少经桡动脉穿刺行CAG及PCI患者术后穿刺部位渗血情况、减轻疼痛程度并提升患者舒适度及护理满意度,具有良好的临床应用价值。 展开更多
关键词 经桡动脉穿刺 经皮冠状动脉介入治疗 冠状动脉造影 穿刺部位 渗血
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Selective Coronary Angiography Following Cardiac Arrest
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作者 Jayasheel O.Eshcol Adnan K.Chhatriwalla 《Cardiovascular Innovations and Applications》 2019年第B07期85-98,共14页
Sudden cardiac arrest is a major cause of death predominantly caused by ventricular tachyarrhythmia in patients with coronary artery disease.Despite advancements in resuscitation care,the rate of survival after cardia... Sudden cardiac arrest is a major cause of death predominantly caused by ventricular tachyarrhythmia in patients with coronary artery disease.Despite advancements in resuscitation care,the rate of survival after cardiac arrest remains low.There is a growing body of observational data suggesting early coronary angiography reduces delay to revascularization and may improve outcomes.Most survivors present comatose,and neurologic outcome is uncertain;therefore it is often challenging to identify patients who will benefit from early coronary angiography.Several variables and risk scores that predict a favorable neurologic outcome have been identified.The rationale and current evidence for early angiography are reviewed,and a suggested approach to the selection of patients is presented. 展开更多
关键词 CARDIAC ARREST coronary angiography percutaneous coronary intervention
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Effects of Bivalirudin and Unfractionated Heparin on Liver and Renal Function in Chinese Patients with Coronary Artery Disease Undergoing Coronary Angiography with/without Percutaneous Coronary Intervention 被引量:3
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作者 Qiaowei Jia Jia Hu +2 位作者 Wenfeng Ji Liansheng Wang Enzhi Jia 《Journal of Clinical and Translational Hepatology》 SCIE 2021年第4期477-483,共7页
Background and Aims:Unfractionated heparin(UFH)and bivalirudin are widely used as anticoagulants in cardiovascular medicine,including for thrombosis prevention during coronary angiography(CAG)and percutaneous coronary... Background and Aims:Unfractionated heparin(UFH)and bivalirudin are widely used as anticoagulants in cardiovascular medicine,including for thrombosis prevention during coronary angiography(CAG)and percutaneous coronary intervention(PCI).Little is known of the effects of UFH and bivalirudin on liver and kidney function in patients subjected to these procedures.This study compared the effects of bivalirudin and UFH on liver/renal function in patients with coronary artery disease who underwent CAG,with or without PCI.Methods:The study comprised 134 consecutive patients(40–89 years-old),who underwent CAG(or CAG and PCI);among them,66 and 68 patients were subject to,respectively,bivalirudin or UFH.The following indicators of liver/renal function were measured before and after the procedures:plasma alanine aminotransferase(ALT),aspartate aminotransferase(AST),blood urea nitrogen,estimated glomerular filtration rate(eGFR),creatinine clearance,and serum creatinine.Patients were further stratified by severity of chronic kidney disease(CKD),based on original eGFR.Results:Relative to baseline,in the bivalirudin group,ALT and AST were higher after CAG(p=0.005,0.025),while blood urea nitrogen and serum creatinine were lower(p=0.049,<0.001).In the UFH group,ALT,AST,eGFR,and creatinine clearance were lower after CAG(p≤0.001,all).Patients given bivalirudin with moderate or severe CKD,but not those with mild CKD,gained significant improvement in kidney function.Conclusions:Relative to UFH,bivalirudin may better safeguard the renal function of patients with coronary artery disease who undergo CAG,especially patients with moderate-to-severe renal insufficiency.UFH may cause less liver damage than bivalirudin. 展开更多
关键词 BIVALIRUDIN Unfractionated heparin coronary artery disease Coro-nary angiography percutaneous coronary intervention Liver function
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