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Tag Archives: percutaneous coronary intervention

September 2008 Br J Cardiol 2008;15:227-29

Delivering PCI in the UK – need for strategic thinking and a quality agenda

Mark A de Belder

Abstract

Planning development The agreement drawn up by the Heart Team, within the Department of Health, and BCIS some years ago suggested that new centres should not be developed until existing provider units were at capacity. As more cath labs have been built and more cardiologists have been appointed it has been possible, particularly in the current National Health Service (NHS) climate, to make a case for local development of services regardless of whether current providers are able to cope with local demand or not. From a national and regional perspective it would be illogical to develop multiple small-volume centres while other existing centres,

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March 2008 Br J Cardiol 2008;15:63-4

Another NICE chapter in interventional cardiology: but it’s time for responsible debate

Nick Curzen

Abstract

The position now So where does the current guidance leave us? First, it provides interventional cardiologists enough freedom to be able to treat most of our patients in what we consider to be an evidence-based manner. This desire to provide optimal care for our patients has been, incidentally, repeatedly and insidiously questioned over the last 12 months – but I will return to that issue later. In fact, I know that I am not alone in feeling that the guidance should have included diabetes as an indication for DES independent of the 3.0 mm/15 mm parameters. Are there any large observational or randomised series of stent activity that do not

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March 2008 Br J Cardiol 2008;15:111–2

Percutaneous coronary intervention in dextrocardia

Tushar Raina, Ever D Grech, David Cumberland

Abstract

Case report 1 A 51-year-old man with known dextrocardia presented with a 12-month history of angina and an early positive exercise electrocardiogram (ECG). His risk factors were hypertension, hyperlipidaemia and cigarette smoking. Physical examination revealed a right-sided apex beat and chest radiography confirmed the presence of dextrocardia. Figure 1. 12-lead electrocardiogram (ECG) in dextrocardia A 12-lead ECG (figure 1) showed sinus rhythm with a reduction in the R-wave voltage in the standard chest leads and a corresponding increase in the right-sided leads. Coronary angiography of the left coronary system (right sided) revealed minor

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January 2008 Br J Cardiol 2008;15:12

Correspondence

BJCardio editorial team

Abstract

Dear Sirs We read with interest the recently published article and subsequent letters concerning the radial artery as a preferred access site for percutaneous coronary interventions (PCI).1 We think this debate should also include our cardiothoracic surgical colleagues. Although the radial artery has been used as a coronary artery bypass conduit for over 30 years,2 the initial results were disappointing due to problems with spasm and intimal hyperplasia and the technique was soon abandoned. With the availability of antispasmodic drugs and improved surgical techniques, the radial artery has once again become a popular conduit for coronary bypa

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January 2008 Br J Cardiol 2008;15:21

Subacute stent thrombosis within a paclitaxel-eluting stent

Andrew J Turley, James A Hall, Robert A Wright

Abstract

Figure 1. Right anterior oblique (RAO) caudal view. A shows initial post-percutaneous coronary intervention angiographic result. B shows RAO caudal view of subacute stent thrombosis within paclitaxel stent in the left anterior descending artery (LAD). C shows RAO caudal view of probable tissue prolapse (arrow) within proximal LAD stent On this admission the electrocardiogram (ECG) showed peaked anterior T waves without ST elevation and urgent coronary angiography was undertaken demonstrating occlusion of the LAD artery distal to the first diagonal branch and within the stented segment. There was also the appearance of thrombus within the obtu

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September 2007 Br J Cardiol 2007;14:234-6

Stent thrombosis and antiplatelet therapy: a review of 3,004 consecutive patients in a single centre

Nick Curzen, Geraint Morton, Alex Hobson, Iain Simpson, Alison Calver, Huon Gray, Keith D Dawkins

Abstract

Introduction Stent thrombosis (ST) is a potentially life-threatening complication of coronary artery stent placement (percutaneous coronary intervention [PCI]). Concern about the incidence of ST is greatest in patients treated with drug-eluting stents (DES), in whom some evidence suggests there is a higher incidence than for bare metal stents (BMS).1–3 Recently reported meta-analyses from collections of randomised studies comparing BMS with either Cypher® or Taxus® DES have been interpreted as confirming this increase in risk for these drug-eluting devices.4 It is likely that ST is multi-factorial in its aetiology since evidence demonstra

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September 2007 Br J Cardiol 2007;14:293-95

The VentureTM wire control catheter

Peter O’Kane, Lucy Blows, Simon Redwood

Abstract

Introduction Percutaneous coronary intervention (PCI) has become the most commonly used invasive treatment for patients with coronary heart disease (CHD).1 Despite great advances in equipment technology, the presence of severe vessel tortuosity, extreme angulation of side-branch ostia, stent jail, or lack of control at the interface of chronic total occlusions (CTO) can result in procedural failure or complications.2 In the treatment of a CTO, for instance, studies suggest that the most common cause of failure was inability to pass the guidewire across the occlusion.3 In these situations, the ability to re-configure working tip angulations of

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May 2007 Br J Cardiol 2007;14:129-30

Protecting the heart by postconditioning

Derek J Hausenloy, Derek M Yellon

Abstract

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July 2006 Br J Cardiol (Acute Interv Cardiol) 2006;13:AIC 39–AIC 45

Estimating the risk of percutaneous coronary intervention

Anjan Siotia, Paul Hancock, Julian Gunn

Abstract

No content available

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March 2006 Br J Cardiol (Acute Interv Cardiol) 2006;13:AIC 9–AIC 12

Percutaneous coronary intervention of the right ventricular artery: is it worth the effort?

David R Ramsdale, Robert Lowe

Abstract

No content available

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