Impact of Intravascular Ultrasound Guidance on Stenting for Unprotected Left Main and Proximal Left Anterior Descending Coronary Artery Disease

INTERVENTIONAL CARDIOLOGY

1Noha Hassanin Mohamed  Ali, 1Yasser Baghdady, 1Mostafa Mokhtar, 2Yasser  Sadeq, 1Assem Abdelaziz 1Cardiovascular Department Cairo University, Cairo, Egypt; 2National Heart Institute Egypt Background: To evaluate impacts of IVUS on clinical outcomes   during revascularization by stenting for patients with unprotected left main or proximal left anterior descending coronary artery disease. Material(s) and Method(s): Sixty patients with stable…

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Assessment of Appropriateness of CHA2DS2-VASc score for Predicting No-reflow Phenomenon in Primary Percutaneous Coronary Interventions

INTERVENTIONAL CARDIOLOGY

1Rajesh Kumar 1National Institute of Cardiovascular Diseases, Karachi, Pakistan Background: Slow/no reflow phenomenon during primary PCI is a common complication associated with increased risk adverse outcomes. CHA2DS2-VASc score has been proposed of the risk stratification but a very limited evidences are available regarding the accuracy of this system. Therefore, aim of the present study was…

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CHA2DS2-VASc, a Simple Clinical Score Expanding its Boundaries to Predict Contrast Induced Acute Kidney Injury after Primary Percutaneous Coronary Interventions

INTERVENTIONAL CARDIOLOGY

1Rajesh Kumar 1National Institute of Cardiovascular Diseases, Karachi, Pakistan Background: Promising results of CHA2DS2-VASc score have been reported for the prediction of contrast induced nephropathy (CIN) after percutaneous coronary intervention (PCI). However, data of its predictive strength in the context of primary PCI is not available. Therefore, in this study, we have assessed predictive value…

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Development and Validation of a Novel Risk Stratification Model for Slow Flow/No-reflow during Primary PCI: The RK-SF/NR Score

INTERVENTIONAL CARDIOLOGY

1Rajesh Kumar 1National Institute of Cardiovascular Diseases, Karachi, Pakistan Background: Slow flow/no-reflow during primary PCI is a complex phenomenon associated with short- and long term prognosis. Despite various research efforts, consensus could not be made regarding modality for risk stratification of slow flow/no-reflow during primary PCI. Hence, in this study we developed and validated a…

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Quantification of Thrombus Burden as an Independent Predictor of Intra-procedural No-reflow in Patients undergoing Emergency Percutaneous Coronary Revascularization

INTERVENTIONAL CARDIOLOGY

1Rajesh Kumar 1National Institute of Cardiovascular Diseases, Karachi, Pakistan Background: Aim of this study was to perform quantitative evaluation of high thrombus burden (Grade ≥ 4) as an independent predictor of slow/no reflow phenomenon during primary percutaneous coronary interventions (PCI) of patients with ST-segment elevation myocardial infarction (STEMI). Material(s) and Method(s): In the analytical cross-sectional…

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Clinical Outcomes of Physiologically Guided Revascularization at a Tertiary Care Hospital in a Low to Middle Income Country

INTERVENTIONAL CARDIOLOGY

1Ghufran Adnan, 1Nasir Rahman, 1Awais Farhad, 1Ihsan Ullah, 1Jamshed Ali, 1Intisar Ahmed 1Aga Khan University Hospital, Karachi, Pakistan Introduction: Coronary angiography has been the gold standard test to assess coronary stenoses. Ancillary tests such as Fractional flow reserve (FFR) and instantaneous wave-free ratio (iFR) assess the physiological significance of these stenoses, helping in decision making…

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Anatomical Obstacles and Sheath to Balloon Time Through Transradial Approach in Patients Undergoing Primary Percutaneous Coronary Intervention

INTERVENTIONAL CARDIOLOGY

1Dileep Kumar, 1Syed Abdul Bari, 1Tahir Saghir, 1Nasir Ali Khan, 1Romana Awan, 1Vicky Kumar, 1Musa Karim, 1Nadeem Qamar 1National Institute of Cardiovascular Diseases Pakistan, Karachi, Pakistan Background: Transradial approach has been considered a safe and useful vascular access site for cardiac catheterization in comparison with the conventional transfemoral approach. However, radial access has many challenges,…

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A CTO Case when I used almost all the Techniques and Materials

INTERVENTIONAL CARDIOLOGY

1Elyes Kharrat 1Faculty of medecine, Sfax, Tunisia Introduction: CTO angioplasty is becoming a validated procedure when it is well indicated. Actually, there is many algorithms and a lot of materiels which can be used to open the occluded artery in a safe manner. Material(s) and Method(s): A 39 y.o man, diabetic and smoker, was refered…

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The Clinical Spectrum and Management of Patients with Coronary In-Stent Restenosis

INTERVENTIONAL CARDIOLOGY

1Abdelmomen Mahmoud Aboborda, 1Mohammed Mahmoud Abdelghany, 1Reham Mohammed Darwish, 1Ahmed Mohammed Kotb 1Cairo University, Cairo, Egypt Background: The aim of this study is to detect the Prevalence of ISR in a tertiary referral center Material(s) and Method(s): This was a retrospective- prospective study carried out on patients reporting to AL-Nahda General Hospitals from November 2018…

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The Initial Experience and Clinical Characteristics of Patients Undergoing Permanent Pacemaker Implantations at the Coast General Teaching and Referral Hospital Mombasa, Kenya

INTERVENTIONAL CARDIOLOGY

Kieran Mwasha Mwazo, 1Boniface Nandwa, 1Harun Otieno, 1Vinesh Vaghela, 1Abdalla Bajaber, 1Vickie Mumbo, 1Iqbal Khandwalla 1Coast General Teaching and Refferal Hospital, Mombasa, Kenya Background: Pacemakers are electronic impulse generators that are implanted to restore a regular heart rhythm in patients with symptomatic bradycardia or as part of heart failure treatment. In an ideal situation the…

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