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Journal articles on the topic 'Coronary artery disease and Procedural success'

Author: Grafiati

Published: 2 June 2025

Last updated: 31 July 2025

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1

Schleiger, Anastasia, Peter Kramer, Stephan Dreysse, et al. "Coronary Interventions in Pediatric Congenital Heart Disease." Pediatric Cardiology 43, no. 4 (2021): 769–75. http://dx.doi.org/10.1007/s00246-021-02784-x.

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Abstract Coronary artery lesions represent rare conditions in pediatric congenital heart disease and mainly include coronary artery stenoses (CAS) or coronary artery fistulae (CAF). Due to the small vessel size, pediatric percutaneous coronary interventions (PCI) are demanding and studies concerning long-term results are missing. In this retrospective study, we analyzed indications, procedural details, and post-procedural outcomes in pediatric patients who underwent PCI in our institution. For CAS treatment, procedural success was defined as efficient coronary revascularization with a signific

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DURRANI, T., A. SYEDA, I. HUSSAIN, P. KHAN, K. QAYYUM, and H. DURRANI. "IMPACT OF LESION COMPLEXITY ON PCI SUCCESS IN LAD DISEASE: A RETROSPECTIVE STUDY." Biological and Clinical Sciences Research Journal 2024, no. 1 (2024): 1153. http://dx.doi.org/10.54112/bcsrj.v2024i1.1153.

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Coronary artery disease (CAD) involving the left anterior descending (LAD) artery is a major cause of morbidity and mortality globally. The prognosis of patients with coronary artery disease depends on the extent of at-risk myocardium. LAD comparatively supplies a large percentage of the left ventricle compared to RCA or LCX. The principal indication of percutaneous coronary intervention is to improve the quality of life in patients with angina refractory to medications. There are many advancements in PCI techniques for better management of challenging lesions due to physiological, anatomical,

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International, Journal of Medical Science and Innovative Research (IJMSIR). "Evaluation of the Clinical Efficacy of Cutting Balloons in Treating Calcified Coronary Artery Lesions: Enhancing Procedural Success and Patient Outcomes in Severe Calcification." International Journal of Medical Science and Innovative Research (IJMSIR) 9, no. 6 (2024): 34–42. https://doi.org/10.5281/zenodo.15448723.

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<strong>Abstract</strong> Coronary re-stenosis, marked by the narrowing of coronary arteries due to plaque accumulation, often leads to symptoms such as chest pain and potentially life-threatening conditions like heart attacks. Conventional treatments for coronary re-stenosis encompass several methods. Angioplasty (Percutaneous Coronary Intervention - PCI) involves using a balloon-tipped catheter to compress plaque against artery walls, thereby widening the artery. While effective, its success is limited in heavily calcified lesions. Stenting, typically performed alongside angioplasty, employs

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Panuccio, Giuseppe, Youssef S. Abdelwahed, Nicole Carabetta, Ulf Landmesser, Salvatore De Rosa, and Daniele Torella. "The Role of Coronary Imaging in Chronic Total Occlusions: Applications and Future Possibilities." Journal of Cardiovascular Development and Disease 11, no. 9 (2024): 295. http://dx.doi.org/10.3390/jcdd11090295.

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Chronic total occlusions (CTOs) represent a challenging scenario in coronary artery disease (CAD). The prevalence of CTOS in patients undergoing coronary angiography underscores the need for effective diagnostic and therapeutic strategies. Coronary angiography, while essential, offers limited insights into lesion morphology, vessel course, and myocardial viability. In contrast, coronary imaging techniques—including optical coherence tomography (OCT), intravascular ultrasound (IVUS), and coronary computed tomography angiography (CCTA)—provide comprehensive insights for each stage of CTO percuta

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Donaldo, Emiliano Silva López, Elías Galicia García Luis, Villaseñor Angulo Saúl, Guadalupe Muñoz Cruz Daena, Hernaldo Murillo Robledo Oscar, and Liliana Guevara Martínez Aranza. "Intervention in Left Main Coronary Artery Disease in High Surgical Risk Patients: Current Approaches and Outcomes." International Journal of Medical Science and Clinical Research Studies 04, no. 07 (2024): 1331–37. https://doi.org/10.5281/zenodo.12699061.

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Left Main Coronary Artery Disease (LMCAD) is a critical condition that poses significant risks due to its potential to compromise a large myocardial territory. Patients with LMCAD who are deemed high surgical risks present a unique challenge, as the standard surgical approach, coronary artery bypass grafting (CABG), may be contraindicated or associated with high morbidity and mortality. This article reviews contemporary interventional strategies for managing LMCAD in high-risk surgical patients, with a focus on percutaneous coronary intervention (PCI) and the use of drug-eluting stents (DES).

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Khan, Anwar Jamal, Jabar Ali, Shoaib Iqbal Safi, and Wasim Sajjad. "Percutaneous Coronary Intervention versus Coronary Artery Bypass Grafting for Chronic Total Occlusion of Coronary Arteries." Journal of Health and Rehabilitation Research 4, no. 2 (2024): 122–27. http://dx.doi.org/10.61919/jhrr.v4i2.796.

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Background: Chronic Total Occlusion (CTO) of coronary arteries presents a significant challenge in the management of coronary artery disease (CAD), influencing treatment outcomes and patient prognosis. Percutaneous Coronary Intervention (PCI) and Coronary Artery Bypass Grafting (CABG) are two predominant revascularization strategies employed, each offering distinct benefits and limitations. Objective: This study aims to compare the efficacy and safety of PCI and CABG in managing patients with CTO, to inform clinical decision-making and optimize treatment approaches. Methods: A retrospective an

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BanglaJOL, Administrator, Md Faruque, Fazlur Rahman, et al. "Study on 100 cases of coronary artery disease underwent percutaneous coronary interventions." University Heart Journal 5, no. 1 (2009): 13–16. http://dx.doi.org/10.3329/uhj.v5i1.3434.

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This prospective study was done in National Institute of Cardiovascular Diseases, Dhaka, Bangladesh during the period of January 2004 to January2005 to see the effectiveness and safety profile of percutaneous coronary interventions in patients with coronary artery disease. 100 patients with male 90 percent and female 10 percent undergo percutaneous coronary intervention in our unit during this period. Indication of percutaneous coronary interventions were chronic stable angina with stress test positive in 20 percent cases, unstable angina with prior myocardial infarction in 30 percent cases, u

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Khelimskii, D. A., O. V. Krestyaninov, A. G. Badoyan, D. N. Ponamorev, and E. A. Pokushalov. "PREDICTIVE SCORE FOR CHOOSING STRATEGY FOR CHRONICALLY OCCLUDED CORONARY ARTERY RECANALIZATION." Complex Issues of Cardiovascular Diseases 7, no. 4 (2018): 51–61. http://dx.doi.org/10.17802/2306-1278-2018-7-4-51-61.

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Background. Despite signifcant progress in the feld of coronary interventions, chronic total occlusion (CTO) represents a signifcant challenge for interventional cardiologists.Aim. To develop the score, able to predict technical success of CTO PCI and facilitate the choice of recanalization strategy.Methods. A total of 665 CTO patients who underwent 681 PCI in the period from 2014 to 2018 in Meshalkin National Medical Research Center were included in this study. Clinical and angiographic characteristics were analyzed. 477 CTO PCI were randomly assigned to the derivation set, 204 CTO PCI – vali

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Tegn, Nicolai, Christian Eek, Michael Abdelnoor, et al. "Patients aged 80 years or older with non-ST-elevation myocardial infarction or unstable angina pectoris randomised to an invasive versus conservative strategy: angiographic and procedural results from the After Eighty study." Open Heart 7, no. 2 (2020): e001256. http://dx.doi.org/10.1136/openhrt-2020-001256.

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ObjectivesWe aimed to report the angiographic and procedural results of the After Eighty study (ClinicalTrials.gov, NCT01255540), and to identify independent predictors of revascularisation.MethodsPatients of ≥80 years old with non-ST-elevation myocardial infarction and unstable angina pectoris were randomised to an invasive or conservative strategy. Angiographic and procedural results were recorded. Univariate and multivariate analyses were performed to explore variables predicting revascularisation.ResultsAmong 229 patients in the invasive group, 220 underwent immediate coronary angiography

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Estrada, J. Raider, Jonathan D. Paul, Atman P. Shah, and Sandeep Nathan. "Overview of Technical and Cost Considerations in Complex Percutaneous Coronary Intervention." Interventional Cardiology Review 9, no. 1 (2011): 17. http://dx.doi.org/10.15420/icr.2011.9.1.17.

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Complex percutaneous coronary intervention (PCI), encompassing an ever-expanding range of challenging lesion sets and patient populations, accounts for a significant proportion of PCI procedures being performed currently. Specific lesion types associated with lower rates of procedural success and higher rates of recurrence or major adverse cardiac events (MACE) include multivessel disease, unprotected left main coronary artery disease, fibrocalcific or undilatable lesions, chronic total occlusions, degenerated saphenous vein graft lesions, thrombotic lesions, and bifurcation disease. Validated

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Kalnins, Strele, and Lejnieks. "Comparison among Different Scoring Systems in Predicting Procedural Success and Long-Term Outcomes after Percutaneous Coronary Intervention in Patients with Chronic Total Coronary Artery Occlusions." Medicina 55, no. 8 (2019): 494. http://dx.doi.org/10.3390/medicina55080494.

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Background and objectives: Different scoring systems are used to stratify patients with chronic total coronary artery occlusions (CTO) according to disease complexity to predict the success of the percutaneous coronary intervention (PCI). Comparison among different CTO scoring systems and long-term outcome for patients with CTO after PCI has not been well established. The objectives of the study were to assess the ability of different disease severity scoring systems to predict, first, procedural success and, second, overall survival in patients with a successful procedure. Materials and Metho

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Tajti, Peter, Mohamed Ayoub, Thomas Nuehrenberg, et al. "Association of Prolonged Fluoroscopy Time with Procedural Success of Percutaneous Coronary Intervention for Stable Coronary Artery Disease with and without Chronic Total Occlusion." Journal of Clinical Medicine 10, no. 7 (2021): 1486. http://dx.doi.org/10.3390/jcm10071486.

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Background: In percutaneous coronary interventions (PCI), the impact of prolonged fluoroscopy time (FT) on procedural outcomes is poorly studied. Methods and Results: We analyzed the outcomes of 12,538 consecutive elective PCIs. The primary endpoint was procedure failure (PF), the composite of technical failure, and adverse in-hospital events including all-cause death, myocardial infarction, stroke, and target vessel revascularization (MACCE), as well as pericardial tamponade. We stratified the procedures as PCI for chronic total occlusion (CTO, n = 2720) and PCI for non-CTO (n = 9818). Logist

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Subramanyam, P., and P. Sireesha. "Experience of LMCA Angioplasty from a Referral Center and in Hospital Outcomes." Indian Journal of Cardiovascular Disease in Women WINCARS 01, no. 04 (2016): 005–12. http://dx.doi.org/10.1055/s-0038-1656493.

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AbstractIntroduction and Objectives: CABG is the treatment of choice for severe left main coronary artery stenosis. The results of a number of multicenter trials have suggested angioplasty with stenting as a possible alternative treatment. Previous studies demonstrated procedural success of 90-100% and Mortality 0.8-2% So, want to see these parameters in Asian population though the LMCA registry of a referral center institute.Material and Methods: We have collected data from patient records who underwent LMCA angioplasty procedure (both unprotected or protected LMCA) performed at our instituti

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Karmakar, Kajal Kumar, Mir Jamaluddin, Ibrahim Khalil, et al. "Stenting of Unprotected Left Main Coronary Artery Stenosis: Immediate out comes in NICVD our Initial Experience." University Heart Journal 10, no. 1 (2015): 7–12. http://dx.doi.org/10.3329/uhj.v10i1.24589.

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This study aims to describe the initial experiences and immediate outcomes of percutaneous coronary intervention (PCI) in patients with significant left main coronary artery disease with normal LV function in National Institute of Cardiovascular Diseases (NICVD), Dhaka. Left main coronary artery disease is regarded as an absolute contraindication for coronary angioplasty. Recently several reports on protected or unprotected LMCA stenting or both suggested the possibility of percutaneous intervention for this prohibited area. The study was conducted in National Institute of Cardiovascular disea

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Thirumurugan, E., K. Gomathi, and R. Karthick. "Shockwave Intravascular Lithotripsy: The Future of Coronary Intervention?" Research in Cardiovascular Medicine 12, no. 4 (2023): 103–7. http://dx.doi.org/10.4103/rcm.rcm_47_23.

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Abstract Aim: The objective is to evaluate the safety, efficiency, and clinical outcomes of Intravascular Lithotripsy Systems for treating Calcified Coronary Artery Disease (CAC) during revascularization. Methods: Intravascular Lithotripsy (IVL) in India remains largely unexplored. Unfortunately, there is an alarming lack of sufficient data on this innovative technique, with only a handful of articles on IVL available in non-indexed journals that are not easily accessible online. This review aims to serve as a valuable source of information and promote further research on this innovative techn

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Ahsan, Syed Ali, Ahmed Shafiqul Hossain, Md Hafizur Rahman, Monjur Mahmud, Md Abu Siddique, and Muhmmad Mobarock Hossain. "First Case of Transulnar Approach for Angiogram (Coronary and Peripheral) in BSMMU." University Heart Journal 8, no. 1 (2012): 65–68. http://dx.doi.org/10.3329/uhj.v8i1.11672.

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Transfemoral approach is mostly used for coronary and peripheral angiography and intervention. Transradial coronary angiography and intervention has become a popular technique due to reduced local and bleeding complications, easier post-procedural care and patient preference. In certain patients, transradial access may not be possible due to various anatomical reasons and usually, the transfemoral route is used for these patients. In a minority of patients, such as those with significant peripheral arterial disease or obesity, the transfemoral approach is challenging and is associated with an

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Tsydenova, Aryuna Yu, Aleksey A. Baranov, Roman A. Naydenov, Ruslan U. Ibragimov, Denis S. Grankin, and Oleg V. Krestyaninov. "CORONARY ARTERY CALCIFICATION: INTRACORONARY IMAGING, CONTEMPORARY TECHNOLOGIES OF TREATMENT." Complex Issues of Cardiovascular Diseases 13, no. 2 (2024): 101–15. http://dx.doi.org/10.17802/2306-1278-2024-13-2-101-115.

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HighlightsThis review presents current state-of-the-art of diagnosis and treatment of coronary artery calcification. AbstractCoronary artery calcification occurs in about one third of all coronary artery lesions in patients with coronary artery diseases and is a problem in interventional cardiology due to technical difficulties. Percutaneous coronary intervention for coronary artery calcification is associated with a high risk of perioperative complications, adverse cardiovascular events in early and long-term follow-up compared with the results of treatment of patients without arterial calcif

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Kumar, Prathap, Blessvin Jino, Ali Shafeeq, Stalin Roy, Manu Rajendran, and Sandheep George Villoth. "IVUS-Guided Zero-Contrast PCI in CKD Patients: Safety and Short-Term Outcome in Patients with Complex Demographics and/or Lesion Characteristics." Journal of Interventional Cardiology 2021 (May 8, 2021): 1–7. http://dx.doi.org/10.1155/2021/6626749.

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Background. Percutaneous coronary intervention (PCI) in patients with significant renal dysfunction is challenging because of the lesion characteristics and the risk of contrast-induced acute kidney injury (CI-AKI). With the advent of intravascular ultrasound- (IVUS-) guided zero-contrast PCI, outcomes have improved considerably. Objective. To assess the safety and short-term outcomes of IVUS-guided zero-contrast PCI in chronic kidney disease (CKD) patients with complex demographics or lesion morphology. Methods. Patients who underwent IVUS-guided zero-contrast PCI at a tertiary center, from N

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Xenogiannis, Iosif, Fotis Gkargkoulas, Dimitri Karmpaliotis, et al. "The Impact of Peripheral Artery Disease in Chronic Total Occlusion Percutaneous Coronary Intervention (Insights From PROGRESS-CTO Registry)." Angiology 71, no. 3 (2019): 274–80. http://dx.doi.org/10.1177/0003319719895178.

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The impact of peripheral artery disease (PAD) in patients undergoing chronic total occlusion (CTO) percutaneous coronary intervention (PCI) has received limited study. We reviewed 3999 CTO PCIs performed in 3914 patients between 2012 and 2018 at 25 centers, 14% of whom had a history of PAD. We compared the clinical and angiographic characteristics and procedural outcomes of patients with versus without history of PAD. Patients with PAD were older (67 ± 9 vs 64 ± 10 years, P < .001) and had a higher prevalence of cardiovascular risk factors. They also had more complex lesions as illustrated

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Khelimskii, D. A., O. V. Krestyaninov, A. G. Badoyan, D. N. Ponomarev, and E. A. Pokushalov. "Recanalization of Chronic Total Occlusions Using Modern Endovascular Techniques." Kardiologiia 59, no. 2 (2019): 10–16. http://dx.doi.org/10.18087/cardio.2019.2.10225.

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Purpose:to assess results of percutaneous coronary intervention (PCI) with contemporary endovascular techniques of recanalization of chronic total coronary artery occlusions (CTO) in patients with ischemic heart disease (IHD). Occlusion (CTO) he procedural and in-hospital outcomes of consecutive patients undergoing chronic total occlusion percutaneous coronary intervention.Materials and methods.We retrospectively analyzed data from 456 consecutive patients (mean age 59.9±7.1 years, 18.2 % women) who underwent CTO PCI procedures (n=477) during 2014–2016 in the E. N. Meshalkin National Medical R

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KHAN, AS, F. ULLAH, TI KHAN, MQU MURSALIN, S. AKBER, and Y. HAYAT. "STUDY OF SUCCESS RATE AND COMPLICATIONS OF PERCUTANEOUS CORONARY INTERVENTION IN CTO INTERVENTION." Biological and Clinical Sciences Research Journal 2024, no. 1 (2024): 1201. http://dx.doi.org/10.54112/bcsrj.v2024i1.1201.

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Chronic total occlusion (CTO) is one of the most complex and challenging forms of coronary artery disease, characterized by the complete obstruction of a coronary artery for more than three months. Objective: The primary aim of this study is to assess the success rate of PCI in patients with CTO and to evaluate the frequency and types of complications associated with the procedure. Methods: Patients included in the study were diagnosed with CTO using coronary angiography. The PCI procedures were carried out using standard techniques, and the primary endpoints were technical success and clinica

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Lawani, Osayi, and Rick Ganim. "Unique Findings and Novel Treatment Strategy of a Giant Coronary Artery Aneurysm Associated with a Significant Pericardial Effusion." Case Reports in Cardiology 2020 (June 10, 2020): 1–5. http://dx.doi.org/10.1155/2020/8890806.

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Giant coronary artery aneurysms are a rare, asymptomatic occurrence. Presently, there is a lack of substantial research performed in the U.S., likely due to its low prevalence. As we are increasingly becoming a global community, strengthening data for seemingly rare disease processes such as this need to be addressed, particularly when they can progress to involve complications such as pericardial effusion caused by aneurysmal rupture or infection. A popular treatment option for these aneurysms is polytetrafluoroethylene-covered stents; they have been favorable with obtaining a high percentage

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Coronel Mite, Ana Paula, Rafael Andres Mosquera-Ceprian, Christian Abraham Orellana Franco, Gabriela Samantha Meza Pacheco, and José Mauricio Paredes Torres. "Recent advances in interventional cardiology for coronary artery disease: a systematic literature review." Sapienza: International Journal of Interdisciplinary Studies 5, SI1 (2024): e24S05. http://dx.doi.org/10.51798/sijis.v5isi1.767.

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Recent advancements and innovations in interventional cardiology have already revolutionized coronary artery disease (CAD) treatment and management. Interventional cardiology is a new hope for CAD patients because its evolution has improved disease symptoms. We aimed to explore the integration of diagnostic, therapeutic, and risk management innovations against CAD. In diagnostic advancements, we aimed to discuss the evolution of imaging techniques such as MRI, echocardiography, positron emission tomography (PET), and coronary computed tomography angiography (CCTA), focusing on their unique ben

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Ahmed, Saeed, Hina Zubair, Khawaja Abdul Hamid, Faisal Bashir, and Muhammed Shahbaz Bakth Kayani. "MYOCARDIAL INFARCTION;." Professional Medical Journal 24, no. 03 (2017): 392–97. http://dx.doi.org/10.29309/tpmj/2017.24.03.1555.

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Coronary artery disease is one of the major cause of mortality in the modernworld and will become the leading cause of death by 2020, percutaneous coronary interventionhas proven to be most efficient in STEMI to decrease the mortality. Objectives: This studywas designed to determine the procedural success of Primary PCI in patients with Acute STsegment elevation Myocardial infarction. Study Design: It was an observational study. Placeand Duration: Cardiology unit of P.I.M.S, Islamabad, conducted from 2nd November 2011 to2nd May 2012. Patients and Methods: This study included 43 patients with A

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Munwar, S., AHMW Islam, S. Talukder, AQM Reza, T. Ahmed, and AH Bhuiyan. "Unprotected Left Main Coronary Artery Percutaneous Coronary Intervention-Our Experiences at a Tertiary Hospital." Cardiovascular Journal 6, no. 2 (2014): 107–11. http://dx.doi.org/10.3329/cardio.v6i2.18349.

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Background: Aim of the study was to evaluate the primary procedural success of percutaneous coronary intervention of unprotected left main coronary artery stenosis using either Bare-metal stents or drug eluting stent. Methods: Total 33 patients were enrolled in this very preliminary non-randomized prospective cohort study. Among them, Male: 25 and Female: 8. Total 35 stents were deployed. Mean age were for Male: 59 yrs, for Female: 62 yrs. Associated coronary artery diseases risk factors were dyslipidemia, High Blood pressure, Diabetes Mellitus, Positive family history for coronary artery dise

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Mohammad, Farah, Loay Kabbani, Judith Lin, Efstathios Karamanos, Fatema Esmael, and Alexander Shepard. "Post-procedural pseudoaneurysms: Single-center experience." Vascular 25, no. 2 (2016): 178–83. http://dx.doi.org/10.1177/1708538116654837.

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Objectives Pseudoaneurysms are a well-recognized complication of percutaneous angiographic procedures. Ultrasound-guided thrombin injection is currently the preferred treatment modality. This study was undertaken to evaluate our experience with the management of post-procedure pseudoaneurysms. Methods A retrospective study was undertaken of all patients who developed a post-procedure pseudoaneurysm between March 2004 and January 2013. Data were obtained from our prospectively maintained non-invasive vascular laboratory data base. Results Overall, 167 patients (80 men) with post-procedure pseud

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Kiser, Andy C., L. Wiley Nifong, Joseph R. Elbeery, and Thomas G. Caranasos. "Transxiphoid Revascularization of the Anterior Descending Coronary Artery with the Left Mammary Artery." Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery 16, no. 3 (2021): 293–96. http://dx.doi.org/10.1177/1556984521994942.

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Revascularization of the coronary arteries, via open sternotomy and on cardiopulmonary bypass, remains the most common cardiac surgical procedure in the United States. Patients, and cardiologists, seek an alternative to dividing the sternum while reaping the advantages of left internal mammary artery (LIMA) revascularization of the diseased left anterior descending (LAD) coronary artery. We describe a strictly transxiphoid mammary artery liberation with anastomosis to the anterior descending (TRAX CABG) without sternal division. Of the 26 patients who underwent attempted TRAX CABG, 18 had nons

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Reddy, Narapureddy, and Nemani Lalita. "Comparable Periprocedural Outcomes of Percutaneous Coronary Intervention in Male and Female Patients with Type C Lesions." Indian Journal of Cardiovascular Disease in Women WINCARS 02, no. 03 (2017): 021–24. http://dx.doi.org/10.1055/s-0037-1607271.

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Background Percutaneous coronary intervention (PCI) in type C lesions has low success and has high procedural risk. We aimed at studying the outcomes of PCI in patients with type C lesions. Material and Methods Total 180 patients with type C lesions who underwent PCI from January 2007 to December 2014 were taken into study and analyzed. Results Of 180 patients, 141(78.3%) were males and 39 (21.7%) were females. Mean hemoglobin concentration, mean serum triglycerides, and mean estimated glomerular filtration rate were significantly lower in females compared with males. Seventy-seven (42.8%) pat

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Mamas, Mamas A., and Farzin Fath-Ordoubadi. "Treatment of Bifurcation Coronary Artery Disease with the Dedicated Cappella Sideguard® Stent." Interventional Cardiology Review 6, no. 1 (2011): 25. http://dx.doi.org/10.15420/ecr.2012.6.1.25.

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Bifurcation coronary lesions represent a significant proportion of percutaneous coronary intervention (PCI) procedures and are often technically challenging with both lower procedural success rates and higher adverse event rates than those observed in non-bifurcation lesions. Conventional techniques used to treat bifurcation lesions, including provisional stenting and various two-stent approaches, have several shortcomings. Dedicated bifurcation stents such as the Cappella Sideguard® have been developed to overcome the problems associated with the current available techniques. This review focu

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Zheleva-Kyuchukova, Ivayla, and Valeri Gelev. "Is left main percutaneous coronary intervention justified in the presence of concomitant complex coronary artery disease – immediate and remote results – single Bulgarian center experience." Bulgarian Cardiology 26, no. (3) (2020): 43–51. https://doi.org/10.3897/bgcardio.26.e54126.

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Revascularization in patients with severe stenosis of left coronary artery (LCAS) trunk signifi cantly improves their prognosis. Modern clinical studies, registries and meta-analyses have identifi ed percutaneous coronary intervention (PCI) of LCAS as a safe alternative to aorto-coronary bypass (ACB) in patients with low and intermediate lesion complexity. <strong>Aims:</strong> To confi rm the safety and effectiveness of PCI and implantation of second generation drug eluting stent (DES) in patients with unprotected LCAS and concomitant complex coronary pathology. <strong>Material and Methods:

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Syed Ahsan Akhtar, Farhat Ullah Khan, Zeeshan Afzal, Muhammad Hafeez, and Muzdalfa Parvez. "A Comparative Study of Drug-Eluting Stents and Bare-Metal Stents in Coronary Artery Disease." Indus Journal of Bioscience Research 3, no. 5 (2025): 86–90. https://doi.org/10.70749/ijbr.v3i5.1211.

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Introduction: Coronary artery disease (CAD) holds the position as a top health issue that causes sickness and death throughout the global community. PCI represents a fundamental treatment approach, but the selection between DES and BMS medication delivery systems determines patient results. Objective: The research studied the medical success rates and safety characteristics between drug-eluting and bare-metal stents when used in PCI procedures for coronary artery disease. Materials and Method: Between January 2021 and June 2021, prospective comparative research was done at Department of Cardio

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Levchyshyna, O. V., Ye V. Aksonov, and D. V. Bondarets. "STENTING AS A METHOD OF CHOICE FOR TREATING LEFT MAIN CORONARY ARTERY LESIONS." Актуальні проблеми сучасної медицини: Вісник Української медичної стоматологічної академії 24, no. 4 (2024): 306–8. https://doi.org/10.31718/2077-1096.24.4.306.

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The aim of this study is to justify the use of stenting as the method of choice for revascularization of left main coronary artery lesions. Materials and methods. A comprehensive analysis of scientific publications and randomized trials was conducted to evaluate the advantages and disadvantages of various stenting techniques for left main coronary artery lesions, to optimize treatment strategies for individual patients, to improve clinical outcomes, to reduce complications, and to enhance the quality of life for patients with left main coronary artery disease. Results. The proper selection of

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Gherasie, Flavius-Alexandru, and Alexandru Achim. "TAVR Interventions and Coronary Access: How to Prevent Coronary Occlusion." Life 13, no. 7 (2023): 1605. http://dx.doi.org/10.3390/life13071605.

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Due to technological advancements during the past 20 years, transcatheter aortic valve replacements (TAVRs) have significantly improved the treatment of symptomatic and severe aortic stenosis, significantly improving patient outcomes. The continuous evolution of transcatheter valve models, refined imaging planning for enhanced accuracy, and the growing expertise of technicians have collectively contributed to increased safety and procedural success over time. These notable advancements have expanded the scope of TAVR to include patients with lower risk profiles as it has consistently demonstra

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Ye, Zixiang, Zhangyu Lin, Enmin Xie, et al. "Prediction of Percutaneous Coronary Intervention Success in Patients With Moderate to Severe Coronary Artery Calcification Using Machine Learning Based on Coronary Angiography: Prospective Cohort Study." Journal of Medical Internet Research 27 (July 11, 2025): e70943-e70943. https://doi.org/10.2196/70943.

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Abstract Background Given the challenges faced during percutaneous coronary intervention (PCI) for heavily calcified lesions, accurately predicting PCI success is crucial for enhancing patient outcomes and optimizing procedural strategies. Objective This study aimed to use machine learning (ML) to identify coronary angiographic vascular characteristics and PCI procedures associated with the immediate procedural success rates of PCI in patients exhibiting moderate to severe coronary artery calcification (MSCAC). Methods This study included patients who underwent PCI between January 2017 and Dec

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Abraș, Marcel, Ecaterina Pasat, Artiom Surev, Inesa Gutan, Vitalie Moscalu, and Catalina Ciorici. "Interventional treatment in elderly patients with severe aortic valve stenosis and coronary artery disease." Bulletin of the Academy of Sciences of Moldova. Medical Sciences 78, no. 1 (2024): 49–56. http://dx.doi.org/10.52692/1857-0011.2024.1-78.06.

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Aortic stenosis (AS) is a valvular heart disease commonly found in the elderly patients and frequently is associated with coronary artery disease (CAD). The impact of CAD severity and of the percutaneous coronary intervention (PCI) on post-TAVI outcomes is frequently debated. Purpose. Comparison of clinical and hemodynamic outcomes, as well as the rate of major adverse cardiovascular and cerebrovascular events (MACE) in patients undergoing TAVI with PCI (patients with AS and CAD) versus isolated TAVI (patients with AS). Material and methods. Our team conducted a prospective study that included

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Badrul, Md Nurul Afsar, Kamal Ahmed, and Sufia Rahman. "Elective Percutaneous Coronary Interventions (PCI) in 100 Cases in a Centre Without On-site Cardiac Surgery Support." Medicine Today 24, no. 1 (2013): 8–11. http://dx.doi.org/10.3329/medtoday.v24i1.14106.

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Since its introduction in 1977, Percutaneous Coronary Interventions (PCI) is an important tool in the treatment of coronary artery disease (CAD). It is a retrospective analysis of data of 100 cases (132 vessels). The mean age was 50.9 years (range 30-70) with 90 (90%) male and 10 (10%) female. Indication of PCI includes acute and old MI, Chronic stable angina and unstable angina were 48 (48%), 33 (33%) and 19(19%) respectively. Procedure done in total 132 vessels among 100 patients. most of the cases were single vessels disease (SVD) {68 (68%} followed by double vessel disease (DVD) {30(30%)}

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Ho, Chien-Te, Fu-Chih Hsiao, Ying-Chang Tung, et al. "Outcomes of Percutaneous Coronary Interventions for Long Diffuse Coronary Artery Disease with Extremely Small Diameter." Journal of Clinical Medicine 12, no. 4 (2023): 1285. http://dx.doi.org/10.3390/jcm12041285.

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Background. The optimal percutaneous coronary intervention (PCI) strategy and clinical outcomes of long lesions with an extremely small residual lumen remain unclear. This study aimed to assess the efficacy of a modified stenting strategy for diffuse coronary artery disease (CAD) with an extremely small distal residual lumen. Methods. 736 Patients who received PCI using second-generation drug-eluting stents (DES) ≥38 mm long were retrospectively included and categorized into an extremely small distal vessel (ESDV) group (≤2.0 mm) and a non-ESDV group (>2.0 mm) according to the maximal lumin

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Zheleva-Kyuchukova, I., and V. Gelev. "Immediate outcome after percutaneous coronary mmediate outcome after percutaneous coronary revascularization in stemi for left main coronary artery lesion evascularization in stemi for left main coronary artery lesions." Bulgarian Cardiology 29, no. (1) (2023): 76–85. https://doi.org/10.3897/bgcardio.29.e100555.

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<strong>Background:</strong> Acute coronary syndrome with ST elevation (STEMI) with a lesion in the left main coronary artery (LMCA) occurs infrequently; moreover, patients are at very high risk for mortality. However, limited data are available regarding the prevalence, clinical characteristics, and outcomes of patients presenting with LM-STEMI treated with percutaneous coronary intervention (LM-PCI STEMI). Therefore, we aimed to evaluate patient clinical and procedure factors associated with in-hospital outcomes in LM-STEMI patients undergoing PPCI in a real-life registry. <strong>Material a

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Panuccio, Giuseppe, Youssef S. Abdelwahed, Nicole Carabetta, et al. "Clinical and Procedural Outcomes of IVUS-Guided vs. Angiography-Guided CTO-PCI: A Systematic Review and Meta-Analysis." Journal of Clinical Medicine 12, no. 15 (2023): 4947. http://dx.doi.org/10.3390/jcm12154947.

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Chronic total occlusions (CTO) in coronary angiographies present a significant challenge nowadays. Intravascular ultrasound (IVUS) is a valuable tool during CTO-PCI, aiding in planning and achieving procedural success. However, the impact of IVUS on clinical and procedural outcomes in CTO-PCI remains uncertain. This meta-analysis aimed to compare IVUS-guided and angiography-guided approaches in CTO-PCI. The study included five studies and 2320 patients with stable coronary artery disease (CAD) and CTO. The primary outcome of major adverse cardiac events (MACE) did not significantly differ betw

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Lo, Wei-Jung, Wei-Jhong Chen, Chih-Hung Lai, et al. "Rotablation in Patients with Advanced Renal Insufficiency through End-Stage Renal Disease: Short- and Intermediate-Term Results." Journal of Interventional Cardiology 2022 (March 10, 2022): 1–10. http://dx.doi.org/10.1155/2022/7884401.

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Objective. Patients with advanced renal insufficiency are at high risk of coronary artery disease (CAD) and complex lesions. Treating complex calcified lesion with rotational atherectomy (RA) in these patients might be associated with higher risks and poorer outcomes. This study was set to evaluate features and outcomes of RA in these patients. Method. Consecutive patients who received coronary RA from April 2010 to April 2018 were queried from the Cath Lab database. The procedural details, angiography, and clinical information were reviewed in detail. Results. A total of 411 patients were enr

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Islam, AHM Waliul, AQM Reza, Sham Munwar, and Shahabuddin Talukder. "High Bleeding Risk (HBR) patients Percutaneous Coronary Intervention-a Challenge to Deal with." Bangladesh Heart Journal 36, no. 2 (2021): 133–38. http://dx.doi.org/10.3329/bhj.v36i2.56039.

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Coronary artery disease (CAD) is one of the leading causes of death in our patient population. In the era of cardiovascular intervention, Percutaneous coronary intervention (PCI) is one of the most important modalities in treating these group of patients. Several CAD risks factors and co-morbid conditions are key responsible factor of procedural success. High bleeding risk (HBR) patients undergoing PCI is not an uncommon phenomenon. Incidences and prevalence of HBR patients with CAD and their management by PCI is not well addressed in our literature. PCI in HBR patients carries potential risk

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Islam, AHM Waliul, Shams Munwar, Azfar H. Bhuiyan, et al. "Multivessel Percutaneous Coronary Intervention in Patients with Acute ST-segment Elevation Myocardial Infarction in Same Sitting." Cardiovascular Journal 8, no. 1 (2015): 53–58. http://dx.doi.org/10.3329/cardio.v8i1.24769.

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Background: Aim of the study was to evaluate the primary procedural success of Multivessel Percutaneous coronary intervention in patients with acute ST-segment elevated myocardial infarction at the same sitting.Methods: Total 23 (13.4%) patients were enrolled in this very preliminary study, among the total 171 patients who had primary PCI at our center from Jan 2010 to February 2015. Among them, Male: 20 and Female: 3. Total 52 stents were deployed in 46 territories. Mean age were for both male and female were 54 yrs. Associated coronary artery disease risk factors were Dyslipidemia, High Bloo

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Baranauskas, Arvydas, Vilhelmas Bajoras, Povilas Budrys, Aleksandras Laucevičius, and Giedrius Davidavičius. "FFR guided PCI on long coronary lesions: 2-year clinical results with 2nd or newer generation DES." Acta medica Lituanica 23, no. 1 (2016): 5–10. http://dx.doi.org/10.6001/actamedica.v23i1.3264.

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Background. Despite improvements in drug-eluting stent (DES) technology, treatment strategies for long coronary artery lesions remain a controversial issue. The aim of our study was to evaluate the long-term clinical results after FFR guided PCI on long coronary lesions. Materials and methods. A total of 74 consecutive patients with significant (mean FFR 0.61 ± 0.11) coronary artery lesions ≥30 mm in length were included in the prospective study. All patients were treated with FFR guided PCI implanting newer generation Biolimus, Everolimus or Zotarolimus eluting stents. Clinical endpoints – ta

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Romano, Mauro, Andrea Daprati, Guglielmo Saitto, et al. "Safety and effectiveness of a transaortic approach for TAVI: procedural and midterm outcomes of 265 consecutive patients in a single centre." Interactive CardioVascular and Thoracic Surgery 30, no. 3 (2019): 400–407. http://dx.doi.org/10.1093/icvts/ivz269.

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Abstract OBJECTIVES Transcatheter aortic valve implantation with a transaortic approach (TAo-TAVI) is an alternative to transapical or femoral access. We studied the procedural and midterm efficacy and safety of TAo-TAVI with Edwards Sapien XT and Medtronic CoreValve devices. METHODS Among 901 patients receiving TAVI since 2006, 265 consecutive patients underwent TAo-TAVI between January 2011 and September 2014. Procedural and midterm results were evaluated according to Valve Academic Research Consortium-2 criteria. RESULTS The mean age was 83 ± 5 years. Sapien XT and CoreValve were used in 19

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Krestyaninov, O. V., D. A. Khelimskii, A. G. Badoian, K. A. Rzaeva, D. N. Ponomarev, and A. M. Chernyavskiy. "Impact of successful recanalisation of chronically occluded coronary arteries on clinical outcomes in patients with coronary artery disease." Patologiya krovoobrashcheniya i kardiokhirurgiya 24, no. 3S (2020): 56. http://dx.doi.org/10.21688/1681-3472-2020-3s-56-67.

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<p><strong>Background. </strong>Chronically occluded coronary arteries (CTO) are a common finding in coronary angiography. The technical success rate of endovascular recanalisation of CTO is high; however, the effect of technical success on long-term clinical results remains unclear.<strong></strong></p><p><strong>Aim. </strong>To evaluate long-term outcomes of CTO recanalisation according to technical success of the procedure.<strong></strong></p><p><strong>Methods. </strong>We evaluated 1073 patients wh

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Kalburgi, Veeraj. "Drug eluting stents versus bare metal stents in coronary artery disease patients: outcomes and complications." International Journal of Research in Medical Sciences 7, no. 1 (2018): 260. http://dx.doi.org/10.18203/2320-6012.ijrms20185392.

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Background: To date, data regarding the long-term safety and efficacy of BMS and DES implantation in a real-world population are limited. Thus, this study was designed to study the complications, early and late outcomes of drug-eluting stents (DES) versus bare metal stents (BMS) after implantation in coronary artery disease (CAD) patients up to 6months follow-up period.Methods: This was a single-center, hospital-based, prospective study conducted at a tertiary care center in India. Records of 250 patients who underwent percutaneous coronary intervention (PCI) in the period of January to Decemb

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Kochiashvili, Giorgi, Natalia Fongrat, Bhavana Baraskar, Biruk Amare, and Micaela Iantorno. "Intravascular Lithotripsy: Approach to Advanced Calcified Coronary Artery Lesions, Current Understanding, and What Could Possibly Be Studied Next." Journal of Clinical Medicine 13, no. 16 (2024): 4907. http://dx.doi.org/10.3390/jcm13164907.

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Calcified and resistant narrowing of arteries poses significant difficulty in performing percutaneous coronary interventions (PCIs), as they increase the risk of subpar outcomes leading to worse clinical outcomes. Despite the existence of dedicated technologies and devices, including various balloons and atherectomy systems, they often do not ensure sufficient plaque modification and ideal vessel preparation for optimal stent deployment. Intravascular lithotripsy (IVL), a technology originally developed for urological procedures, has recently been used to safely and selectively disrupt calcifi

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Øksnes, Anja, Claudia Cosgrove, Simon Walsh, et al. "Intravascular Lithotripsy for Calcium Modification in Chronic Total Occlusion Percutaneous Coronary Intervention." Journal of Interventional Cardiology 2021 (June 21, 2021): 1–6. http://dx.doi.org/10.1155/2021/9958035.

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Intravascular lithotripsy (IVL) has been shown to be safe and effective for calcium modification in nonocclusive coronary artery disease (CAD), but there are only case reports of its use in calcified chronic total occlusions (CTO). We report data from an international multicenter registry of IVL use during CTO percutaneous coronary intervention (PCI) and provide provisional data regarding its efficacy and safety. During the study period, IVL was used in 55 of 1053 (5.2%) CTO PCI procedures. IVL was used within the occluded segment after successful CTO crossing in 53 procedures and during incom

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Solangi, Aftab Ahmed, Nasr Ullah, Jalalu din, Amir Jamil, and Omer Aslam. "Provisional Vs Dual Stenting of Left Main Coronary Artery Bifurcation Lesions." Pakistan Journal of Medical and Health Sciences 16, no. 11 (2022): 629–31. http://dx.doi.org/10.53350/pjmhs20221611629.

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Background: The primary LMCA stenting methods used nowadays consist of single stent (provisional), and two stent (T and protrusion, and double kissing crush {DK crush}, culotte, or classic crush). The optimal technique for bifurcation lesion treatment for the patients present with distal ULMCA disease is still unclear and not much is known about the best course of action and the clinical outcomes following various PCI techniques for ULMCA bifurcations in Pakistan. Objective: To investigate the midterm (3-year) outcomes related to the provisional stenting compared to two-stenting technique for

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Gupta, Saumya, Sharad Chandra, Ayush Shukla, et al. "Feasibility and safety of the 5 Fr Glidesheath Slender in female patients: A randomized controlled trial." Heart India 13, no. 1 (2025): 15–20. https://doi.org/10.4103/heartindia.heartindia_52_24.

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ABSTRACT Background: Numerous previous studies have explored transradial coronary angioplasty, yet none have exclusively focused on the female population. Aim: The aim of this study was to assess the feasibility and safety of the 5 Fr Glidesheath Slender (GSS) (Terumo, Tokyo, Japan) in comparison to the 6 Fr Standard Sheath (SS) in Indian female patients undergoing coronary angiography or percutaneous coronary intervention (PCI). Materials and Methods: This was a prospective, randomized controlled, single-center study. A total of 100 female patients diagnosed with coronary artery disease under

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