Renal Denervation

Mar 21, 2019 by in CARDIAC SURGERY Comments Off on Renal Denervation

Introduction Hypertension is a leading cause of death worldwide, with 13% of all deaths attributed to it in 2004 (World Health Organization, 2009). A prevalence of 29% (1.56 billion) has…

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Fractional Flow Reserve

Mar 21, 2019 by in CARDIAC SURGERY Comments Off on Fractional Flow Reserve

Introduction Coronary blood flow and pressure measurements across a stenotic coronary artery provide information on the ischemic potential of a specific lesion at the time of catheterization. Physiologic assessment of…

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Upper Extremity Intervention

Mar 21, 2019 by in CARDIAC SURGERY Comments Off on Upper Extremity Intervention

Introduction Atherosclerotic upper extremity obstructive disease is predominantly secondary to subclavian or innominate artery stenosis (SAS or IAS). The diagnosis is usually suspected when a significant (often ≥15 mm Hg) systolic brachial…

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Optical Coherence Tomography

Mar 21, 2019 by in CARDIAC SURGERY Comments Off on Optical Coherence Tomography

Introduction Optical coherence tomography (OCT) is a tomographic imaging technology first described for use in ophthalmology that has been adapted for real-time intravascular imaging. The resolution of OCT is significantly…

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Bifurcations

Mar 21, 2019 by in CARDIAC SURGERY Comments Off on Bifurcations

Introduction A bifurcation coronary lesion is a stenosis involving or adjacent to the origin of an arterial side branch ≥2 mm in diameter. The stenosis can involve the large branch (main…

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Management of Thrombotic Lesions

Mar 21, 2019 by in CARDIAC SURGERY Comments Off on Management of Thrombotic Lesions

Introduction Acute myocardial infarction is caused by thrombotic occlusion of a native coronary artery. While partial occlusion usually presents as a non ST-elevation myocardial infarction (NSTEMI), it is expected that…

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Calcified Lesions

Mar 21, 2019 by in CARDIAC SURGERY Comments Off on Calcified Lesions

Introduction Calcified coronary lesions present an important challenge to interventional cardiologists. Because of the rigidity and noncompliance of a heavily calcified coronary artery segment, heavy calcification was a risk factor…

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