Percutaneous coronary intervention of grafts vessel is more challenging due to a higher incidence of periprocedural distal micro-emobilization and myocardial infarction. Percutaneous coronary intervention current guidelines advocate usage of distal embolic protection devices, especially in patients with a large thrombus burden, undergoing percutaneous intervention for vein graft disease. We pre...

OBJECTIVES To assess the perceptions of patients with stable coronary artery disease of the urgency and benefits of elective percutaneous coronary intervention and to examine how they vary across centers and by providers. DESIGN Cross sectional study. SETTING 10 US academic and community hospitals performing percutaneous coronary interventions between 2009 and 2011. PARTICIPANTS 991 patie...

M ultiple, large randomised trials comparing primary percutaneous coronary intervention (PCI) with fibrinolytic therapy for ST elevation myocardial infarction (STEMI) have shown that primary PCI results in lower rates of death, reinfarction, and stroke. Consequently, primary PCI has become the preferred reperfusion strategy for STEMI. Unfortunately, primary PCI is available in only a minority o...

BACKGROUND Long-term outcomes of kidney transplantation recipients with percutaneous ureteral management of transplant ureteral complications are not well characterized. METHODS Electronic records of 1753 recipients of kidney-alone transplant between January 2000 and December 2008 were reviewed. One hundred thirty-one patients were identified to have undergone percutaneous ureteral management...

coronary artery disease is one of the most common causes of mortality and morbidity across the world. its treatment includes medical treatment, coronary artery bypass graft (cabg) and percutaneous coronary intervention (pci). the purpose of this study was to investigate the effect of pci on echocardiographic findings of left ventricular (lv) systolic and diastolic function. 115 patients with co...

OBJECTIVE To assess whether revascularisation that is considered to be clinically appropriate is also cost effective. DESIGN Prospective observational study comparing cost effectiveness of coronary artery bypass grafting, percutaneous coronary intervention, or medical management within groups of patients rated as appropriate for revascularisation. SETTING Three tertiary care centres in Lond...

OBJECTIVE To determine the efficacy and safety of enoxaparin compared with unfractionated heparin during percutaneous coronary intervention. DESIGN Systematic review and meta-analysis. DATA SOURCES Medline and Cochrane database of systematic reviews, January 1996 to May 2011. STUDY SELECTION Randomised and non-randomised studies comparing enoxaparin with unfractionated heparin during perc...

1 year and 56% vs 82% after 2 years. Therefore, in diabetic patients with multivessel disease amenable to percutaneous intervention the increased rate of major cardiac events in the follow-up period must be emphasized and carefully weighed against the increased perioperative mortality and morbidity. Most patients with multivessel coronary artery disease, including patients with high operative r...