CBS 2019
CBSMD教育中心
中 文

Percutaneous LAA Occlusion

Abstract

Recommended Article

Comparison of the Efficacy and Safety Outcomes of Edoxaban in 8040 Women Versus 13 065 Men With Atrial Fibrillation in the ENGAGE AF-TIMI 48 Trial Gut microbiota dysbiosis promotes age-related atrial fibrillation by lipopolysaccharide and glucose-induced activation of NLRP3-inflammasome Short-Term Oral Anticoagulation Versus Antiplatelet Therapy Following Transcatheter Left Atrial Appendage Closure Anticoagulation in Concomitant Chronic Kidney Disease and Atrial Fibrillation: JACC Review Topic of the Week Left Atrial Appendage Occlusion during Cardiac Surgery to Prevent Stroke Edoxaban-based versus vitamin K antagonist-based antithrombotic regimen after successful coronary stenting in patients with atrial fibrillation (ENTRUST-AF PCI): a randomised, open-label, phase 3b trial Alcohol consumption, cardiac biomarkers, and risk of atrial fibrillation and adverse outcomes Early Rhythm-Control Therapy in Patients with Atrial Fibrillation
|<< 1 2 3 4 5 6 >>|

Clinical Case Study

JOURNAL：CBSMD Article Link

Clinical Case : Significant LM Diameter Mismatch Treated with IVUS-guidance

Bill Gogas, Fei Ye (syndicatedfeeds)

Pre-reading

Procedure

LTRA 6F JL4 GC w/ Seldinger technique.


Buddy wire technique to cross angulated ostium of LAD w/ Runthrough NS.


Following distal placement of BMW wire, Runtrhough NS was retrieved.


Sequential balloon dilatations w/ 2,5 NC Sprinter Legend from distal to proximal with increasing atmospheres from 10 to 18 was performed. IVUS indicated distal LAD w/ RVD of at least 2,5 mm and proximal LAD media to media diameter of 3,5 mm suggested by IVUS (BS, US) which equals (3,5 mm - 0,25 mm) to vessel diameter of 3,25 mm.


Distal LM PB: 45-50% while proximal LM: >55%.


Distal LAD was treated w/ a 2,5 x 35 DES and mid- to prox-LAD up to distal LM with 3.0 x 28 mm DES*.

*DES of 3.0 or 3.5 mm can be post-dilated up to 4.25 mm



Proximal LAD was post-dilated with 3.0 NC Sprinter balloon to reach expansion of 3,5 mm and LM was post-dilated with 4.0 NC balloon to reach diameter of 4.5 mm.


IVUS confirmed MSAs: LM > 11mm2 & LAD > 7 mm2.


Good angiographic result confirmed by IVUS optimal geometric indices post-stent deployments.



Case Presenter Bill Gogas, Interventional Cardiologist, Visiting Professor of Medicine (Cardiology) at Nanjing First Hospital, China

Case Performed in The Spencer B. King III Catheterization Laboratory

Mentors Spencer B. King III, Shao-liang Chen


>CBS CBS 2019

> CBS 2019 REGISTRATION

> CBS 2019 PROGRAM

> CBS 2019 CALL FOR SCIENCE

> CBS 2019 SPOTLIGHTS

 CBSMD

> CBSMD WEBSITE REGISTRATION

> EDUCATION CENTER

> RECOMMANDED PAPER

> TOP 10 RESEARCH PAPER

> PRE-READING

CBS 2019 CBS 2019 FACULTY Education Resource CBSMD Scientific Library
Copyright ⓒ CBS MD Nanjing China. All rights reserved. 京ICP备16025898号-11
联系我们| Top