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Coil Embolization for Complications Following PCI

Bruno Brochado, MD
Andre Alexandre, MD
Tiago Adrega, MD
Joao Silveira, MD
Severo Torres, MD
Les Stewart
03/08/2023

Video Supplement for Coil Embolization for Management of Brachiocephalic Artery Perforation and Mediastinal Hematoma Following Percutaneous Coronary Intervention by Alexandre, et al. (March 2023 Clinical Images)

A 65-year-old man who presented with lateral ST-segment-elevation myocardial infarction was referred for primary percutaneous coronary intervention. J-wire and 5.2-Fr JR4 diagnostic catheter progression through right radial artery access was hampered by radial artery spasm and subclavian artery tortuosity. Then, a hydrophilic-coated guidewire was used to assist catheter advancement into the aortic root. Coronary angiography revealed an acute occlusion of the first obtuse marginal artery, which was successfully revascularized with 2 consecutive drug-eluting stents.


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Thrombectomy
Data Show Patients Treated with Penumbra’s Computer Assisted Vacuum Thrombectomy Technology for Pulmonary Embolism Experience Shorter Hospital Stays and Fewer Complications Compared to Other Treatment Options
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Data show patients with intermediate-risk pulmonary embolism (PE) treated with Penumbra’s computer assisted vacuum thrombectomy (CAVT™) technology have a shorter length of hospital stay, shorter post-procedure length of stay, and fewer...
Data show patients with intermediate-risk pulmonary embolism (PE) treated with Penumbra’s computer assisted vacuum thrombectomy (CAVT™) technology have a shorter length of hospital stay, shorter post-procedure length of stay, and fewer...
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Study Identifies Molecule That Simulates Inflammation-Reducing Effects of Low-Fat Diet
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“We have already seen its effectiveness in multiple models of atherosclerosis,” said Andrei Maiseyeu, associate professor at the Cardiovascular Research Institute and Department of Biomedical Engineering at Case Western Reserve’s School of...
“We have already seen its effectiveness in multiple models of atherosclerosis,” said Andrei Maiseyeu, associate professor at the Cardiovascular Research Institute and Department of Biomedical Engineering at Case Western Reserve’s School of...
“We have already seen its...
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"Existing low-energy defibrillation protocols yield only a moderate reduction in tissue damage and pain," author Roman Grigoriev said. "Our study shows these can be completely eliminated. Conventional protocols require substantial power for...
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"Existing low-energy...
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NEJM: Using a Fan and Wetting the Skin Reduces Risk of Deadly Cardiac Strain in Hot and Humid Weather
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"Older adults, especially those with heart disease, are at greater risk due to the strain that hot temperatures put on the heart. Understanding the impacts of different cooling strategies on the heart is important to help vulnerable people...
"Older adults, especially those with heart disease, are at greater risk due to the strain that hot temperatures put on the heart. Understanding the impacts of different cooling strategies on the heart is important to help vulnerable people...
"Older adults, especially those...
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In a recent study, over 90% of the participants had their infection cleared, and they had lower in-hospital mortality compared to those whose infections remained.
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The different design is thought to increase back pressure, redistributing blood flow more fully through small vessels in the heart that were not working at capacity.
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The Shockwave Javelin Peripheral IVL Catheter is a novel, non-balloon-based lithotripsy platform. Despite the challenging nature of the calcified lesions studied, the 30-day study results met both prespecified performance goals while showing...
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Original Contribution
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Journal of Invasive Cardiology

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