Typical microembolism signals (MES) recorded during cardiac catheterization

<p><b>Copyright information:</b></p><p>Taken from "Silent cerebral infarct after cardiac catheterization as detected by diffusion weighted Magnetic Resonance Imaging: a randomized comparison of radial and femoral arterial approaches"</p><p>http://www.trialsjournal.com/content/8/1/15</p><p>Trials 2007;8():15-15.</p><p>Published online 7 Jun 2007</p><p>PMCID:PMC1896179.</p><p></p> Shower of MES during left ventriculography. By convention in our center upper part is for right carotid system and lower part for the left side

Typical positive DW-MRI (diffusion weighted-MRI) in asymptomatic patient confirming a recent cerebral infarction before catheterization

<p><b>Copyright information:</b></p><p>Taken from "Silent cerebral infarct after cardiac catheterization as detected by diffusion weighted Magnetic Resonance Imaging: a randomized comparison of radial and femoral arterial approaches"</p><p>http://www.trialsjournal.com/content/8/1/15</p><p>Trials 2007;8():15-15.</p><p>Published online 7 Jun 2007</p><p>PMCID:PMC1896179.</p><p></p

Typical positive DW-MRI (diffusion weighted-MRI) in asymptomatic patient confirming a new lesion appeared after cardiac catheterization

<p><b>Copyright information:</b></p><p>Taken from "Silent cerebral infarct after cardiac catheterization as detected by diffusion weighted Magnetic Resonance Imaging: a randomized comparison of radial and femoral arterial approaches"</p><p>http://www.trialsjournal.com/content/8/1/15</p><p>Trials 2007;8():15-15.</p><p>Published online 7 Jun 2007</p><p>PMCID:PMC1896179.</p><p></p

Percentiles of the distributions of lumen areas and distance between the lumen contours obtained with the automatic and manual segmentation methods.

<p>Percentiles of the distributions of lumen areas and distance between the lumen contours obtained with the automatic and manual segmentation methods.</p

Similarity indexes of lumen and stent strut detection algorithms.

<p>Similarity indexes of lumen and stent strut detection algorithms.</p

Main characteristics of the coronary bifurcation phantoms, implanted stent types, and stenting procedures followed by interventional cardiologists for stent implantation.

<p>Main characteristics of the coronary bifurcation phantoms, implanted stent types, and stenting procedures followed by interventional cardiologists for stent implantation.</p

Lumen volume and the mean number of struts per frame obtained for the seven repetitions of the OCT scan of Case 3.

<p>Lumen volume and the mean number of struts per frame obtained for the seven repetitions of the OCT scan of Case 3.</p

Percentiles of the distributions of number of struts obtained with the automatic and manual segmentation methods, and total and radial distances between the centroid of each automatically segmented strut and the nearest manually identified strut.

<p>Percentiles of the distributions of number of struts obtained with the automatic and manual segmentation methods, and total and radial distances between the centroid of each automatically segmented strut and the nearest manually identified strut.</p

Data_Sheet_1_Impact of severe valvular heart disease in adult congenital heart disease patients.docx

BackgroundThe clinical impact of valvular heart disease (VHD) in adult congenital heart disease (ACHD) patients is unascertained. Aim of our study was to assess the prevalence and clinical impact of severe VHD (S-VHD) in a real-world contemporary cohort of ACHD patients.Materials and methodsConsecutive patients followed-up at our ACHD Outpatient Clinic from September 2014 to February 2021 were enrolled. Clinical characteristics and echocardiographic data were prospectively entered into a digitalized medical records database. VHD at the first evaluation was assessed and graded according to VHD guidelines. Clinical data at follow-up were collected. The study endpoint was the occurrence of cardiac mortality and/or unplanned cardiac hospitalization during follow-up.ResultsA total of 390 patients (median age 34 years, 49% males) were included and S-VHD was present in 101 (25.9%) patients. Over a median follow-up time of 26 months (IQR: 12–48), the study composite endpoint occurred in 76 patients (19.5%). The cumulative endpoint-free survival was significantly lower in patients with S-VHD vs. patients with non-severe VHD (Log rank p 2, higher NYHA class (p = 0.005 for both), lower LVEF (p = 0.008), and S-VHD (p = 0.015) were independently associated to the study endpoint. The likelihood ratio test demonstrated that S-VHD added significant prognostic value (p = 0.017) to a multivariate model including age, severe CHD, atrial fibrillation, %Sat O2, NYHA, LVEF, and right ventricle systolic pressure > 45 mmHg.ConclusionIn ACHD patients, the presence of S-VHD is independently associated with the occurrence of cardiovascular mortality and hospitalization. The prognostic value of S-VHD is incremental above other established prognostic markers.</p