Successful coronary stent retrieval from the renal artery

Coronary stent loss and its migration is one of complications of percutaneous coronary interventions (PCI). We present a case of successful retrieval of a coronary stent which moved initially to the left renal artery. Subsequently the stent was lost again and migrated to the left deep femoral artery, while an attempt was made at its retrieval with a snare loop from the renal artery. Successful retrieval was finally performed through right femoral access by the so-called “cross-over” method. (Cardiol J 2007; 14: 87–90

Udana ewakuacja stentu z tętnicy nerkowej przemieszczonego podczas przezskórnej interwencji wieńcowej

Migracja stentu jest jednym z powikłań przezskórnej interwencji wieńcowej. W niniejszej pracy przedstawiono przypadek udanej próby wewnątrznaczyniowego wydobycia stentu przemieszczonego początkowo do lewej tętnicy nerkowej, a następnie podczas próby jego usunięcia za pomocą pętli lasso do lewej tętnicy głębokiej uda. Ostatecznie usunięto stent z dojścia udowego metodą cross-over. (Folia Cardiologica Excerpta 2007; 2: 44-48

Chorzy trudni nietypowiMężczyzna z wrodzonymi licznymi przetokami lewej tętnicy wieńcowej do lewej komory serca

We present a case of a 65-year-old male with multiple coronary artery fistulas draining into left ventricle

Endothelial function and baroreflex sensitivity according to the oral glucose tolerance test in patients with coronary artery disease and normal fasting glucose levels

A B S T R A C T Endothelial dysfunction and reduced BRS (baroreflex sensitivity) may be present in patients with CAD (coronary artery disease). The normal fasting glucose level does not exclude abnormal glucose metabolism in patients with CAD. The aim of present study was to evaluate endothelial function and BRS according to glucose metabolism in patients with normal fasting plasma glucose and stable CAD subjected to PTCA (percutaneous transluminal coronary angioplasty). Forty-six consecutive patients who underwent elective PTCA were studied (37 men; mean age 56 years). Endothelial function was assessed non-invasively using the arterial vasodilator response to salbutamol (albuterol). BRS was measured using a cross-correlation method. The extent of coronary narrowing was estimated by calculation of the Gensini score. All patients underwent a 75 g OGTT (oral glucose tolerance test). IGT (impaired glucose tolerance) or diabetes was present in approx. 60 % of patients. The vasodilator response to salbutamol, as a measure of endothelial dysfunction, was significantly impaired in patients with IGT or diabetes compared with those with normal glucose tolerance (− 0.5 + − 1.6 % compared with − 7.9 + − 2.2; P = 0.01). Glucose metabolism and age were significant predictors of endothelial dysfunction (R 2 = 35.2 %, P = 0.02). BRS did not differ significantly between patients with normal glucose tolerance and those with IGT or diabetes (6.9 + − 1.2 compared with 6.1 + − 0.6 ms/mmHg respectively; P = 0.669). BRS was negatively correlated with age (r = − 0.34, P = 0.021) and the Gensini score (r = − 0.34, P = 0.022). The significant predictors of BRS were Gensini score, age and past myocardial infarction (R 2 = 37.02 %, P = 0.002). Patients with established CAD, normal fasting glucose and IGT or diabetes demonstrated impaired endothelial function which did not correlate with the extent of coronary artery involvement. Conversely, BRS in the study population was not affected by glucose metabolism, but showed an interaction with the extent of coronary narrowing

Surgery for massive pulmonary embolism following coronary angioplasty - a case report

Abstract: A case of a 49-year-old female with acute coronary syndrome is presented. The patient underwent coronary angioplasty with stent implantation. Due to the recurrence of pain and dyspnea a repeated coronary angiography was performed 3 hours later which confirmed good result of angioplasty. For the next 48 hours a local compression on both femoral arteries was maintained and the patient received full anticoagulant and antiplatelet treatment. However, clinical condition of the patient continued to deteriorate. Echocardiography and spiral computerised tomography revealed the presence of a massive pulmonary embolism. The patient underwent surgery and fully recovered