Tag: percutaneous coronary intervention

1. In a modern cohort of patients with readily available primary percutaneous coronary intervention, woman experienced greater mortality rates then men following ST-elevation myocardial infarction. 2. The greater mortality was only apparent in younger patients, under the age of 60 years. Evidence Rating Level: 2 (Good) Study Rundown: Prior studies have demonstrated...
1. Amongst patients undergoing angiography, neither sodium bicarbonate nor acetylcysteine were effective in preventing a composite outcome of death, need for dialysis, or persistent kidney injury. 2. The treatments were also ineffective in reducing risk of contrast-associated acute kidney injury. Evidence Rating Level: 1 (Excellent) Study Rundown: Contrast used in angiography is...
1. On average, in this cross-sectional study, physician visual assessment overestimated coronary stenosis severity as compared to quantitative coronary angiography. 2. There was wide variation across hospitals and physicians when comparing severity of coronary stenosis. Evidence Rating Level: 3 (Average) Study Rundown: The presence and severity of coronary stenosis is determined by...
1. In patients with acute myocardial infarction (MI) with cardiogenic shock and multivessel coronary disease, culprit-lesion-only percutaneous coronary intervention (PCI) had a lower risk of 30-day mortality compared to multivessel PCI. 2. There was no evidence that rates of renal-replacement therapy, bleeding, recurrent myocardial infarction, or stroke were different between...
1. In comparison to everolimus-eluting metallic stents (EESs), bioresorbable vascular scaffolds (BVSs) increased the chances for thrombotic events at both mid- and long-term follow-up. 2. Compared to patients with EESs, those with BVSs had a heightened risk (that increased over time) of myocardial infarction, target lesion revascularization (TLR), and target...
Effect of Abdominal Ultrasound on Clinical Care, Outcomes, and Resource Use Among Children With Blunt Torso Trauma The focused assessment with sonography for trauma (FAST) exam is frequently used in the evaluation of injured adults, but little has been studied in children. In adults, the FAST exam has led to...
1. In patients with diabetes and multivessel disease, coronary artery bypass grafting (CABG) was shown to be superior to percutaneous coronary intervention (PCI) with drug-eluting stents in reducing the risk of all-cause mortality and nonfatal myocardial infarction. 2. Patients treated with PCI experienced a smaller risk of nonfatal stroke, but...
1. Device thrombosis occurred at a higher rate in patients undergoing percutaneous coronary intervention (PCI) utilizing a bioabsorbable scaffold compared to a metallic stent, both of which were covered in everolimus. 2. Failure of vessel revascularization and cardiac death occurs at similar rates for PCI procedures utilizing bioresorbable scaffolds and...
1. Rate of death, stroke, and MI at three years were equivalent in patients with left main coronary disease treated with either everolimus-eluting stent or coronary-artery bypass grafting (CABG). 2. Ischemia-driven revascularization at three years was equivalent in the two groups. Evidence Rating Level: 1 (Excellent) Study Rundown: Randomized trials have suggested...
1. In this systematic review and meta-analysis, radial percutaneous access during invasive management of acute coronary syndrome was associated with decreased mortality, major adverse coronary events, and major bleeding when compared to femoral access. 2. However, radial artery access was associated with higher cross-over to femoral access. Evidence Rating Level: 1...