{"id":10218,"date":"2012-04-22T15:08:29","date_gmt":"2012-04-22T15:08:29","guid":{"rendered":"http:\/\/cardiophile.org\/?p=7221"},"modified":"2012-04-22T15:08:29","modified_gmt":"2012-04-22T15:08:29","slug":"random-titbits-in-interventional-cardiology-2","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/professional\/random-titbits-in-interventional-cardiology-2\/","title":{"rendered":"Random titbits in interventional cardiology"},"content":{"rendered":"

Random titbits in interventional cardiology<\/span><\/h2>\n

Random titbits in interventional cardiology: Changing of guide with coronary guide wire in situ \u2013 using docking and wire extension \u2013 may not support an Amplatz guide<\/p>\n

SAFER trial \u2013 landmark trial on embolic protection devices in SVG
\nNo evidence for use of GP IIb\/IIIa in SVG \u2013 Circulation 2002
\nPreferred strategy for LIMA anastomotic site lesion (AJC; 2004; 95:1531)<\/p>\n

Preferred strategy for LIMA anastomotic site lesion is balloon dilatation and provisional stenting if necessary. Restenosis after POBA to LIMA distal site is low while stenting has higher restenosis. JACC 200; 35:944. These could be pre DES data and current data is needed.<\/p>\n

DPD in SVG PCI \u2013 Use always when technically feasible<\/p>\n

DES in SVG: No definite advantage for DES in SVG of 3.5 mm or more in size. So use only in selected cases.<\/p>\n

Pattern of restenosis in BMS vs DES:\u00a0Restenosis in BMS is more diffuse and severe and difficult to tackle with drug eluting balloon (DEB) alone. Focal lesions are seen with SES and more diffuse lesions in PES<\/p>\n

Jailing of a hydrophilic wire may not be good as the coating of the wire may be left inside while pulling out.<\/p>\n

ARCAOS Aberrant RCA from opposite sinus<\/p>\n

Dot and eye sign: Anomalous LMCA from R sinus? AJC 1985. 55:770
\nAnomalous coronary origin interarterial course is dangerous Circulation. 2002; 105:2449<\/p>\n

Buddy wire<\/p>\n

FFR in tandem lesions If there are two tandem lesions which are separated by more than 6 times the vessel diameter, they behave independently on FFR.<\/p>\n

Covered stents: Covered stents are usually have PTFE covering. Another method of producing covered stent is to suture a saphenous vein to the stent. But then it becomes quite bulky and difficult to cross the lesion.<\/p>\n","protected":false},"excerpt":{"rendered":"

Restenosis in BMS is more diffuse and severe and difficult to tackle with drug eluting balloon. Focal lesions are seen with SES, diffuse lesions in PES.<\/p>\n","protected":false},"author":1,"featured_media":39405,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[18],"tags":[],"class_list":["post-10218","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-angiography-and-interventions"],"yoast_head":"\nRandom titbits in interventional cardiology - notes on multiple topics<\/title>\n<meta name=\"description\" content=\"Random titbits in interventional cardiology: Restenosis in BMS is more diffuse and severe and difficult to tackle with drug eluting balloon.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/johnsonfrancis.org\/professional\/random-titbits-in-interventional-cardiology-2\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Random titbits in interventional cardiology - 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