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1826 records returned

Radial Artery Cannulation: A Comprehensive Review of Recent Anatomic and Physiologic Investigations.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Consistent anatomic accessibility, ease of cannulation, and a low rate of complications have made the radial artery the preferred site for arterial cannulation. Radial artery catheterization is a relatively safe procedure with an incidence of permanent ischemic complications of 0.09%. Although its anatomy in the forearm and the hand is variable, adequate collateral flow in the event of radial artery thrombosis is present in most patients. Harvesting of the radial artery as a conduit for coronary artery bypass grafting, advances in plastic and reconstructive surgery of the hand, and its use as an entry site for cardiac ...
Source: Anesthesia and Analgesia - November 20, 2009 Category: Anesthesiology Authors: Brzezinski M, Luisetti T, London MJ Tags: Anesth Analg Source Type: journals

Clarification of Issues Regarding Manometry for Central Venous Catheterization.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19923538 [PubMed - as supplied by publisher] (Source: Anesthesia and Analgesia)
Source: Anesthesia and Analgesia - November 20, 2009 Category: Anesthesiology Authors: Ibinson JW, Oravitz TM, Ezaru CS, Mangione MP Tags: Anesth Analg Source Type: journals

Pressure Waveform Monitoring During Central Venous Catheterization.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19923541 [PubMed - as supplied by publisher] (Source: Anesthesia and Analgesia)
Source: Anesthesia and Analgesia - November 20, 2009 Category: Anesthesiology Authors: Bowdle A, Kharasch E, Schwid H Tags: Anesth Analg Source Type: journals

A new diagnostic algorithm for assessment of patients with single ventricle before a Fontan operationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
To the Editor: We read with interest the article of Prakash and associates entitled “A new diagnostic algorithm for assessment of patients with single ventricle before Fontan operation.” We found it appealing to spare these children invasive and costly procedures in the era of rampant health care costs. In their retrospective study the authors developed an algorithm that identifies high-risk patients for the completion of partial cavopulmonary connection. This algorithm is based on clinical and noninvasive imaging criteria and limits cardiac catheterization only to high-risk patients. (Source: The Journal of Thoracic ...
Source: The Journal of Thoracic and Cardiovascular Surgery - November 20, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Antoine Soueidi, Issam El-Rassi, Daniele Khater Tags: Letters to the Editor Source Type: journals

Reply to the EditorEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We would like to thank Soueidi and colleagues for their thoughtful comments on our work. We agree that the decision to proceed with a Fontan operation is a delicate one with major implications for the child's future course. It is standard clinical practice to perform cardiac catheterization for preoperative evaluation. However, this practice is based on data from the 1970s and does not take into consideration advances in noninvasive imaging and changes in the characteristics of subjects presenting for a Fontan operation. Although cardiac catheterization is the reference standard for hemodynamic assessment, it is invasive a...
Source: The Journal of Thoracic and Cardiovascular Surgery - November 20, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Ashwin Prakash Tags: Letters to the Editor Source Type: journals

Acute Massive Pulmonary Embolism With Hemodynamic Compromise Treated Successfully With Thrombolytic Therapy SelcukEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A 78 year-old woman presented with a history of 15 days of dyspnea and tachypnea at rest. A distended right ventricle with free-wall hypokinesis and displacement of the interventricular septum toward the left ventricle were shown on echocardiography. The patient suddenly arrested. She underwent cardiac catheterization and selective pulmonary angiography for suspected pulmonary embolism while undergoing cardiopulmonary resuscitation. With the diagnosis of pulmonary embolism confirmed, recombinant tissue plasminogen activator was given immediately in the catheterization room. This case shows how pulmonary embolism can be dia...
Source: Clinical and Applied Thrombosis/Hemostasis - November 19, 2009 Category: Hematology Authors: Pala, S., Kahveci, G., Bozok, S. Tags: Articles Source Type: journals

Radiation exposure to anaesthetists during interventional radiology*Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This prospective study determined the level of radiation exposure of anaesthetists during interventional radiological procedures performed in the endoscopic retrograde cholangiopancreatography suite and cardiac catheterisation laboratory and compared it with the current safety guidelines. Anaesthetists wore area-specific lithium fluoride thermo-luminescent dosimeter badges at standardised positions. A total of 1344 procedures were performed over a 6-month period. Anaesthetists were involved in 39/645 (6.0%) procedures associated with ionisation radiation in the endoscopic retrograde cholangiopancreatography suite and 86/69...
Source: Anaesthesia - November 17, 2009 Category: Anesthesiology Authors: S. Ismail, F. Khan, N. Sultan, M. Naqvi Source Type: journals

A Randomized Comparison of Transradial Versus Transfemoral Approach for Coronary Angiography and AngioplastyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions The findings of the present study show that transradial coronary angiography and angioplasty are safe, feasible, and effective with similar results to those of the transfemoral approach. However, procedural duration and radiation exposure are higher using the transradial access. In contrast to the transfemoral route, the rate of major vascular complications was negligible using the transradial approach. (Source: Journal of the American College of Cardiology: Cardiovascular Interventions)
Source: Journal of the American College of Cardiology: Cardiovascular Interventions - November 16, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Brueck, M., Bandorski, D., Kramer, W., Wieczorek, M., Holtgen, R., Tillmanns, H. Tags: Clinical Research Source Type: journals

Cardiac Catheterization on the Road Less Traveled: Navigating the Radial Versus Femoral DebateEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of the American College of Cardiology: Cardiovascular Interventions)
Source: Journal of the American College of Cardiology: Cardiovascular Interventions - November 16, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Kern, M. J. Tags: Editorial Comment Source Type: journals

Vascular Dysfunction of Brachial Artery After Transradial Access for Coronary Catheterization: Impact of Smoking and Catheter ChangesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Transradial catheterization not only leads to dysfunction of the RA but also the upstream BA, which is more severe and sustained in smokers and with increasing numbers of catheters. (Source: Journal of the American College of Cardiology: Cardiovascular Interventions)
Source: Journal of the American College of Cardiology: Cardiovascular Interventions - November 16, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Heiss, C., Balzer, J., Hauffe, T., Hamada, S., Stegemann, E., Koeppel, T., Merx, M. W., Rassaf, T., Kelm, M., Lauer, T. Tags: Mini-Focus Issue: Transradial Approach Source Type: journals

Rashid Hospital opens cath suiteEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Dubai-based Rashid Hospital has inaugurated a dedicated catheterization suite to cater to the growing number of cardiac cases the hospital receives. The new suite is equipped with a procedure room and has eight beds for patients, a control room for all the equipment and monitors and seminar room and an on-call room for doctors. Rashid Hospital saw 1,600 admissions to the cardiology department last year. (Source: Healthcare)
Source: Healthcare - November 16, 2009 Category: Middle East Health Source Type: info

Aortic Arch Recoarctation after the Norwood Stage I Palliation: The Comparative Accuracy of Blood Pressure Cuff and Echocardiographic Doppler Gradients in Detecting Significant ObstructionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion. Echocardiographic Doppler outperforms cuff BP as a sensitive noninvasive screening tool for early detection of significant arch obstruction in infants after the Norwood operation. (Source: Congenital Heart Disease)
Source: Congenital Heart Disease - November 13, 2009 Category: Cardiology Authors: Priya Sekar, William L. Border, Thomas R. Kimball, Russel Hirsch, Peter B. Manning, Philip R. Khoury, Robert H. Beekman III Tags: ORIGINAL ARTICLES Source Type: journals

Pediatric cardiac patients ‘hypersensitive’ to radiation exposureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Current models for assessing radiation exposure during pediatric catheterization may dramatically underestimate the actual risk children face for complications in later life, study results show. (Source: MedWire News - Cardiology)
Source: MedWire News - Cardiology - November 13, 2009 Category: Cardiology Source Type: news

Cardiac catheterization: impact of face and neck shielding on new estimates of effective dose.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Optimization of radiation protection devices for the operator is achieved by minimizing the effective dose (E) on the basis of the recommendations of Publications 60 and 103 of the International Commission on Radiological Protection (ICRP). Radiation exposure dosimetry was performed with thermoluminescence dosimeters using one Alderson phantom in the patient position and a second one in the typical position of the operator. Various types of protective clothing as well as fixed leaded shieldings (table mounted shielding and overhead suspended shields) were considered calculating E. Shielding factors for protective equip...
Source: Health Physics - November 12, 2009 Category: Physics Authors: von Boetticher H, Lachmund J, Hoffmann W Tags: Health Phys Source Type: journals

Computerized information may improve patient understanding of cath procedureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Patients who received an interactive computer-based program explaining cardiac catheterization gained more understanding of the procedure than did those receiving standard written consent information, researchers report. (Source: MedWire News - Cardiology)
Source: MedWire News - Cardiology - November 11, 2009 Category: Cardiology Source Type: news

Online real-time reconstruction of adaptive TSENSE with commodity CPU/GPU hardwareEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Adaptive temporal sensitivity encoding (TSENSE) has been suggested as a robust parallel imaging method suitable for MR guidance of interventional procedures. However, in practice, the reconstruction of adaptive TSENSE images obtained with large coil arrays leads to long reconstruction times and latencies and thus hampers its use for applications such as MR-guided thermotherapy or cardiovascular catheterization. Here, we demonstrate a real-time reconstruction pipeline for adaptive TSENSE with low image latencies and high frame rates on affordable commodity personal computer hardware. For typical image sizes used in interven...
Source: Magnetic Resonance in Medicine - November 10, 2009 Category: Radiology Authors: Sébastien Roujol, Baudouin Denis de Senneville, Erkki Vahala, Thomas Sangild Sørensen, Chrit Moonen, Mario Ries Source Type: journals

Integrated Assessment of Diastolic and Systolic Ventricular Function Using Diagnostic Cardiac Magnetic Resonance Catheterization: Validation in Pigs and Application in a Clinical Pilot StudyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions This novel CMR method provides differential information about diastolic function in conjunction with parameters of systolic contractility and global pump function. (Source: Journal of the American College of Cardiology: Cardiovascular Imaging)
Source: Journal of the American College of Cardiology: Cardiovascular Imaging - November 9, 2009 Category: Radiology Authors: Schmitt, B., Steendijk, P., Lunze, K., Ovroutski, S., Falkenberg, J., Rahmanzadeh, P., Maarouf, N., Ewert, P., Berger, F., Kuehne, T. Tags: Original Research Source Type: journals

Patient Comprehension of an Interactive, Computer-Based Information Program for Cardiac Catheterization: A Comparison With Standard Information [Original Investigation]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Results suggest that an interactive computer-based information program for cardiac catheterization may be more effective in improving patient understanding than conventional written consent information. This technology, therefore, holds promise as a means of presenting understandable detailed information regarding a variety of medical treatments and procedures. (Source: Archives of Internal Medicine)
Source: Archives of Internal Medicine - November 9, 2009 Category: Internal Medicine Authors: Tait, A. R., Voepel-Lewis, T., Moscucci, M., Brennan-Martinez, C. M., Levine, R. Tags: Informatics/ Internet in Medicine, Informatics, Other, Patient-Physician Relationship/ Care, Patient-Physician Communication, Patient Education/ Health Literacy, Cardiovascular System, cardiac Diagnostic Tests Original Investigation Source Type: journals

Quandaries of Informed Consent: Comment on "Patient Comprehension of an Interactive, Computer-Based Information Program for Cardiac Catheterization" [Invited Commentary]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Archives of Internal Medicine)
Source: Archives of Internal Medicine - November 9, 2009 Category: Internal Medicine Authors: Hanson, J. L. Tags: Informatics/ Internet in Medicine, Informatics, Other, Patient-Physician Relationship/ Care, Patient-Physician Communication, Patient Education/ Health Literacy, Cardiovascular System, cardiac Diagnostic Tests Invited Commentary Source Type: journals

Online real-time reconstruction of adaptive TSENSE with commodity CPU/GPU hardware.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Adaptive temporal sensitivity encoding (TSENSE) has been suggested as a robust parallel imaging method suitable for MR guidance of interventional procedures. However, in practice, the reconstruction of adaptive TSENSE images obtained with large coil arrays leads to long reconstruction times and latencies and thus hampers its use for applications such as MR-guided thermotherapy or cardiovascular catheterization. Here, we demonstrate a real-time reconstruction pipeline for adaptive TSENSE with low image latencies and high frame rates on affordable commodity personal computer hardware. For typical image sizes used in inte...
Source: Magnetic Resonance in Medicine - November 9, 2009 Category: Radiology Authors: Roujol S, de Senneville BD, Vahala E, Sørensen TS, Moonen C, Ries M Tags: Magn Reson Med Source Type: journals

Imaging findings of myocardial revascularization at multidetector computed tomography: where are the bypass grafts? An iconographic essayEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A angiotomografia por multidetectores de coronárias constitui um método preciso para avaliação dos enxertos venosos e arteriais pós-revascularização coronariana e vem substituindo em parte o cateterismo, o qual é um método invasivo e de maior custo. Este ensaio iconográfico tem como objetivo a demonstração anatômica dos enxertos mais comumente utilizados, como diferenciar enxertos venosos e arteriais e como localizá-los. Os exames foram realizados em aparelhos de tomografia computadorizada multislice de 64 fileiras de detectores, com apneia, frequência cardíaca controlada e protocolos adequados com posterio...
Source: Radiologia Brasileira - November 6, 2009 Category: Radiology Source Type: journals

Comparison of distance measures in spatial analytical modeling for health service planningEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Road distance and travel time measurements are the most accurate estimates, but cannot be directly implemented in spatial analytical modeling. Euclidean distance tends to underestimate road distance and travel time; Manhattan distance tends to overestimate both. The optimized Minkowski distance partially overcomes their shortcomings; it provides a single model of travel over the network. The method is flexible, suitable for analytical modeling, and more accurate than the traditional metrics; its use ultimately increases the reliability of spatial analytical models. (Source: BMC Health Services Research)
Source: BMC Health Services Research - November 6, 2009 Category: Journals (General) Authors: Rizwan ShahidStefania BertazzonMerril KnudtsonWilliam Ghali Source Type: journals

Combined PCI and minimally invasive heart valve surgery for high-risk patientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Opinion statement Combined coronary artery valvular heart disease is a major cause of morbidity and mortality in the adult patient population. The standard treatment for such disease has been open heart surgery in which coronary artery bypass grafting (CABG) is performed concurrently with valve surgery using a median sternotomy and cardiopulmonary bypass. With the increasing complexity of patients referred to surgery, some patients may prove to be poor surgical candidates for combined valve and CABG surgery. In certain selected patients who fall into this category, valve surgery and percutaneous coronary int...
Source: Current Treatment Options in Cardiovascular Medicine - November 5, 2009 Category: Cardiology Tags: Current Treatment Options in Cardiovascular Medicine Source Type: journals

Adverse event rates in congenital cardiac catheterization - A multi-center experienceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Objectives: To describe case mix variation among institutions, and report adverse event rates in congenital cardiac catheterization by case type. Background: Reported adverse event rates for patients with congenital heart disease undergoing cardiac catheterization vary considerably, due to non-comparable standards of data inclusion, and highly variable case mix. Methods: The Congenital Cardiac Catheterization Outcomes Project (C3PO) has been capturing case characteristics and adverse events (AE) for all cardiac catheterizations performed at six pediatric institutions. Validity and completeness of data were independently au...
Source: Catheterization and Cardiovascular Interventions - November 3, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Lisa Bergersen, Audrey Marshall, Kimberlee Gauvreau, Robert Beekman, Russel Hirsch, Susan Foerster, David Balzer, Julie Vincent, William Hellenbrand, Ralf Holzer, John Cheatham, John Moore, James Lock, Kathy Jenkins Source Type: journals

Detection of Myocardial Damage in Patients With Sarcoidosis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions-In patients with sarcoidosis, DE-CMR is more than twice as sensitive for cardiac involvement as current consensus criteria. Myocardial damage detected by DE-CMR appears to be associated with future adverse events including cardiac death, but events were few, and this needs confirmation in a larger cohort. PMID: 19884472 [PubMed - as supplied by publisher] (Source: Circulation)
Source: Circulation - November 2, 2009 Category: Cardiology Authors: Patel MR, Cawley PJ, Heitner JF, Klem I, Parker MA, Jaroudi WA, Meine TJ, White JB, Elliott MD, Kim HW, Judd RM, Kim RJ Tags: Circulation Source Type: journals

Poor Correlation of Estimated Pulmonary Artery Systolic Pressure Between Echocardiography and Right Heart Catheterization in Patients Awaiting Cardiac Transplantation: Results From the Clinical ArenaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Among patients referred for heart transplant evaluation, there is poor agreement and correlation between echocardiographically estimated PASP and values obtained by right heart catheterization. Furthermore, echocardiographically obtained estimates of PASP should not be exclusively relied upon to exclude heart transplant recipient candidates. (Source: Transplantation Proceedings)
Source: Transplantation Proceedings - November 1, 2009 Category: Transplant Surgery Authors: R.R. Attaran, R. Ramaraj, V.L. Sorrell, M.R. Movahed Tags: Thoracic Transplantation Source Type: journals

Ultrasound-guided arterial catheterization: a narrative reviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Arterial catheterization is the second most common invasive procedure performed in the intensive care unit. Despite the ubiquity of the procedure, complications including failure to place the catheter occur. While many clinicians are familiar with the use of ultrasound (US) guidance to decrease complication rates of central venous catheter insertion, fewer are familiar with the use of ultrasound to guide arterial catheterization. This manuscript reviews the evidence for the utility of ultrasound for this indication. Technical aspects of the procedure and limitations of the existing evidence are revi...
Source: Intensive Care Medicine - October 31, 2009 Category: Intensive Care Tags: Intensive Care Medicine Source Type: journals

[Percutaneous closure of ventricular septal defects in adult patients: our initial experience.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: Percutaneous closure of VSDs has become a good alternative to surgical repair in recent years, with high success rates and low morbidity. The results of percutaneous closure of VSDs are also successful in adult patients. PMID: 19875903 [PubMed - as supplied by publisher] (Source: Turk Kardiyoloji Dernegi arsivi)
Source: Turk Kardiyoloji Dernegi arsivi - October 31, 2009 Category: Cardiology Authors: Ergene O, Eren NK, Akyıldız ZI, Nazlı C Tags: Turk Kardiyol Dern Ars Source Type: journals

Clinical and angiographic outcomes with an everolimus-eluting stent in large coronary arteries: The SPIRIT III 4.0 mm registryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: In large coronary arteries, the 4.0 mm EES results in low rates of LL at 8 months and adverse clinical events at 1 year. © 2009 Wiley-Liss, Inc. (Source: Catheterization and Cardiovascular Interventions)
Source: Catheterization and Cardiovascular Interventions - October 30, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Paul C. Gordon, Robert J. Applegate, James B. Hermiller, Steven B. Weinsier, Julie Doostzadeh, Sherry Cao, Krishnankutty Sudhir, Alexandra J. Lansky, Gregg W. Stone Source Type: journals

Pulmonary Hypertension and CT Measurement of Small Pulmonary Vessels in Severe Emphysema.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: The %CSA<5 measured on CT images is significantly correlated to Ppa in severe emphysema, and can estimate the degree of pulmonary hypertension. PMID: 19875683 [PubMed - as supplied by publisher] (Source: Am J Respir Crit Car...)
Source: Am J Respir Crit Car... - October 29, 2009 Category: Intensive Care Authors: Matsuoka S, Washko GR, Yamashiro T, San Jose Estepar R, Diaz A, Silverman EK, Hoffman E, Fessler HE, Criner GJ, Marchetti N, Scharf SM, Martinez FJ, Reilly JJ, Hatabu H Tags: Am J Respir Crit Care Med Source Type: journals

Urotensin II Immunoreactivity in the Human Circulation: Evidence for Widespread Tissue Release [Endocrinology and Metabolism]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: UII is secreted from the heart and multiple other tissues into the circulation. Related increments in UII immunoreactivity across multiple tissue sites suggest that peptide release occurs via a shared mechanism. Increased UII immunoreactivity is observed in subjects with acute coronary syndrome. (Source: Clinical Chemistry)
Source: Clinical Chemistry - October 28, 2009 Category: Chemistry Authors: Chen, Y.-H., Yandle, T. G., Richards, A. M., Palmer, S. C. Tags: Endocrinology and Metabolism Source Type: journals

Releasable annuloplasty ring insertion -- a novel experimental implantation model [Original articles]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: This novel releasable AR implantation method is feasible and permits in vivo assessment of AR effects in the same heart. The new technique should facilitate experimental AR testing and promote the development of ARs based on physical criteria. (Source: European Journal of Cardio-Thoracic Surgery)
Source: European Journal of Cardio-Thoracic Surgery - October 27, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Bothe, W., Chang, P. A., Swanson, J. C., Itoh, A., Arata, K., Ingels, N. B., Miller, D. C. Tags: cardiac - other, Valve disease Original articles Source Type: journals

Five-year clinical follow-up after implantation of the endeavor zotarolimus-eluting stentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Use of the Endeavor ZES to treat symptomatic CAD due to de novo lesions in native coronary arteries resulted in sustained clinical benefits to 5 years, with low rates of MACE, TLR, TVF, and stent thrombosis. © 2009 Wiley-Liss, Inc. (Source: Catheterization and Cardiovascular Interventions)
Source: Catheterization and Cardiovascular Interventions - October 27, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Ian T. Meredith, John Ormiston, Robert Whitbourn, I. Patrick Kay, David Muller, Donald E. Cutlip, on behalf of the ENDEAVOR I Investigators Source Type: journals

Non-invasive assessment of congenital pulmonary vein stenosis in children using cardiac-non-gated CT with 64-slice technologyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Management of congenital pulmonary vein stenosis is a diagnostic challenge. Echocardiography may be insufficient and thus cardiac catheterization remains the reference standard in this setting. The aim of the study was to investigate the accuracy of cardiac-non-gated CT using 64-slice technology in detecting congenital pulmonary vein stenosis in children. (Source: Clinical Imaging)
Source: Clinical Imaging - October 26, 2009 Category: Radiology Authors: O. Phalla, D. Marini, D.S. Celermayer, G. Agnoletti, P. Vouhé, D. Sidi, D. Bonnet, F. Brunelle Tags: Abstracts Source Type: journals

{gamma}-H2AX Foci as a Biomarker for Patient X-Ray Exposure in Pediatric Cardiac Catheterization. Are We Underestimating Radiation Risks?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions-gamma-H2AX foci as a biomarker for DNA damage indicate that radiation risk estimates according to the linear-no-threshold hypothesis are possibly underestimates. Great care should be taken to minimize and optimize patient radiation exposure. PMID: 19858412 [PubMed - as supplied by publisher] (Source: Circulation)
Source: Circulation - October 26, 2009 Category: Cardiology Authors: Beels L, Bacher K, De Wolf D, Werbrouck J, Thierens H Tags: Circulation Source Type: journals

Radiation Risk From Pediatric Cardiac Catheterization. Friendly Fire on Children With Congenital Heart Disease.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19858410 [PubMed - as supplied by publisher] (Source: Circulation)
Source: Circulation - October 26, 2009 Category: Cardiology Authors: Andreassi MG Tags: Circulation Source Type: journals

Noninvasive computerized acoustic cardiographic prediction of pulmonary hypertensionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The physical examination findings of an accentuated pulmonic component (P2) of the second heart sound (S2) and loud right ventricular third and fourth heart sound (RV S3 and S4) are associated with pulmonary hypertension (PH). However, there are limitations to the accuracy of physical examination findings for the diagnosis of PH. We sought to examine the association between computerized acoustic cardiographic assessment of these heart sounds and pulmonary artery systolic pressure (PASP) measured during right heart catheterization. We hypothesized that an accentuated S2, S3, and S4 over the pulmonic ausculatory region would...
Source: Journal of Electrocardiology - October 24, 2009 Category: Cardiology Authors: Andrew D. Michaels, Shadi Karabsheh, Renée M. Neuharth, Syed Masood, Patti Arand Tags: Poster Session 1 and 2 Source Type: journals

Comparative trends in guidelines adherence among patients with non–ST-segment elevation acute coronary syndromes treated with invasive versus conservative management strategies: Results from the CRUSADE quality improvement initiativeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Improvements in the use of guidelines-recommended therapies were seen among all patients with NSTE ACS in CRUSADE over a 4-year period regardless of management strategy, and the trajectory of improvement in acute care was greatest in patients managed conservatively. (Source: American Heart Journal)
Source: American Heart Journal - October 24, 2009 Category: Cardiology Authors: Ezra A. Amsterdam, Eric D. Peterson, Fang-Shu Ou, L. Kristin Newby, Charles V. Pollack, W. Brian Gibler, E. Magnus Ohman, Matthew T. Roe Tags: Acute Ischemic heart Disease Source Type: journals

Utility of phase contrast MR imaging for assessment of pulmonary flow and pressure estimation in patients with pulmonary hypertension: Comparison with right heart catheterization and echocardiographyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
To compare the utility of phase contrast MR imaging (PC-MRI) for assessment of pulmonary flow and pressure estimation with that of right heart catheterization and echocardiography (cardiac US) in patients with pulmonary arterial hypertension (PAH).Twenty consecutive patients with suspected PAH underwent PC-MRI, cardiac US, and right heart catheterization. In each patient, PC-MRI was acquired by cine 2D-PC method on a 1.5 Tesla scanner, and stroke volume (SV) and pulmonary arterial systolic pressure (PASP) were assessed by using the modified Bernoulli's equation. To evaluate the agreements of SV and PASP among the three met...
Source: Journal of Magnetic Resonance Imaging - October 23, 2009 Category: Radiology Authors: Munenobu Nogami, Yoshiharu Ohno, Hisanobu Koyama, Atsushi Kono, Daisuke Takenaka, Toshiya Kataoka, Hiroya Kawai, Hideaki Kawamitsu, Yumiko Onishi, Keiko Matsumoto, Sumiaki Matsumoto, Kazuro Sugimura Tags: Original Research Source Type: journals

Arteriovenous Malformation: Culprit or Innocent Bystander?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A 75-year-old woman with a history of a large infrascapular congenital arteriovenous malformation (AVM) presented with progressive fatigue and weakness. Treadmill stress echocardiography and right and left heart catheterization were unremarkable. Cardiovascular examination revealed a prominent subscapular bruit but was otherwise normal. (Source: Journal of the American College of Cardiology)
Source: Journal of the American College of Cardiology - October 22, 2009 Category: Cardiology Authors: Michel K. Barsoum, Eric E. Williamson, Robert D. McBane Tags: IMAGES IN CARDIOLOGY Source Type: journals

Nigeria: Fashola Commissions Reddington's State of the Art Cardiac CentreEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
THE nation's health sector has received a big boost with the commissioning of an ultra-modern, state-of-the-art Reddington Hospital Digital Cardiac Catheterization Suite and Cardiac Centre by the Executive Governor of Lagos State, Mr. Babatunde Raji Fashola (SAN). (Source: AllAfrica News: Health and Medicine)
Source: AllAfrica News: Health and Medicine - October 22, 2009 Category: African Health Source Type: news

1-Year Survival in a Randomized Trial of Facilitated Reperfusion: Results From the FINESSE (Facilitated Intervention With Enhanced Reperfusion Speed to Stop Events) TrialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions These results suggest that widespread utilization of the facilitated approaches tested cannot be justified, but that high-risk patient groups such as patients with anterior MI may deserve further study. (The FINESSE trial; NCT00046228) (Source: Journal of the American College of Cardiology: Cardiovascular Interventions)
Source: Journal of the American College of Cardiology: Cardiovascular Interventions - October 19, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Ellis, S. G., Tendera, M., de Belder, M. A., van Boven, A. J., Widimsky, P., Andersen, H. R., Betriu, A., Savonitto, S., Adamus, J., Peruga, J. Z., Hamankiewicz, M., Pluta, W., Oldroyd, K., Ecollan, P., Janssens, L., Armstrong, P., Brodie, B. R., Herrmann Tags: Clinical Research Source Type: journals

[Radial access and management of patients with long-term oral anticoagulation for cardiac catheterization.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Patients with long-term oral anticoagulation are exposed to high bleeding risk and should be managed with care for invasive procedure. Angioplasty is assumed to increase bleeding and access site complications and it is often recommended to temporarily interrupt anticoagulation therapy. Moreover, due to the lack of recommendations, antithrombotic regimen adopted after stenting represents a substantial challenge for the physician who must balance the risk of ischemic and bleeding events. Nevertheless, approaches as uninterrupted therapeutic oral anticoagulation, transradial approach and a best knowledge of ischemic risk,...
Source: Annales de Cardiologie et d'Angeiologie - October 17, 2009 Category: Cardiology Authors: Lesault PF, Teiger E Tags: Ann Cardiol Angeiol (Paris) Source Type: journals

Revascularization for Unprotected Left Main Disease: Evolution of the Evidence Basis to Redefine Treatment StandardsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Determining the most appropriate revascularization strategy for patients presenting with unprotected left main coronary (UPLM) disease has been a topic of great recent interest. During this current decade, there have been multiple clinical trials and registries addressing this subject. Previously, UPLM disease has almost exclusively resulted in utilizing a surgical revascularization treatment strategy. However, recent improvements in percutaneous coronary intervention (PCI) techniques in parallel with the benefits of drug-eluting stents (DES) to reduce clinical restenosis have enabled further investigation in catheterizati...
Source: Journal of the American College of Cardiology - October 16, 2009 Category: Cardiology Authors: David E. Kandzari, Antonio Colombo, Seung-Jung Park, Carl L. Tommaso, Stephen G. Ellis, Luis A. Guzman, Paul S. Teirstein, Corrado Tamburino, John Ormiston, Gregg W. Stone, George D. Dangas, Jeffrey J. Popma, Theodore A. Bass, American College of Cardiolo Tags: JACC WHITE PAPER Source Type: journals

Transfemoral percutaneous removal of a knotted Swan-Ganz catheterEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe the successful nonsurgical removal of a Swan-Ganz catheter, after the formation of a large double knot, during a right heart catheterization performed without fluoroscopic guidance in the intensive care unit. This technique could serve as a last resort in cases that surgical removal seems inevitable due to size-related inapplicability of other nonsurgical methods. © 2009 Wiley-Liss, Inc. (Source: Catheterization and Cardiovascular Interventions)
Source: Catheterization and Cardiovascular Interventions - October 14, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Athanasios Katsikis, George Karavolias, Vassilios Voudris Source Type: journals

Complicated ruptured sinus of Valsalva: cardiac computed tomographic angiography (64 slice) predicts surgical appearance and obviates need for invasive cardiac catheterization [Case report - Aortic and aneurysmal]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present a case report of a ruptured sinus of Valsalva aneurysm (SVA) that presented as aortic insufficiency following bacterial endocarditits in a cardiac transplant patient. Cardiac computed tomographic angiography (CCTA) including volume rendered images predicted the appearance of the fistula entrance and defined spatial relationships facilitating the surgical approach. CCTA ability to define the coronary anatomy obviated the need for invasive coronary angiography. The use of this imaging modality especially with three-dimensional spatial visualization, and multiphase cine angiography can add significant value to the ...
Source: Interactive CardioVascular and Thoracic Surgery - October 14, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Ro, T. K., Cotter, B. R., Simsir, S. A., Karlsberg, R. P. Tags: cardiac - other, Valve disease Case report - Aortic and aneurysmal Source Type: journals

Noninvasive methods of accurately diagnosing in children anomalous origin of the left coronary artery from the pulmonary trunkEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Research ArticlesKuang-Jen Chien, Ta-Cheng Huang, Kai-Sheng Hsieh, Chu-Chuan Lin, Ken-Pen Weng, Jun-Yen Pan, Cheng-Liang Lee, Cardiology in the Young, Volume 19 Issue 05 , pp 474-481AbstractBackground Anomalous origin of the left coronary artery from the pulmonary trunk is a rare congenital heart defect. Cardiac catheterization remains the standard means of diagnosis. Our purpose in this study is to emphasize the importance of assessing the electrocardiogram when making the diagnosis, in addition to taking note of transthoracic echocardiographic findings. We also analyzed the sensitivity of each parameter under investigati...
Source: Cardiology in the Young - October 14, 2009 Category: Cardiology Source Type: journals

Primary left ventricular rehabilitation is effective in maintaining two-ventricle physiology in the borderline left heartEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: In patients with borderline left hearts, primary left ventricular rehabilitation with endocardial fibroelastosis resection and mitral and aortic valvuloplasty results in improved left ventricular systolic and diastolic performance and decreased right ventricular pressures. This approach may provide an alternative to single-ventricle management in this difficult patient group. (Source: The Journal of Thoracic and Cardiovascular Surgery)
Source: The Journal of Thoracic and Cardiovascular Surgery - October 13, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Sitaram M. Emani, Emile A. Bacha, Doff B. McElhinney, Gerald R. Marx, Wayne Tworetzky, Frank A. Pigula, Pedro J. del Nido Tags: Congenital heart Disease Source Type: journals

Relationship Between Baseline Coronary Calcium Score and Demonstration of Coronary Artery Stenoses During Follow-Up: MESA (Multi-Ethnic Study of Atherosclerosis)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions The majority of patients with clinically indicated coronary angiography during follow-up had detectable coronary calcification at baseline. Although there is a significant relationship between the extent of calcification and mean degree of stenosis in individual coronary vessels, 16% of the coronary arteries with significant stenoses had no calcification at baseline. (Source: Journal of the American College of Cardiology: Cardiovascular Imaging)
Source: Journal of the American College of Cardiology: Cardiovascular Imaging - October 12, 2009 Category: Radiology Authors: Rosen, B. D., Fernandes, V., McClelland, R. L., Carr, J. J., Detrano, R., Bluemke, D. A., Lima, J. A.C. Tags: Original Research Source Type: journals

Vendor Notebook - Bronx RHIO to deploy Axolotl's Elysium Exchange suiteEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Axolotl Corp., a San Jose, Calif.-based developer of health information exchange solutions, has announced that the Bronx Regional Health Information Organization (BronxRHIO) will deploy Axolotl’s Elysium Exchange suite of solutions. (Source: Healthcare IT News)
Source: Healthcare IT News - October 9, 2009 Category: Information Technology Authors: Eric Wicklund Tags: Online Only access management solutions Affiliated Computer Services Akron Arizona Atlanta Australia Australian Centre Barrington Bedford Boston business intelligence California Cambridge cardiac catheterization Cisco Systems Source Type: news