Laurence Gabriel

RADIAL ARTERY PATENCY AFTER TRANSRADIAL ACCESS: EFFECTIVE AND EASY WAY TO REDUCE THE RADIAL ARTERY OCCLUSION RATE, RESULTS OF THE CRASOC (COMPRESSION OF RADIAL ARTERIES WITHOUT OCCLUSION) STUDY

Methods: From January 2009 to June 2011, we randomized 2107 TRA to low (13cc of air) versus ultra low (10 cc) inflation volume in the TR BandTM compression device. If bleeding occurred, 2 cc were added. After device positioning, type of compression was assessed (“patent hemostasis” or not). Compression was maintained for at least 4 hours. Radial artery patency was evaluated at 24 h by pulse oximetry during ulnar compression. Factors related to patency defined as positive pulse oximetry (PPO) were analyzed.

Stroke and an unexplained dyspnea in an elderly patient: Platypnea-orthodeoxia syndrome

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Early prognosis and predictor analysis for positive coronary angiography after out-of-hospital cardiac arrest (OHCA).

Abstract Background: Key predictors of survival after OHCA have been described in the literature. Current guidelines recommend emergency angiography in patients without an obvious extra-cardiac cause of arrest. However, the value of this strategy is debated. Moreover, diagnosis of acute coronary ischaemia after OHCA remains challenging, especially in patients without ST-segment elevation. Objectives: The primary objective was to identify qualitative variables associated with an increased chance of 30-d survival after OHCA. The secondary objective was to identify predictors of 30-d survival among patients with ischaemic cardiomyopathy and patients without ST-segment elevation. Afterwards, we sought to identify parameters associated with acute coronary ischaemia and positive coronary angiography in patients without ST-segment elevation. Methods: Retrospective single-centre study including 123 patients resuscitated from OHCA. Baseline characteristics, resuscitation settings and angiographic findings were analysed. Results: The predictors of 30-d survival after OHCA included witnessed cardiac arrest, haemodynamic instability and coronary angiography. Convertible cardiac rhythm, history of coronary disease and presence of at least two cardiovascular risk factors were associated with acute coronary ischaemia. Predictors for a positive angiography in patients without ST-segment elevation included history of coronary disease, gender, diabetes, dyslipidaemia and presence of at least two cardiovascular risk factors (all p < .05). Conclusions: We identified qualitative predictors of 30-day survival after OHCA. Our findings suggest that the recognition of acute coronary ischaemia after OHCA might be improved. The identification of risk criteria may help to select the best candidates for emergency angiography.

Elevation of biomarkers and long-term outcome after percutaneous coronary intervention

The impact of an elevation of cardiac biomarkers occurring after percutaneous coronary intervention (PCI) on long‐term outcome remains controversial. Most available data are based on observational registries using multivariable analysis. In this study, a case–control approach was used to assess separately the impact of post‐PCI elevation of CK‐MB on the short‐term in‐hospital outcome and on the long‐term outcome after hospital discharge.