Mohammad Thawabi

Jetstream atherectomy and balloon angioplasty with distal embolic protection for Angio-Seal related vascular access complications

Arteriotomy closure devices (ACDs) are routinely used for vascular closure during invasive cardiovascular procedures. They decrease time to hemostasis as well as length of stay. Major complications such as arterial ischemia and occlusion can be encountered in a minority of patients. We are describing a series of 3 patients with access site closure using Angio-Seal after coronary angiography who developed intermittent claudication within 2–3xa0weeks of follow-up. Access site thrombosis/stenosis in the CFA was found in all the three cases. They were successfully revascularized using Jetstream atherectomy with embolic protection filter followed by balloon angioplasty. This technique can treat extensive thrombus burden as well as extract the collagen and foot plate of Angio-Seal through atherectomy with cutting blades and thrombectomy via rheolytic macerating aspiration port. All cases had excellent angiographic and clinical results.

STATIN INTENSITY AND OUTCOME IN PATIENTS WITH ACUTE HEART FAILURE WITH PRESERVED EJECTION FRACTION

Background: The pathophysiological mechanism of heart failure with preserved ejection fraction (HFpEF) is multifactorial and may involve a systemic inflammatory state. Inflammation plays an important role in left ventricular remodeling and myocytes hypertrophy. The anti-inflammatory effects of

STATINS USE AND LONG TERM OUTCOME POST SURGICAL AORTIC VALVE REPLACEMENT

Background: Statins have been shown to be beneficial after coronary artery bypass grafting. However, the association between statin use and long term outcomes after surgical bioprosthetic aortic valve replacement are conflicting.nnMethods: Consecutive patients (n = 429) who underwent surgical

REPERFUSION WITH INTRACORONARY THROMBOLYSIS AFTER FAILED ASPIRATION IN A PATIENT WITH ST ELEVATION MYOCARDIAL INFARCTION

Percutaneous intervention with stent placement is the preferred strategy of reperfusion in ST elevation myocardial infarction (STEMI). Insufficient results might be encountered if massive intracoronary thrombus and unfavorable anatomy are present. Intracoronary thrombolysis might improve reperfusion

USE OF OPTICAL COHERENCE TOMOGRAPHY FOR MANAGEMENT GUIDANCE AFTER ASPIRATION THROMBECTOMY

Aspiration thrombectomy is reasonable in acute coronary syndrome when a high thrombus burden is encountered.nnRarely, an angiographic culprit lesion is not seen post thrombectomy. This is usually due to an outward expanding plaque, in situ thrombosis, or embolization. Optical coherence tomography (