Search

Increased re-hospitalization due to acute decompensated heart failure (ADHF) is a modern issue in cardiology. The aim of this study was to investigate risk factors for re-hospitalization due to worsening heart failure, and the effect of tolvaptan (TLV) on decreasing the number of re-hospitalizations. This was a multicenter, retrospective study. The re-hospitalization factors for 1191 patients with ADHF were investigated; patients receiving continuous administration of TLV when they were discharged from the hospital (n = 194) were analyzed separately. Patients were classified into 5 risk groups based on their calculated Preventing Re-hospitalization with TOLvaptan (Pretol) score. The total number of patients re-hospitalized due to worsening heart failure up to one year after discharge from the hospital was 285 (23.9%). Age ≥80 years, duration since discharge from the hospital after previous heart failure 7.2 mg/dl, left ventricular ejection fraction (LVEF) 44.7 ml/m2, loop diuretic dose ≥20 mg/day, hematocrit

Objective We reviewed the technical changes and results achieved with the retrograde approach since we introduced it 7 years ago. Subjects and Methods The subjects were 1,268 patients who were treated for CTO between January 2004 and December 2010. They were investigated with respect to the success rate, the frequency of employing the retrograde approach and its outcome, and other factors. Results The retrograde approach was employed in ∼30% of chronic total occlusion (CTO) patients (n = 281) and the retrograde guidewire success rate was 81.1%. The kissing wire technique was substituted for the retrograde approach in 126 of the 281 patients, with antegrade crossing of a guidewire being successful in 88 of them (70%). The retrograde approach was combined with the CART and reverse controlled antegrade retrograde tracking (CART) techniques in 22 and 21 patients, respectively. Among 83 patients treated with Corsair catheters, crossing of the CTO was achieved in 63. The overall procedural success rate was 79.7% (224 patients). Complications of the retrograde approach included collateral channel dissection (2.1%), channel perforation (1.7%), CTO perforation (1.7%), and donor artery occlusion (1.1%). Conclusion The success rate and safety of the retrograde approach are both satisfactory if the appropriate devices and techniques are selected. © 2012 Wiley Periodicals, Inc.

Sometimes we can't achieve wound healing in patients with critical limb ischemia (CLI) with tissue loss even after successful endovascular therapy (EVT). Multiple factors including patient background, intervention outcomes, and also wound characteristics are associated with wound healing. Therefore

Several studies showed peri-contrast staining (PSS) after silorimus-eluting stent was be associated with target-lesion revascularization (TLR) and very late stent thrombosis. However, the incidence and clinical sequela of PSS after second generation DES implantation are unclear, so we

Background: For Medina (0,1,0) and (0,0,1) lesion, stent implantation at ostium of bifurcation may finish with incomplete coverage of lesion and may cause proximal edge restenosis. But if we crossover other branch with stent, additional balloon dilatation for healthy vessels through jailed strut to maintain access route for other branch with single balloon or kissing balloon technique may be needed. So this study was aimed to investigate the outcomes of ostial and crossover stent implantation for Medina (0,1,0) and (0,0,1) bifurcated lesion.

Background: Presence of stent fracture (SF) after sirolimus-eluting stent (SES) implantation has reported to be associated with an increased risk of in-stent restenosis and target lesion revascular...

Primary stenting from common iliac artery (CIA) to external iliac artery (EIA), jailing internal iliac artery (IIA), has a risk of compromised IIA.The purpose of this study was to evaluate in-hospital and 12 month clinical outcome in patients treated with stent deployment at EIA-IIA bifurcation