Publications by authors named "Dariouch Dolatabadi"

A 71-year-old female with symptomatic bitroncular coronary ischemic disease was admitted in our hospital for hybrid revascularization. She presented significant stenosis of the proximal and middle left anterior descending artery (LAD) and of the second segment of right coronary artery (RCA). She was scheduled for an Endoscopic Atraumatic Coronary Artery Bypass (EACAB) of the left internal mammary artery (LIMA) to LAD and staged percutaneous coronary intervention (PCI) to RCA after the EACAB.

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Objectives: To assess feasibility and short-term clinical outcomes associated with resorbable magnesium scaffold (RMS) implantation in the setting of primary percutaneous coronary intervention for ST-segment elevation myocardial infarction (STEMI).

Background: RMS implantation has demonstrated favorable clinical outcomes in stable coronary artery disease patients. However, to date, data are lacking in the setting of STEMI.

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Aims: Cardiopoietic cells, produced through cardiogenic conditioning of patients' mesenchymal stem cells, have shown preliminary efficacy. The Congestive Heart Failure Cardiopoietic Regenerative Therapy (CHART-1) trial aimed to validate cardiopoiesis-based biotherapy in a larger heart failure cohort.

Methods And Results: This multinational, randomized, double-blind, sham-controlled study was conducted in 39 hospitals.

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Purpose: To assess the feasibility and safety of the 7 French (Fr) Glidesheath Slender for complex transradial (TR) percutaneous coronary interventions (PCI).

Background: The TR approach is increasingly used worldwide for coronary and peripheral vascular interventions. However, the small size of the radial artery remains an important limitation for the use of large-bore guiding catheters (>6 Fr), restricting thereby the treatment of highly complex lesions through the TR approach.

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Article Synopsis
  • The study aimed to evaluate how pulling back the guiding catheter affects fractional flow reserve (FFR) measurements in patients with a specific type of coronary artery blockage (isolated proximal LAD stenosis).
  • In a small trial of 21 patients, FFR was measured both when the catheter was engaged and after it was pulled back, revealing that the FFR values generally decreased after disengagement.
  • The findings suggest that the change in FFR due to catheter disengagement can influence treatment decisions, particularly for patients whose measurements are close to the threshold for intervention.
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The transradial (TR) approach for coronary angiography and intervention is increasingly used worldwide because of several advantages such as reduced bleeding and vascular complications. During TR procedures, aggressive catheter manipulation in the setting of complex and tortuous arterial anatomy can lead to catheter kinking and entrapment. Several percutaneous retrieval techniques using either homolateral radial access or femoral access have been described previously.

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Several recent reports have described the occurrence of longitudinal stent deformation (LSD, defined as the distortion or shortening of a stent along the longitudinal axis), following its successful deployment. However, few reports have described LSD prior to any stent deployment. This previously unrecognized complication is the result of modifications to stent design.

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Objective: The aim of this study is to evaluate the feasibility and safety of the Glidesheath Slender in routine transradial (TR) coronary angiography and intervention.

Background: In recent years, The TR approach has gained in popularity because of several advantages such as reduced vascular access site complications and immediate patient mobilization. Procedural success has been further improved through technological innovations and the development of less invasive devices.

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Article Synopsis
  • The study aimed to assess the safety and effectiveness of using autologous bone marrow-derived stem cells for treating patients with chronic heart failure.
  • The C-CURE trial involved patients with ischemic heart failure receiving either standard care or standard care plus specialized stem cell therapy, with follow-ups for safety and cardiac function.
  • Results showed significant improvements in heart function (increased ejection fraction), reduced heart chamber size, and better exercise capacity for those receiving stem cell therapy, with no increase in toxicity.
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Anatomic variations during transradial (TR) procedures are relatively common and represent a significant cause of technical failure, even for experienced radial operators. In this study, we present an interesting alternative technique to overcome these anatomical anomalies. A significant amount of TR procedures in various and challenging anatomical conditions were successfully completed with the use of a 0.

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Transcatheter aortic valve implantation (TAVI) is a highly specialized technique offering a new therapeutic option to patients at high risk for conventional surgery. However, despite continuous improvements in operators' expertise and device technology, complications associated with this catheter procedure are not uncommon. We report an unusual case of late contained rupture of the aortic annulus, combining a para-aortic false aneurysm and a ventricular septal defect, after the placement of an Edwards Sapien prosthesis.

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During provisional stenting of a bifurcation lesion, recrossing into the side branch (SB) can be sometimes difficult or even impossible, especially when the SB lumen is compromised by a dissection. This report describes a rescue technique that can help to restore flow and regain access to the SB lumen in case of total SB occlusion after main vessel stent placement.

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