The curious case of an isolated right coronary artery aneurysm complicated by thrombosis and distal embolization.

A 40-year-old male patient with no significant medical history was admitted with an inferior ST-segment elevation myocardial infarction. Primary percutaneous coronary intervention revealed a right coronary artery aneurysm, with no evidence of significant coronary disease. We support the hypothesis of aneurysmal thrombus formation with distal embolization.

Inari large-bore mechanical thrombectomy in intermediate-high risk submassive PE patients: Case series and literature review.

Pulmonary embolism (PE) is one of the most common causes of cardiovascular (CV) mortality worldwide. Owing to the associated morbidity and mortality with other treatment modalities, including systemic thrombolysis, a discernible change in the era of acute pulmonary embolism management has been reported. Catheter-directed thrombectomy using the FlowTriever system (Inari Medical; Irvine, CA, USA) was shown to reduce endpoints of interest in patients with acute intermediate-high risk PE and was associated with rapid hemodynamic improvement.

Improved Outcomes With Transradial Approach in Alcohol Septal Ablation.

Background: Transradial cardiac catheterization is equally effective but has fewer vascular complications than transfemoral catheterization. There is a paucity of data on biradial approach for alcohol septal ablation (ASA). This study seeks to study the differences in procedural outcomes between the transradial vs traditional transfemoral approach in ASA.

Antegrade Wire Escalation Case Selection and Strategies: Four Wires for Success.

The North American Hybrid Algorithm has become the standard method for percutaneous intervention for coronary chronic total occlusions. In this article, the authors discuss antegrade wire escalation as it applies to the North American Hybrid Algorithm for chronic total occlusion percutaneous coronary intervention. There is a multitude of guidewires available to operators on the market, which can quickly prove overwhelming in terms of selection, cost, and practicality.

Antithrombin supplementation in adult patients receiving extracorporeal membrane oxygenation.

Introduction: Extracorporeal membrane oxygenation is associated with an increased risk of thrombosis and hemorrhage. Acquired antithrombin deficiency often occurs in patients receiving extracorporeal membrane oxygenation, necessitating supplementation to restore adequate anticoagulation. Criteria for antithrombin supplementation in adult extracorporeal membrane oxygenation patients are not well defined.