Ticagrelor potentiates cardioprotection by remote ischemic preconditioning: the ticagrelor in remote ischemic preconditioning (TRIP) randomized clinical trial.

Objective: Remote ischemic preconditioning (RIPC) reduces periprocedural myocardial injury (PMI) after percutaneous coronary intervention (PCI) through various pathways, including an adenosine-triggered pathway. Ticagrelor inhibits adenosine uptake, thus may potentiate the effects of RIPC. This randomized trial tested the hypothesis that ticagrelor potentiates the effect of RIPC and reduces PMI, assessed by post-procedural troponin release.

Temporal variations of spring hydrochemistry as clues to the karst system behaviour: an example of Louros Catchment.

Effectively managing water resources in karst systems requires a thorough understanding of their general conduit network along with their seasonal dynamics. Their investigation has involved well construction or several advanced natural tracer data, most of which are not always available. Hence, this work showcases a pragmatic approach that makes use of basic hydrochemical variables of springs with coarse temporal resolution in characterising a karst system.

Ping-pong guide catheter technique for facilitating antegrade crossing of a chronic total occlusion.

A 60-year-old man was referred for percutaneous coronary intervention of a proximal left circumflex (Cx) chronic total occlusion (CTO) with distal filling via epicardial collaterals from the left anterior descending (LAD) artery.

Assessment of groundwater vulnerability to nitrates using the GIS-based DRASTIC and SI methods: a case study in Zacharo area, Greece.

A vulnerability assessment of the aquifers in the agricultural area of Zacharo in SW, Peloponnese, Greece, was conducted using the DRASTIC index and the susceptibility index (SI). Sensitivity analysis was conducted and thematic maps for each parameter were generated to analyse the impact of individual parameter on the collective groundwater vulnerability. Results derived from the DRASTIC and SI maps revealed that the extremely highly vulnerable zones are concentrated at three coastal sites in the western part of the study area.

Shockwave Intravascular Lithotripsy of Undilatable STEMI Lesion in Primary PCI.

Percutaneous coronary intervention in STEMI patients may be complicated by the presence of calcium. The Shockwave IVL technique seems to be a safe and useful option, even in STEMI cases, to achieve procedural success. Nevertheless, extra support techniques may be needed in order to deliver the Shockwave balloon.