Publications by authors named "Radu Spinu"
Mitral valve repair or replacement poses a potential risk of injury to the left circumflex coronary artery (LCx). Such injuries can arise from either direct LCx injury caused by encircling or transfixing stitches, or indirect occlusion resulting from the distortion of adjacent tissues. We provide and illustrate a representative image depicting LCx distortion.
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- Covered stents (CS), originally used for coronary perforation, are now being studied for their effectiveness in treating coronary aneurysms (CAA), although data on long-term outcomes is limited.
- This meta-analysis evaluates major adverse cardiac events (MACE) in patients treated with the new PK Papyrus CS over an average follow-up of 16.2 months, analyzing data from three observational trials.
- Results show a MACE rate of 14.3%, with higher rates in CAA patients compared to those with coronary perforation, highlighting the need for careful patient selection and treatment optimization for better outcomes.
Catheter-induced stent dislodgement may occur when attempting to withdraw the stent into the guide-catheter particularly in cases of guiding-catheter co-axiality issues. We present the management of a catheter-induced stent dislodgement with simultaneous loss of wire position.
View Article and Find Full Text PDFCatheter-Extension Induced Coronary Perforation: The Blowpipe Effect.
JACC Cardiovasc Interv
November 2023