Repeated transradial catheterization: feasibility, efficacy, and safety.

Transradial access is an alternative to the transfemoral approach in coronary interventions. It results in less access-site bleeding, shorter hospital stays, lower costs, and less pain for the patient. However, some authors have suggested that the transradial approach might lead to radial artery occlusion, which precludes repeated same-artery catheterizations.

A simple risk score for prediction of mortality in patients undergoing percutaneous coronary intervention (PCI) for non-ST segment elevation acute coronary syndromes (NSTEACS).

Aims: To develop an easily applicable prognostic model that can predict mortality risk in patients undergoing percutaneous coronary intervention (PCI) for non-ST segment elevation acute coronary syndromes (NSTEACS).

Methods And Results: A retrospective analysis of 630 consecutive patients undergoing PCI for NSTEACS at our institution between January 1999 and December 2000 (development phase). Multivariate logistic regression analysis to identify independent predictors of mortality.

Acute cardiogenic shock immediately after successful intervention for failed thrombolysis.

We report the case of a 60-year-old female with a history of hypertension who was admitted with an acute inferior myocardial infarction. She received rescue percutaneous transluminal coronary angioplasty/stenting of an occluded right coronary artery for failed thrombolysis with a good initial result. However, this was immediately complicated by cardiogenic shock characterized by left ventricular outflow tract (LVOT) gradient.