Publications by authors named "Stalin Roy"

Article Synopsis
  • Percutaneous coronary intervention (PCI) can be challenging in cases of iatrogenic coronary dissection, particularly in heavily calcified vessels, but using a retrograde approach can improve outcomes.
  • A 70-year-old male with previous PCI and exertional angina underwent multiple attempts to treat his left anterior descending artery, ultimately using a reverse rota wiring technique that shortened procedure time and facilitated proper treatment.
  • Despite complications such as coronary perforation and cardiac tamponade during the procedure, skilled operator intervention led to successful sealing of the perforation and symptom relief for the patient at one-year follow-up.
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Fecopneumothorax causing tension (hemodynamic compromise) is an extremely rare situation, mostly as a result of blunt trauma. Here, we present an 86-year-old gentleman who presented with tension fecopneumothorax, with an interesting backstory as to the development of fecopneumothorax.

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Background: Zero contrast percutaneous coronary intervention (PCI) reduces contrast induced acute kidney injury (CI-AKI), and it improves the outcome of chronic kidney disease (CKD) patients undergoing PCI.

Objectives: We sought to assess the safety and short-term outcomes of 'absolute' zero-contrast PCI under intravascular ultrasound (IVUS) guidance in CKD patients.

Methods: Data from all consecutive CKD patients who were included for absolute zero contrast PCI during the period of June 2020 to March 2021 were included in this analysis.

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Background: Takayasu arteritis (TA) frequently involves the coronary arteries, and restenosis is common after initial percutaneous coronary intervention (PCI). However, PCI remains a good option for patients who develop graft failure after coronary artery bypass graft surgery (CABG). Drug-coated balloons help in repeat revascularization after stent failure in TA.

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Article Synopsis
  • The study evaluates the safety and outcomes of percutaneous coronary intervention (PCI) with drug-eluting stents for patients with unprotected left main coronary artery (ULMCA) disease in India from 2011 to 2020.
  • Out of 661 patients, the in-hospital major adverse cardiovascular events (MACCE) rate was low at 1.8%, while the follow-up MACCE rate was 11.5%, with significant survival rates observed over several years.
  • Key findings suggest that PCI is a safe alternative to bypass surgery for certain patients, but older age and higher complexity (SYNTAX score) increase the risk of long-term mortality.
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Objectives: To analyse the feasibility, safety and procedural outcomes of percutaneous coronary intervention (PCI) for chronic total occlusions (CTO) through retrograde approach using single catheter.

Methods: Our study was a retrospective observational study that enrolled patients who underwent retrograde CTO PCI using a single catheter between June 2016 and February 2020. Clinical success was defined as successful completion of CTO PCI without associated in-hospital major clinical complications like death, myocardial infarction, stroke or urgent revascularisation.

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Patients with chronic kidney disease develop acute kidney injury (AKI) following percutaneous coronary intervention (PCI). We report a case highlighting the benefits of zero-contrast left main bifurcation PCI in an 82-year-old male with non-ST elevation myocardial infarction and contrast-induced AKI following coronary angiography. The patient was on routine follow-up, and he was stable and asymptomatic at nine months follow-up.

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