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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11308308PMC
http://dx.doi.org/10.1016/j.jscai.2022.100407DOI Listing

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Article Synopsis
  • The superficial circumflex iliac artery perforator (SCIP) flap is commonly used in covering wounds, but occasionally faces failure due to venous congestion.
  • A new approach called the modified "chemical leech" technique incorporates a venous catheter to better manage blood drainage from congested areas, which has shown improved outcomes.
  • This method facilitates more effective draining of congested blood at both venule and capillary levels, ultimately enhancing the healing of the flap as microcirculation is restored.
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Spontaneous coronary artery dissection 'storm' in post-partum: a case report.

Eur Heart J Case Rep

November 2024

Department of Cardiology, CHU Clermont-Ferrand, CNRS, Université Clermont Auvergne, 58 rue Montalembert, 63000 Clermont-Ferrand, France.

Background: Spontaneous coronary artery dissection (SCAD) remains a rare form of acute coronary syndrome (ACS) in young women. It is not always easy to diagnose and its management can be complex, particularly in the case of severe forms.

Case Summary: A 29-year-old Mahorese woman presented with non-ST-elevation acute coronary syndrome 72 h after vaginal delivery of an uncomplicated twin pregnancy.

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The artery of Kugel is defined as a rare anatomical variant of the coronary arteries. It consists of an anastomotic connection between the branches of the right coronary artery (RCA) and the left circumflex artery (LCx). In patients with coronary artery occlusion, the presence of this connection bypassing the area of the occluded vessel may be a factor that prevents significant necrosis of a specific area of the myocardium.

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Background: Left main (LM) perforations necessitating a covered stent risk sacrificing the side branch. The lost side branch can be promptly recovered by fenestration of the covered stent, using a stiff wire. However, it is unclear whether subsequent balloon angioplasty of the recovered side branch ostium is sufficient to preserve side branch patency.

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