Hypertrophic Midventricular Obstructive Cardiomyopathy Revealed by a Stroke.

This case report describes the contributions of multimodality imaging to the diagnosis and management of midventricular hypertrophic cardiomyopathy revealed by a transient thromboembolic stroke. ().

Selective Vulnerability of Cortical Border Zone to Microembolic Infarct.

Background And Purpose: Endovascular procedures, including atrial fibrillation transcatheter ablation, may cause microembolization of brain arteries. Microemboli often cause small sized and clinically silent cerebral ischemias (SCI). These lesions are clearly visible on early postoperative magnetic resonance diffusion-weighted images.

Diagnosis of functionally significant coronary stenosis with exercise CT myocardial perfusion imaging.

Purpose: To assess the feasibility of exercise perfusion computed tomography (CT) in patients suspected of having hemodynamically significant coronary stenosis.

Materials And Methods: This study had institutional review board approval, and all patients gave informed consent. Thirty-two consecutive patients (26 men [mean age, 63 years] and six women [mean age, 71 years]) with 55 coronary stenoses of at least 50% underwent coronary CT angiography (one stenosis in 13 patients, two stenoses in 15 patients, and three stenoses in four patients).

Remote monitoring for active cardiovascular implantable electronic devices: a European survey.

This survey sampled today's European practices in the use of remote monitoring (RM) for the follow-up of active cardiovascular implantable electronic devices. Eighty-five per cent of the responding centres are currently using RM. For the majority, RM is expected to increase importantly within 5 years, and it has already led to a new organization of care based on dedicated allied professionals and/or the creation of RM units.

Validation of success following atrial fibrillation ablation: a European survey.

This survey sampled the follow-up (FU) strategies for atrial fibrillation ablation used by electrophysiology/ablation centres in Europe. Currently, FU relies on symptoms and short-term ECG recordings rather than monitoring by implantable devices. The responding centres show a lack of confidence in the long-term success after ablation, and confusion about definition of success which needs to be informed by updated European guidelines.

Totally minimized extracorporeal circulation: an important benefit for coronary artery bypass grafting in Jehovah's witnesses.

Background: Jehovah's Witnesses who require cardiac surgery represent a challenge to the physician because of their refusal to accept blood transfusions. Because coronary artery bypass grafting (CABG) is performed by most surgeons under cardiopulmonary bypass (CPB), which has potentially deleterious effects on hemostasis, we used a new concept called minimal extracorporeal circulation (MECC). MECC includes heparin-coated tubing, a centrifugal pump, and an oxygenator.

Evaluation of a new 9F guiding catheter for directional coronary atherectomy.

Large lumen guiding catheters (9.5 to 11 French) are currently required to perform directional atherectomy. These rigid guiding catheters require modifications of usual techniques for manipulation and can induce ostial trauma and peripheral vascular complications.