FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4281650265> ?p ?o ?g. }

• W4281650265 abstract "<h3></h3> A 64 year old male was brought to a tertiary cardiac centre following collapse preceded by central chest pain and presyncope. On arrival the patient had ventricular fibrillation with return of spontaneous circulation after one direct current cardioversion with a resulting blood pressure of 50/30 mmHg. Past history is hypertension, hypothyroidism and smoking.Electrocardiogram showed sinus rhythm with widespread ST depression but ST elevation in aVR.The patient was taken directly to the cardiac catheter laboratory and found to have critical distal left main stem (LMS) disease. Ostially occluded left anterior descending (LAD) with heavy calcification. Dominant left circumflex (LCx) with heavy proximal calcification and occlusion. Critical proximal ramus disease. The right coronary was not imaged. An intra-aortic balloon pump (IABP) was placed via the right femoral artery. Heparin and tirofiban were given. A 7F EBU guide engaged via the right radial artery. Wires were advanced down LAD and LCx and semi-compliant balloons were inflated in each limb, and although constrained, successfully restored flow. Intravascular ultrasound (IVUS) showed nodular and concentric LAD ostial and concentric LCx calcification. The LAD wire was exchanged via microcatheter for a rotawire and LCx wire removed. 1.75 mm burr rotablation was performed with multiple runs and different guide angles between 140 and 170 thousand revolutions per minute to LMS-LAD. The ramus was wired, pre-dilated and treated with a drug coated balloon. Shockwave intra-vascular lithotripsy to LAD and LCx. Following pre-dilatation with non-compliant balloons the patient received LMS-LAD-LCx culotte bifurcation PCI with Megatron drug eluting stents (DES) using 6 mm balloon for LMS optimisation. Following sequential then kissing balloon inflations, IVUS showed under-expansion of the LCx stent and distal stent edge plaque. A synergy DES was placed to cover the distal stent edge. Further post dilatation and final kissing inflation was undertaken. Final minimum stent area; LMS 18 mm2, LAD 12 mm2 and LCx 9 mm2 with TIMI 3 flow. Minor nipping of ramus ostium was accepted. The patient had a period of recovery on the coronary care unit with dobutamine and IABP support. This was weaned over 36 hours and he went on to make a full clinical recovery.Rotational atherectomy is typically avoided in STEMI due to risk of no-reflow. Given the acuity of the clinical scenario and the challenging bulk of calcium seen it was felt the benefits of this technique outweighed the risks. Rotational atherectomy provides treatment to superficial calcium and shockwave therapy added further, deeper, calcium modification. This case demonstrates the role of RotaShock in primary percutaneous coronary intervention. In this case we were able to perform complex calcium modification techniques in a patient in extremis requiring mechanical circulatory support with excellent radiological and ultimately clinical result. <h3>Conflict of Interest</h3> No conflicts to declare." @default.
• W4281650265 created "2022-06-13" @default.
• W4281650265 creator A5039451820 @default.
• W4281650265 creator A5050794885 @default.
• W4281650265 creator A5085337309 @default.
• W4281650265 creator A5087978502 @default.
• W4281650265 date "2022-06-01" @default.
• W4281650265 modified "2023-09-25" @default.
• W4281650265 title "74 Rotashock left main bifurcation primary angioplasty with balloon pump support and intravascular image guidance" @default.
• W4281650265 doi "https://doi.org/10.1136/heartjnl-2022-bcs.74" @default.
• W4281650265 hasPublicationYear "2022" @default.
• W4281650265 type Work @default.
• W4281650265 citedByCount "0" @default.
• W4281650265 crossrefType "proceedings-article" @default.
• W4281650265 hasAuthorship W4281650265A5039451820 @default.
• W4281650265 hasAuthorship W4281650265A5050794885 @default.
• W4281650265 hasAuthorship W4281650265A5085337309 @default.
• W4281650265 hasAuthorship W4281650265A5087978502 @default.
• W4281650265 hasBestOaLocation W42816502651 @default.
• W4281650265 hasConcept C126322002 @default.
• W4281650265 hasConcept C126838900 @default.
• W4281650265 hasConcept C139059822 @default.
• W4281650265 hasConcept C164705383 @default.
• W4281650265 hasConcept C2776931568 @default.
• W4281650265 hasConcept C2778704086 @default.
• W4281650265 hasConcept C2780326628 @default.
• W4281650265 hasConcept C71924100 @default.
• W4281650265 hasConceptScore W4281650265C126322002 @default.
• W4281650265 hasConceptScore W4281650265C126838900 @default.
• W4281650265 hasConceptScore W4281650265C139059822 @default.
• W4281650265 hasConceptScore W4281650265C164705383 @default.
• W4281650265 hasConceptScore W4281650265C2776931568 @default.
• W4281650265 hasConceptScore W4281650265C2778704086 @default.
• W4281650265 hasConceptScore W4281650265C2780326628 @default.
• W4281650265 hasConceptScore W4281650265C71924100 @default.
• W4281650265 hasLocation W42816502651 @default.
• W4281650265 hasOpenAccess W4281650265 @default.
• W4281650265 hasPrimaryLocation W42816502651 @default.
• W4281650265 hasRelatedWork W1967109551 @default.
• W4281650265 hasRelatedWork W1967364752 @default.
• W4281650265 hasRelatedWork W2035846243 @default.
• W4281650265 hasRelatedWork W2079821410 @default.
• W4281650265 hasRelatedWork W2103445320 @default.
• W4281650265 hasRelatedWork W2401028078 @default.
• W4281650265 hasRelatedWork W2762895469 @default.
• W4281650265 hasRelatedWork W3149886229 @default.
• W4281650265 hasRelatedWork W4248822861 @default.
• W4281650265 hasRelatedWork W74906257 @default.
• W4281650265 isParatext "false" @default.
• W4281650265 isRetracted "false" @default.
• W4281650265 workType "article" @default.