Matches in SemOpenAlex for { <https://semopenalex.org/work/W4383602875> ?p ?o ?g. }
Showing items 1 to 73 of
73
with 100 items per page.
- W4383602875 abstract "Abstract Background Severe aortic stenosis (AS) and coronary artery disease (CAD) often coexist since they both share the same risk factors and pathophysiology. Patients with severe AS with prohibitive surgical risk are often treated with transcatheter aortic valve implantation (TAVI) and percutaneous coronary intervention (PCI) as a staged or concurrent procedure. Significant calcified CAD and left ventricular (LV) systolic impairment in such patients would add more challenges to the management. A clear consensus on the timing of revascularization of such patients in relation to the TAVI procedure is lacking. Case summary Herein, we present an 86-year-old male who presented to a local district hospital with non-ST-segment elevation myocardial infarction (N-STEMI) and decompensated heart failure. His transthoracic echocardiography showed moderate LV systolic impairment with low-flow severe AS. He was initially treated with dual anti-platelet and diuretic therapy and subsequently underwent coronary angiography that revealed severe calcified shelf-like left main stem (LMS) and moderate left anterior descending (LAD) disease. He was successfully treated with TAVI and rotational atherectomy (RA)-assisted PCI to LMS and LAD in the same setting. Conclusion There is limited evidence on effective strategies to tackle high-risk angioplasty with concurrent TAVI in patients with impaired LV function. We performed TAVI and RA to LMS and LAD in the same setting using no mechanical circulatory support (MCS). Management strategies should be individualized to highly selected patients taking into account LMS involvement, calcium modulation strategies, haemodynamic instability, or cardiogenic shock and whether MCS is needed." @default.
- W4383602875 created "2023-07-08" @default.
- W4383602875 creator A5037694870 @default.
- W4383602875 creator A5068147595 @default.
- W4383602875 creator A5072384759 @default.
- W4383602875 creator A5088810449 @default.
- W4383602875 date "2023-07-01" @default.
- W4383602875 modified "2023-10-14" @default.
- W4383602875 title "Rotational atherectomy of left main stem immediately after transcatheter aortic valve implantation in a patient with symptomatic severe aortic stenosis and an impaired left ventricular systolic function: a case report" @default.
- W4383602875 cites W2055123131 @default.
- W4383602875 cites W2132505991 @default.
- W4383602875 cites W2149597020 @default.
- W4383602875 cites W2279339750 @default.
- W4383602875 cites W2560630221 @default.
- W4383602875 cites W2596188051 @default.
- W4383602875 cites W2765382953 @default.
- W4383602875 cites W2768515726 @default.
- W4383602875 cites W3082337556 @default.
- W4383602875 cites W3199019011 @default.
- W4383602875 cites W3204793242 @default.
- W4383602875 cites W4206409891 @default.
- W4383602875 cites W4214492671 @default.
- W4383602875 cites W60626754 @default.
- W4383602875 doi "https://doi.org/10.1093/ehjcr/ytad301" @default.
- W4383602875 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/37470061" @default.
- W4383602875 hasPublicationYear "2023" @default.
- W4383602875 type Work @default.
- W4383602875 citedByCount "0" @default.
- W4383602875 crossrefType "journal-article" @default.
- W4383602875 hasAuthorship W4383602875A5037694870 @default.
- W4383602875 hasAuthorship W4383602875A5068147595 @default.
- W4383602875 hasAuthorship W4383602875A5072384759 @default.
- W4383602875 hasAuthorship W4383602875A5088810449 @default.
- W4383602875 hasBestOaLocation W43836028751 @default.
- W4383602875 hasConcept C126322002 @default.
- W4383602875 hasConcept C164705383 @default.
- W4383602875 hasConcept C2776850375 @default.
- W4383602875 hasConcept C2778213512 @default.
- W4383602875 hasConcept C2780007028 @default.
- W4383602875 hasConcept C2780400711 @default.
- W4383602875 hasConcept C2780714102 @default.
- W4383602875 hasConcept C45393284 @default.
- W4383602875 hasConcept C500558357 @default.
- W4383602875 hasConcept C71924100 @default.
- W4383602875 hasConceptScore W4383602875C126322002 @default.
- W4383602875 hasConceptScore W4383602875C164705383 @default.
- W4383602875 hasConceptScore W4383602875C2776850375 @default.
- W4383602875 hasConceptScore W4383602875C2778213512 @default.
- W4383602875 hasConceptScore W4383602875C2780007028 @default.
- W4383602875 hasConceptScore W4383602875C2780400711 @default.
- W4383602875 hasConceptScore W4383602875C2780714102 @default.
- W4383602875 hasConceptScore W4383602875C45393284 @default.
- W4383602875 hasConceptScore W4383602875C500558357 @default.
- W4383602875 hasConceptScore W4383602875C71924100 @default.
- W4383602875 hasIssue "7" @default.
- W4383602875 hasLocation W43836028751 @default.
- W4383602875 hasLocation W43836028752 @default.
- W4383602875 hasOpenAccess W4383602875 @default.
- W4383602875 hasPrimaryLocation W43836028751 @default.
- W4383602875 hasRelatedWork W1842693503 @default.
- W4383602875 hasRelatedWork W2127105279 @default.
- W4383602875 hasRelatedWork W2355614377 @default.
- W4383602875 hasRelatedWork W2375584960 @default.
- W4383602875 hasRelatedWork W2378890344 @default.
- W4383602875 hasRelatedWork W2565132324 @default.
- W4383602875 hasRelatedWork W2782203991 @default.
- W4383602875 hasRelatedWork W3029377117 @default.
- W4383602875 hasRelatedWork W3029425825 @default.
- W4383602875 hasRelatedWork W3029448752 @default.
- W4383602875 hasVolume "7" @default.
- W4383602875 isParatext "false" @default.
- W4383602875 isRetracted "false" @default.
- W4383602875 workType "article" @default.