Optical coherence tomography-guided percutaneous  coronary intervention in a myocardial infarction patient. One more argument for a wider use of now reimbursed  optical coherence tomography

Lichota, Ewelina; Stępień, Konrad; Nowak, Karol; Nowak, G; Karcińska, Aleksandra; Matrejek, Anna; Platschek, Michael; Yika, Alicia Del Carmen; Furczyńska, Patrycja; Nessler, Jadwiga; Zalewski, J

doi:10.33963/kp.a2022.0100

Cited by 3 publications

(2 citation statements)

References 5 publications

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“…In turn, comparing the safety and effectiveness of available CAAE treatment methods in individual patient subgroups will allow individualization of treatment, including anticoagulant therapy. The analyses will be performed for the overall study population and in subgroups of patients with giant CAAEs, isolated CAAEs of the left main coronary artery, a positive family history of CAAEs, other associated coronary artery anomalies, and aneurysms in other locations [15].…”

Section: Expected Benefits and Discussionmentioning

confidence: 99%

Coronary Artery Ectasia Database — Poland (CARED-POL). The rationale and design of the multicenter nationwide registry

Iwańczyk,

Stępień,

Woźniak

et al. 2024

Pol Heart J

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Section: Expected Benefits and Discussionmentioning

confidence: 99%

Coronary Artery Ectasia Database — Poland (CARED-POL). The rationale and design of the multicenter nationwide registry

Iwańczyk,

Stępień,

Woźniak

et al. 2024

Pol Heart J

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“…In recent years, novel advanced imaging techniques of the coronary arteries and myocardial tissue, including highly sophisticated cardiac magnetic resonance (CMR) modalities, became available. This allowed for a precise assessment of the impact of thrombus burden reduction on infarct size, scarring and LV remodelling [ 12 , 13 ]. Although echocardiography is a faster, cheaper and easily accessible method of left ventricle function assessment, CMR is a significantly more precise and sensitive tool, enabling the assessment of parameters such as MVO or scar retraction which are unavailable in echocardiography [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

Cardiac Magnetic Resonance Shows Improved Outcomes in Patients with an ST-Segment Elevation Myocardial Infarction and a High Thrombus Burden Treated with Adjuvant Aspiration Thrombectomy

Zajdel

Miszalski−Jamka

Zalewski

et al. 2022

JCM

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There is a discrepancy between epicardial vessel patency and microcirculation perfusion in a third of patients treated with percutaneous coronary intervention (PCI) for ST-segment elevation myocardial infarction (STEMI). Optimization with aspiration thrombectomy (AT) may reduce distal embolization and microvascular obstruction. The effect of AT in the treatment of STEMI is debatable. The purpose of this study was to use cardiac magnetic resonance (CMR) to determine whether AT influences microvascular obstruction (MVO), infarct size and left ventricular (LV) remodelling in STEMI patients. Sixty STEMI patients with a thrombus-occluded coronary artery were randomized in a 2:1 fashion to receive PCI proceeded by AT (AT + PCI group), or PCI only. MVO, myocardial infarct size and LV remodelling were assessed by CMR during the index hospitalization and 6 months thereafter. The majority of patients had a large thrombus burden (TIMI thrombus grade 5 in over 70% of patients). PCI and AT were effective in all cases. There were no periprocedural strokes. CMR showed that the addition of AT to standard PCI was associated with lesser MVO when indexed to the infarct size and larger infarct size reduction. There were less patients with left ventricle remodelling in the AT + PCI vs. the PCI only group. To conclude, in STEMI patients with a high thrombus burden, AT added to PCI is effective in reducing infarct size, MVO and LV remodelling.

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A Cohort Study of the Effects of Integrated Medical and Nursing Rounds Combined with AIDET Communication Mode on Recovery and Quality of Life in Patients Undergoing Percutaneous Coronary Intervention

Yin

et al. 2022

Computational and Mathematical Methods in Medicine

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Objective. To explore the influence of the communication mode of “Acknowledge, Introduce, Duration, Explanation, and Thanks (AIDET)” on the postoperative recovery and quality of life of patients undergoing percutaneous coronary intervention. Methods. Sixty patients with percutaneous coronary intervention in our hospital from April 2019 to April 2021 were selected. The patients were randomly divided into a control group ( n = 30 ) and research group ( n = 30 ). The control group received integrated medical and nursing rounds, and the research group received integrated medical and nursing rounds combined with AIDET communication mode. The scores of nursing satisfaction, cardiac function, self-nursing ability, short-term prognosis, and quality of life were compared between the two groups. Results. In the comparison of nursing satisfaction between the two groups, the satisfaction of the research group was low in 1 case, moderate in 6 cases, and high in 27 cases, with a satisfaction rate of 96.67%. In the control group, there were 7 cases with low satisfaction, 10 cases with moderate satisfaction, and 13 cases with high satisfaction, with a satisfaction rate of 76.67%. The nursing satisfaction of the research group was higher than that of the control group, and the difference was statistically significant, and the difference was statistically significant ( P < 0.05 ). After intervention, the cardiac function of the two groups was improved. The LVEF and LVESVI of the research group were higher than those of the control group, while the WMSI of the research group was lower than that of the control group ( P < 0.05 ). In the comparison of self-nursing ability, the self-nursing maintenance, self-nursing management, self-nursing confidence, and total score of self-nursing in the research group were significantly higher than those in the control group, and the difference was statistically significant ( P < 0.05 ). The incidence rates of acute myocardial infarction (AMI), revascularization, arrhythmia, heart failure, cardiogenic shock, and cardiac death in the research group were obviously lower than those in the control group, and the difference was statistically significant ( P < 0.05 ). After intervention, the scores of quality of life of the two groups decreased, and the scores of physiological function, psychological function, social function, and health self-cognition in the research group were lower than those in the control group ( P < 0.05 ). Conclusion. Medical and nursing integrated ward rounds combined with AIDET communication mode can effectively improve the prognosis of patients undergoing percutaneous coronary intervention to promote the establishment of a harmonious nurse-patient relationship. The patients’ self-care ability is able to be effectively enhanced.

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Optical coherence tomography-guided percutaneous coronary intervention in a myocardial infarction patient. One more argument for a wider use of now reimbursed optical coherence tomography

Cited by 3 publications

References 5 publications

Coronary Artery Ectasia Database — Poland (CARED-POL). The rationale and design of the multicenter nationwide registry

Coronary Artery Ectasia Database — Poland (CARED-POL). The rationale and design of the multicenter nationwide registry

Cardiac Magnetic Resonance Shows Improved Outcomes in Patients with an ST-Segment Elevation Myocardial Infarction and a High Thrombus Burden Treated with Adjuvant Aspiration Thrombectomy

A Cohort Study of the Effects of Integrated Medical and Nursing Rounds Combined with AIDET Communication Mode on Recovery and Quality of Life in Patients Undergoing Percutaneous Coronary Intervention

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