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The purpose of this study is to compare post-dilation strategies of nitinol self-expanding stents implanted in the superficial femoral artery of diabetic patients with peripheral arterial disease.Endovascular treatment of superficial femoral artery disease with nitinol self-expanding stents is associated with high rates of in-stent restenosis in patients with diabetes mellitus.We conducted a prospective,...
Background: Multiple imaging modalities are currently available to confirm diagnosis of acute aortic dissection. Each modality has certain advantages and disadvantages with respect to accuracy, speed, convenience, risk and cost. Recently, studies have argued that TEE and MRI should emerge as the most expeditious (TEE) and accurate (MRI) tools for this purpose.Methods and Results: One hundred and...
The role of reperfusion on survival of patients presenting with acute myocardial infarction (AMI) complicated by out of hospital cardiac arrest (OHCA) remains to be defined. The aim of this study was to determine predictors of hospital survival for patients presenting with AMI complicated by OHCA.The hospital records of 16 consecutive patients referred for primary angioplasty for AMI complicated...
Background: Elderly patients (PTS) may receive sub-optimal care for acute myocardial infarction (AMI). These include less use of medical therapy and invasive procedures. In order to ensure appropriate care in all age groups, we established a critical pathway for treatment of AMI, based on the national guidelines, that outlined key hospital and discharge therapies known to improve outcomes after...
Recent advances in management, especially imaging modalities and surgical techniques, have altered the care of acute aortic dissection (AoD). To assess presentation, management and outcomes of AoD in the modern era, 175 patients (pts) with AoD, (mean age 62 years, 67% male, 61% type A), were enrolled at 10 centers in 1996. By history, 83% pts had abrupt onset of pain, more often sharp than tearing...
We developed a Heart Attack Discharge Summary (HADS) as a document to empower patients (PTS) to query physicians (MD) about key elements of acute myocardial infarction (AMI) care. The PTS and MD reviewed and cosigned the HADS at the time of discharge, documenting quality of AMI care indicators including use of discharge aspirin (ASA), ACE inhibitors (ACE), beta-blockers (BB), lipid lowering agents...
In the USA, 24 patients have undergone closures with the Das TM Angel Wings TM transcatheter ASD closure device. (Secundum ASDs in 17, PFOs with presumed paradoxical cerebral embolism in 6, and 1 with residual shunting following ASD closure with the Clamshell TM device). The patients were 21 +/- 17.3 (mean +/- SD) years old (range 3 to 75 yrs.) and weighed...
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