Jak dále s lékovými stenty (DES)?

prof. MUDr. Jan Vojáček DrSc

Interv Akut Kardiol. 2006;5(6):239  

CAVOTRICUSPID ISTHMUS MORPHOLOGY DEFINED BY INTRACARDIAC ULTRASOUND

Petr Peichl, Robert Čihák, doc. MUDr. Josef Kautzner CSc

Interv Akut Kardiol. 2006;5(6):246-249  

Introduction: Catheter ablation across the cavotricuspid (CT) isthmus is a highly effective treatment of typical atrial flutter. However, creation of isthmus block is sometimes difficult due to the presence of excavation and ridges within the isthmus. The goal of our study was to describe the variability of CT isthmus morphology using intracardiac echocardiography(ICE, Accuson Sequoia, Siemens). Methods: The study population includes 30 patients (mean age 52 ± 10years), in which the ICE was used during ablation of supraventricular arrhythmias in our laboratory. The ICE was used to assess: 1. CT isthmus width, 2. morphology and...

IATROGENIC PERFORATION OF CORONARY ARTERY

David Horák, MUDr. František Holm CSc

Interv Akut Kardiol. 2006;5(6):250-253  

Iatrogenic coronary perforation is rare, but life threatening complication of intracoronary procedures. Beside pharmacological and surgical interventions there are endovascular procedures including stengraft and coil implantation. Some data suggest that stent-graft implantation is in type III perforation superior to prolonged balloon inflations as a first line therapy reduces need for surgery and possibly death rate.

RESISTANCE TO ANTIPLATELET THERAPY IN CLINICAL CARDIOLOGY

MUDr. Hana Ševčíková, prof. MUDr. Jan Vojáček DrSc, Radek Pudil, prof. MUDr. Jaroslav Malý CSc, Miroslav Pecka, Ilona Fátorová

Interv Akut Kardiol. 2006;5(6):256-258  

Antiplatelet therapy plays very important role in the treatment of ischaemic heart disease and its secondary prevention. Resistance to antiplatelet therapy ranks among the recent pathophysiological units that may have a fundamental influence on the therapy of patients treated with various drugs affecting platelet functions (acetylsalicylic acid or clopidogrel). We can define resistance to antiplatelet drugs clinically (manifestation of coronary events despite antiplatelet therapy) or laboratory (no inhibition of platelet aggregation in vitro). Etiology of resistance to antiplatelet therapy is complex. The causes of resistance can be divided into three...

LATE MANIFESTATION OF RIGHT VENTRICLE PERFORATION BY EXTERNAL CARDIAC PACING

Štěpán Havránek, Jan Bělohlávek, Roman Škulec, Vladimír Dytrych, Tomáš Urban, doc. MUDr. Aleš Linhart CSc

Interv Akut Kardiol. 2006;5(6):259-260  

We present a case of unusually late manifestation of right ventricular perforation during temporary external pacing. A 78-year old lady was admitted with hemorrhagic pericardial effusion resulting in pericardial tamponade requiring surgery. Temporary cardiac pacing ten weeks ago was identified as the cause of perforation. Hemopericardium is a well-known early complication of pacing electrode insertion. Late manifestation is unusual. Our observation underlines the importance of careful and detailed history analysis in patients with similar clinical course.

Novinky ze Světového kardiologického kongresu v Barceloně, 2.-6. září 2006

Stanislav Janoušek, Ota Hlinomaz

Interv Akut Kardiol. 2006;5(6):262-265  

TCT 2006, 22.-27. října 2006, Washington, USA

Miroslav Brtko

Interv Akut Kardiol. 2006;5(6):266-267  

Kongres Acute Cardiac Care, Praha 2006

MUDr. Petr Janský

Interv Akut Kardiol. 2006;5(6):268