Kontrastní nefropatie

Marian Branny

Interv Akut Kardiol. 2008;7(2):43  

Contrast-induced nephropathy prevention in elderly patients with chronic kidney disease

Jan Matějka, Ivo Varvařovský, Petr Vojtíšek, Aleš Herman, Vladimír Rozsíval, Jiří Kvasnička

Interv Akut Kardiol. 2008;7(2):50-53  

Purpose of the trial: To test effectiveness of theophylline in contrast-induced nephropathy (CIN) prevention in well hydrated population. Methods: A randomized, double-blind, placebo-controlled trial. 56 patients undergoing coronary angiography (CAG) and/or percutaneous coronary intervention (PCI) were enrolled, 31 to theophylline group (200 mg IV before procedure) and 25 to placebo group. The primary endpoint was increase in serum creatinine from baseline to study termination 48 hours after CAG. Iso-osmolar contrast iodixanol was used. Results: Demographics are similar in both placebo and theophylline groups: estimated glomerular filtration...

Digitální denzitografie - metoda pro objektivní a podrobné angiografické hodnocení perfuze myokardu

Miloš Steinhart, Aleš Herman, Leo Steinhart, Pavel Šmoranc, Ivo Varvařovský

Interv Akut Kardiol. 2008;7(2):54-58  

Cíle: Vzhledem k neutuchajícímu zájmu o hodnocení perfuze myokardu a jeho mikrovaskulatury předkládají autoři svoji původní metodu kvantitativního hodnocení perfuze myokardu a stavu mikrovaskulárního řečiště na základě selektivního koronarografického vyšetření. Žádná angiografická metoda dosud nebyla dostatečně objektivní a schopná poskytnout potřebné detaily. Problém objektivnosti a detailního kvantitativního hodnocení mikrocirkulace myokardu jsme se rozhodli vyřešit použitím principu indikátorové diluce. V případě naší metody slouží jako indikátor angiografická kontrastní látka. Tato metoda se stává jednoduchou součástí rutinní koronarografie. Metody:...

Radial approach for coronary angiography and percutaneous coronary intervention

Marian Branny, Jan Indrák, Jindřich Černý, Alexandra Vodzinská, Igor Nykl, Jaroslav Januška

Interv Akut Kardiol. 2008;7(2):60-64  

Fifteen years ago Ferdinand Kiemeneij performed the first percutaneous coronary intervention by the transradial approach (TRA). After that TRA has spread through the interventional community and many centers have had TRA as the first arterial access of choice. The benefits of the TRA have been documented in a large number of studies in the past few years. Access site complication rates are lower and early discharge reduces patient morbidity and procedural cost. Patiens undergoing the procedure and staff caring for these patients clearly prefer the radial approach. This review focuses on the benefits and drawbacks of the TRA such as length of hospital...

Role of intracardiac ultrasound in electrophysiology and interventional cardiology

Petr Peichl, Josef Kautzner

Interv Akut Kardiol. 2008;7(2):67-72  

Intracardiac echocardiography is a novel imaging method that expands the spectrum of current echocardiographic techniques. The system uses 8F or 10F probe that is introduced into the right atrium and allows detail imaging of cardiac structures including pulse and continuous wave Doppler and/or color Doppler. In electrophysiology, the main indications for ICE are guidance of transseptal puncture and ablation of complex arrhythmogenic substrates such as atrial fibrillation, incisicional and ventricular tachycardias. Additional important role plays ICE in prevention and early detection of potential complications during the procedures. These may include...

Heparin-induced thrombocytopenia type II in complicated case of ileofemoral thrombosis

Blanka Riegrová, Radovan Malý, Miroslav Lojík, Jan Raupach, Vendelín Chovanec, Petr Dulíček

Interv Akut Kardiol. 2008;7(2):74-77  

This case shows history of therapy of ileofemoral thrombosis in a so-far healthy patient. Medical therapy was complicated with heparin-induced thrombocytopenia type II (HIT II). HIT II is a complication of therapy with unfractionated heparin (UFH) or with low molecular weight heparin (LMWH). HIT II can be easily diagnosed, when considered. Not diagnosed HIT II can lead into major complications, because of serious acquired state of hyper coagulation that requires a specific access and therapy. The purpose of this work is to summarize basal theoretical findings with an emphasis on possible mistakes as it is documented in the case report.

Komentář k práci „Prevence kontrastem indukované nefropatie ve starší populaci s chronickým onemocněním ledvin“

Petr Kala

Interv Akut Kardiol. 2008;7(2):48  

5. konference pracovní skupiny Akutní kardiologie ČKS

Petr Janský

Interv Akut Kardiol. 2008;7(2):81  

FINESSE study - is facilitation PCI in acute myocardial infartion the false way ?

Karel. Dvořák

Interv Akut Kardiol. 2008;7(2):79-80  

FINESSE study didn´t confirm expected benefit of PCI facilitation in acute myocardial infarction by half dose reteplase with abciximab or abciximab alone before transportation to cathetrisation centre. The results could have been affected adversely by enrollement of patients, who presented from 3 to 6 hours after the beginning of symptoms, suboptimal antiplatelet therapy or immediately performed PCI in cases when TIMI flow 3 was reestablished after pharmacologic intervention.