Interventional Cardiology, 2009 (vol. 8), issue 1

Editors&

8217; foreword

First transcatheter aortic valve implantations in the Czech republic

Jan Vojáček

Interv Akut Kardiol. 2009;8(1):6-8

Original articles

Angiographic and clinical assessment of the first generation of drug eluting stents in the consecutive patients with high risk of restenosis

Petr Neugebauer, Petr Kala, Otakar Boček, Petr Jeřábek, Martin Poloczek, Miroslav Vytiska, Jiří Pařenica, Jindřich Špinar

Interv Akut Kardiol. 2009;8(1):9-14

Purpose of the trial: To evaluate mid-term results in the unselected population after first generation drug eluting stent implantation. Methods: We conducted a prospective angiographic and clinical analysis of 89 consecutive patients with implanted drug eluting stent in the time period from February 2004 till November 2005. We evaluated angiographic in-segment restenosis obtained by QCA at 12 months. Clinical endpoints were death, infarction and/or target lesion revascularisation (TLR) at 12 months, with clinical restenosis analysis. Mean age was 61,1 ± 9,3 years, 58,4 % were treated diabetics, main diagnosis was stable AP. Results: We performed...

Dual-source computed tomography angiography of the heart: one year experience in the University Hospital Motol

Theodor Adla, Jiří Neuwirth, Radka Adlová, Vojtěch Suchánek, Lucia Martinkovičová, Miloslav Roček, MUDr. Josef Veselka CSc

Interv Akut Kardiol. 2009;8(1):15-18

Aims: To evaluate one-year experience with CT examination of the heart using dual-source CT (Somatom Definition, Siemens, SRN) at the department without previous experience with CT examination of the heart. Methods: All patients were examined on dual-source CT Somatom Definition. Two hundred eleven patients were examined from February 2nd 2007 to January 31st 2008. Results: One hundred eighty four non-contrast CT for coronary calcium scoring were perfomed. One hundred ninety eight patients underwent CT coronary angiography. Coronary heart disease were the most frequent referral diagnosis. Conclusion: CT examination of the heart found its role after...

Review articles

Controversial role of mouth-to-mouth ventilation in basic life support - new advisory statement 2008

Anatolij Truhlář, Vladimír Černý

Interv Akut Kardiol. 2009;8(1):20-27

Authors present a review of current literature on basic life support without mouth-to-mouth ventilation (Hands-Only CPR) which definitely changed approach of lay rescuers to victims suffering from unexpected cardiac arrest. Historical rationale of integration of mouth-to-mouth breathing into the Basic Life Support algorithm, its adverse effects and recent role in relation to pathophysiology of the most frequent type of cardiac arrest in adults are discussed. Conclusions of experimental studies and clinical trials that did not show any benefit from the addition of mouth-to-mouth breathing during resuscitation of witnessed non-respiratory cardiac...

Case reports

Radial artery perforation

Ivo Bernat, Jan Pešek, Jiří Koza, MUDr. Michal Šmíd, Richard Rokyta

Interv Akut Kardiol. 2009;8(1):35-38

Iatrogenic radial artery perforation is a rare complication of transradial catheterization. It is associated with minimal risk of patient injury in case of gentle instrument manipulation, early diagnosis and treatment. The authors describe four cases of this complication.

Unusual cause of angina pectoris

Vladimír Rozsíval, Miroslav Lojík

Interv Akut Kardiol. 2009;8(1):40-42

A 71-year old patient underwent surgical revascularization LIMA-LAD for the tight proximal LAD stenosis 6 years ago. For the last several months, he had been suffering from angina pectoris, rating from moderate to unstable, and finally including attacks of angina at rest. Coronary angiography revealed normal LIMA-LAD; however, a severe stenosis of the subclavian artery proximal to the LIMA take-off was found as the cause of the angina pain. Subclavian artery stenosis was managed by successful stent implantation and the patient has remained free of any symptoms for one month after the procedure.

Percutaneous aortic valve implantation in patient with severe aortic stenosis

Michael Želízko, Bronislav Janek, Ivan Netuka, Jiří Malý, Tomáš Kotulák, Tomáš Marek, Dana Kautznerová, Olaf Luha

Interv Akut Kardiol. 2009;8(1):43-46

A case of an old lady with symptomatic aortic stenosis and ischemic heart disease is presented. She was treated by Transcatheter Aortic Valve Implantation (TAVI) after previous PCI of left anterior descending artery with drug eluting stent implantation. The technique of TAVI is described.

First expirience with percutaneous transfemoral implantation of the Edwards SAPIEN™ valve in patients with aortal stenosis

Josef Šťásek, Jan Vojáček, Josef Bis, Jan Vojáček, Miroslav Brtko, Pavel Polanský, Martin Vejběra, Jan Harrer, Jaroslav Dušek, Dušan Černohorský, Antonio Colombo

Interv Akut Kardiol. 2009;8(1):47-51

Aortic valve Edwards SAPIEN™ is one of the two systems for percutaneous replacement of a degenerative stenosed aortic valve in the market. We describe a transfemoral implantation of an Edwards SAPIEN™ valve and also we discuss current criteria for indication of a percutaneous aortic valve implantation. We publish the first experience with implantation of the two Edwards SAPIEN™ aortic valves in the 1st Department of the Internal Medicine University Hospital Hradec Kralove, Czech republic. The implantation of the two valves, diameter 23 and 26 mm, passed without any serious problem. Both patients could leave hospital seventh day...

Comments

Comments on the paper Radial artery perforation

Ivo Varvařovský

Interv Akut Kardiol. 2009;8(1):39

Pharmacotherapy

Practical guidelines for pharmacologic atrial fibrillation treatment

Petr Heinc

Interv Akut Kardiol. 2009;8(1):28-33

Atrial fibrillation is the most worldwide-sustained arrhythmia and independent risk factor for thromboembolic stroke. Treatment strategy and guidelines for pharmacologic approaches for control of rhythm, control of frequency and thromboembolic prevention are presented.