Dual-catheter covered stenting: a novel approach to the treatment of large coronary artery perforations.
Female; Humans; Aged; Follow-Up Studies; Treatment Outcome; Risk Assessment; Coronary Angiography; *Stents; Cardiac Catheterization/*instrumentation/methods; Coronary Restenosis/diagnostic imaging/*therapy; Coronary Vessels/*injuries; Angioplasty; Balloon; Angina; Coronary/*adverse effects/methods; Unstable/diagnostic imaging/*therapy
Coronary perforation is an infrequent but potentially devastating complication of coronary intervention. Treatment of a broad-based perforation usually requires emergent pericardiocentesis and thoracotomy. We present a novel approach to closure of \textgreater or = 1 mm diameter perforations using a dual-catheter covered stent technique.
Silver Kevin H; Bauman William B; Berkovitz Kenneth E
The Journal of invasive cardiology
2003
2003-06
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Shortness of breath, syncope, and cardiac arrest caused by systemic mastocytosis.
Adult; Dyspnea/etiology; Epinephrine/therapeutic use; Heart Arrest/etiology; Humans; Hypotension/etiology; Male; Mastocytosis; Syncope/etiology; Systemic/complications/*diagnosis/drug therapy
During a 3-month period, a 33-year-old man presented to the emergency department on 4 occasions with dyspnea, palpitations, and syncope. His initial presentation was accompanied by acute myocardial injury and ventricular fibrillation. An extensive evaluation spanned the 3 months and included echocardiography, cardiac catheterization, electrophysiology study, tilt-table evaluation, pulmonary angiography, electroencephalography, and serum and urine analysis. Diagnosis eluded clinicians until a rash was recognized to be urticaria pigmentosa, and biopsy of the rash then implicated mastocytosis. Since the initiation of pharmacotherapy nearly 5 years ago, the patient has remained asymptomatic. This case demonstrates that systemic mastocytosis can present as recurrent syncope and even as cardiac arrest. Diagnosis of this rare but potentially fatal disease is made particularly challenging by its protean manifestations.
Rohr Susan M; Rich Michael W; Silver Kevin H
Annals of emergency medicine
2005
2005-06
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1016/j.annemergmed.2005.02.002" target="_blank" rel="noreferrer noopener">10.1016/j.annemergmed.2005.02.002</a>