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11 results on '"Mini-Focus Issue: Complications"'

1. Cardioform Septal Occluder in the Management of Cardiac Tamponade as a Complication of LAA Closure

Author

Nabil Braiteh, Alon Yarkoni, and Mouhamed Amr Sabouni

Subjects
0301 basic medicine, medicine.medical_specialty, AF, atrial fibrillation, LAA, left atrial appendage, 030105 genetics & heredity, Pericardial effusion, 03 medical and health sciences, 0302 clinical medicine, Left atrial, Cardiac tamponade, tamponade, Medicine, Diseases of the circulatory (Cardiovascular) system, Septal Occluder, atrial fibrillation, Mini-Focus Issue: Complications, TEE, transesophageal echocardiogram, business.industry, Atrial fibrillation, PE, pericardial effusion, Septal Occluder Device, medicine.disease, LA, left atrial/atrium, pericardial effusion, Surgery, RC666-701, Tamponade, Case Report: Clinical Case, Cardiology and Cardiovascular Medicine, Complication, business, 030217 neurology & neurosurgery
Abstract

Cardiac tamponade is a life-threatening complication during left atrial appendage (LAA) closure. We report a 77-year-old woman who underwent a transseptal puncture for LAA closure with the Watchman device that was complicated by tamponade. This was successfully treated with the deployment of a Cardioform 25-mm septal occluder device. (Level of Difficulty: Intermediate.), Graphical abstract, Cardiac tamponade is a life-threatening complication during left atrial appendage (LAA) closure. We report a 77-year-old woman who underwent a transseptal…

Published
2020

2. Common Calcified Femoral Artery Rupture After Intravascular Lithotripsy for TAVR Implantation

Author

Alberto Polimeni, Carmen Spaccarotella, Sabato Sorrentino, Annalisa Mongiardo, Salvatore De Rosa, Ciro Indolfi, and Maria Petullà

Subjects
0301 basic medicine, Aortic valve, medicine.medical_specialty, vascular complications, Transcatheter aortic, medicine.medical_treatment, Vascular complication, Femoral artery, 030105 genetics & heredity, Lithotripsy, 03 medical and health sciences, 0302 clinical medicine, Femoral access, medicine.artery, Medicine, Diseases of the circulatory (Cardiovascular) system, Covered stent, Mini-Focus Issue: Complications, TAVR, transcatheter aortic valve replacement, business.industry, aortic stenosis, Surgery, medicine.anatomical_structure, RC666-701, shockwave, transcatheter aortic valve replacement, Case Report: Clinical Case, TAVR -transcatheter aortic valve replacement, IVL, intravascular lithotripsy, Cardiology and Cardiovascular Medicine, business, 030217 neurology & neurosurgery
Abstract

We describe a case with unfavorable calcified femoral access in which the implantation of a 34-mm self-expandable transcatheter aortic valve was possible after intravascular lithotripsy. Although the aortic valve was successfully implanted, we observed a severe vascular complication requiring the implantation of a covered stent of the femoral artery. (Level of Difficulty: Advanced.), Graphical abstract, We describe a case with unfavorable calcified femoral access in which the implantation of a 34-mm self-expandable transcatheter aortic valve was…

Published
2020

3. Covered Stent Implantation for Treatment of Iliac Vein Rupture During Percutaneous Left Atrial Appendage Occlusion

Author

Benjamin Honton, Frederic Sebag, Quentin Landolff, Nicolas Amabile, and Alessandro Costanzo

Subjects
0301 basic medicine, Vein rupture, medicine.medical_specialty, Percutaneous, left atrial appendage occlusion, medicine.medical_treatment, Perforation (oil well), complication, LAA, left atrial appendage, 030105 genetics & heredity, Left atrial appendage occlusion, LAAO, left atrial appendage occlusion, iliac vein, 03 medical and health sciences, 0302 clinical medicine, medicine, Diseases of the circulatory (Cardiovascular) system, External iliac vein, cardiovascular diseases, Covered stent, Mini-Focus Issue: Complications, business.industry, RBC, red blood cells, TEE, transesophageal echocardiography, CT, computed tomography, Surgery, surgical procedures, operative, RC666-701, cardiovascular system, Case Report: Clinical Case, Implant, Cardiology and Cardiovascular Medicine, business, Complication, 030217 neurology & neurosurgery, endovascular grafts
Abstract

An 82-year-old woman who experienced an iatrogenic external iliac vein perforation during a left atrial appendage occlusion procedure was successfully treated by endovascular graft implantation. We report the short- and long-term outcomes of the procedure. (Level of Difficulty: Advanced.), Graphical abstract, An 82-year-old woman who experienced an iatrogenic external iliac vein perforation during a left atrial appendage occlusion procedure was successfully treated by endovascular…

Published
2020

4. Cardiac Tamponade Secondary to IVC Filter Retrieval

Author

Somsupha Kanjanauthai, Jina Sohn, Wilson Kwan, and Emily Margolin

Subjects
0301 basic medicine, medicine.medical_specialty, Ivc filter, Inferior vena cava filter, complication, 030105 genetics & heredity, Pericardial effusion, inferior vena cava filter, 03 medical and health sciences, 0302 clinical medicine, IVC, inferior vena cava, Cardiac tamponade, medicine, Diseases of the circulatory (Cardiovascular) system, cardiovascular diseases, retrieval, Mini-Focus Issue: Complications, business.industry, medicine.disease, pericardial effusion, RC666-701, cardiac tamponade, cardiovascular system, PE, pulmonary embolus, Case Report: Clinical Case, Radiology, Cardiology and Cardiovascular Medicine, Complication, business, 030217 neurology & neurosurgery
Abstract

Cardiac tamponade is a rare but potentially fatal complication of inferior vena cava filter retrieval. We discuss such a case to facilitate prompt recognition and prevention of this complication by medical providers. (Level of Difficulty: Beginner.), Graphical abstract, Cardiac tamponade is a rare but potentially fatal complication of inferior vena cava filter retrieval. We discuss such a case to facilitate prompt…

Published
2020
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5. A Mechanism for Stroke Complicating Coronary Thrombus Aspiration

Author

Mark Schneider, Tanawan Riangwiwat, and James C. Blankenship

Subjects
0301 basic medicine, medicine.medical_specialty, medicine.medical_treatment, Distal embolization, 030105 genetics & heredity, 03 medical and health sciences, 0302 clinical medicine, Coronary thrombus, Internal medicine, medicine, Diseases of the circulatory (Cardiovascular) system, Embolization, cardiovascular diseases, Thrombus, Stroke, Mini-Focus Issue: Complications, Case Report: Technical Corner, business.industry, percutaneous coronary intervention, Percutaneous coronary intervention, STEMI, ST-segment elevation myocardial infarction, medicine.disease, stroke, TA, thrombus aspiration, thrombus, RC666-701, Cardiology, cardiovascular system, Cardiology and Cardiovascular Medicine, business, 030217 neurology & neurosurgery, RCA, right coronary artery, circulatory and respiratory physiology
Abstract

Coronary thrombus aspiration was developed to remove thrombus, prevent distal embolization, and prepare the vessel for definitive intervention. However, its use is now limited by the risk of stroke. We describe a case where appropriate aspiration technique likely prevented central embolization of a coronary thrombus. (Level of Difficulty: Beginner.), Graphical abstract, Coronary thrombus aspiration was developed to remove thrombus, prevent distal embolization, and prepare the vessel for definitive intervention. However…

Published
2020

6. The Subtle Journey of a Right Atrial Lead

Author

Amin Al-Ahmad, Robert Canby, Carola Gianni, Alisara Anannab, Domenico G. Della Rocca, and Andrea Natale

Subjects
0301 basic medicine, medicine.medical_specialty, medicine.medical_treatment, Perforation (oil well), 030105 genetics & heredity, Right atrial, Cardiac pacemaker, 03 medical and health sciences, 0302 clinical medicine, hemothorax, Internal medicine, medicine, Diseases of the circulatory (Cardiovascular) system, perforation, Lead (electronics), Hemopneumothorax, Mini-Focus Issue: Complications, Lung, business.industry, atrial lead, Hemothorax, medicine.disease, Atrial Lead, CT, computed tomography, CXR, chest x-ray, medicine.anatomical_structure, RC666-701, Cardiology, ED, emergency department, Case Report: Clinical Case, Cardiology and Cardiovascular Medicine, business, 030217 neurology & neurosurgery, cardiac pacemaker
Abstract

We report an unusual case of subacute right atrial perforation by a screw-in pacemaker lead that migrated into the right lung causing hemopneumothorax 2 weeks after the procedure. After transvenous simple manual traction and minithoracotomy repair of the right atrial wall, the lead was repositioned without any complications. (Level of Difficulty: Beginner.), Graphical abstract, We report an unusual case of subacute right atrial perforation by a screw-in pacemaker lead that migrated into the right lung causing hemopneumothorax…

Published
2020

7. An Unexpected Complication of Subcutaneous ICD Implantation and its Successful Management

Author

Takashi Nakatsuji, Yasuhiro Izumiya, Toru Kataoka, Shogo Sakamoto, Minoru Yoshiyama, Kaya Sasaki, Tomoya Yanagishita, Kenji Tamura, Tomokazu Iguchi, and Yuta Yoshisako

Subjects
0301 basic medicine, medicine.medical_specialty, pneumothorax, 030105 genetics & heredity, lead complication, 03 medical and health sciences, 0302 clinical medicine, Parenchyma, medicine, Diseases of the circulatory (Cardiovascular) system, Lead (electronics), Mini-Focus Issue: Complications, business.industry, respiratory system, medicine.disease, ICD, implantable cardioverter-defibrillator, CT, computed tomography, respiratory tract diseases, Icd implantation, Surgery, Pneumothorax, RC666-701, Case Report: Clinical Case, Lung resection, Cardiology and Cardiovascular Medicine, Complication, business, Lead Placement, S-ICD, subcutaneous implantable cardioverter-defibrillator, 030217 neurology & neurosurgery, subcutaneous implantable cardioverter
Abstract

Subcutaneous implantable cardioverter-defibrillator implantation is known to be a safe procedure. However, inappropriate lead insertion can lead to serious complications. We present a case where an inappropriate lead placement resulted in puncturing the lung parenchyma, and successful management of the lead-related pneumothorax through thoracoscopic lead removal and partial lung resection. (Level of Difficulty: Intermediate.), Graphical abstract, Subcutaneous implantable cardioverter-defibrillator implantation is known to be a safe procedure. However, inappropriate lead insertion can lead to serious…

Published
2020
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8. Axillary Artery Pseudoaneurysm Following Percutaneous Transaxillary Access for Impella Device Placement During Percutaneous Coronary Intervention

Author

Peter D. Farjo, Anas Alharbi, Fahad Alqahtani, and Jason A. Moreland

Subjects
0301 basic medicine, medicine.medical_specialty, Percutaneous, medicine.medical_treatment, Device placement, 030105 genetics & heredity, 03 medical and health sciences, Pseudoaneurysm, 0302 clinical medicine, Axillary artery, PCI - Percutaneous coronary intervention, medicine.artery, medicine, Diseases of the circulatory (Cardiovascular) system, Impella, Mini-Focus Issue: Complications, PCI, percutaneous coronary intervention, TAVR, transcatheter aortic valve replacement, business.industry, percutaneous coronary intervention, Percutaneous coronary intervention, medicine.disease, Surgery, peripheral vascular disease, stents, RC666-701, Case Report: Clinical Case, TAVR -transcatheter aortic valve replacement, Cardiology and Cardiovascular Medicine, business, cardiac assist devices, 030217 neurology & neurosurgery
Abstract

Percutaneous transaxillary access is currently considered an acceptable alternative to transfemoral approach for large-bore access, especially in the setting of hostile iliofemoral arteries. Few published reports exist concerning complications of upper extremity access. We describe development of an axillary artery pseudoaneurysm and its management following transaxillary access. (Level of Difficulty: Advanced.), Graphical abstract, Percutaneous transaxillary access is currently considered an acceptable alternative to transfemoral approach for large-bore access, especially in…

Published
2020

9. Intraventricular Free-Floating Thrombus in an Impella-Supported Patient

Author

David Ellison, Zachary L Steinberg, Creighton W. Don, Christian Ngo, Dan Nguyen, and Richard Cheng

Subjects
0301 basic medicine, Damage control, medicine.medical_specialty, TTE, transthoracic echocardiogram, 030105 genetics & heredity, Impella, Free floating thrombus, 03 medical and health sciences, 0302 clinical medicine, Clinical decision making, Internal medicine, medicine, Diseases of the circulatory (Cardiovascular) system, cardiovascular diseases, Thrombus, Mini-Focus Issue: Complications, Imaging Vignette: Clinical Vignette, mechanical circulatory support, business.industry, Cardiogenic shock, cardiogenic shock, Left ventricular thrombus, medicine.disease, LV, left ventricle, thrombus, RC666-701, cardiovascular system, Cardiology, Cardiology and Cardiovascular Medicine, business, 030217 neurology & neurosurgery
Abstract

We describe the management and clinical decision making in a cardiogenic shock patient with a free-floating left ventricular thrombus found during temporary mechanical support with an Impella CP. The management of these patients can be challenging because there are no guidelines or data to support any particular treatment strategy. (Level of Difficulty: Intermediate.), Graphical abstract, We describe the management and clinical decision making in a cardiogenic shock patient with a free-floating left ventricular thrombus found during temporary…

Published
2020

10. 1% Aspiration, 99% Perspiration: Acute Left Atrial Thrombus During Percutaneous Left Atrial Appendage Occlusion

Author

Pankaj, Jain, Neil, Jacobs, David W M, Muller, and Brendan, Gunalingam

Subjects
TEE, transesophageal echocardiogram, thrombus, occluder, cardiovascular system, DRT, device-related thrombus, INR, international normalized ratio, atrial fibrillation, cardiovascular diseases, LAA, left atrial appendage, Mini-Focus Issue: Complications, Imaging Vignette: Clinical Vignette, LAAO, left atrial appendage occluder
Abstract

A 71-year-old man with chronic atrial fibrillation underwent insertion of a left atrial appendage occlusion device. Before release, a large thrombus was noted within the left atrium, attached to the left atrial appendage occluder delivery system. With continuous negative pressure, the device was deployed and thrombus successfully aspirated with no clinical sequelae. (Level of Difficulty: Intermediate.), Graphical abstract, A 71-year-old man with chronic atrial fibrillation underwent insertion of a left atrial appendage occlusion device. Before release, a large thrombus…

Published
2020

11. Giant Iatrogenic Pseudoaneurysm of Right Pulmonary Artery Compressing the Left Atrium

Author

Domenico Galzerano, Vito Maurizio Parato, Reem Al Sergani, Mansour AlJufan, and Mohammed Al Admawi

Subjects
0301 basic medicine, medicine.medical_specialty, Left atrium, Computed tomography, complication, 030105 genetics & heredity, 03 medical and health sciences, Pseudoaneurysm, 0302 clinical medicine, LPA, left pulmonary artery, medicine, Diseases of the circulatory (Cardiovascular) system, echocardiography, cardiovascular diseases, Mini-Focus Issue: Complications, Imaging Vignette: Clinical Vignette, medicine.diagnostic_test, business.industry, computed tomography, ESV, Edwards Sapien valve, medicine.disease, Right pulmonary artery, RPA, right pulmonary artery, medicine.anatomical_structure, RC666-701, Percutaneous pulmonary valve implantation, cardiovascular system, Radiology, right-sided catheterization, Cardiology and Cardiovascular Medicine, business, Complication, 030217 neurology & neurosurgery
Abstract

We describe a case of giant pseudoaneurysm of the right pulmonary artery compressing the left atrium after percutaneous pulmonary valve implantation and right pulmonary artery dilatation. Such a complication mimicking an intracavity left atrial mass and treated successfully by stent placement has never, to the best of our knowledge, been reported. (Level of Difficulty: Beginner.), Graphical abstract, We describe a case of giant pseudoaneurysm of the right pulmonary artery compressing the left atrium after percutaneous pulmonary valve implantation…

Published
2019

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