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Introduction. Trans-radial intervention has several advantages such as reduction of bleeding risk, improvement of patients’ convenience, and immediate ambulation as compared with the trans-femoral intervention. In the trans-radial intervention, there are some anatomical and technical differences between right and left radial approach. The aim of this study is to evaluate the impact of the choice of the right or left radial approach on 12-month clinical outcomes in patients undergoing the trans-radial intervention. Methods. A total of 506 consecutive patients who underwent trans-radial intervention were enrolled from Nov 2013 to Oct 2014 in the Lithuanian University of Health Sciences Trans-radial Intervention Registry. The patients were divided into two groups; a right radial approach group and a left radial approach group. To adjust potential confounders, propensity score-matched analysis was performed using the logistic regression model. Results. After propensity score matching, the baseline clinical and angiographic characteristics were balanced between the two groups. However, contrast volumes during the procedure were larger and fluoroscopic times were longer in the right radial approach group, whereas procedure times were longer in the left approach group. Procedural and in-hospital complications were similar between the two groups. The cumulative clinical outcomes up to 12 months, including mortality, recurrent myocardial infarction, repeat revascularisation, stent thrombosis, and MACE, were similar between the two groups. Conclusions. In this study, despite the procedural efficacy including procedural time and contrast volume were increased in the right artery approach, however, 12-month cumulative clinical outcomes were similar between the two groups.

Introduction. Myocardial infarction is known to account for left ventricular remodelling and mitral annular distortion. The aim of the study was to assess and compare morphometric changes of mitral annulus in patients presenting with acute anterior or inferior myocardial infarction. The objectives of our study were as follows: assessment of anteroposterior and septolateral annular dimensions of mitral annulus in patients with acute myocardial infarction; assessment of mitral annular area and annular contraction in patients with acute myocardial infarction; evaluation of parameters reflecting mitral apparatus (chordal length, chordal papillary muscle distance, etc.); and comparison of mitral annular geometry between patients with anterior and inferior myocardial infarction. Materials and methods. Echocardiographic data of 30 patients with an anterior ST elevation myocardial infarction and data of 30 patients with an inferior ST elevation myocardial infarction on an acute stage was collected, evaluated, and compared. Results and conclusions. The mitral annulus shows some significant changes in both post inferior myocardial infarction and post anterior myocardial infarction patients. The magnitude of movements of a post inferior myocardial infarction mitral annulus is greatly reduced when compared to mitral annulus in patients with anterior myocardial infarction. While echocardiographically measuring post-myocardial infarction mitral annulus, we decided that inferior myocardial infarction accounts for earlier mitral annular dilatation compared to patients with anterior myocardial infarction.

Introduction. Stenting is a widespread procedure for patients suffering from coronary artery disease. The use of drug-covered stents has improved stenting safety and treatment efficiency. Using second-generation Biolimus drug-covered A9 stents is associated with reduced risk of stent thrombosis compared with first-generation ones. The aim of the study was to evaluate two years’ treatment results after implantation of Biolimus A9 stents in coronary arteries in patients who suffer from coronary artery disease. Methods. The study included 216 patients who suffered from coronary artery disease and were treated using Biolimus A9 drug-covered stents, in order to eliminate all greater-than-50% stenoses. Patients’ data were collected from hospital case histories and e-Biomatrix PMR questionnaire. Decisions regarding whether to use Biolimus A9 stents during percutaneous coronary intervention were made by the respective operators. The rate of complication after stenting was evaluated when stenosis was eliminated or reduced to 30% or TIMI 3 flow was determined. Results. Out of 216 patients included in the study, 151 were males (69.91%) and 30.09% (65) were females. Mean of age of patients was 60.2 ± 10.1 years; 19% of patients had diagnosed diabetes. The success rate of implanting Biolimus A9 stents was 100% with no complications during hospital stay.

Most attempts to intervene on coronary chronic total occlusions fail because the wire cannot cross the occlusion. Three main strategies can be used to cross a CTO: antegrade wire escalation, antegrade dissection/re-entry and retrograde. The basic underlying principle of the hybrid approach (HA) is

LV function may improve after revascularization of coronary occlusions or using a significant amount of medication. However the quality of life of every patient who is indicated with a acute coronary syndrome is not well characterized. The purpose of the current study was to evaluate the effect of

We used virtual histology-intravascular ultrasound (VH-IVUS) to evaluate the relation between coronary artery remodeling pattern and plaque components in 46 patients. We divided the patients into two groups according to the remodeling pattern as positive remodeling (PR, remodeling index>1.05) (n=18

Coronary plaque composition cannot be assessed accurately using gray-scale intravascular ultrasound (IVUS). Using virtual histology IVUS (VH-IVUS), a comparison of coronary plaque composition between acute coronary syndromes (ACS) and stable angina pectoris (SAP) was performed. Pre-intervention

Bioabsorbable stents - bioabsorbable vascular scaffolds (BVS) are a relatively new technology, which has many upsides when comparing it to metallic stents. After doing its function (revascularization) it also repairs the wall of the artery and then absorbs. It basically overcomes all of the

Stenting — it is a widespread procedure for patients that are suffering from coronary artery disease. Possibility to use drugs-covered stents, improved stenting safety and treatment efficiency. Using second generation Biolimus drugs-covered Stents A9 is associated reduced risk of stent thrombosis