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Immediate Management of Type A and Type B Aortic Dissection

…coronary angiography or other invasive procedures, and affected patients may be relatively painless compared with those with spontaneous dissection. Clinical manifestations may result from rupture…

Intravascular Imaging: IVUS and OCT for PCI Optimisation

…and length; identification of the proximal and distal reference segments; assessment of stent expansion and apposition; recognition of edge dissection, tissue prolapse, thrombus, or other…

Post-Infarction Mechanical Complications: Ventricular Septal, Free-Wall, and Papillary Muscle Rupture

…The timing of VSR, free wall rupture, and papillary muscle rupture is characteristically bimodal. Events may occur within the first 24 hours or around days…

Abdominal Aortic Aneurysm: Screening and Surveillance

…Expansion may produce pain in the abdomen, chest, lower back or scrotum. Aneurysmal pain is clinically important because it may herald rupture and constitutes a…

Acute Aortic Syndromes: Intramural Haematoma and Penetrating Atherosclerotic Ulcer

…lesion expansion and involvement of the adventitia, requiring urgent imaging because of the risk of rupture. Type A IMH may cause: Aortic regurgitation Haemopericardium or…

Diuretic Strategy and Decongestion in Heart Failure

…dysfunction, or both. The clinical consequences of extracellular volume expansion include elevated cardiac filling pressures, pulmonary congestion, systemic venous hypertension, and peripheral interstitial edema. These…

Stent Thrombosis: Timing, Causes, Diagnosis, and Prevention

…and fibrin formation. Within a stented segment, thrombus may also develop because of disturbed flow, residual dissection, inadequate stent expansion, incomplete apposition, or persistent disease…

Atrial and ventricular enlargement: hypertrophy and dilatation on ECG

…Hypertrophy and dilatation may coexist. Moreover, the ECG cannot distinguish whether large QRS amplitudes are due to dilatation or hypertrophy. Because the majority of the…

In-Stent Restenosis: Mechanisms and Treatment

…of neoatherosclerosis helps explain why ISR and other stent related events may arise well after the initial intervention. Mechanical mechanisms Mechanical abnormalities may initiate or…

Invasive Coronary Angiography: Indications and Vascular Access

…or polypoid intraluminal mass and lesion haziness raise suspicion of thrombus, although haziness is not specific. Intravascular imaging can identify plaque disruption, thrombus and other…

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