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Immediate Management of Type A and Type B Aortic Dissection

…aortic expansion, refractory pain and hypertension despite treatment. A related entity is non A non B dissection , which involves the arch without involvement of the…

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

…MR). These complications result from transmural myocardial necrosis and subsequent tissue disruption. Infarct expansion and, in some cases, a dissecting haematoma may precede rupture. The…

Abdominal Aortic Aneurysm: Screening and Surveillance

…substantially higher rupture risk; one guideline summary describes approximately a four fold greater risk. This difference informs the use of sex specific surveillance and repair…

Acute Aortic Syndromes: Intramural Haematoma and Penetrating Atherosclerotic Ulcer

…aortic dissection. Symptom onset in PAU may indicate lesion expansion and involvement of the adventitia, requiring urgent imaging because of the risk of rupture. Type…

Diuretic Strategy and Decongestion in Heart Failure

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

Stent Thrombosis: Timing, Causes, Diagnosis, and Prevention

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

Atrial and ventricular enlargement: hypertrophy and dilatation on ECG

…the chamber and this leads to dilatation. The most common cause is valvular regurgitation (insufficiency). For example, aortic regurgitation causes the flow of blood from…

In-Stent Restenosis: Mechanisms and Treatment

…resolution does not consistently permit identification of foamy macrophages. The occurrence of neoatherosclerosis helps explain why ISR and other stent related events may arise well…

Invasive Coronary Angiography: Indications and Vascular Access

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

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