Early and late outcome was studied in 630 patients who underwent aortic valve replacement between 1974 and 1982. Group 1 (506 patients) did not have important coronary artery disease, group 2 (69 patients) had coronary artery disease and underwent coronary artery bypass grafting, and group 3 (55 patients) had coronary artery disease but did not undergo myocardial revascularisation. Early mortal...

The guidewire (GW) is probably the most important tool for the endovascular treatment of arterial obstructions. In fact, the treatment of a lesion is only possible when the GW is passed beyond the target lesion. Lower limb percutaneous arterial revascularisation can be achieved using a variety of GWs which may differ in calibre, body, tip or coating. As the choice of an appropriate GW is critic...

OBJECTIVES Unilateral haemodynamically significant large-vessel intracranial stenosis may be associated with reduced blood-oxygen-level-dependent (BOLD) cerebrovascular reactivity (CVR), an indicator of autoregulatory reserve. Reduced CVR has been associated with ipsilateral cortical thinning and loss in cognitive function. These effects have been shown to be reversible following revascularisat...

Methods A 61 years old man with abdominal endovascular aortic stent-graft inserted previously, had a saccular aneurysm of descending aorta distal to left subclavian artery and a small dissection flap with saccular aneurysm originating from left subclavian artery. Since the patient refused to have any surgical procedure for left subclavian artery revascularisation, thoracic aortic-stenting for d...

Eleven patients (eight women) underwent urgent revascularisation for acute-on-chronic mesenteric ischaemia. Four patients had dual vessel and seven single vessel reconstructions. Two patients underwent simultaneous bowel resection and one patient has had three separate grafts to the superior mesenteric artery. There were two peri-operative deaths and three have died in the late follow-up period...

A few successful reports exist of late revascularisation of an 'occluded' left anterior descending coronary artery (LAD) with no angiographically visible collateral circulation. Epicardial high-frequency ultrasound and colour Doppler mapping can directly provide accurate anatomical landmarks and also detect very slow coronary flow velocities, with greater sensitivity than coronary angiograms. L...

INTRODUCTION Axillary artery injury is a rare but severe complication of fractures of the surgical neck of the humerus. CASE PRESENTATION We present a case of axillary artery pseudoaneurysm secondary to such a fracture, in a 82-year-old white woman, presenting 10 weeks after the initial injury, successfully treated with subclavian to brachial reversed vein bypass together with simultaneous op...

Correspondence: Prof. Patrick Serruys MD, PhD, Head of Interventional Cardiology, Ba583a, Thoraxcentre, Erasmus MC,’s-Gravendijkwal 230, 3015 CE Rotterdam, The Netherlands E-mail:[email protected] Coronary artery disease remains the leading cause of mortality worldwide. Coronary revascularisation, with either percutaneous coronary intervention (PCI) or coronary artery bypass surgery ...