conclusions an adjuvant therapy with tlc diet and supplementation with q10 and lc seems to be required for secondary prevention following mi and pci. tlc diet and q10 plus lc appeared to be effective in inflammatory biomarkers of isr as well as ldl reduction. methods this single-blind randomized controlled trial was conducted on 128 subjects. after randomization for treatment allocation, the su...

coronary artery perforation is a rare, but potentially serious, complication of percutaneous coronary intervention and is associated with a high incidence of death, q-wave myocardial infarction, and emergency coronary bypass surgery. management is different but requires prompt recognition and treatment. we describe a case of coronary perforation only after guidewire removal and also review the ...

background the management of distal tibia fractures continues to remain a source of controversy and debate. objectives the aim of this study was to evaluate the various complications of minimally invasive percutaneous plate osteosynthesis (mippo) using a locking plate for closed fractures of distal tibia in a retrospective study. patients and methods twenty-five patients with distal tibial frac...

rheumatic mitral valve stenosis is the most common form of organic heart disease encountered during pregnancy and continues to cause maternal and fetal mortality. medically refractory congestive heart failure due to mitral stenosis is a clinical challenge and its optimal management remains controversial. on the other hand due to hazard of x-ray to mother and fetus, there are some limitations fo...

conclusions instillation of ropivacaine 0.2% (30 ml) within tubeless pcnl surgery does not have a significant effect on postoperative pain relief and improvement of pef within 6 hours after the operation. results we found no difference in the mean pain severity score between the case and control groups 4 hours (p = 0.332) and 6 hours (p = 0.830) after the operation. the mean pef at baseline was...

Percutaneous aortic valvuloplasty is reportedly a useful tool for the management of critical and severe aortic stenosis with cardiogenic shock. However, early percutaneous coronary intervention for cardiogenic shock is beneficial for elderly patients with acute myocardial infarction. We describe a patient with critical aortic stenosis who presented with severe coronary stenosis of the left main...

Percutaneous nephrostomy has revolutionized urologic practice. Goodwin, Casey, and Woolf’s landmark report in 1955l described percutaneous trocar nephrostomy for temporary drainage of hydronephrosis in 16 patients. Following a twenty-five year period of relative dormancy, percutaneous access to the upper urinary tract became a fundamental diagnostic and therapeutic tool. The literature contains...

OBJECTIVE To assess the impact of a percutaneous technique for pulmonary valve implantation on the conventional surgical valve/conduit approach to right ventricular outflow tract re-intervention. METHODS We have retrospectively reviewed our results following surgical or percutaneous re-intervention to the right ventricular outflow tract in both paediatric and adult groups. Between November 19...