Cardiovascular Revascularization Medicine
Volume 11, Issue 3 , Pages 167-169 , July 2010

Aortic arch atheroma: when do we say no to percutaneous coronary intervention?

  • Samuel Wright

      Affiliations

    • Department of Cardiology, Royal Melbourne Hospital, Melbourne, Victoria, Australia
    • ,
  • Andris Ellims

      Affiliations

    • Department of Cardiology, Royal Melbourne Hospital, Melbourne, Victoria, Australia
    • ,
  • Andrew E. Ajani

      Affiliations

    • Department of Cardiology, Royal Melbourne Hospital, Melbourne, Victoria, Australia
    • Department of Epidemiology and Preventive Medicine, NHMRC Centre of Clinical Research Excellence in Therapeutics, Monash University, Melbourne, Australia
    • University of Melbourne, Melbourne, Australia
    • Corresponding Author InformationCorresponding author. Department of Cardiology, Royal Melbourne Hospital, Grattan Street, Parkville 3050, Australia. Tel.: +61 3 9347 7133; fax: +61 3 9347 6760.

Received 17 September 2009 ,Accepted 25 September 2009.

References 

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  2. Hamon M, Gomes S, Clergeau M, et al. Risk of acute brain injury related to cerebral microembolism during cardiac catheterisation performed by right upper limb arterial access. Stroke. 2007;38:2176–2179
  3. Segal A, Abernathy W, Palacios I, et al. Stroke as a complication of cardiac catheterization: risk factors and clinical features. Neurology. 2001;56:975–977
  4. Khoury Z, Gottlieb S, Stern S, et al. Frequency and distribution of atherosclerotic plaques in the thoracic aorta as determined by transoesophageal echocardiography in patients with coronary artery disease. Am J Cardiol. 1997;79:23–27
  5. Siddiqui M, Holmberg J, Khan I. High-grade atherosclerosis of the aorta. Texas Heart Inst J. 2002;29:60–61
  6. Orr W, Banning A. Aortic atherosclerotic debris detected by trans-oesophageal echocardiography — a risk factor for cholesterol embolization. Q J Med. 1999;92:341–346
  7. Tunick P, Kronzon I. Atheromas of the thoracic aorta: clinical and therapeutic update. J Am Coll Cardiol. 2000;35:544–554
  8. Karalis D, Quinn V, Victor M, et al. Risk of catheter-related emboli in patients with atherosclerotic debris in the thoracic aorta. Am Heart J. 1996;131:1149–1155
  9. Keely E, Grimes C. Scraping of aortic debris by coronary guiding catheters: a prospective evaluation of 1000 cases. J Am Coll Cardiol. 1998;32:1861–1865

PII: S1553-8389(09)00287-5

doi: 10.1016/j.carrev.2009.09.006

Cardiovascular Revascularization Medicine
Volume 11, Issue 3 , Pages 167-169 , July 2010

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