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Papers by Diana Trendafilova
The transradial approach is an excellent alternative to the standard femoral approach for cardiac... more The transradial approach is an excellent alternative to the standard femoral approach for cardiac cathe-terization with success rates in over 90% of cases and has been widely used. Variations of the radial artery, however, could impede the cardiac catheterization and pose significant challenges to the interven-tional cardiologist. Herein, we report a failure of transradial heart catheterization due to high-bifurcating hypoplastic radial artery.
Journal of the American College of Cardiology, 2019
Cureus, Jan 14, 2017
Transcatheter aortic valve implantation (TAVI) is a highly effective procedure in selected patien... more Transcatheter aortic valve implantation (TAVI) is a highly effective procedure in selected patients with severe degenerative aortic valve stenosis at high risk for conventional surgery. Coronary occlusion is a periprocedural life-threatening complication that despite its low frequency (˂1%) is poorly predictable and requires immediate diagnosis and treatment. Herein, we report a coronary obstruction after transcatheter implantation of valve prosthesis, followed by coronary intervention with successful recanalization.
Journal of Biomedical and Clinical Research, 2015
SummaryThe main objective of this analysis was to define the influence of multivessel disease inv... more SummaryThe main objective of this analysis was to define the influence of multivessel disease involvement compared to single vessel disease on mortality rates in STEMI patients. The retrospective study included 549 patients, hospitalized with STEMI in St. Ekaterina University Hospital (age - 62.66±12.56; women - 31.3%) from 01.06.2008 to 30.06.2011. One-vessel disease was found in 232 patients (44%) as compared to two-vessel disease in 165 patients - 31% and multivessel disease in 130 patients - 25%. There was LM stenosis (>30) in 11 patients (2%); ostial lesion in 33 patients (6.3%); presence of Ca in 37 patients (7%). A stent was implanted in 484 patients (91.8%), and GP IIb/IIIa was used in 400 patients (75.9%). There was significant increase in mortality rates in patients with multivessel disease: 15.6% - 46 patients, compared to one-vessel disease - 6.5% (15 patients) (p<=0.01). Both early (30 days) and late mortality (one year) rates were higher in the multivessel group ...
Journal of Cardiothoracic Surgery, 2015
Background/Introduction TAVI is proven as a beneficial procedure in high risk patients with sever... more Background/Introduction TAVI is proven as a beneficial procedure in high risk patients with severe aortic stenosis.
The transradial approach is an excellent alternative to the standard femoral approach for cardiac... more The transradial approach is an excellent alternative to the standard femoral approach for cardiac cathe-terization with success rates in over 90% of cases and has been widely used. Variations of the radial artery, however, could impede the cardiac catheterization and pose significant challenges to the interven-tional cardiologist. Herein, we report a failure of transradial heart catheterization due to high-bifurcating hypoplastic radial artery.
Journal of the American College of Cardiology, 2019
Cureus, Jan 14, 2017
Transcatheter aortic valve implantation (TAVI) is a highly effective procedure in selected patien... more Transcatheter aortic valve implantation (TAVI) is a highly effective procedure in selected patients with severe degenerative aortic valve stenosis at high risk for conventional surgery. Coronary occlusion is a periprocedural life-threatening complication that despite its low frequency (˂1%) is poorly predictable and requires immediate diagnosis and treatment. Herein, we report a coronary obstruction after transcatheter implantation of valve prosthesis, followed by coronary intervention with successful recanalization.
Journal of Biomedical and Clinical Research, 2015
SummaryThe main objective of this analysis was to define the influence of multivessel disease inv... more SummaryThe main objective of this analysis was to define the influence of multivessel disease involvement compared to single vessel disease on mortality rates in STEMI patients. The retrospective study included 549 patients, hospitalized with STEMI in St. Ekaterina University Hospital (age - 62.66±12.56; women - 31.3%) from 01.06.2008 to 30.06.2011. One-vessel disease was found in 232 patients (44%) as compared to two-vessel disease in 165 patients - 31% and multivessel disease in 130 patients - 25%. There was LM stenosis (>30) in 11 patients (2%); ostial lesion in 33 patients (6.3%); presence of Ca in 37 patients (7%). A stent was implanted in 484 patients (91.8%), and GP IIb/IIIa was used in 400 patients (75.9%). There was significant increase in mortality rates in patients with multivessel disease: 15.6% - 46 patients, compared to one-vessel disease - 6.5% (15 patients) (p<=0.01). Both early (30 days) and late mortality (one year) rates were higher in the multivessel group ...
Journal of Cardiothoracic Surgery, 2015
Background/Introduction TAVI is proven as a beneficial procedure in high risk patients with sever... more Background/Introduction TAVI is proven as a beneficial procedure in high risk patients with severe aortic stenosis.