- GUIDELINER FOR STENTING UPDATE
- GUIDELINER FOR STENTING LICENSE
- GUIDELINER FOR STENTING SERIES
After expediting and completing an inspection of the plant earlier this month, the FDA has finished its evaluation of the required information to validate product quality and determined that the vaccine meets its quality standards.
GUIDELINER FOR STENTING LICENSE
July 26, 2022: The FDA approved a supplement to the biologics license for the JYNNEOS Vaccine, which is approved to prevent smallpox and monkeypox, to allow for additional manufacturing capabilities at one of the plants where the vaccine is made. GUIDELINER FOR STENTING UPDATE
July 29, 2022: FDA Provides Update on Agency Response to Monkeypox Outbreak.August 3, 2022: Tecovirimat and the Treatment of Monkeypox – Past, Present, and Future Considerations.August 9, 2022: Monkeypox Update: FDA Authorizes Emergency Use of JYNNEOS Vaccine to Increase Vaccine Supply.
The FDA monitors for fraudulent products and false product claims related to CBRN and emerging infectious disease threats and takes appropriate action to protect consumers. “Unrecognized coronary vasospasm in patients referred for percutaneous coronary intervention: Intracoronary nitroglycerin, the forgotten stepchild of cardiovascular guidelines.” Catheterization and Cardiovascular Interventions. David Fischman, Howard Julien, Paul Walinsky, David Ogilby, Nicholas Ruggiero and Babu Jasti.Īrticle Reference: Vishnevsky, A., et al. Savage and Vishnevsky, coauthors included Drs. We recommend that future guidelines include intracoronary nitroglycerin for these patients," he said. "Interventional cardiologists should be especially suspicious of coronary artery spasm when they encounter a patient under the age of 60 with disease isolated to a single vessel. Most were younger than the average heart disease patient and had only a single vessel affected. Savage and his team also noticed a trend among the six patients in the study. Unless there is severe atherosclerotic disease, stents are generally not recommended since spasm can reappear in the artery upstream or downstream to where the stent is placed.ĭr. Coronary spasm can be treated with medications that dilate the blood vessels. “By simply administering nitroglycerin before the procedure, we can save patients from unnecessary risks related to stents such as blood clots and restenosis,” said Alec Vishnevsky, M.D., cardiology fellow and first author on the study. On the other hand, they fail to mention any role for intracoronary nitroglycerin during cardiac catheterization or before angioplasty with stenting. “Cardiologists need to know that they could be overlooking coronary spasm and thus, over treating their patients with stents.”Ĭardiovascular guidelines on cardiac catheterization and coronary intervention with stents go to great lengths emphasizing the importance of antiplatelet (blood thinning) medications to prevent blood clots in the stents. Roberts Professor of Cardiology in the Sidney Kimmel Medical College at Thomas Jefferson University. “Our suspicion is that some patients receive stents unnecessarily since they are misdiagnosed as having fixed atherosclerotic blockage while the true culprit, coronary spasm, goes unrecognized,” said senior author Michael Savage, M.D., Director of the Jefferson Angioplasty Center and the Ralph J. Angioplasty was deferred and all patients were successfully treated with medication. However, when the cardiologists gave nitroglycerin prior to placing the stent, the blockages resolved, indicating the true diagnosis of coronary artery spasm. GUIDELINER FOR STENTING SERIES
The team published a case series in Catheterization and Cardiovascular Interventions describing six patients who were scheduled for angioplasty and stenting for the diagnosis of coronary artery disease (five of whom had a cardiac catheterization days prior). The good news – there could be a simple fix to eliminate these unnecessary stenting procedures. PHILADELPHIA - Physician researchers at Thomas Jefferson University suspect that some cases of coronary artery spasm go unrecognized and are incorrectly treated with stents.
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