From Myocardial Infarction to Peripheral Stenting
Bibliographic record
Abstract
Degenerated saphenous vein grafts (SVGs) are associated with high risk of myocardial infarction (MI). They are difficult to treat percutaneously because of large variability in their wall diameters. We report a case of a 71-year-old male, who presented with an acute inferior ST elevation MI (STEMI) 16 years following revascularization with triple coronary artery bypass graft (sequential SVG to the posterior interventricular and to the second marginal branch of the left circumflex artery, and left internal mammal artery to the left anterior descending). Coronary angiography revealed a massive thrombotic occlusion of the second part of the sequential graft, which was aneurysmal just after the posterior interventricular artery. Thromboaspiration was performed and revealed an 8 mm diameter aneurysmal degenerated graft. We decided to use a balloon-expandable peripheral stent to treat this lesion. TIMI 3 outflow was restored without any no-reflow phenomenon. Patient was discharged to his origin hospital 3 days later. He had an uneventful evolution at the 3 months follow-up. J Med Cases. 2016;7(4):133-135 doi: http://dx.doi.org/10.14740/jmc2451w
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.001 | 0.002 |
| Insufficient payload (model declined to judge) | 0.006 | 0.003 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".