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Volume 14 - Issue 4 - April, 2002

Teaching Collection
08/01/2008
Mark Fisherkeller, MD; Michael E. Keenan, MD; Francis J. Kiernan, MD; Daniel B. Fram, MD; Robert C. Gallagher, MD; Muthu Velusamy, MD
Spontaneous coronary artery dissection (SCAD) is a relatively rare entity that has been associated with a high morbidity and mortality.1 Although a precise definition for SCAD has not been universally accepted,2 it has generally been defined...
Spontaneous coronary artery dissection (SCAD) is a relatively rare entity that has been associated with a high morbidity and mortality.1 Although a precise definition for SCAD has not been universally accepted,2 it has generally been defined...
Spontaneous coronary artery...
08/01/2008
Journal of Invasive Cardiology
Teaching Collection
08/01/2008
Ahmad Qaddour, MD; Chanwit Roongsritong, MD
Arterial graft dissection is a rare complication of cardiac catheterization. Spontaneous dissection has not been previously described. We report a case of a 49-year-old male with quadruple bypass grafts who presented with acute myocardial...
Arterial graft dissection is a rare complication of cardiac catheterization. Spontaneous dissection has not been previously described. We report a case of a 49-year-old male with quadruple bypass grafts who presented with acute myocardial...
Arterial graft dissection is a...
08/01/2008
Journal of Invasive Cardiology
08/01/2008
A.S. Mullasari, MD, DM, DipNB; C.V. Umesan, MD, DNB, DM; N. Radhakrishnan, BSc, MVS; V. Lakshmi, BSc, MPhil
Renal transplantation offers the potential for complete rehabilitation in end-stage renal disease (ESRD).1 However, as renal transplant recipients survive longer and become an increasingly more elderly population, occlusive atherosclerosis...
Renal transplantation offers the potential for complete rehabilitation in end-stage renal disease (ESRD).1 However, as renal transplant recipients survive longer and become an increasingly more elderly population, occlusive atherosclerosis...
Renal transplantation offers the...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
Özer Badak, MD, Sema Güneri, MD, Önder K?r?ml?, MD, Özhan Göldeli, MD, Özgür Aslan, MD, *Hayri Özsan, MD
Özer Badak, MD, Sema Güneri, MD, ...
Antiphospholipid syndrome (APS) is an uncommon thrombotic disorder characterized by antiphospholipid antibodies (aPL). The syndrome may be associated with arterial or venous thrombosis, thrombocytopenia, recurrent fetal loss, skin lesions,...
Antiphospholipid syndrome (APS) is an uncommon thrombotic disorder characterized by antiphospholipid antibodies (aPL). The syndrome may be associated with arterial or venous thrombosis, thrombocytopenia, recurrent fetal loss, skin lesions,...
Antiphospholipid syndrome (APS)...
08/01/2008
Journal of Invasive Cardiology
Editorial Message
08/01/2008
Richard E. Shaw, PhD, FACC
Dear Readers, This issue of the Journal of Invasive Cardiology includes several interesting articles. In the first research article, Dr. J. Richard Spears and collaborators from the Cardiovascular Research Laboratory, Wayne State University,...
Dear Readers, This issue of the Journal of Invasive Cardiology includes several interesting articles. In the first research article, Dr. J. Richard Spears and collaborators from the Cardiovascular Research Laboratory, Wayne State University,...
Dear Readers, This issue of the...
08/01/2008
Journal of Invasive Cardiology
Teaching Collection
08/01/2008
Steven L. Goldberg, MD; Joel Manchester, MD; Joseph Perloff, MD
Large coronary artery fistulae have been associated with complications such as congestive heart failure, myocardial ischemia, endocarditis, rupture and arrhythmias.1 To reduce the risk of complications, large coronary artery fistulae are...
Large coronary artery fistulae have been associated with complications such as congestive heart failure, myocardial ischemia, endocarditis, rupture and arrhythmias.1 To reduce the risk of complications, large coronary artery fistulae are...
Large coronary artery fistulae...
08/01/2008
Journal of Invasive Cardiology
Teaching Collection
08/01/2008
Ahmad Qaddour, MD; Chanwit Roongsritong, MD
Arterial graft dissection is a rare complication of cardiac catheterization. Spontaneous dissection has not been previously described. We report a case of a 49-year-old male with quadruple bypass grafts who presented with acute myocardial...
Arterial graft dissection is a rare complication of cardiac catheterization. Spontaneous dissection has not been previously described. We report a case of a 49-year-old male with quadruple bypass grafts who presented with acute myocardial...
Arterial graft dissection is a...
08/01/2008
Journal of Invasive Cardiology
08/01/2008
Hiroshi Miyamoto, MD; Masato Tanimoto, MD; Ryuji Otani, MD; Shinobu Hosokawa; Yoshikazu Hiasa, MD; Shinobu Hosokawa, MD; Koichi Kishi, MD; Takefumi Takahashi, MD; Naoki Suzuki, MD
In recent years, coronary stent placement has become an established treatment for patients with coronary artery disease.1,2 However, in-stent restenosis has been reported to occur in 20–30% of patients, and the restenosis rate after treatment...
In recent years, coronary stent placement has become an established treatment for patients with coronary artery disease.1,2 However, in-stent restenosis has been reported to occur in 20–30% of patients, and the restenosis rate after treatment...
In recent years, coronary stent...
08/01/2008
Journal of Invasive Cardiology
Editorial Message
08/01/2008
Richard E. Shaw, PhD, FACC
Dear Readers, This issue of the Journal of Invasive Cardiology includes several interesting articles. In the first research article, Dr. J. Richard Spears and collaborators from the Cardiovascular Research Laboratory, Wayne State University,...
Dear Readers, This issue of the Journal of Invasive Cardiology includes several interesting articles. In the first research article, Dr. J. Richard Spears and collaborators from the Cardiovascular Research Laboratory, Wayne State University,...
Dear Readers, This issue of the...
08/01/2008
Journal of Invasive Cardiology
08/01/2008
Adrian P. Banning, MD, PhD, MBBS; William P. Orr, MD; Giampaolo Niccoli, MD, PhD
Case Description. A 44-year-old female was readmitted with chest pain on minimal exertion. She was an ex-smoker and had hypercholesterolemia. Eight months previously, she had experienced an episode of unstable angina and underwent coronary...
Case Description. A 44-year-old female was readmitted with chest pain on minimal exertion. She was an ex-smoker and had hypercholesterolemia. Eight months previously, she had experienced an episode of unstable angina and underwent coronary...
Case Description. A 44-year-old...
08/01/2008
Journal of Invasive Cardiology
08/01/2008
Rami Doukky, MD; James E. Calvin, MD
Unstable angina (UA) and non-ST elevation myocardial infarction (NSTEMI) are closely related clinical syndromes; they are often undistinguishable at presentation, and often entail similar early diagnostic and therapeutic approach. Unstable...
Unstable angina (UA) and non-ST elevation myocardial infarction (NSTEMI) are closely related clinical syndromes; they are often undistinguishable at presentation, and often entail similar early diagnostic and therapeutic approach. Unstable...
Unstable angina (UA) and non-ST...
08/01/2008
Journal of Invasive Cardiology
08/01/2008
Adrian P. Banning, MD, PhD, MBBS; William P. Orr, MD; Giampaolo Niccoli, MD, PhD
Case Description. A 44-year-old female was readmitted with chest pain on minimal exertion. She was an ex-smoker and had hypercholesterolemia. Eight months previously, she had experienced an episode of unstable angina and underwent coronary...
Case Description. A 44-year-old female was readmitted with chest pain on minimal exertion. She was an ex-smoker and had hypercholesterolemia. Eight months previously, she had experienced an episode of unstable angina and underwent coronary...
Case Description. A 44-year-old...
08/01/2008
Journal of Invasive Cardiology
Teaching Collection
08/01/2008
Francis J. Kiernan, MD; Robert C. Gallagher, MD; Muthu Velusamy, MD; Mark Fisherkeller, MD; Michael E. Keenan, MD; Daniel B. Fram, MD
Spontaneous coronary artery dissection (SCAD) is a relatively rare entity that has been associated with a high morbidity and mortality.1 Although a precise definition for SCAD has not been universally accepted,2 it has generally been defined...
Spontaneous coronary artery dissection (SCAD) is a relatively rare entity that has been associated with a high morbidity and mortality.1 Although a precise definition for SCAD has not been universally accepted,2 it has generally been defined...
Spontaneous coronary artery...
08/01/2008
Journal of Invasive Cardiology
08/01/2008
Mustafa Cemri, MD; Haci Ciftci, MD; Ridvan Yalcin, MD; Bulent Boyaci, MD; Ovsev Dortlemez, MD; Halis Dortlemez, MD; Guliz Erdem; Timur Timurkaynak, MD; Murat Ozdemir, MD; Atiye Cengel, MD
Direct stenting (DS) without balloon predilation is a novel approach in the percutaneous treatment of coronary artery lesions. This approach, besides reducing aggression to the vessel wall, may also significantly lower the rate of procedural...
Direct stenting (DS) without balloon predilation is a novel approach in the percutaneous treatment of coronary artery lesions. This approach, besides reducing aggression to the vessel wall, may also significantly lower the rate of procedural...
Direct stenting (DS) without...
08/01/2008
Journal of Invasive Cardiology
Commentary
08/01/2008
Stephen G. Ellis, MD
In this issue of the Journal, Timurkaynak et al. raises some important, but not easily resolvable, issues that deserve thought by practicing interventional cardiologists. In this small, observational study measuring cardiac enzymes after PCI,...
In this issue of the Journal, Timurkaynak et al. raises some important, but not easily resolvable, issues that deserve thought by practicing interventional cardiologists. In this small, observational study measuring cardiac enzymes after PCI,...
In this issue of the Journal,...
08/01/2008
Journal of Invasive Cardiology
08/01/2008
Richard Vander Heide, MD, PhD; J. Richard Spears, MD; Cassandra Henney, ATC, PhD; Petar Prcevski, DVM; Rui Xu, MD; Li Li, PhD; Giles J. Brereton, PhD; Marcello DiCarli, MD; Ali Spanta, MD; Richard Crilly, PhD; Abdulbaset M. Sulaiman, MD; Samir Hadeed, MD; Steven Lavine, MD; William R. Patterson, PhD; Jeffrey Creech, PhD
Hyperbaric oxygen (HBO) administered during reperfusion has been shown experimentally to reduce tissue injury associated with ischemia/reperfusion of a wide variety of tissues,1–8 including myocardium. Potential mechanisms include inhibition...
Hyperbaric oxygen (HBO) administered during reperfusion has been shown experimentally to reduce tissue injury associated with ischemia/reperfusion of a wide variety of tissues,1–8 including myocardium. Potential mechanisms include inhibition...
Hyperbaric oxygen (HBO)...
08/01/2008
Journal of Invasive Cardiology
08/01/2008
Ta-Cheng Huang, MD; Kai-Sheng Hsieh, MD; Cheng-Liang Lee, MD; Chu-Chun Lin, MD
Transcatheter closure of a small patent ductus arteriosus (PDA) is now an established treatment in many pediatric cardiology centers. As for occlusion of large PDA, interventional cardiologists are still looking for a simple, but safe and...
Transcatheter closure of a small patent ductus arteriosus (PDA) is now an established treatment in many pediatric cardiology centers. As for occlusion of large PDA, interventional cardiologists are still looking for a simple, but safe and...
Transcatheter closure of a small...
08/01/2008
Journal of Invasive Cardiology
Commentary
08/01/2008
Ziyad M. Hijazi, MD, MPH
Coil occlusion has become an accepted alternative treatment for small to moderate sized patent ductus arteriosus (PDA). Gianturco coils (Cook Cardiology, Inc., Bloomington, Indiana) are small, coiled spring wires with fabric strands woven...
Coil occlusion has become an accepted alternative treatment for small to moderate sized patent ductus arteriosus (PDA). Gianturco coils (Cook Cardiology, Inc., Bloomington, Indiana) are small, coiled spring wires with fabric strands woven...
Coil occlusion has become an...
08/01/2008
Journal of Invasive Cardiology
08/01/2008
On Topaz, MD, FACC; Rakesh Shah, MD; Robert E. Martin, MD
Anomalous origin of the coronary arteries occurs in only 0.64–1.2% of patients undergoing coronary angiography.1,2 In symptomatic patients with atherosclerotic coronary disease, precise angiographic recognition of the origin and the anatomic...
Anomalous origin of the coronary arteries occurs in only 0.64–1.2% of patients undergoing coronary angiography.1,2 In symptomatic patients with atherosclerotic coronary disease, precise angiographic recognition of the origin and the anatomic...
Anomalous origin of the coronary...
08/01/2008
Journal of Invasive Cardiology
Feature
08/01/2008
Domenic Sica, MD
ABSTRACT: The clinical implications of even mild impairment of renal function in percutaneous coronary interventions (PCI) have, to date, been poorly appreciated. The progressive loss of renal function is marked by the onset of a...
ABSTRACT: The clinical implications of even mild impairment of renal function in percutaneous coronary interventions (PCI) have, to date, been poorly appreciated. The progressive loss of renal function is marked by the onset of a...
ABSTRACT: The clinical...
08/01/2008
Journal of Invasive Cardiology
Feature
08/01/2008
Bruce E. Lewis, MD
Since Andreas Gruentzig first introduced coronary angioplasty in 1977, clinicians have been driven to lower the risks associated with the procedure and improve patient outcomes. Improvements in catheter technology as well as the clinician’s...
Since Andreas Gruentzig first introduced coronary angioplasty in 1977, clinicians have been driven to lower the risks associated with the procedure and improve patient outcomes. Improvements in catheter technology as well as the clinician’s...
Since Andreas Gruentzig first...
08/01/2008
Journal of Invasive Cardiology
Feature
08/01/2008
Bruce E. Lewis, MD
Continued from previous page Mechanism for thrombocytopenia with IIb/IIIa antagonists. A conclusive explanation for the occurrence of thrombocytopenia in conjunction with GP IIb/IIIa receptor antagonism has not been provided; however, immune...
Continued from previous page Mechanism for thrombocytopenia with IIb/IIIa antagonists. A conclusive explanation for the occurrence of thrombocytopenia in conjunction with GP IIb/IIIa receptor antagonism has not been provided; however, immune...
Continued from previous...
08/01/2008
Journal of Invasive Cardiology
Feature
08/01/2008
Frank Aguirre, MD; John B. Gill, MD
Despite technologic and therapeutic advances, both ischemic and hemorrhagic complications remain the most common risks associated with percutaneous coronary interventions (PCI). Contemporary PCI trials typically focus on reducing ischemic...
Despite technologic and therapeutic advances, both ischemic and hemorrhagic complications remain the most common risks associated with percutaneous coronary interventions (PCI). Contemporary PCI trials typically focus on reducing ischemic...
Despite technologic and...
08/01/2008
Journal of Invasive Cardiology
Feature
08/01/2008
Mauro Moscucci, MD
Recent advances in catheter technology and antithrombotic therapy have led to a continuous improvement in outcomes of percutaneous coronary intervention (PCI). These improved outcomes have been associated with broadening of the indications...
Recent advances in catheter technology and antithrombotic therapy have led to a continuous improvement in outcomes of percutaneous coronary intervention (PCI). These improved outcomes have been associated with broadening of the indications...
Recent advances in catheter...
08/01/2008
Journal of Invasive Cardiology
Feature
08/01/2008
Mauro Moscucci, MD
Continued from previous page Bleeding complications in practice. Demographics and definitions. As mentioned previously, data from multi- and single-center registries of PCI report much higher bleeding complication rates than those seen in...
Continued from previous page Bleeding complications in practice. Demographics and definitions. As mentioned previously, data from multi- and single-center registries of PCI report much higher bleeding complication rates than those seen in...
Continued from previous...
08/01/2008
Journal of Invasive Cardiology
Feature
08/01/2008
Timothy D. Henry, MD
Adverse outcomes of PCI include myocardial ischemia and necrosis, the need for endovascular or surgical reintervention, and occasionally death.1–3 Routine pharmacologic therapy includes antiplatelet and antithrombotic agents. Heparin has been...
Adverse outcomes of PCI include myocardial ischemia and necrosis, the need for endovascular or surgical reintervention, and occasionally death.1–3 Routine pharmacologic therapy includes antiplatelet and antithrombotic agents. Heparin has been...
Adverse outcomes of PCI include...
08/01/2008
Journal of Invasive Cardiology
Feature
08/01/2008
Timothy D. Henry, MD
Continued from previous page Overcoming heparin limitations in PCI with direct thrombin inhibitors Direct thrombin inhibitors, i.e., univalent agents such as argatroban, and bivalent agents such as lepirudin (Refludan®), desirudin (Revasc®)...
Continued from previous page Overcoming heparin limitations in PCI with direct thrombin inhibitors Direct thrombin inhibitors, i.e., univalent agents such as argatroban, and bivalent agents such as lepirudin (Refludan®), desirudin (Revasc®)...
Continued from previous...
08/01/2008
Journal of Invasive Cardiology
Feature
08/01/2008
William Knopf, MD
Heparin has served an important role in percutaneous coronary interventions (PCI) as the standard antithrombin agent since the procedure was first introduced. Modifications in heparin therapy and technological advancements have improved...
Heparin has served an important role in percutaneous coronary interventions (PCI) as the standard antithrombin agent since the procedure was first introduced. Modifications in heparin therapy and technological advancements have improved...
Heparin has served an important...
08/01/2008
Journal of Invasive Cardiology
Feature
08/01/2008
Jeffrey I. Weitz, MD; Shannon M. Bates, MD
Acute coronary syndromes (ACS) are usually caused by thrombosis superimposed on disrupted atherosclerotic plaque.1 Intracoronary thrombi, which form under high shear conditions, are composed of platelet aggregates held together by fibrin...
Acute coronary syndromes (ACS) are usually caused by thrombosis superimposed on disrupted atherosclerotic plaque.1 Intracoronary thrombi, which form under high shear conditions, are composed of platelet aggregates held together by fibrin...
Acute coronary syndromes (ACS)...
08/01/2008
Journal of Invasive Cardiology
Feature
08/01/2008
Jonathan D. Marmur, MD, FACC
Heparin Heparin has been used to prevent intravascular thrombosis and clotting on the surface of equipment used during percutaneous coronary interventions (PCI) since Andreas Gruentzig performed the first angioplasty.1 In fact, the...
Heparin Heparin has been used to prevent intravascular thrombosis and clotting on the surface of equipment used during percutaneous coronary interventions (PCI) since Andreas Gruentzig performed the first angioplasty.1 In fact, the...
Heparin Heparin has been used...
08/01/2008
Journal of Invasive Cardiology
Feature
08/01/2008
Jonathan D. Marmur, MD, FACC
Continued from previous page Randomized trials. A retrospective analysis of randomized studies supports the findings of the case-control studies. In 1,863 heparin-treated patients, there was an inverse relation between the ACT values...
Continued from previous page Randomized trials. A retrospective analysis of randomized studies supports the findings of the case-control studies. In 1,863 heparin-treated patients, there was an inverse relation between the ACT values...
Continued from previous...
08/01/2008
Journal of Invasive Cardiology