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Volume 16 - Issue 11 - November, 2004

Case Report
08/01/2008
Harinder Singh, MD; Daniel R. Turner, MD; Thomas Forbes, MD
Transcatheter device closure of atrial septal defect (ASD) is an alternative to surgical closure. Currently, the Amplatzer Septal Occluder (ASO) (AGA Medical Corp, Golden Valley, Minnesota) is the only device approved for ASD closure in the...
Transcatheter device closure of atrial septal defect (ASD) is an alternative to surgical closure. Currently, the Amplatzer Septal Occluder (ASO) (AGA Medical Corp, Golden Valley, Minnesota) is the only device approved for ASD closure in the...
Transcatheter device closure of...
08/01/2008
Journal of Invasive Cardiology
Clinical Images
08/01/2008
Srihari S. Naidu, MD; Howard C. Herrmann, MD; Ruchira Glaser, MD, MSCE; Sameer Rohatgi, MD
Case Report. An 80-year-old man with severe chronic obstructive pulmonary disease, chronic renal insufficiency and significant carotid artery disease presented with a 4-day history of episodic severe substernal chest pressure at rest....
Case Report. An 80-year-old man with severe chronic obstructive pulmonary disease, chronic renal insufficiency and significant carotid artery disease presented with a 4-day history of episodic severe substernal chest pressure at rest....
Case Report. An 80-year-old man...
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, which coincides with the American Heart Association Annual Scientific Sessions, includes original research articles, case reports, reviews, and articles from the journal’s...
Dear Readers, This issue of The Journal of Invasive Cardiology, which coincides with the American Heart Association Annual Scientific Sessions, includes original research articles, case reports, reviews, and articles from the journal’s...
Dear Readers, This issue of The...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
Mariano Ledesma, MD; Patricio Martinez, MD; Miguel Angel Cazares, MD; Ted Feldman, MD, FSCAI, FACC, FESC
Lutembacher syndrome is a rare combination of congenital ASD and acquired rheumatic mitral stenosis. It is usually treated by surgical correction. We describe a case of Lutembacher syndrome that was treated successfully with percutaneous...
Lutembacher syndrome is a rare combination of congenital ASD and acquired rheumatic mitral stenosis. It is usually treated by surgical correction. We describe a case of Lutembacher syndrome that was treated successfully with percutaneous...
Lutembacher syndrome is a rare...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
Vaishali Ashar, MBBS; Giampaolo Niccoli, MD, PhD; Italo Porto, MD, PhD
Case Report. A 53-year-old man presented with a history of angina at rest, a small troponin rise and ischaemic inferior ECG changes. He had undergone aortocoronary bypass operation for triple vessel disease 3 years before this admission. The...
Case Report. A 53-year-old man presented with a history of angina at rest, a small troponin rise and ischaemic inferior ECG changes. He had undergone aortocoronary bypass operation for triple vessel disease 3 years before this admission. The...
Case Report. A 53-year-old man...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
Shigenori Ito, MD; Masanao Saio, MD; Takahiko Suzuki, MD
No-reflow sometimes occurs in percutaneous coronary intervention (PCI) as a terrible complication with an incidence of 2–5%.1,2 No-reflow has been reported to be related to the presence of thrombus, lipid pool (vulnerable plaque), and other...
No-reflow sometimes occurs in percutaneous coronary intervention (PCI) as a terrible complication with an incidence of 2–5%.1,2 No-reflow has been reported to be related to the presence of thrombus, lipid pool (vulnerable plaque), and other...
No-reflow sometimes occurs in...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
Jeffrey D. Lorin, MD; Jason R. Boglioli, MD; Steven P. Sedlis, MD
Percutaneous revascularization of chronic total occlusions (CTOs) represents an important clinical challenge in interventional cardiology. A CTO is defined as, “an obstruction of a native coronary artery for greater than 30 days with no...
Percutaneous revascularization of chronic total occlusions (CTOs) represents an important clinical challenge in interventional cardiology. A CTO is defined as, “an obstruction of a native coronary artery for greater than 30 days with no...
Percutaneous revascularization...
08/01/2008
Journal of Invasive Cardiology
Commentary
08/01/2008
Ubeydullah Deligonul, MD
Modern treatment of acute myocardial infarction is based on early and complete reperfusion. The time between the onset of myocardial infarction and reperfusion determines the mortality benefit and is influenced by various factors including a...
Modern treatment of acute myocardial infarction is based on early and complete reperfusion. The time between the onset of myocardial infarction and reperfusion determines the mortality benefit and is influenced by various factors including a...
Modern treatment of acute...
08/01/2008
Journal of Invasive Cardiology
Original Contribution
08/01/2008
Deepak L. Bhatt, MD, MPH, FACC, FAHA, FESC, MSCAI
It is with great excitement that The Journal of Invasive Cardiology will be initiating a new section called “Adjunctive Therapy.” While much of the focus of cardiovascular intervention relies upon mechanical approaches to improve perfusion,...
It is with great excitement that The Journal of Invasive Cardiology will be initiating a new section called “Adjunctive Therapy.” While much of the focus of cardiovascular intervention relies upon mechanical approaches to improve perfusion,...
It is with great excitement that...
08/01/2008
Journal of Invasive Cardiology
08/01/2008
David E. Allie, MD; John J. Young, MD; John R. Laird, MD, FACC, FACP; Patrick Hall, MD; Nicolas W. Shammas, MD, MS, FACC, FSCAI, FACP, FSVM; Robert Safian, MD; Ajay Virmani, MD
Peripheral arterial disease (PAD) affects 8–12 million Americans with an estimated 12–20% of the population > 65 years of age afflicted. Approximately 50% of patients are asymptomatic, which may explain why this disease is often...
Peripheral arterial disease (PAD) affects 8–12 million Americans with an estimated 12–20% of the population > 65 years of age afflicted. Approximately 50% of patients are asymptomatic, which may explain why this disease is often...
Peripheral arterial disease...
08/01/2008
Journal of Invasive Cardiology
Electrophysiology Corner
08/01/2008
Peter Y. Hui, MD; Truong Duong, MD; James Mailhot, MD
Radiofrequency catheter ablation (RFCA) of accessory pathways (APs) is recommended as definitive therapy for symptomatic or life-threatening tachyarrhythmias associated with the Wolff-Parkinson-White (WPW) syndrome. Although various...
Radiofrequency catheter ablation (RFCA) of accessory pathways (APs) is recommended as definitive therapy for symptomatic or life-threatening tachyarrhythmias associated with the Wolff-Parkinson-White (WPW) syndrome. Although various...
Radiofrequency catheter ablation...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
Heide Johnson, RN; Dean J. Kereiakes, MD, FACC, MSCAI; Peter J. Engel, MD; Robert Baughman, MD
Untreated pulmonary hypertension is a relentlessly progressive disorder leading to death from right ventricular failure, regardless of etiology. In recent years, more effective medical therapy has become available for this condition. In...
Untreated pulmonary hypertension is a relentlessly progressive disorder leading to death from right ventricular failure, regardless of etiology. In recent years, more effective medical therapy has become available for this condition. In...
Untreated pulmonary hypertension...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
Benedict M. Glover, MD, MRCP; Mazhar M. Khan, FRCP
Left internal mammary artery (LIMA) to pulmonary vasculature fistulas are rare complications following coronary artery bypass surgery. In symptomatic cases, management tends to be either conservative or surgical ligation of the fistula. This...
Left internal mammary artery (LIMA) to pulmonary vasculature fistulas are rare complications following coronary artery bypass surgery. In symptomatic cases, management tends to be either conservative or surgical ligation of the fistula. This...
Left internal mammary artery...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
Ashish Pershad, MD; Jon Stevenson, MD
Distal coronary embolization is an unpredictable complication of percutaneous coronary intervention (PCI). No reflow, distal coronary occlusion and peri-procedural cardiac enzyme elevation (“infarctlets”) may result from distal embolization....
Distal coronary embolization is an unpredictable complication of percutaneous coronary intervention (PCI). No reflow, distal coronary occlusion and peri-procedural cardiac enzyme elevation (“infarctlets”) may result from distal embolization....
Distal coronary embolization is...
08/01/2008
Journal of Invasive Cardiology
08/01/2008
Angela Migliorini, MD; David Antoniucci, MD; Gian B. Danzi, MD; Cinzia Capuano, MD; Marco Sesana, MD; Roberto Baglini, MD, PhD; Antonio L. Bartorelli, MD; Daniela Trabattoni, MD
The Tecnic Carbostent™ (Sorin Biomedica, Saluggia, Italy) is a balloon-expandable, stainless steel tubular coronary stent with a unique cellular design and proprietary Carbofilm™ permanent coating.1-3 Recently the stent has been pre-mounted...
The Tecnic Carbostent™ (Sorin Biomedica, Saluggia, Italy) is a balloon-expandable, stainless steel tubular coronary stent with a unique cellular design and proprietary Carbofilm™ permanent coating.1-3 Recently the stent has been pre-mounted...
The Tecnic Carbostent™ (Sorin...
08/01/2008
Journal of Invasive Cardiology
08/01/2008
Ramazan Akdemir, MD; Hakan Ozhan, MD; Enver Erbilen, MD; Mehmet Yazici, MD; Sinan Albayrak, MD; Huseyin Gunduz, MD; Cihangir Uyan, MD
Multi-center randomized trials indicate that primary angioplasty in acute myocardial infarction (AMI) lowers the rates of death, stroke, recurrent ischemia and re-infarction compared with fibrinolytic therapy.1 For low-risk patients with AMI,...
Multi-center randomized trials indicate that primary angioplasty in acute myocardial infarction (AMI) lowers the rates of death, stroke, recurrent ischemia and re-infarction compared with fibrinolytic therapy.1 For low-risk patients with AMI,...
Multi-center randomized trials...
08/01/2008
Journal of Invasive Cardiology
08/01/2008
Robert J. Applegate, MD; Sanjay K. Gandhi, MD, PhD; Michael A. Kutcher, MD, FACC, FSCAI; Bharathi Upadhya, MD; David C. Sane, MD; Efthymios N. Deliargyris, MD
Over the past decade clinical trials have demonstrated that platelet glycoprotein (GP) IIb/IIIa receptor inhibition dramatically reduces the ischemic complications of percutaneous coronary intervention (PCI).1–6 Currently, there are 3...
Over the past decade clinical trials have demonstrated that platelet glycoprotein (GP) IIb/IIIa receptor inhibition dramatically reduces the ischemic complications of percutaneous coronary intervention (PCI).1–6 Currently, there are 3...
Over the past decade clinical...
08/01/2008
Journal of Invasive Cardiology
08/01/2008
Morton J. Kern, MD, MSCAI, FACC, FAHA; David R. Holmes, Jr., MD; Priya Velappan, MD
The limitations of coronary angiography for defining the functional significance of intermediately severe lesions are well known. Such angiographic presentations frequently require additional testing to determine their clinical relevance....
The limitations of coronary angiography for defining the functional significance of intermediately severe lesions are well known. Such angiographic presentations frequently require additional testing to determine their clinical relevance....
The limitations of coronary...
08/01/2008
Journal of Invasive Cardiology
08/01/2008
Yoshihisa Nakagawa, MD; Takeshi Kimura, MD; Masakiyo Nobuyoshi, MD; Hideyuki Nosaka, MD; Katsumi Inoue, MD; Masashi Iwabuchi, MD; Hiroyoshi Yokoi, MD; Kenji Ando, MD; Koyu Sakai, MD
Despite the advancements in acute myocardial infarction (AMI) treatment, AMI caused by acute unprotected left main coronary artery (LMCA) occlusion rapidly progresses to cardiogenic shock and death unless there are substantial preexisting...
Despite the advancements in acute myocardial infarction (AMI) treatment, AMI caused by acute unprotected left main coronary artery (LMCA) occlusion rapidly progresses to cardiogenic shock and death unless there are substantial preexisting...
Despite the advancements in...
08/01/2008
Journal of Invasive Cardiology
Commentary
08/01/2008
On Topaz, MD, FACC
Percutaneous revascularization of left main coronary lesions is a hot topic. During the recent TCT conference, multiple live cases and discussions were dedicated to new advancements in the treatment of left main disease. The high level of...
Percutaneous revascularization of left main coronary lesions is a hot topic. During the recent TCT conference, multiple live cases and discussions were dedicated to new advancements in the treatment of left main disease. The high level of...
Percutaneous revascularization...
08/01/2008
Journal of Invasive Cardiology
08/01/2008
Pieter C. Smits, MD, PhD; Willem J. van der Giessen, MD, PhD; Pim J. de Feyter, MD, PhD; Ron T. van Domburg, PhD; Kengo Tanabe, MD; Chi-Hang Lee, MD, MBBS, MRCP; Angela Hoye, MB, MRCP, MD, MBChB; Pedro A. Lemos, MD; Patrick W. Serruys, MD, PhD
Management strategies for ST-elevation myocardial infarction (STEMI) have undergone great evolution over the past decade. Currently, primary mechanical reperfusion is considered superior to thrombolytic therapy in achieving complete and...
Management strategies for ST-elevation myocardial infarction (STEMI) have undergone great evolution over the past decade. Currently, primary mechanical reperfusion is considered superior to thrombolytic therapy in achieving complete and...
Management strategies for...
08/01/2008
Journal of Invasive Cardiology
08/01/2008
Nick Newall, MRCP; David R. Ramsdale, FRCP, MD, BSc, MBChB; Shahid Aziz, BSc, MD, MRCP, MBChB; Mark Jackson, PhD; Nick D. Palmer, MD, MRCP, MBBS, FRCP
Bacteremic complications after cardiac catheterization and percutaneous coronary intervention are perhaps surprisingly rare considering the frequency of entry into the circulation of arterial sheaths, guide catheters, guidewires, balloon...
Bacteremic complications after cardiac catheterization and percutaneous coronary intervention are perhaps surprisingly rare considering the frequency of entry into the circulation of arterial sheaths, guide catheters, guidewires, balloon...
Bacteremic complications after...
08/01/2008
Journal of Invasive Cardiology
08/01/2008
Javier Goicolea, MD; Francesco Calvo; Marcelo Sanmartin, MD; Raymundo Ocaranza, MD; Diogenes Cuevas, MD
The radial artery provides a safer alternative for left heart catheterization compared to femoral or brachial arteries, and also allows early mobilization without the need for closure devices.1 However, due to the similar dimensions of radial...
The radial artery provides a safer alternative for left heart catheterization compared to femoral or brachial arteries, and also allows early mobilization without the need for closure devices.1 However, due to the similar dimensions of radial...
The radial artery provides a...
08/01/2008
Journal of Invasive Cardiology
Commentary
08/01/2008
Nitin Barman, MD; John H. Chiu, MD; Stephen G. Ellis, MD
Retrograde cannulation of a peripheral artery is a necessary step for current percutaneous coronary procedures. Since the first reported case of coronary angiography via the radial artery by Campeau in 1989, the transradial approach has been...
Retrograde cannulation of a peripheral artery is a necessary step for current percutaneous coronary procedures. Since the first reported case of coronary angiography via the radial artery by Campeau in 1989, the transradial approach has been...
Retrograde cannulation of a...
08/01/2008
Journal of Invasive Cardiology