Skip to main content

Volume 16 - Issue 9 - September, 2004

Review
08/01/2008
Arshad Ali, MBBS, MRCP, MD; Theodore L. Schreiber, MD
The following special CME section is underwritten through an educational grant from Possis Medical, Inc. Learning objectives. At the conclusion of this activity, the participant should be able to: 1) describe the impact of thrombus on...
The following special CME section is underwritten through an educational grant from Possis Medical, Inc. Learning objectives. At the conclusion of this activity, the participant should be able to: 1) describe the impact of thrombus on...
The following special CME...
08/01/2008
Journal of Invasive Cardiology
Commentary
08/01/2008
George D. Dangas, MD, PhD; Eugenia Nikolsky, MD, PhD
Letter to the Editor In response to: Angiolillo, et al. Vol. 16, No. 6, Pages 325-329 Is a 300 mg Clopidogrel Loading Dose Sufficient to Inhibit Platelet Function Early After Coronary Stenting? A Platelet Function Profile Study The...
Letter to the Editor In response to: Angiolillo, et al. Vol. 16, No. 6, Pages 325-329 Is a 300 mg Clopidogrel Loading Dose Sufficient to Inhibit Platelet Function Early After Coronary Stenting? A Platelet Function Profile Study The...
Letter to the Editor In...
08/01/2008
Journal of Invasive Cardiology
Editorial Message
08/01/2008
Richard E. Shaw, PhD, FACC
This issue of The Journal of Invasive Cardiology, which coincides with the Annual Transcatheter Cardiovascular Therapeutics (TCT) meeting, includes original research articles, case reports, reviews, articles from the journal special sections...
This issue of The Journal of Invasive Cardiology, which coincides with the Annual Transcatheter Cardiovascular Therapeutics (TCT) meeting, includes original research articles, case reports, reviews, articles from the journal special sections...
This issue of The Journal of...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
Jorge Bejarano, MD; Antonio J. Muniz, MD
Heparin has been the standard anticoagulation for percutaneous cardiovascular procedures (PCI). Its low cost and the lack of a better therapeutic alternative have accounted for its widespread adoption in the cardiac catheterization laboratory...
Heparin has been the standard anticoagulation for percutaneous cardiovascular procedures (PCI). Its low cost and the lack of a better therapeutic alternative have accounted for its widespread adoption in the cardiac catheterization laboratory...
Heparin has been the standard...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
Vibhavasu Sharma, MD; Dan Mascarenhas, MD, FSCAI
Case Report. A 75-year-old male with a history of coronary artery disease, percutaneous coronary angioplasty and stent placement of the right coronary artery (RCA), primary wall stent of the saphenous vein graft (SVG) to the left anterior...
Case Report. A 75-year-old male with a history of coronary artery disease, percutaneous coronary angioplasty and stent placement of the right coronary artery (RCA), primary wall stent of the saphenous vein graft (SVG) to the left anterior...
Case Report. A 75-year-old male...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
Steven Burstein, MD; Ali Salami, MD; David M. Shavelle, MD, FACC, FSCAI
Carotid angioplasty and stenting are emerging as new treatment options for patients with carotid stenosis that are considered high risk for surgical carotid endarterectomy. Neurologic deficits related to embolic debris are the main...
Carotid angioplasty and stenting are emerging as new treatment options for patients with carotid stenosis that are considered high risk for surgical carotid endarterectomy. Neurologic deficits related to embolic debris are the main...
Carotid angioplasty and stenting...
08/01/2008
Journal of Invasive Cardiology
Practice Management and Economics
08/01/2008
Jere Palazzolo, MHA; Ronald N. Riner, MD, FACC; Keelyn Meisinger, RN, MBA
In times of increasing costs and declining reimbursement, physicians find themselves working harder for little or no increased financial reward. As revenues stagnate, compensation becomes an even timelier topic. Therefore, it is important to...
In times of increasing costs and declining reimbursement, physicians find themselves working harder for little or no increased financial reward. As revenues stagnate, compensation becomes an even timelier topic. Therefore, it is important to...
In times of increasing costs and...
08/01/2008
Journal of Invasive Cardiology
Clinical Images
08/01/2008
Calin Maniu, MD; Emmanouil S. Brilakis, MD, PhD, FACC, FAHA, FESC, FSCAI; Gregory W. Barsness, MD; Michael Wahl, MD
Case Report. A 78-year-old woman who had undergone coronary artery bypass grafting eight years earlier presented with unstable angina. At coronary angiography, an aorto-ostial lesion was found in a saphenous vein graft to the right posterior...
Case Report. A 78-year-old woman who had undergone coronary artery bypass grafting eight years earlier presented with unstable angina. At coronary angiography, an aorto-ostial lesion was found in a saphenous vein graft to the right posterior...
Case Report. A 78-year-old woman...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
Henry Meltser, MD; Jason Zelenka, MD; Elisabeth Von der Lohe, MD; Zachary H. George, MD
Case Report. A 60-year-old man without significant past medical history presented to the emergency department with a six-day history of intermittent mid-epigastric pain with associated nausea, diaphoresis and exertional dyspnea. Aspirin was...
Case Report. A 60-year-old man without significant past medical history presented to the emergency department with a six-day history of intermittent mid-epigastric pain with associated nausea, diaphoresis and exertional dyspnea. Aspirin was...
Case Report. A 60-year-old man...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
Kazushi Urasawa, MD, PhD; Naotsugu Oyama, MD; Akira Kitabatake, MD
Coronary dissection caused during percutaneous coronary intervention (PCI) can evolve into pseudoaneurysm,1 and can be evaluated with angiography and intravascular ultrasound (IVUS).2–5 Conventional angiography during and after interventional...
Coronary dissection caused during percutaneous coronary intervention (PCI) can evolve into pseudoaneurysm,1 and can be evaluated with angiography and intravascular ultrasound (IVUS).2–5 Conventional angiography during and after interventional...
Coronary dissection caused...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
Monika Juszczyk, MD; Thomas Marnejon, DO, FACP; David A. Hoffman, DO, FACC, FSCAI
Spontaneous Coronary Artery Dissection (SCAD) is a rare but increasingly reported cause of myocardial infarction and sudden death. Pretty first described SCAD in 1931 at autopsy in a 42-year-old woman who died after presenting with chest...
Spontaneous Coronary Artery Dissection (SCAD) is a rare but increasingly reported cause of myocardial infarction and sudden death. Pretty first described SCAD in 1931 at autopsy in a 42-year-old woman who died after presenting with chest...
Spontaneous Coronary Artery...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
Fermin Sainz Laso, MD; Alvaro Figueroa, MD, PhD; Thierry Colman, MD; Teresa Perez, MD; José Javier Zueco, MD; Jose de la Torre Hernandez, MD, PhD
The “pseudostenosis” is a well-known angiographic finding observed when the guidewire crosses markedly angulated coronary segments, most commonly in right coronary arteries.1–9 This phenomenon is produced by the straightening of angulated...
The “pseudostenosis” is a well-known angiographic finding observed when the guidewire crosses markedly angulated coronary segments, most commonly in right coronary arteries.1–9 This phenomenon is produced by the straightening of angulated...
The “pseudostenosis” is a...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
Bertrand Tchana, MD; Donald J. Hagler, MD; Nicola Carano, MD; Aldo Agnetti, MD; Umberto Squarcia, MD
Atrial septal aneurysm is a cardiac malformation defined as a localized thinning and bulging of the atrial septum into either atrium. It appears to be acquired as the result of abnormal atrial hemodynamics with resultant pressure deformity...
Atrial septal aneurysm is a cardiac malformation defined as a localized thinning and bulging of the atrial septum into either atrium. It appears to be acquired as the result of abnormal atrial hemodynamics with resultant pressure deformity...
Atrial septal aneurysm is a...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
Margaret Hinson-Williams, PA; Walter E. Mashman, MD; James R. Kauten, MD
Coronary artery bypass surgery is now a common operation in major tertiary centers with over 300,000 surgeries performed annually in the United States. Despite the refinement of the procedure and high volume experience of most surgeons,...
Coronary artery bypass surgery is now a common operation in major tertiary centers with over 300,000 surgeries performed annually in the United States. Despite the refinement of the procedure and high volume experience of most surgeons,...
Coronary artery bypass surgery...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
Hesham Hegazy, MD; Suleiman Kharabsheh, MD; Fadel Al Fadley; Walid Hassan, MD; Fayez ElShaer, MD
Coronary artery compression can occur during mitral valve replacement with a mechanical prosthesis due to the proximity of the dominant artery to the posterior mitral annulus and the propensity for distortion during anchoring the prosthesis...
Coronary artery compression can occur during mitral valve replacement with a mechanical prosthesis due to the proximity of the dominant artery to the posterior mitral annulus and the propensity for distortion during anchoring the prosthesis...
Coronary artery compression can...
08/01/2008
Journal of Invasive Cardiology
08/01/2008
Eric M. Horlick, MD, FRCPC, MDCM; Daniel Monakier, MD; John L. Ross, MD; Anna Woo, MD; Harry Rakowski, MD; Leonard Schwartz, MD
Case Study. A 49-year-old female was investigated for a 2-year history of dyspnea, angina on exertion, and exertional presyncope. Physical examination revealed a 2/6 mid-systolic murmur at rest, increasing in intensity to 3/6 following the...
Case Study. A 49-year-old female was investigated for a 2-year history of dyspnea, angina on exertion, and exertional presyncope. Physical examination revealed a 2/6 mid-systolic murmur at rest, increasing in intensity to 3/6 following the...
Case Study. A 49-year-old female...
08/01/2008
Journal of Invasive Cardiology
Review
08/01/2008
John Lasala, MD, PhD, FACC, FACP; Jason H. Rogers, MD
Percutaneous coronary intervention (PCI) is increasingly utilized in the treatment of coronary artery disease. Despite its numerous benefits, serious and potentially life-threatening complications of PCI can occur, including iatrogenic...
Percutaneous coronary intervention (PCI) is increasingly utilized in the treatment of coronary artery disease. Despite its numerous benefits, serious and potentially life-threatening complications of PCI can occur, including iatrogenic...
Percutaneous coronary...
08/01/2008
Journal of Invasive Cardiology
Review
08/01/2008
John A. Ambrose, MD; John T. Coppola, MD, FACC, FSCAI; David J. D'Agate, DO; Snehal Patel, MD
Percutaneous coronary intervention (PCI) has improved the treatment of coronary artery disease. However, unlike native coronary arteries, progress in the percutaneous intervention of saphenous vein bypass grafts (SVBG) has been disappointing,...
Percutaneous coronary intervention (PCI) has improved the treatment of coronary artery disease. However, unlike native coronary arteries, progress in the percutaneous intervention of saphenous vein bypass grafts (SVBG) has been disappointing,...
Percutaneous coronary...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
Matthews Chacko, MD; Deepak L. Bhatt, MD, MPH, FACC, FAHA, FESC, MSCAI; Nassir F. Marrouche, MD
Catheter-based radiofrequency ablation (RFA) is an increasingly utilized modality for the treatment of symptomatic tachyarrhythmias. It is both safe and effective, but complications do infrequently occur. We present a case of asymptomatic...
Catheter-based radiofrequency ablation (RFA) is an increasingly utilized modality for the treatment of symptomatic tachyarrhythmias. It is both safe and effective, but complications do infrequently occur. We present a case of asymptomatic...
Catheter-based radiofrequency...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
Hurkan Kursaklioglu, MD; Cem Barcin, MD; Atila Iyisoy, MD
During functional evaluation of an intermediate lesion in the circumflex coronary artery by pressure wire, an angiographically false image of long dissection extending from the left main coronary artery (LMCA) to the second obtuse marginal...
During functional evaluation of an intermediate lesion in the circumflex coronary artery by pressure wire, an angiographically false image of long dissection extending from the left main coronary artery (LMCA) to the second obtuse marginal...
During functional evaluation of...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
Fernando Alfonso, MD, PhD, FESC; Lucia Alvarez, MD; Carlos Almeria, MD
Acute aortic dissection (AD) constitutes a life-threatening entity that requires early recognition and management.1–3 AD is a dynamic process with a broad clinical spectrum of presentation. In most patients AD occurs spontaneously as the...
Acute aortic dissection (AD) constitutes a life-threatening entity that requires early recognition and management.1–3 AD is a dynamic process with a broad clinical spectrum of presentation. In most patients AD occurs spontaneously as the...
Acute aortic dissection (AD)...
08/01/2008
Journal of Invasive Cardiology
Vascular Disease
08/01/2008
Philip Morales, MD; Richard R. Heuser, MD, FACC, FACP, FESC, FSCAI; Romas Kirvaitis, MD
Recent study of percutaneous intervention in chronic superficial femoral artery (SFA) occlusions indicates crossing the lesion is feasible in 68–100% of cases1–12 but that flow-limiting dissections and perforations requiring stenting occur at...
Recent study of percutaneous intervention in chronic superficial femoral artery (SFA) occlusions indicates crossing the lesion is feasible in 68–100% of cases1–12 but that flow-limiting dissections and perforations requiring stenting occur at...
Recent study of percutaneous...
08/01/2008
Journal of Invasive Cardiology
Electrophysiology Corner
08/01/2008
Jon E. Block, PhD; Abraham G. Kocheril, MD, FHRS, FACC, FACP
Background and rationale. In delivering the prestigious 107th Shattuck Lecture to the annual meeting of the Massachusetts Medical Society (17 May 1997), Dr. Eugene Braunwald warned of two emerging epidemics of cardiovascular disease.1 One is...
Background and rationale. In delivering the prestigious 107th Shattuck Lecture to the annual meeting of the Massachusetts Medical Society (17 May 1997), Dr. Eugene Braunwald warned of two emerging epidemics of cardiovascular disease.1 One is...
Background and rationale. In...
08/01/2008
Journal of Invasive Cardiology
08/01/2008
Abid R. Assali, MD; Igal Teplitsky, MD; David Hasdai, MD; Eldad Rechavia, MD; Alejandro Solodky, MD; Ofer Sela, MD; Nader Butto, MD; Nurit Shor, RN; Shmuel Fuchs, MD; Alexander Battler, MD; Ran Kornowski, MD
True bifurcation lesions, representing up to 16% of coronary targets for intervention, have been associated with higher peri-procedural complication rates and lower long-term patency rates.1–6 In the contemporary interventional era, several...
True bifurcation lesions, representing up to 16% of coronary targets for intervention, have been associated with higher peri-procedural complication rates and lower long-term patency rates.1–6 In the contemporary interventional era, several...
True bifurcation lesions,...
08/01/2008
Journal of Invasive Cardiology
08/01/2008
Joseph F. Stella, DO; Ronald E. Stella, MD; Robert A. Iaffaldano, MD; Dominick J. Stella, MD; Kurt W. Erickson, MD; Roy C. Bliley, III, MD
The goal in treatment of ST-segment elevation myocardial infarction (STEMI) is rapid and complete reperfusion of the microvasculature. Optimal treatment strategies, however, are still being defined. Combined therapy (facilitated angioplasty)...
The goal in treatment of ST-segment elevation myocardial infarction (STEMI) is rapid and complete reperfusion of the microvasculature. Optimal treatment strategies, however, are still being defined. Combined therapy (facilitated angioplasty)...
The goal in treatment of...
08/01/2008
Journal of Invasive Cardiology
08/01/2008
Pavlos Toutouzas, MD; Sophia Vaina, MD, PhD; Konstantinos Toutouzas, MD; Eleftherios Tsiamis, MD; Costas Tsioufis, MD; Christodoulos Stefanadis, MD; Elli Stefanadis, MD
Coronary stenosis produces ischemia to the cardiac muscle by reducing blood flow. The anatomical and functional significance of coronary artery stenosis has been extensively studied.1,2 It is known that heat release is released from...
Coronary stenosis produces ischemia to the cardiac muscle by reducing blood flow. The anatomical and functional significance of coronary artery stenosis has been extensively studied.1,2 It is known that heat release is released from...
Coronary stenosis produces...
08/01/2008
Journal of Invasive Cardiology
08/01/2008
Dale R. Tavris, MD, MPH; Richard E. Shaw, PhD, FACC; Beverly Albrecht-Gallauresi, RN, MPH; Ralph G. Brindis, MD, MPH, FACC; Ba Lin, MD; Suzanne E. Rich, RN, MA; Kathleen Hewitt, MSN, RN, CPHQ; William S. Weintraub, MD, FACC
Reports of serious injuries and deaths associated with the use of hemostasis devices1 to the Center for Devices and Radiological Health (CDRH) of the Food and Drug Administration (FDA) provided the impetus for this study. These devices are...
Reports of serious injuries and deaths associated with the use of hemostasis devices1 to the Center for Devices and Radiological Health (CDRH) of the Food and Drug Administration (FDA) provided the impetus for this study. These devices are...
Reports of serious injuries and...
08/01/2008
Journal of Invasive Cardiology
08/01/2008
Chung-Wah Siu, MD; Stephen Wai-luen Lee; Man-Hong Jim, MD; Hee-Hwa Ho, MD; Raymond Miu, MRCP
Anomalous right coronary artery (AnRCA) from the left coronary sinus is found in only about 0.03–0.9% of patients undergoing coronary angiography.1,2 The AnRCA ostium originates either from within the left coronary sinus (Figure 1) or from...
Anomalous right coronary artery (AnRCA) from the left coronary sinus is found in only about 0.03–0.9% of patients undergoing coronary angiography.1,2 The AnRCA ostium originates either from within the left coronary sinus (Figure 1) or from...
Anomalous right coronary artery...
08/01/2008
Journal of Invasive Cardiology
Commentary
08/01/2008
Howard C. Herrmann, MD; Ruchira Glaser, MD, MSCE
Despite advances in hemostasis techniques, adjunctive devices and pharmacology, vascular complications from diagnostic and therapeutic cardiac catheterization occur in 2–11% of patients. Furthermore, these troublesome complications cause a...
Despite advances in hemostasis techniques, adjunctive devices and pharmacology, vascular complications from diagnostic and therapeutic cardiac catheterization occur in 2–11% of patients. Furthermore, these troublesome complications cause a...
Despite advances in hemostasis...
08/01/2008
Journal of Invasive Cardiology
08/01/2008
Ian Duncan; Marek Gebka, MD; Farrell Hellig, MD; Antoinette Cilliers, MD; Eric Klug, MD; Jeffrey R. Harrisberg, MD; Kenny Govendrageloo, MD; Shirley J. Middlemost, MD
Coronary artery (coronary-cameral) fistula is an uncommon condition where an abnormal communication exists between a coronary artery and a cardiac chamber, pulmonary artery or systemic vein. Usually the termination is to the right side of the...
Coronary artery (coronary-cameral) fistula is an uncommon condition where an abnormal communication exists between a coronary artery and a cardiac chamber, pulmonary artery or systemic vein. Usually the termination is to the right side of the...
Coronary artery...
08/01/2008
Journal of Invasive Cardiology
08/01/2008
John Ducas, MD; William S. Sheldon, MD; Mark A. Tannenbaum, MD; Jack E. Smith, MD; Michael M. Kitt, MD; Ian C. Gilchrist, MD; James C. Blankenship, MD; James E. Tcheng, MD; Warren J. Cantor, MD; J. Conor O'Shea, MD; Karen S. Pieper, MS; Douglas A. Criger, MPH; Mina Madan, MD, MPH
Percutaneous coronary intervention (PCI) is an effective treatment for myocardial ischemia in patients with coronary artery disease. More than one million PCI procedures were performed worldwide in 1998.1 A major limitation of percutaneous...
Percutaneous coronary intervention (PCI) is an effective treatment for myocardial ischemia in patients with coronary artery disease. More than one million PCI procedures were performed worldwide in 1998.1 A major limitation of percutaneous...
Percutaneous coronary...
08/01/2008
Journal of Invasive Cardiology