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Volume 18 - Issue 11 - November, 2006

Case Report
08/01/2008
Michael B. De Young, DO; Samer Kazziha, MD, FACP, FACC, FSCAI, FCCP
Coronary embolism is one of the less common causes of myocardial infarction. In this case, we describe a patient who sustained a myocardial infarction due to coronary embolism which was successfully treated using a thrombus aspiration device,...
Coronary embolism is one of the less common causes of myocardial infarction. In this case, we describe a patient who sustained a myocardial infarction due to coronary embolism which was successfully treated using a thrombus aspiration device,...
Coronary embolism is one of the...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
Iñigo Lozano Martinez-Luengas, MD, PhD, FESC; Pablo Avanzas, MD, PhD, FESC; Cesar Moris, MD, PhD
Percutaneous coronary intervention (PCI) with balloon angioplasty or bare-metal stents are not adequate procedures in the treatment of the left main (LM) coronary artery disease because they are associated with an unacceptable restenosis...
Percutaneous coronary intervention (PCI) with balloon angioplasty or bare-metal stents are not adequate procedures in the treatment of the left main (LM) coronary artery disease because they are associated with an unacceptable restenosis...
Percutaneous coronary...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
Yoshinobu Murasato, MD, PhD; Hiroshi Suzuka, MD; Yoshiyuki Suzuki, MD
The introduction of drug-eluting stents in clinical practice has markedly lowered the incidence of coronary restenosis,1,2 although the management of bifurcation lesions remains challenging.3 The “kissing” stent technique, whereby stents...
The introduction of drug-eluting stents in clinical practice has markedly lowered the incidence of coronary restenosis,1,2 although the management of bifurcation lesions remains challenging.3 The “kissing” stent technique, whereby stents...
The introduction of drug-eluting...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
Evelio Rodriguez, MD; Michael J. Miller, MD; Jaffar Ali Raza, MD
Atrial fibrillation (AF) is commonly seen in patients with mitral regurgitation (MR). Mitral valve (MV) repair with simultaneous atrial ablation for the management of AF is the preferred method of treatment for MR associated with AF. There...
Atrial fibrillation (AF) is commonly seen in patients with mitral regurgitation (MR). Mitral valve (MV) repair with simultaneous atrial ablation for the management of AF is the preferred method of treatment for MR associated with AF. There...
Atrial fibrillation (AF) is...
08/01/2008
Journal of Invasive Cardiology
Letters to the Editor
08/01/2008
Jack P. Chen, MD, FACC, FSCAI, FCCP
Recrossing a deployed stent with a guidewire is sometimes required when a distal lesion is recognized after wire withdrawal, or when a second “buddy wire” is required to facilitate distal advancement of another device. A popular technique is...
Recrossing a deployed stent with a guidewire is sometimes required when a distal lesion is recognized after wire withdrawal, or when a second “buddy wire” is required to facilitate distal advancement of another device. A popular technique is...
Recrossing a deployed stent with...
08/01/2008
Journal of Invasive Cardiology
Editorial Message
08/01/2008
Richard E. Shaw, PhD, FACC
Dear Readers, This November 2006 issue of the Journal of Invasive Cardiology, which coincides with the 2006 American Heart Association (AHA) Annual Scientific Sessions held in Chicago, Illinois, includes original research articles,...
Dear Readers, This November 2006 issue of the Journal of Invasive Cardiology, which coincides with the 2006 American Heart Association (AHA) Annual Scientific Sessions held in Chicago, Illinois, includes original research articles,...
Dear Readers, This November...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
Ferdinand Kiemeneij, MD, PhD; Karen de Man, MD; Mark S. Patterson, MBBS, PhD, MD, MRCP
Acute thrombosis of the unprotected left main coronary artery (LMCA) produces cardiogenic shock (CS), or left main shock syndrome, in the majority of affected patients.1,2 The prognosis of the subset of patients that have complete (TIMI 0)...
Acute thrombosis of the unprotected left main coronary artery (LMCA) produces cardiogenic shock (CS), or left main shock syndrome, in the majority of affected patients.1,2 The prognosis of the subset of patients that have complete (TIMI 0)...
Acute thrombosis of the...
08/01/2008
Journal of Invasive Cardiology
Clinical Images
08/01/2008
Ik-Kyung Jang, MD, PhD; Joseph C. Hannan, MD, FACC; O. Christopher Raffel, MD
An 82-year-old female with exertional dyspnea and a positive stress test underwent elective coronary angiography which revealed lesions in the left anterior descending coronary artery and right coronary artery (RCA). Staged percutaneous...
An 82-year-old female with exertional dyspnea and a positive stress test underwent elective coronary angiography which revealed lesions in the left anterior descending coronary artery and right coronary artery (RCA). Staged percutaneous...
An 82-year-old female with...
08/01/2008
Journal of Invasive Cardiology
Review
08/01/2008
Ajay K. Jain, MD, MBBS, MRCP; Elliot J. Smith, MD; Martin T. Rothman, FRCP, FACC, FESC
The epicardial coronary venous system has become the subject of renewed interest in recent years. There appear to be three main domains in which a thorough understanding of the venous system may lead to potentially useful clinical...
The epicardial coronary venous system has become the subject of renewed interest in recent years. There appear to be three main domains in which a thorough understanding of the venous system may lead to potentially useful clinical...
The epicardial coronary venous...
08/01/2008
Journal of Invasive Cardiology
Original Contribution
08/01/2008
Tak W. Kwan, MD, FACC; Shaoliang Chen, MD; Junjie Zhang, MD; Fei Yei, MD; Zhongsheng Zhu, MD; Song Lin, MD; Zhizhong Liu, MD; Nailiang Tian, MD; Baoxian Duan, MD
Myocardial infarction is the leading cause of congestive heart failure (CHF) and death in developed western countries and in China as well. The current pharmacotherapy for CHF includes neurohormonal inhibition with beta-blockers and...
Myocardial infarction is the leading cause of congestive heart failure (CHF) and death in developed western countries and in China as well. The current pharmacotherapy for CHF includes neurohormonal inhibition with beta-blockers and...
Myocardial infarction is the...
08/01/2008
Journal of Invasive Cardiology
Rapid Communication
08/01/2008
Wing-hing Chow, MBBS, FRCP; Hee-Hwa Ho, MD; Man-Hong Jim, MD
Percutaneous saphenous vein graft (SVG) intervention has a high incidence of distal embolization, usually in the range of 15–20%.1,2 The release of friable atherothrombotic materials causes the no-reflow phenomenon and myonecrosis, which are...
Percutaneous saphenous vein graft (SVG) intervention has a high incidence of distal embolization, usually in the range of 15–20%.1,2 The release of friable atherothrombotic materials causes the no-reflow phenomenon and myonecrosis, which are...
Percutaneous saphenous vein...
08/01/2008
Journal of Invasive Cardiology
Original Contribution
08/01/2008
Alan Zajarias, MD; Srihari Thanigaraj, MD; John Lasala, MD, PhD, FACC, FACP; Julio Perez-Rodriguez, MD
A patent foramen ovale (PFO) can be identified in as many as 25% of the adult population.1 Though in the vast majority of cases the PFO is clinically silent, its presence is associated with serious and well-recognized complications. The...
A patent foramen ovale (PFO) can be identified in as many as 25% of the adult population.1 Though in the vast majority of cases the PFO is clinically silent, its presence is associated with serious and well-recognized complications. The...
A patent foramen ovale (PFO) can...
08/01/2008
Journal of Invasive Cardiology
Original Contribution
08/01/2008
Steven L. Goldberg, MD
Why do residual shunts exist after patent foramen ovale (PFO) closure devices are placed? Possible explanations include the use of a device too small for the defect, inability of the placed device to adequately conform to the defect, leakage...
Why do residual shunts exist after patent foramen ovale (PFO) closure devices are placed? Possible explanations include the use of a device too small for the defect, inability of the placed device to adequately conform to the defect, leakage...
Why do residual shunts exist...
08/01/2008
Journal of Invasive Cardiology
Original Contribution
08/01/2008
Santosh Menon, MD, FACC; Eugene S. Chung, MD; Theodore Chow, MD; Anubhav Mital, BS; Joseph Pastore, PhD; Dean J. Kereiakes, MD, FACC, MSCAI; John J. Young, MD
Early restoration of normal coronary perfusion after myocardial infarction (MI) limits infarct size, preserves left ventricular (LV) function and reduces mortality. The primary objective of reperfusion therapy is not only to restore...
Early restoration of normal coronary perfusion after myocardial infarction (MI) limits infarct size, preserves left ventricular (LV) function and reduces mortality. The primary objective of reperfusion therapy is not only to restore...
Early restoration of normal...
08/01/2008
Journal of Invasive Cardiology
Original Contribution
08/01/2008
Lawrence W. Gimple, MD; Christopher M. Kramer, MD; Joshua J. Fischer, MD; Kurt G. Barringhaus, MD; Habib Samady, MD; Michael Ragosta, MD; Eric R. Powers, MD; Alan J. Sarembock, MD; Adnan K. Chhatriwalla, MD
Myocardial fractional flow reserve (FFR) is an invasive index of the physiologic significance of a coronary stenosis. FFR is simply measured as the mean intracoronary pressure distal to a lesion divided by the mean aortic pressure during...
Myocardial fractional flow reserve (FFR) is an invasive index of the physiologic significance of a coronary stenosis. FFR is simply measured as the mean intracoronary pressure distal to a lesion divided by the mean aortic pressure during...
Myocardial fractional flow...
08/01/2008
Journal of Invasive Cardiology
Original Contribution
08/01/2008
Richard Callihan, MD; Tarek A. Helmy, MD
The concept of fractional flow reserve (FFR) was introduced by Pijls et al in his publication in 1993.1 This concept uses pressure measurement as a surrogate for flow, in a state where resistance is minimal and constant, a state of maximal...
The concept of fractional flow reserve (FFR) was introduced by Pijls et al in his publication in 1993.1 This concept uses pressure measurement as a surrogate for flow, in a state where resistance is minimal and constant, a state of maximal...
The concept of fractional flow...
08/01/2008
Journal of Invasive Cardiology
08/01/2008
Kent R. Nilsson, Jr., MD, FACC, MA, FHRS; Shayar M. Gharacholou, MD; Mitchell W. Krucoff, MD; Michael H. Sketch, Jr., MD
Case Presentation. A 55-year-old African-American male with a past medical history notable for coronary artery disease, insulin-dependent diabetes mellitus complicated by end-organ damage, hypertension and hyperlipidemia presented to our...
Case Presentation. A 55-year-old African-American male with a past medical history notable for coronary artery disease, insulin-dependent diabetes mellitus complicated by end-organ damage, hypertension and hyperlipidemia presented to our...
Case Presentation. A 55-year-old...
08/01/2008
Journal of Invasive Cardiology
Original Contribution
08/01/2008
Bruce E. Lewis, MD; Lowell H. Steen, MD; Ferdinand Leya, MD; Ravi K. Ramana, DO; Dominique Joyal, MD; Robert S. Dieter, MD, RVT; Dinesh Arab, MD
Over the past decade there have been tremendous advancements in the technique and procedural success rates in the field of interventional cardiology. Many of these advancements have addressed percutaneous coronary interventions (PCI) on...
Over the past decade there have been tremendous advancements in the technique and procedural success rates in the field of interventional cardiology. Many of these advancements have addressed percutaneous coronary interventions (PCI) on...
Over the past decade there have...
08/01/2008
Journal of Invasive Cardiology
Original Contribution
08/01/2008
On Topaz, MD, FACC
Percutaneous coronary intervention (PCI) in patients with depressed left ventricular function requires patience, technical skills and, at times, even a counterintuitive approach. In this high-risk group, standard PCI methods, mainly balloon...
Percutaneous coronary intervention (PCI) in patients with depressed left ventricular function requires patience, technical skills and, at times, even a counterintuitive approach. In this high-risk group, standard PCI methods, mainly balloon...
Percutaneous coronary...
08/01/2008
Journal of Invasive Cardiology
Original Contribution
08/01/2008
Reuven Lapin, PA-C, PA; Shyam Poludasu, MD; Jonathan D. Marmur, MD, FACC; Erdal Cavusoglu, MD; Pompeiu Vladutiu, MD; Ajay Agarwal, MD; Alan Feit, MD
Several large randomized clinical trials and meta-analyses have shown that inhibition of platelet aggregation with platelet glycoprotein IIb/IIIa inhibitors (GPI) improves outcomes in patients presenting with acute coronary syndromes and in...
Several large randomized clinical trials and meta-analyses have shown that inhibition of platelet aggregation with platelet glycoprotein IIb/IIIa inhibitors (GPI) improves outcomes in patients presenting with acute coronary syndromes and in...
Several large randomized...
08/01/2008
Journal of Invasive Cardiology
Original Contribution
08/01/2008
Abdolreza Agahtehrani, MD, PhD; George D. Dangas, MD, PhD
This paper has prospectively examined the efficacy of the use of bolus glycoprotein IIb/IIIa inhibitor (GPI) during percutaneous coronary intervention (PCI) in a single-arm registry. Both in-hospital outcomes and bleeding complications as...
This paper has prospectively examined the efficacy of the use of bolus glycoprotein IIb/IIIa inhibitor (GPI) during percutaneous coronary intervention (PCI) in a single-arm registry. Both in-hospital outcomes and bleeding complications as...
This paper has prospectively...
08/01/2008
Journal of Invasive Cardiology
Original Contribution
08/01/2008
H.M. Omar Farouque, MBBS, PhD, MD; Mauro Baldi, BSc; Derek P. Chew, MBBS, MPH, PhD; Stephen G. Worthley, MBBS, PhD, MD, PhDH, MB, BS ; Matthew I. Worthley, MBBS, PhD; Ian T. Meredith, BSc, PhD, MBBS, FRACP, MD
The underlying pathobiology in most patients with acute coronary syndromes (ACS) is culprit lesion disruption with associated thrombosis.1 There is an increasing body of evidence showing that these culprit lesions, the so-called “vulnerable”...
The underlying pathobiology in most patients with acute coronary syndromes (ACS) is culprit lesion disruption with associated thrombosis.1 There is an increasing body of evidence showing that these culprit lesions, the so-called “vulnerable”...
The underlying pathobiology in...
08/01/2008
Journal of Invasive Cardiology