Volume 18 - Issue 7 - July, 2006
Commentary
08/01/2008
Joseph P. Carrozza, Jr., MD; Lawrence A. Garcia, MD, FACC, FAHA
Treatment of chronic total occlusions (CTO) produces more difficulties, angst and trepidation than any other lesion subset in interventional cardiology. Many of the difficulties stem from: difficulty engaging the occlusion, chronicity of the...
Treatment of chronic total occlusions (CTO) produces more difficulties, angst and trepidation than any other lesion subset in interventional cardiology. Many of the difficulties stem from: difficulty engaging the occlusion, chronicity of the...
Treatment of chronic total...
08/01/2008
Journal of Invasive Cardiology
Rapid Communication
08/01/2008
Nicholas E. Walker, MD; Mary Beth Fasano, MD; Phillip A. Horwitz, MD
Clopidogrel bisulfate is a thienopyridine oral antiplatelet agent that acts via irreversible inhibition of adenosine diphosphate-mediated platelet activation and aggregation.1 It is widely used in the treatment and secondary prevention of a...
Clopidogrel bisulfate is a thienopyridine oral antiplatelet agent that acts via irreversible inhibition of adenosine diphosphate-mediated platelet activation and aggregation.1 It is widely used in the treatment and secondary prevention of a...
Clopidogrel bisulfate is a...
08/01/2008
Journal of Invasive Cardiology
Clinical Images
08/01/2008
Tobias Härle, MD; Jacobus Reimers, MD; Karl-Heinz Kuck, MD
A 66-year-old male presented with exertional dyspnea and palpitations. The electrocardiogram showed atrial fibrillation and episodes of atrial flutter. Subsequent echocardiography revealed signs of right-sided heart failure with dilatation of...
A 66-year-old male presented with exertional dyspnea and palpitations. The electrocardiogram showed atrial fibrillation and episodes of atrial flutter. Subsequent echocardiography revealed signs of right-sided heart failure with dilatation of...
A 66-year-old male presented...
08/01/2008
Journal of Invasive Cardiology
Letters to the Editor
08/01/2008
To the Editor:
Percutaneous coronary interventions of thrombotic or friable lesions, such as in acute myocardial infarctions, can often result in distal embolization. To circumvent this problem, modern techniques frequently involve...
To the Editor:
Percutaneous coronary interventions of thrombotic or friable lesions, such as in acute myocardial infarctions, can often result in distal embolization. To circumvent this problem, modern techniques frequently involve...
To the Editor:
Percutaneous...
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 selected for their importance to the care of cardiac patients.
The first research article, submitted by Dr. Ilias Mylonas...
Dear Readers,
This issue of the Journal of Invasive Cardiology includes several interesting articles selected for their importance to the care of cardiac patients.
The first research article, submitted by Dr. Ilias Mylonas...
Dear Readers,
This issue...
08/01/2008
Journal of Invasive Cardiology
Original Contribution
08/01/2008
Mutsuo Nakayama, MD; Akitsugu Oida, MD; Eijiro Hattori, MD; Shigeru Nakamura, MD; Etsuo Tsuchikane, MD, PhD; Osamu Katoh, MD; Takahiko Suzuki, MD; Yasunori Nishida, MD; Jean-Francois Surmely, MD
Percutaneous treatment of coronary chronic total occlusions (CTOs) remains one of the major challenges in interventional cardiology. Recent data have shown that successful percutaneous recanalization of coronary CTOs results in improved...
Percutaneous treatment of coronary chronic total occlusions (CTOs) remains one of the major challenges in interventional cardiology. Recent data have shown that successful percutaneous recanalization of coronary CTOs results in improved...
Percutaneous treatment of...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
Murat Ozdemir, MD; Sedat Turkoglu, MD
Various coronary artery anomalies have been described in the literature. We report an unusual case of anomalous coronary artery circulation that has not been described in the literature.
Case Report. A 67-year-old female was admitted to our...
Various coronary artery anomalies have been described in the literature. We report an unusual case of anomalous coronary artery circulation that has not been described in the literature.
Case Report. A 67-year-old female was admitted to our...
Various coronary artery...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
John Vu, MD; Chowdhury Ahsan, MD, PhD; Mohammad Reza Movahed, MD, PhD, FACP, FACC, FSCAI
Case Report. The patient was a 61-year-old Caucasian male with a past medical history of hypertension and coronary artery disease (with a history of stent placement to the circumflex artery 5 years ago). He was admitted to an outside hospital...
Case Report. The patient was a 61-year-old Caucasian male with a past medical history of hypertension and coronary artery disease (with a history of stent placement to the circumflex artery 5 years ago). He was admitted to an outside hospital...
Case Report. The patient was a...
08/01/2008
Journal of Invasive Cardiology
Commentary
08/01/2008
Kenneth A. Ellenbogen, MD; Jamshid Alaeddini, MD
Since its introduction by Ross et al1 and Cope2 in 1959, transseptal catheterization has gained widespread acceptance among cardiologists as an important tool in the interventional laboratory. Although originally embraced mainly by...
Since its introduction by Ross et al1 and Cope2 in 1959, transseptal catheterization has gained widespread acceptance among cardiologists as an important tool in the interventional laboratory. Although originally embraced mainly by...
Since its introduction by Ross...
08/01/2008
Journal of Invasive Cardiology
Original Contribution
08/01/2008
Colin Berry, MBChB, BSc, PhD, MRCP; Keith G. Oldroyd, MD, MBChB, FRCP; Kanarath P. Balachandran, MBBS, MD, MRCP; Alastair C. Pell, MBChB, BSc, MD, MRCP; Barry D. Vallance, MBChB
Thrombolysis remains the most commonly used reperfusion therapy in acute myocardial infarction (AMI) in the United Kingdom, Europe and the developing world. Recent evidence suggests that thrombolysis may be equivalent to primary percutaneous...
Thrombolysis remains the most commonly used reperfusion therapy in acute myocardial infarction (AMI) in the United Kingdom, Europe and the developing world. Recent evidence suggests that thrombolysis may be equivalent to primary percutaneous...
Thrombolysis remains the most...
08/01/2008
Journal of Invasive Cardiology
Original Contribution
08/01/2008
Sumit Verma, MD, FHRS; Mark Borganelli, MD
Interatrial transseptal catheterization is a technique commonly used in the electrophysiology laboratory to access the left atrium. The procedure is being used more commonly as ablation of atrial fibrillation is more widely applied....
Interatrial transseptal catheterization is a technique commonly used in the electrophysiology laboratory to access the left atrium. The procedure is being used more commonly as ablation of atrial fibrillation is more widely applied....
Interatrial transseptal...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
Gilbert J. Zoghbi, MD, FACC; Deval Mehta, MD; Raed A. Aqel, MD
Pericardial effusions can result from various clinical entities. Occasionally, pericardial effusion may result in cardiac tamponade requiring immediate drainage. In some patients, especially those with malignant pericardial effusions, the...
Pericardial effusions can result from various clinical entities. Occasionally, pericardial effusion may result in cardiac tamponade requiring immediate drainage. In some patients, especially those with malignant pericardial effusions, the...
Pericardial effusions can result...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
Erdal Cavusoglu, MD; Ajay Agarwal, MD; Nagarathna Manjappa, MD
Stent thrombosis is defined as acute thrombotic occlusion in the stented segment of a coronary artery, usually presenting as ST-segment elevation myocardial infarction,1 and typically occurs within the first several weeks after stent...
Stent thrombosis is defined as acute thrombotic occlusion in the stented segment of a coronary artery, usually presenting as ST-segment elevation myocardial infarction,1 and typically occurs within the first several weeks after stent...
Stent thrombosis is defined as...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
Kumral Ergun, MD; Ozcan Ozeke, MD; Sule Korkmaz, MD; Dursun Aras, MD; Serkan Topaloglu, MD; Kerim Cagli, MD
Case Report. A 59-year-old male with exertional angina pectoris had undergone coronary angiography in 1998. Selective left coronary angiography showed that his left anterior descending artery (LAD) was totally occluded at the proximal site...
Case Report. A 59-year-old male with exertional angina pectoris had undergone coronary angiography in 1998. Selective left coronary angiography showed that his left anterior descending artery (LAD) was totally occluded at the proximal site...
Case Report. A 59-year-old male...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
Taral N. Patel, MD; Mark Kreindel, MD; A. Michael Lincoff, MD
Case Report. A 79-year-old female with a medical history of obesity, hypertension and coronary artery disease was admitted to an outside institution with complaints of shortness of breath and chest heaviness. Myocardial infarction was...
Case Report. A 79-year-old female with a medical history of obesity, hypertension and coronary artery disease was admitted to an outside institution with complaints of shortness of breath and chest heaviness. Myocardial infarction was...
Case Report. A 79-year-old...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
Simon Elhadad, MD; Joel Rivagorda, MD; Rémy Cohen, MD
Intra-aortic balloon pump (IABP) therapy is widely used as hemodynamic support among patients presenting with severe acute myocardial infarction, particularly in the case of cardiogenic shock. Usual complications include limb ischemia and...
Intra-aortic balloon pump (IABP) therapy is widely used as hemodynamic support among patients presenting with severe acute myocardial infarction, particularly in the case of cardiogenic shock. Usual complications include limb ischemia and...
Intra-aortic balloon pump (IABP)...
08/01/2008
Journal of Invasive Cardiology
Original Contribution
08/01/2008
Ted Feldman, MD, FSCAI, FACC, FESC; Ilias Mylonas, MD; Timothy A. Sanborn, MD; Yoshihito Sakata, MD; Michael H. Salinger, MD
Suture-mediated closure devices have had extensive use for closure of arterial access sites using 6–8 French (Fr) sheaths.1 Some experience with suture closure for large vessel arterial access has been described as well.2,3 The utility of...
Suture-mediated closure devices have had extensive use for closure of arterial access sites using 6–8 French (Fr) sheaths.1 Some experience with suture closure for large vessel arterial access has been described as well.2,3 The utility of...
Suture-mediated closure devices...
08/01/2008
Journal of Invasive Cardiology
Original Contribution
08/01/2008
Spyros Kokolis, MD; Luther T. Clark, MD; Jonathan D. Marmur, MD, FACC; John Kassotis, MD; Erdal Cavusoglu, MD; Rodamanthos Kokolis, MD; Reuven Lapin, PA-C, PA; Sheldon Breitbart, MD; Jason M. Lazar, MD
Light-to-moderate alcohol consumption has been associated with a decreased risk of ischemic cardiac events and stroke.1 The cardioprotective effects of alcohol have been attributed to favorable lipid changes, including lower LDL, increased...
Light-to-moderate alcohol consumption has been associated with a decreased risk of ischemic cardiac events and stroke.1 The cardioprotective effects of alcohol have been attributed to favorable lipid changes, including lower LDL, increased...
Light-to-moderate alcohol...
08/01/2008
Journal of Invasive Cardiology
Original Contribution
08/01/2008
Hideaki Kaneda, MD, PhD; Tim Fox, PhD; Ian R. Crocker, MD; Yasuhiro Honda, MD; Yoshihiro Morino, MD; Paul G. Yock, MD; Peter J. Fitzgerald, MD, PhD; Raoul Bonan, MD; Alexandra J. Lansky, MD
Although catheter-based brachytherapy has been demonstrated to effectively treat in-stent restenosis, a technique-dependent issue known as “geographic miss” has evolved as a potential limitation contributing to long-term treatment failures....
Although catheter-based brachytherapy has been demonstrated to effectively treat in-stent restenosis, a technique-dependent issue known as “geographic miss” has evolved as a potential limitation contributing to long-term treatment failures....
Although catheter-based...
08/01/2008
Journal of Invasive Cardiology
Original Contribution
08/01/2008
Todd J. Cohen, MD, FACC, FHRS; Vatsal Inamdar, MD; Sanjay Mehta, MD; George Juang, MD
Recurrent unexplained syncope and presyncope comprise approximately 1–6% of emergency room and approximately 1% of hospital admissions.1,2 The estimated incidence of self-reported syncope is 6.2 per 1,000 person years in the Framingham...
Recurrent unexplained syncope and presyncope comprise approximately 1–6% of emergency room and approximately 1% of hospital admissions.1,2 The estimated incidence of self-reported syncope is 6.2 per 1,000 person years in the Framingham...
Recurrent unexplained syncope...
08/01/2008
Journal of Invasive Cardiology
Original Contribution
08/01/2008
Lauren Coyne; Jon H. Lemke, PhD, MD; Eric J. Dippel, MD; Nicolas W. Shammas, MD, MS, FACC, FSCAI, FACP, FSVM; Vickie S. Takes, RT(R), CCRC, RN
Atherosclerotic peripheral vascular disease (PVD) is an underdiagnosed, undertreated, age-dependent, debilitating condition. Conservative estimates suggest that between 8 and 12 million people in the United States have PVD.1 The incidence of...
Atherosclerotic peripheral vascular disease (PVD) is an underdiagnosed, undertreated, age-dependent, debilitating condition. Conservative estimates suggest that between 8 and 12 million people in the United States have PVD.1 The incidence of...
Atherosclerotic peripheral...
08/01/2008
Journal of Invasive Cardiology
Commentary
08/01/2008
Lawrence A. Garcia, MD, FACC, FAHA
Peripheral vascular disease (PVD) has been described as underreported, underdiagnosed and undertreated in this country. Clinical and epidemiological studies suggest the prevalence of PVD is higher than previously believed and could be over...
Peripheral vascular disease (PVD) has been described as underreported, underdiagnosed and undertreated in this country. Clinical and epidemiological studies suggest the prevalence of PVD is higher than previously believed and could be over...
Peripheral vascular disease...
08/01/2008
Journal of Invasive Cardiology
Commentary
08/01/2008
This symposium has sought to understand and resolve some of the disparate results from studies evaluating thrombectomy with primary percutaneous coronary intervention (PCI) for ST-elevation myocardial infarction (STEMI) and has attempted to...
This symposium has sought to understand and resolve some of the disparate results from studies evaluating thrombectomy with primary percutaneous coronary intervention (PCI) for ST-elevation myocardial infarction (STEMI) and has attempted to...
This symposium has sought to...
08/01/2008
Journal of Invasive Cardiology
Commentary
08/01/2008
Donald S. Baim, MD: Dr. Brodie, was the AngioJet in acute Myocardial Infarction (AiMI) study performed on the wrong patients? Should we have looked at better sub-groups such as patients with larger thrombus burden? Did we use the wrong...
Donald S. Baim, MD: Dr. Brodie, was the AngioJet in acute Myocardial Infarction (AiMI) study performed on the wrong patients? Should we have looked at better sub-groups such as patients with larger thrombus burden? Did we use the wrong...
Donald S. Baim, MD: Dr. Brodie,...
08/01/2008
Journal of Invasive Cardiology
08/01/2008
David Antoniucci, MD
Macro- and microembolization during percutaneous coronary intervention (PCI) is frequent and may result in the obstruction of the microvessel coronary network.1 In the setting of acute myocardial infarction (AMI), PCI-related embolization...
Macro- and microembolization during percutaneous coronary intervention (PCI) is frequent and may result in the obstruction of the microvessel coronary network.1 In the setting of acute myocardial infarction (AMI), PCI-related embolization...
Macro- and microembolization...
08/01/2008
Journal of Invasive Cardiology
08/01/2008
Ron T. van Domburg, PhD; Joost Daemen, MD, PhD; Carlos A.G. van Mieghem, MD; Michail I. Papafaklis, MD; Sofia Vaina, MD; Lampros K. Michalis, MD, MRCP; Peter de Jaegere, MD, PhD; Patrick W. Serruys, MD, PhD; Georgios Sianos, MD, PhD
Primary percutaneous coronary intervention (PCI) is superior to thrombolysis in patients with ST-elevation myocardial infarction (STEMI), even when the latter is administered shortly after the onset of symptoms.1 Furthermore, stenting has...
Primary percutaneous coronary intervention (PCI) is superior to thrombolysis in patients with ST-elevation myocardial infarction (STEMI), even when the latter is administered shortly after the onset of symptoms.1 Furthermore, stenting has...
Primary percutaneous coronary...
08/01/2008
Journal of Invasive Cardiology
08/01/2008
Annapoorna S. Kini, MD, MRCP, FACC; Samin K. Sharma, MD, FACC, FSCAI; Angelica M. Mares, MD; Frank Tamburrino, MD
Percutaneous coronary interventions (PCI) involving balloon angioplasty and stenting are effective in the treatment of acute coronary syndromes (ACS) including myocardial infarction (MI), but reduced coronary flow and distal embolization...
Percutaneous coronary interventions (PCI) involving balloon angioplasty and stenting are effective in the treatment of acute coronary syndromes (ACS) including myocardial infarction (MI), but reduced coronary flow and distal embolization...
Percutaneous coronary...
08/01/2008
Journal of Invasive Cardiology
Feature
08/01/2008
Guy S. Mayeda, MD; Steven Burstein, MD; Ray V. Matthews, MD; David M. Shavelle, MD, FACC, FSCAI; Dimitri A. Sherev, MD; Murrad Abdelkarim, MD; Thomas Shook, MD
Percutaneous coronary intervention (PCI) for acute myocardial infarction (MI) in the setting of angiographic thrombus is associated with an increased risk of reocclusion and recurrent infarction.1,2 Distal embolization of thrombus during PCI...
Percutaneous coronary intervention (PCI) for acute myocardial infarction (MI) in the setting of angiographic thrombus is associated with an increased risk of reocclusion and recurrent infarction.1,2 Distal embolization of thrombus during PCI...
Percutaneous coronary...
08/01/2008
Journal of Invasive Cardiology
08/01/2008
Guy S. Mayeda, MD; Steven Burstein, MD; Ray V. Matthews, MD; David M. Shavelle, MD, FACC, FSCAI; Dimitri A. Sherev, MD; Murrad Abdelkarim, MD; Thomas Shook, MD
Percutaneous coronary intervention (PCI) for acute myocardial infarction (MI) in the setting of angiographic thrombus is associated with an increased risk of reocclusion and recurrent infarction.1,2 Distal embolization of thrombus during PCI...
Percutaneous coronary intervention (PCI) for acute myocardial infarction (MI) in the setting of angiographic thrombus is associated with an increased risk of reocclusion and recurrent infarction.1,2 Distal embolization of thrombus during PCI...
Percutaneous coronary...
08/01/2008
Journal of Invasive Cardiology
08/01/2008
Darshil Shah, MD; Ajitha Raju, MD; Jeffrey Decker, MD; Judith A. Boura, MS; William W. O'Neill, MD; Cindy L. Grines, MD, FACC, FSCAI; Simon R. Dixon, MBChB, FACC, FRACP, MD; Kavitha M. Chinnaiyan, MD
Embolization of thrombus and atherosclerotic plaque occurs frequently during mechanical reperfusion for acute myocardial infarction (MI), especially in vessels with a large clot burden.1,2 Plugging of the distal microvasculature causes...
Embolization of thrombus and atherosclerotic plaque occurs frequently during mechanical reperfusion for acute myocardial infarction (MI), especially in vessels with a large clot burden.1,2 Plugging of the distal microvasculature causes...
Embolization of thrombus and...
08/01/2008
Journal of Invasive Cardiology
08/01/2008
John Cedarholm, MD; Angela Humphrey; Sherry Laurent, PhD; Charles A. Simonton, III, MD; Bruce R. Brodie, MD; Michael J. Rinaldi, MD, FACC, FSCAI; Hadley Wilson, MD; Robert Haber, MD; Glen Kowalchuk, MD
In order to explore the use of AngioJet rheolytic thrombectomy in general clinical practice, the database of the Strategic Transcatheter Evaluation of New Therapies (STENT) Registry was used to assess both the utilization and clinical...
In order to explore the use of AngioJet rheolytic thrombectomy in general clinical practice, the database of the Strategic Transcatheter Evaluation of New Therapies (STENT) Registry was used to assess both the utilization and clinical...
In order to explore the use of...
08/01/2008
Journal of Invasive Cardiology
08/01/2008
Bruce R. Brodie, MD
Primary percutaneous coronary intervention (PCI) helps to achieve brisk coronary flow (thrombolysis in myocardial infarction [TIMI] 3 flow) in the infarct artery in greater than 90% of patients with ST-elevation myocardial infarction (STEMI)...
Primary percutaneous coronary intervention (PCI) helps to achieve brisk coronary flow (thrombolysis in myocardial infarction [TIMI] 3 flow) in the infarct artery in greater than 90% of patients with ST-elevation myocardial infarction (STEMI)...
Primary percutaneous coronary...
08/01/2008
Journal of Invasive Cardiology
08/01/2008
Donald S. Baim, MD
Against an atherosclerotic background of progressive accumulation of mural lipid, the episodic acute exacerbations of coronary artery disease (acute myocardial infarction [MI] and unstable angina) invariably involve the deposition of...
Against an atherosclerotic background of progressive accumulation of mural lipid, the episodic acute exacerbations of coronary artery disease (acute myocardial infarction [MI] and unstable angina) invariably involve the deposition of...
Against an atherosclerotic...
08/01/2008
Journal of Invasive Cardiology
