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Volume 20 - Issue 3 - March, 2008

Case Report
08/01/2008
Dominic Kelly, BSc, MBChB; Terry Levy, MBBS, BSc, MBChB; Suneel Talwar, MD
Percutaneous coronary intervention is the accepted optimum strategy in the treatment of both myocardial infarction and stable angina resistant to medical therapy.1 Traditionally most procedures have been performed via the femoral access route...
Percutaneous coronary intervention is the accepted optimum strategy in the treatment of both myocardial infarction and stable angina resistant to medical therapy.1 Traditionally most procedures have been performed via the femoral access route...
Percutaneous coronary...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
Emmanouil S. Brilakis, MD, PhD, FACC, FAHA, FESC, FSCAI; Subhash Banerjee, MD, FSCAI; Aman Haider, MD
Case Report. An 82-year-old male with ischemic cardiomyopathy underwent permanent pacemaker implantation because of symptomatic intermittent second-degree Mobitz II heart block. Immediately after implantation and while the patient was still...
Case Report. An 82-year-old male with ischemic cardiomyopathy underwent permanent pacemaker implantation because of symptomatic intermittent second-degree Mobitz II heart block. Immediately after implantation and while the patient was still...
Case Report. An 82-year-old male...
08/01/2008
Journal of Invasive Cardiology
IAGS (International Andreas Gruentzig Society) Proceedings
08/01/2008
Alfred Bollinger, MD; Maria Schlumpf, PA
When German-born Andreas Roland Grüntzig arrived in 1969 in Zurich, Switzerland, and joined the Angiology Division of the University Hospital, founded some years before, he stated: “I have dedicated my life to the vascular diseases”.1 First,...
When German-born Andreas Roland Grüntzig arrived in 1969 in Zurich, Switzerland, and joined the Angiology Division of the University Hospital, founded some years before, he stated: “I have dedicated my life to the vascular diseases”.1 First,...
When German-born Andreas Roland...
08/01/2008
Journal of Invasive Cardiology
IAGS (International Andreas Gruentzig Society) Proceedings
08/01/2008
Larry S. Dean, MD, FACC, FAHA, FSCAI
Since the discovery of X-rays in 1895, there has been continuous development, first of imaging techniques, but over the last several decades, of therapeutics, to address the number-one killer of individuals in the industrialized world….heart...
Since the discovery of X-rays in 1895, there has been continuous development, first of imaging techniques, but over the last several decades, of therapeutics, to address the number-one killer of individuals in the industrialized world….heart...
Since the discovery of X-rays in...
08/01/2008
Journal of Invasive Cardiology
IAGS (International Andreas Gruentzig Society) Proceedings
08/01/2008
Richard R. Heuser, MD, FACC, FACP, FESC, FSCAI
Percutaneous intervention for renal artery stenosis was born in controversy and remains a debatable treatment strategy for the 2–4 million Americans affected. However, this important intervention remains the best option for many. This article...
Percutaneous intervention for renal artery stenosis was born in controversy and remains a debatable treatment strategy for the 2–4 million Americans affected. However, this important intervention remains the best option for many. This article...
Percutaneous intervention for...
08/01/2008
Journal of Invasive Cardiology
IAGS (International Andreas Gruentzig Society) Proceedings
08/01/2008
Nicolas Majunke, MD; Horst Sievert, MD, FESC, FACC, FSCAI
Atrial Septal Defects Atrial septal defects account for about one-third of all congenital heart abnormalities detected in adults.1 A large defect in adult patients results in symptoms and complications such as arrhythmias, cardiac failure and...
Atrial Septal Defects Atrial septal defects account for about one-third of all congenital heart abnormalities detected in adults.1 A large defect in adult patients results in symptoms and complications such as arrhythmias, cardiac failure and...
Atrial Septal Defects Atrial...
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 coincides with the 57th Annual Scientific Sessions of the American College of Cardiology and includes original research articles, a review, and articles from our Rapid Communication and...
This issue of the Journal of Invasive Cardiology coincides with the 57th Annual Scientific Sessions of the American College of Cardiology and includes original research articles, a review, and articles from our Rapid Communication and...
This issue of the Journal of...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
Rosana Hernandez-Antolin, MD, PhD; Alfonso Suarez, MD; Cecilia Corros, MD
Mechanical distortion of a stent, even after successful implantation, may occur as a result of further coronary intervention such as balloon inflation of side branches through the stent struts, dilatation over a guidewire outside the stented...
Mechanical distortion of a stent, even after successful implantation, may occur as a result of further coronary intervention such as balloon inflation of side branches through the stent struts, dilatation over a guidewire outside the stented...
Mechanical distortion of a...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
Annapoorna S. Kini, MD, MRCP, FACC; Samin K. Sharma, MD, FACC, FSCAI; Gerin R. Stevens, MD, PhD
Case Report. An 86-year-old female with a medical history of hypertension and hypercholesterolemia who was on medication complained of dyspnea, chest pain and shortness of breath that was relieved at rest. She had a positive stress test and...
Case Report. An 86-year-old female with a medical history of hypertension and hypercholesterolemia who was on medication complained of dyspnea, chest pain and shortness of breath that was relieved at rest. She had a positive stress test and...
Case Report. An 86-year-old...
08/01/2008
Journal of Invasive Cardiology
Feature
08/01/2008
Francesca Del Furia, MD; Andrea Matucci, MD; Giovanni M. Santoro, MD, FESC
Anaphylaxis is a severe, life-threatening, generalized hypersensitivity reaction that is mostly mediated by IgE antibodies, often starting with erythema, urticaria and/or angioedema, and occasionally involving cardiovascular and respiratory...
Anaphylaxis is a severe, life-threatening, generalized hypersensitivity reaction that is mostly mediated by IgE antibodies, often starting with erythema, urticaria and/or angioedema, and occasionally involving cardiovascular and respiratory...
Anaphylaxis is a severe,...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
Allison K. Cabalka, MD; Charanjit S. Rihal, MD, MBA, FSCAI; Shaji C. Menon, MD
Case Report. An 81-year-old male with a prior history of open abdominal aortic aneurysm (AAA) repair using a tube graft (24 mm Hemashield Dacron, Meadox Medicals, Inc., Oakland, New Jersey) presented for treatment of a pseudoaneurysm. Ten...
Case Report. An 81-year-old male with a prior history of open abdominal aortic aneurysm (AAA) repair using a tube graft (24 mm Hemashield Dacron, Meadox Medicals, Inc., Oakland, New Jersey) presented for treatment of a pseudoaneurysm. Ten...
Case Report. An 81-year-old male...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
Raúl Moreno-Gómez, MD, PhD; Ana Viana-Tejedor, MD; Mar Moreno, MD
Mechanical complications comprise the second leading cause of in-hospital mortality in patients with ST-segment elevation myocardial infarction (STEMI), especially in the elderly.1 Among them, ventricular septal rupture (VSR) complicates...
Mechanical complications comprise the second leading cause of in-hospital mortality in patients with ST-segment elevation myocardial infarction (STEMI), especially in the elderly.1 Among them, ventricular septal rupture (VSR) complicates...
Mechanical complications...
08/01/2008
Journal of Invasive Cardiology
Rapid Communication
08/01/2008
Yoriyasu Suzuki, MD; Jennifer K. Lyons, RVT; Alan C. Yeung, MD; Fumiaki Ikeno, MD
Animal models have assumed a central position in understanding the mechanisms of angioplasty, stenting, restenosis and development of medical devices.1–5 The porcine coronary vascular injury models, by either stenting or overstretching injury...
Animal models have assumed a central position in understanding the mechanisms of angioplasty, stenting, restenosis and development of medical devices.1–5 The porcine coronary vascular injury models, by either stenting or overstretching injury...
Animal models have assumed a...
08/01/2008
Journal of Invasive Cardiology
Clinical Images
08/01/2008
Sridevi Pitta, MD, MBA; Mahir D. Elder, MD, FACC, FSCAI, FASNC, FCCP, RPVI; Delair Gardi, MD; Neelima Penugonda, MD
Case Presentation. A 50-year-old Caucasian male with a history significant for hypertension was admitted to the hospital with exertional chest pain. Laboratory findings showed the first set of troponin was 2.15 and the second set of troponin...
Case Presentation. A 50-year-old Caucasian male with a history significant for hypertension was admitted to the hospital with exertional chest pain. Laboratory findings showed the first set of troponin was 2.15 and the second set of troponin...
Case Presentation. A 50-year-old...
08/01/2008
Journal of Invasive Cardiology
Clinical Images
08/01/2008
Sayed T. Hussain, MD; Saeb F. Khoury, MD
A 43-year-old patient presented to the hospital with complaints of recurrent chest pain episodes. His initial electrocardiogram was unremarkable and cardiac biomarkers were within normal limits. The patient underwent a myocardial perfusion...
A 43-year-old patient presented to the hospital with complaints of recurrent chest pain episodes. His initial electrocardiogram was unremarkable and cardiac biomarkers were within normal limits. The patient underwent a myocardial perfusion...
A 43-year-old patient presented...
08/01/2008
Journal of Invasive Cardiology
Original Contribution
08/01/2008
Raphael A. Perry, MD, FRCP, BMBS, BSc; Anthony D. Grayson, BSc; Mohammed Andron, MSc, MBChB, MRCP, MD, MBBS; Rodney H. Stables, DM, MA, BM, BCh, FRCP, MD; Khaled Albouaini, MSc, MBChB, MRCP, MD, MBBS; Mohaned Egred, MBChB, MD, BSc(Hons), FRCP, BSc, MRCP; Elved B. Roberts, MB, MRCP, MD; Matthew A. Shaw, MSc, PhD, BSc; Albert E. Alahmar, MD, BSc, MBChB, MRCP; Nicholas D. Palmer, MB, MRCP, MD, BS, FRCP
Elevation of biochemical markers of myocardial damage following percutaneous coronary intervention (PCI) is frequently observed,1–4 however, its significance remains controversial.5,6 Multiple reports have demonstrated a linear relationship...
Elevation of biochemical markers of myocardial damage following percutaneous coronary intervention (PCI) is frequently observed,1–4 however, its significance remains controversial.5,6 Multiple reports have demonstrated a linear relationship...
Elevation of biochemical markers...
08/01/2008
Journal of Invasive Cardiology
Original Contribution
08/01/2008
Peter B. Berger, MD; James L. Orford, MBChB, MPH, MD; Joseph Jozic, MD; Amy Hsu, MD, MS; Steven R. Steinhubl, MD; Eric J. Topol, MD
The timing of, and risk factors for, very early (< 24 hours) major adverse clinical events (death, myocardial infarction [MI], urgent target vessel revascularization [uTVR], and major bleeding) following percutaneous coronary intervention...
The timing of, and risk factors for, very early (< 24 hours) major adverse clinical events (death, myocardial infarction [MI], urgent target vessel revascularization [uTVR], and major bleeding) following percutaneous coronary intervention...
The timing of, and risk factors...
08/01/2008
Journal of Invasive Cardiology
Original Contribution
08/01/2008
Hamza Duygu, MD; Cuneyt Turkoglu, MD; Bahadir Kirilmaz, MD; Ugur Turk, MD
Platelets play a crucial role in the pathophysiology, morbidity and mortality of coronary artery disease (CAD). It has been shown that platelet size, measured as mean platelet volume (MPV), correlates with their reactivity.1 MPV showing...
Platelets play a crucial role in the pathophysiology, morbidity and mortality of coronary artery disease (CAD). It has been shown that platelet size, measured as mean platelet volume (MPV), correlates with their reactivity.1 MPV showing...
Platelets play a crucial role in...
08/01/2008
Journal of Invasive Cardiology
Original Contribution
08/01/2008
Luis Gruberg, MD; Michael Kapeliovich, MD; Doron Sudarsky, MD; Arthur Kerner, MD; Haim Hammerman, MD; Rafael Beyar, MD, DSc, MPH
The recent introduction of cardiac troponin I (cTn-I) into daily routine practice allows for highly accurate, sensitive and specific determination of myocardial injury in patients with chest pain. Any increase in these markers implies...
The recent introduction of cardiac troponin I (cTn-I) into daily routine practice allows for highly accurate, sensitive and specific determination of myocardial injury in patients with chest pain. Any increase in these markers implies...
The recent introduction of...
08/01/2008
Journal of Invasive Cardiology
Original Contribution
08/01/2008
Hideki Kitahara, MD; Yoshio Kobayashi, MD; Masashi Yamaguchi, PhD; Yoshihide Fujimoto, MD; Mizuo Nameki, MD; Takashi Nakayama, MD; Nakabumi Kuroda, MD; Alssei Komuro, MD
A sirolimus-eluting stent (SES) consists of 3 components: 1) metallic stent; 2) sirolimus as an antiproliferative agent to inhibit neointimal formation; and 3) a polymer coating used as a drug-carrier vehicle (Figure 1).1 Polymer also plays...
A sirolimus-eluting stent (SES) consists of 3 components: 1) metallic stent; 2) sirolimus as an antiproliferative agent to inhibit neointimal formation; and 3) a polymer coating used as a drug-carrier vehicle (Figure 1).1 Polymer also plays...
A sirolimus-eluting stent (SES)...
08/01/2008
Journal of Invasive Cardiology
Review
08/01/2008
David G. Rizik, MD, FACC, FSCAI; Kevin J. Klassen, MD; James B. Hermiller, MD, FACC, MSCAI
Overview of Dedicated Bifurcation Devices. Recent angiographic2 and intravascular ultrasound (IVUS)10 studies have convincingly demonstrated that the success of bifurcation treatment in reducing major adverse cardiac events (MACE) is...
Overview of Dedicated Bifurcation Devices. Recent angiographic2 and intravascular ultrasound (IVUS)10 studies have convincingly demonstrated that the success of bifurcation treatment in reducing major adverse cardiac events (MACE) is...
Overview of Dedicated...
08/01/2008
Journal of Invasive Cardiology
Commentary
08/01/2008
Rafael Beyar, MD, DSc, MPH; Eugenia Nikolsky, MD, PhD
Percutaneous coronary intervention (PCI) is the most commonly performed treatment modality for obstructive coronary artery disease. Stents are an indispensable component of PCI, allowing substantial improvement in acute and long-term results...
Percutaneous coronary intervention (PCI) is the most commonly performed treatment modality for obstructive coronary artery disease. Stents are an indispensable component of PCI, allowing substantial improvement in acute and long-term results...
Percutaneous coronary...
08/01/2008
Journal of Invasive Cardiology
Original Contribution
08/01/2008
Robert De Larochellière, MD; Olivier F. Bertrand, MD, PhD; Benjamin Faurie, MD, PhD; Bernard Noel, MD; Josep Rodés-Cabau, MD, PhD; Guy Proulx, MD; Eric Larose, MD, DVM; Can Manh Nguyen, MD; Onil Gleeton, MD; Jean-Pierre Dery, MD, MSc; Louis Roy, MD; Olivier Costerousse, PhD
Drug-eluting stents (DES) have revolutionized modern interventional cardiology by providing distinct advantages over bare-metal stents (BMS) in reducing the risk of in-stent restenosis. Several randomized clinical trials have consistently...
Drug-eluting stents (DES) have revolutionized modern interventional cardiology by providing distinct advantages over bare-metal stents (BMS) in reducing the risk of in-stent restenosis. Several randomized clinical trials have consistently...
Drug-eluting stents (DES) have...
08/01/2008
Journal of Invasive Cardiology
Original Contribution
08/01/2008
Jeffrey L. Anderson, MD; Joseph Brent Muhlestein, MD, FAHA, FACC; Peter J. Casterella, MD; James R. Revenaugh, MD; James L. Burke, MD; Robert R. Pearson, BS; Tami L. Bair, BS; Heidi T. May, MSPH, PhD; Benjamin Horne, PhD, MPH
Percutaneous coronary intervention (PCI) is commonly employed in the management of patients with coronary artery disease (CAD), but the optimal adjunctive pharmacologic strategy for patients undergoing PCI is a frequently debated issue,...
Percutaneous coronary intervention (PCI) is commonly employed in the management of patients with coronary artery disease (CAD), but the optimal adjunctive pharmacologic strategy for patients undergoing PCI is a frequently debated issue,...
Percutaneous coronary...
08/01/2008
Journal of Invasive Cardiology
Original Contribution
08/01/2008
Can Manh Nguyen, MD; Bernard Noel, MD; Guy Proulx, MD; Olivier F. Bertrand, MD, PhD; Eric Larose, MD, DVM; Onil Gleeton, MD; Jean-Pierre Dery, MD, MSc; Benjamin Faurie, MD, PhD; Louis Roy, MD; Olivier Costerousse, PhD; Robert De Larochellière, MD; Josep Rodés-Cabau, MD, PhD
Drug-eluting stents (DES) have revolutionized modern interventional cardiology by providing distinct advantages over bare-metal stents (BMS) in reducing the risk of in-stent restenosis. Several randomized clinical trials have consistently...
Drug-eluting stents (DES) have revolutionized modern interventional cardiology by providing distinct advantages over bare-metal stents (BMS) in reducing the risk of in-stent restenosis. Several randomized clinical trials have consistently...
Drug-eluting stents (DES) have...
08/01/2008
Journal of Invasive Cardiology
Original Contribution
08/01/2008
Rafael Beyar, MD, DSc, MPH; Eugenia Nikolsky, MD, PhD
Percutaneous coronary intervention (PCI) is the most commonly performed treatment modality for obstructive coronary artery disease. Stents are an indispensable component of PCI, allowing substantial improvement in acute and long-term results...
Percutaneous coronary intervention (PCI) is the most commonly performed treatment modality for obstructive coronary artery disease. Stents are an indispensable component of PCI, allowing substantial improvement in acute and long-term results...
Percutaneous coronary...
08/01/2008
Journal of Invasive Cardiology