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Volume 20 - Issue 6 - June, 2008

Case Report
08/01/2008
Tarek A. Helmy, MD; Imran Arif, MD; Richard Callihan, MD
The exact incidence of chronic total occlusions (CTOs) during routine coronary angiography is not well defined. It has been reported in the literature that CTOs are encountered in approximately one-third of diagnostic cardiac...
The exact incidence of chronic total occlusions (CTOs) during routine coronary angiography is not well defined. It has been reported in the literature that CTOs are encountered in approximately one-third of diagnostic cardiac...
The exact incidence of chronic...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
Satoru Otsuji, MD; Kunihiko Terasoma, MD; Shin Takiuchi, MD
Successful recanalization and percutaneous revascularization of coronary arteries with chronic total occlusions (CTO) is one of the last frontiers in percutaneous coronary interventions (PCI). Successful CTO treatment is associated with...
Successful recanalization and percutaneous revascularization of coronary arteries with chronic total occlusions (CTO) is one of the last frontiers in percutaneous coronary interventions (PCI). Successful CTO treatment is associated with...
Successful recanalization and...
08/01/2008
Journal of Invasive Cardiology
Rapid Communication
08/01/2008
Wael F. Al-Husami, MD; Frederick Yturralde, MD; Guru Mohanty, MD; Christopher Pastore, MD; Kapildeo Lotun, MD; David Venesy, MD; Sergio Waxman, MD, MBA; Christopher Pyne, MD; Thomas C. Piemonte, MD; Richard W. Nesto, MD; David E. Gossman, MD
Percutaneous coronary intervention (PCI) offers an alternative form of therapy for patients considered to be at high risk for coronary artery bypass graft surgery (CABG). PCI is associated with substantial morbidity and mortality in the...
Percutaneous coronary intervention (PCI) offers an alternative form of therapy for patients considered to be at high risk for coronary artery bypass graft surgery (CABG). PCI is associated with substantial morbidity and mortality in the...
Percutaneous coronary...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
Ashish Pershad, MD; David Biglari, DO; Alon Yarkoni, MD, FACC
Coronary artery perforation (CAP) is an uncommon, yet potentially devastating, complication of percutaneous coronary interventions (PCI).1 Early reports of this catastrophic complication date back to the early 1980s.2 In a recent review of...
Coronary artery perforation (CAP) is an uncommon, yet potentially devastating, complication of percutaneous coronary interventions (PCI).1 Early reports of this catastrophic complication date back to the early 1980s.2 In a recent review of...
Coronary artery perforation...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
Khawar Abbass Kazmi, MD, FCPS; Sajid Dhakam, MD; Nasir Rahman, MBBS, FCPS, MD
Case Report. A 66-year-old female was admitted in March 2005 with non-ST-segment elevation myocardial infarction (NSTEMI). She had a prior history of hypertension, dyslipidemia and paroxysmal supraventricular tachycardia (SVT). Her coronary...
Case Report. A 66-year-old female was admitted in March 2005 with non-ST-segment elevation myocardial infarction (NSTEMI). She had a prior history of hypertension, dyslipidemia and paroxysmal supraventricular tachycardia (SVT). Her coronary...
Case Report. A 66-year-old...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
Nicholas J. Collins, BMed, FRACP, MD; Eric M. Horlick, MD, FRCPC, MDCM; Lee N. Benson, MD, FRCPC
Transcatheter closure of ventricular septal defects has emerged as an attractive therapeutic modality, with excellent procedural and intermediate hemodynamic outcomes. While experience with this technique is relatively limited, longerterm...
Transcatheter closure of ventricular septal defects has emerged as an attractive therapeutic modality, with excellent procedural and intermediate hemodynamic outcomes. While experience with this technique is relatively limited, longerterm...
Transcatheter closure of...
08/01/2008
Journal of Invasive Cardiology
Original Contribution
08/01/2008
Eric J. Dippel, MD; Nicolas W. Shammas, MD, MS, FACC, FSCAI, FACP, FSVM; Gail A. Shammas, BSN, BS , RN, BSc; Michael Jerin, PhD; Alisha Kumar, BS; Lynn Kennedy
Thrombus is highly prevalent in patients with peripheral arterial disease, particularly those with recent symptoms and occluded or subtotally occluded vessels. In a prospective registry of 17 consecutive patients with recent (< 6 months)...
Thrombus is highly prevalent in patients with peripheral arterial disease, particularly those with recent symptoms and occluded or subtotally occluded vessels. In a prospective registry of 17 consecutive patients with recent (< 6 months)...
Thrombus is highly prevalent in...
08/01/2008
Journal of Invasive Cardiology
Original Contribution
08/01/2008
Raed A. Aqel, MD; Fadi G. Hage, MD; Gilbert J. Zoghbi, MD, FACC; Louis Dell'italia, MD
Percutaneous renal artery stenting is a well-established revascularization modality for the treatment of significant renal artery stenosis (RAS) in selected patients with uncontrolled hypertension, renal insufficiency or heart failure...
Percutaneous renal artery stenting is a well-established revascularization modality for the treatment of significant renal artery stenosis (RAS) in selected patients with uncontrolled hypertension, renal insufficiency or heart failure...
Percutaneous renal artery...
08/01/2008
Journal of Invasive Cardiology
Commentary
08/01/2008
Michael C. Nguyen, MBBS; Lawrence A. Garcia, MD, FACC, FAHA
Renal artery stenosis is mainly a disease of progressive atherosclerosis involving the ostium and proximal third of the main renal artery and the peri-renal aorta. Atherosclerosis accounts for 90% of cases of renal artery stenosis (RAS).1 The...
Renal artery stenosis is mainly a disease of progressive atherosclerosis involving the ostium and proximal third of the main renal artery and the peri-renal aorta. Atherosclerosis accounts for 90% of cases of renal artery stenosis (RAS).1 The...
Renal artery stenosis is mainly...
08/01/2008
Journal of Invasive Cardiology
Original Contribution
08/01/2008
Pornthep Lertsapcharoen, MD; Apichai Khongphatthanayothin, MD; Suphot Srimahachota, MD; Ruenreong Leelanukrom, MD
Nitinol, an alloy composed of 55% nickel and 45% titanium, has been widely used in medical products. With its superelastic and shape-memory properties, nitinol has generated new models of occlusion devices for transcatheter closure of atrial...
Nitinol, an alloy composed of 55% nickel and 45% titanium, has been widely used in medical products. With its superelastic and shape-memory properties, nitinol has generated new models of occlusion devices for transcatheter closure of atrial...
Nitinol, an alloy composed of...
08/01/2008
Journal of Invasive Cardiology
Commentary
08/01/2008
P. Syamasundar Rao, MD, FACC
Since the description by King,1–3 Rashkind4–6 and their associates of devices to occlude atrial septal defects (ASDs), a number of ASD occluding devices have been designed, investigated and were reviewed elsewhere.7–12 The devices were...
Since the description by King,1–3 Rashkind4–6 and their associates of devices to occlude atrial septal defects (ASDs), a number of ASD occluding devices have been designed, investigated and were reviewed elsewhere.7–12 The devices were...
Since the description by...
08/01/2008
Journal of Invasive Cardiology
Original Contribution
08/01/2008
Rasih Atilla Ener, MD; David Fiss, MD; Alexander Georgakis, MD; Nelson M. Wolf, MD; Niraj Pandit, MD; Guy N. Piegari, Jr., MD
Stroke is the leading cause of long-term disability and the third leading cause of death after cardiac- and cancer-related deaths. In 2004, the prevalence of stroke was estimated to be 5.7 million (2.4 million males, 3.3 million females)....
Stroke is the leading cause of long-term disability and the third leading cause of death after cardiac- and cancer-related deaths. In 2004, the prevalence of stroke was estimated to be 5.7 million (2.4 million males, 3.3 million females)....
Stroke is the leading cause of...
08/01/2008
Journal of Invasive Cardiology
Rapid Communication
08/01/2008
Martin B. Leon, MD; Taichiro Hayase, MD; Gerard Conditt, RCIS; Naritatsu Saito, MD; Kaori Suzuki, MD; Geping Zhang, MD; Jennifer McGregor, BS ; Alyssa M. Flynn, BS; Danielle Leahy, BS ; Patricia Glennon
Chronic total occlusion (CTO) represents 10–20% of all angioplasty cases and remains a challenge for interventional cardiologists.1–3 CTOs are associated with significant angina, impaired left ventricular function and poor long-term...
Chronic total occlusion (CTO) represents 10–20% of all angioplasty cases and remains a challenge for interventional cardiologists.1–3 CTOs are associated with significant angina, impaired left ventricular function and poor long-term...
Chronic total occlusion (CTO)...
08/01/2008
Journal of Invasive Cardiology
Rapid Communication
08/01/2008
Sharmalar Rajendran, MBBS, FRACP; Rohan Jayasinghe, MBBS, FRACP, PhD; Varghese Paul, MD, DM
Chronic total occlusions (CTOs) present one of the most challenging obstacles to interventional cardiologists in the current era. Technical difficulties associated with percutaneous coronary intervention (PCI) of CTOs are reflected by lower...
Chronic total occlusions (CTOs) present one of the most challenging obstacles to interventional cardiologists in the current era. Technical difficulties associated with percutaneous coronary intervention (PCI) of CTOs are reflected by lower...
Chronic total occlusions (CTOs)...
08/01/2008
Journal of Invasive Cardiology
Rapid Communication
08/01/2008
Etsuo Tsuchikane, MD, PhD; Paul C. Ho, MD, MSc
During angiography, when the saphenous vein graft (SVG) bypassing a chronic total occlusion (CTO) in a coronary artery is found to be patent without significant obstructive disease, conventional wisdom would suggest adequate distal perfusion...
During angiography, when the saphenous vein graft (SVG) bypassing a chronic total occlusion (CTO) in a coronary artery is found to be patent without significant obstructive disease, conventional wisdom would suggest adequate distal perfusion...
During angiography, when the...
08/01/2008
Journal of Invasive Cardiology
Original Contribution
08/01/2008
Sorin J. Brener, MD; Thomas B. Ivanc, MS; Tingfei Hu, MD
Coronary artery disease (CAD) is inexorably linked to abnormal cholesterol levels, particularly low-density lipoprotein- C (LDL-C).1–4 Longstanding hyperlipidemia leads to deposition of oxidized LDL-C in activated macrophages and results,...
Coronary artery disease (CAD) is inexorably linked to abnormal cholesterol levels, particularly low-density lipoprotein- C (LDL-C).1–4 Longstanding hyperlipidemia leads to deposition of oxidized LDL-C in activated macrophages and results,...
Coronary artery disease (CAD) is...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
Francesco Bedogni, MD, PhD; Nuccia Morici, MD; Nedy Brambilla, MD
Although the efficacy of coronary artery bypass graft surgery (CABG) has been enhanced by the widespread use of arterial grafts, the limited number of arterial anastomoses mandates continued heavy reliance on venous conduits. Saphenous vein...
Although the efficacy of coronary artery bypass graft surgery (CABG) has been enhanced by the widespread use of arterial grafts, the limited number of arterial anastomoses mandates continued heavy reliance on venous conduits. Saphenous vein...
Although the efficacy of...
08/01/2008
Journal of Invasive Cardiology
Review
08/01/2008
Ramin Ebrahimi, MD; Jahandar Saleh, MD; Edward Toggart, MD; Shahdad Azmoon, MD; Hormoz Babaei, MD; Ryan Smith, MD; Stanley A. Rubin, MD; James S. Lee, MD, DO; Atman P. Shah, MD, FACC, FSCAI; Mohammad Reza Movahed, MD, PhD, FACP, FACC, FSCAI
Multiple primary and secondary prevention trials demonstrate a significant reduction in adverse cardiovascular outcomes in patients with, or at risk of, coronary artery disease as a result of statin therapy.1–6 Furthermore, there is...
Multiple primary and secondary prevention trials demonstrate a significant reduction in adverse cardiovascular outcomes in patients with, or at risk of, coronary artery disease as a result of statin therapy.1–6 Furthermore, there is...
Multiple primary and secondary...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
Aadil Shaukat, MRCP; M. Al-Bustami, MD; Paul J.L. Ong, MD, MRCP
Case Presentation. We present the case of 65-year-old male of Asian descent with diabetes mellitus. He had a history of myocardial infarction in 2004. At that time, he underwent percutaneous coronary intervention to his left anterior...
Case Presentation. We present the case of 65-year-old male of Asian descent with diabetes mellitus. He had a history of myocardial infarction in 2004. At that time, he underwent percutaneous coronary intervention to his left anterior...
Case Presentation. We present...
08/01/2008
Journal of Invasive Cardiology