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Volume 20 - Issue 7 - July, 2008

Case Report
08/01/2008
Joseph Daoko, MD; Rupen Parikh, MD; Manesh Bikkina, MD, MPH
Most obstructions in femoral artery are due to atherosclerotic occlusive disease. Fibromuscular dysplasia (FMD) is most prevalent in the renal, carotid, and iliac arteries and its known cause of renal artery stenosis. FMD exists in multiple...
Most obstructions in femoral artery are due to atherosclerotic occlusive disease. Fibromuscular dysplasia (FMD) is most prevalent in the renal, carotid, and iliac arteries and its known cause of renal artery stenosis. FMD exists in multiple...
Most obstructions in femoral...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
Hasanat Sharif, MD; Nasir Rahman, MBBS, FCPS, MD; Fahim H. Jafary, MD, FACC
Coronary perforation is an uncommon complication of percutaneous coronary intervention (PCI). The reported incidence is approximately 0.4–1.2%.1 Coronary perforations are typically graded from 1 to 3, the latter representing a frank...
Coronary perforation is an uncommon complication of percutaneous coronary intervention (PCI). The reported incidence is approximately 0.4–1.2%.1 Coronary perforations are typically graded from 1 to 3, the latter representing a frank...
Coronary perforation is an...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
Andrew J. Boyle, MBBS, PhD, MD
Arterial puncture and sheath placement in the subclavian artery is an infrequent complication of central venous access. The incidence of arterial puncture during subclavian vein access has been estimated at 2.7–4.9%; it is probably higher in...
Arterial puncture and sheath placement in the subclavian artery is an infrequent complication of central venous access. The incidence of arterial puncture during subclavian vein access has been estimated at 2.7–4.9%; it is probably higher in...
Arterial puncture and sheath...
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 continues our series of special focus sections to provide a more detailed examination of important topics in cardiovascular medicine. This month’s focus is on the various uses of...
Dear Readers, This issue of the Journal of Invasive Cardiology continues our series of special focus sections to provide a more detailed examination of important topics in cardiovascular medicine. This month’s focus is on the various uses of...
Dear Readers, This issue of the...
08/01/2008
Journal of Invasive Cardiology
Editorial Message
08/01/2008
Guy Weigold, MD
Cardiac computed tomography (CT) really arrived on the cardiology scene at the dawn of the 21st century. Though much important work on cardiac CT had been taking place for years before that time, the publication of a few key articles...
Cardiac computed tomography (CT) really arrived on the cardiology scene at the dawn of the 21st century. Though much important work on cardiac CT had been taking place for years before that time, the publication of a few key articles...
Cardiac computed tomography (CT)...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
Naoki Masuda, MD; Takashi Matsukage, MD, PhD; Yuji Ikari, MD, PhD, FACC, FESC
Percutaneous coronary intervention of bifurcation lesions is associated with lower procedural success rates and an increased incidence of subsequent major adverse cardiac events and restenosis.1,2 Several reasons may be offered. The...
Percutaneous coronary intervention of bifurcation lesions is associated with lower procedural success rates and an increased incidence of subsequent major adverse cardiac events and restenosis.1,2 Several reasons may be offered. The...
Percutaneous coronary...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
Justin A. Strote, MD; Karen K. Stout, MD; Jordan M. Prutkin, MD, MHS
Cardiogenic shock is a devastating complication of acute myocardial infarction (MI) with an in-hospital mortality between 40–76%.1,2 Cardiogenic shock from right ventricular infarction is uncommon, though it has a mortality rate equal to that...
Cardiogenic shock is a devastating complication of acute myocardial infarction (MI) with an in-hospital mortality between 40–76%.1,2 Cardiogenic shock from right ventricular infarction is uncommon, though it has a mortality rate equal to that...
Cardiogenic shock is a...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
Yuji Ikari, MD, PhD, FACC, FESC; Daisuke Fujibayashi, MD; Yoshihiro Morino, MD
Coronary arteries are usually located on the surface of the cardiac muscle. Myocardial bridges have been described in a variable number of autopsy cases ranging from 5.4% to 85.7% of cases examined, depending on the population sampled.1,2 In...
Coronary arteries are usually located on the surface of the cardiac muscle. Myocardial bridges have been described in a variable number of autopsy cases ranging from 5.4% to 85.7% of cases examined, depending on the population sampled.1,2 In...
Coronary arteries are usually...
08/01/2008
Journal of Invasive Cardiology
Clinical Images
08/01/2008
Matthew J. Budoff, MD; Ambarish Gopal, MD; Raveen Pal, MD; Ronald P. Karlsberg
Case Presentation. Although left ventricular (LV) pseudoaneurysm is seen infrequently, it should be recognized and distinguished from the common type of left ventricular aneurysm. The diagnosis can be difficult and the lesions are prone to...
Case Presentation. Although left ventricular (LV) pseudoaneurysm is seen infrequently, it should be recognized and distinguished from the common type of left ventricular aneurysm. The diagnosis can be difficult and the lesions are prone to...
Case Presentation. Although left...
08/01/2008
Journal of Invasive Cardiology
Clinical Images
08/01/2008
M. Robert Peters, MD
Congenital left ventricular (LV) aneurysms are rare, and the term “congenital ventricular aneurysm” can be used to describe an isolated aneurysm when no known causes of acquired aneurysms (i.e., coronary disease, post cardiac surgery, trauma...
Congenital left ventricular (LV) aneurysms are rare, and the term “congenital ventricular aneurysm” can be used to describe an isolated aneurysm when no known causes of acquired aneurysms (i.e., coronary disease, post cardiac surgery, trauma...
Congenital left ventricular (LV)...
08/01/2008
Journal of Invasive Cardiology
Review
08/01/2008
Tim A. Fischell, MD, FACC, FSCAI
Percutaneous coronary intervention (PCI) for atherosclerotic coronary artery disease is an effective therapy for restoring vessel caliber and improving blood flow to ischemic myocardium. At least 1.25 million PCIs are performed annually in...
Percutaneous coronary intervention (PCI) for atherosclerotic coronary artery disease is an effective therapy for restoring vessel caliber and improving blood flow to ischemic myocardium. At least 1.25 million PCIs are performed annually in...
Percutaneous coronary...
08/01/2008
Journal of Invasive Cardiology
Clinical Images
08/01/2008
Christophe A. Wyss, MD; Jan Steffel, MD; Thomas F. Lüscher, MD, FRCP
Case Presentation. A 63-year-old Caucasian male with multiple cardiovascular risk factors including hypertension, dyslipidemia, history of smoking and a positive family history experienced an antero-apical myocardial infarction (MI) 12 years...
Case Presentation. A 63-year-old Caucasian male with multiple cardiovascular risk factors including hypertension, dyslipidemia, history of smoking and a positive family history experienced an antero-apical myocardial infarction (MI) 12 years...
Case Presentation. A 63-year-old...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
Giorgio Gimelli, MD; Brett D. Atwater, MD; Lisa M. Nee, MD
Patients with cardiogenic shock resulting from acute myocardial infarction (MI) experience greater than 50% in-hospital mortality despite aggressive invasive and medical management.1 Right ventricular (RV) ischemia or infarction has been...
Patients with cardiogenic shock resulting from acute myocardial infarction (MI) experience greater than 50% in-hospital mortality despite aggressive invasive and medical management.1 Right ventricular (RV) ischemia or infarction has been...
Patients with cardiogenic shock...
08/01/2008
Journal of Invasive Cardiology
Case Report
08/01/2008
Thorsten Reffelmann, MD; Astrid Hummel, MD; Stephan B. Felix, MD
Coronary stents dislodged or embolized prior to complete expansion in the target vessel may be retrieved with special devices such as snares, baskets and embolization protection devices.1,2 Rare cases of partially expanded or fractured stents...
Coronary stents dislodged or embolized prior to complete expansion in the target vessel may be retrieved with special devices such as snares, baskets and embolization protection devices.1,2 Rare cases of partially expanded or fractured stents...
Coronary stents dislodged or...
08/01/2008
Journal of Invasive Cardiology
08/01/2008
Gary P. Foster, MD; Branavan Umakanthan, DO, FACC, FSCAI; Mirvat Alasnag, MD, FACP, FSCAI
Invasive coronary arteriography (CA) has been the standard method for imaging coronary lesions since its beginnings in 1958. Multidetector cardiac computerized tomography (MDCT) has undergone rapid developments over the last decade and now...
Invasive coronary arteriography (CA) has been the standard method for imaging coronary lesions since its beginnings in 1958. Multidetector cardiac computerized tomography (MDCT) has undergone rapid developments over the last decade and now...
Invasive coronary arteriography...
08/01/2008
Journal of Invasive Cardiology
Clinical Images
08/01/2008
Thomas Engstrøm, MD
Among percutaneous coronary interventional procedures, the treatment of bifurcation lesions with stents in both the main vessel (MV) and the side branch (SB) is one of the most complex. Several techniques have been suggested including T-, V-,...
Among percutaneous coronary interventional procedures, the treatment of bifurcation lesions with stents in both the main vessel (MV) and the side branch (SB) is one of the most complex. Several techniques have been suggested including T-, V-,...
Among percutaneous coronary...
08/01/2008
Journal of Invasive Cardiology
Clinical Images
08/01/2008
Valaparambil K. Ajitkumar, MD, DM; Jaganmohan Achuthan Tharakan, MBBS, MD, DM; Narayanan Namboodiri, MBBS, MD, DM
Dual left anterior descending coronary artery (LAD) (or dual anterior interventricular artery) distribution with either of the vessels originating from the left main coronary artery (LMCA) and the right aortic sinus of Valsalva is an...
Dual left anterior descending coronary artery (LAD) (or dual anterior interventricular artery) distribution with either of the vessels originating from the left main coronary artery (LMCA) and the right aortic sinus of Valsalva is an...
Dual left anterior descending...
08/01/2008
Journal of Invasive Cardiology
08/01/2008
Wayne B. Batchelor, MD; Joachim Schofer, MD; Dean J. Kereiakes, MD, FACC, MSCAI; Christophe Dubois, MD, PhD; Peter J. Fitzgerald, MD, PhD; Roxana Mehran, MD; Alexandra J. Lansky, MD; Ichizo Tsujino, MD, PhD; John L. Petersen, II, BS , MD, MHS; Stefan Verheye, MD, PhD
The prevalence of diabetes has reached epidemic proportion in many sectors of the world.1 Atherosclerotic cardiovascular disease has been correlated with the presence, duration and severity of diabetes.2,3 In addition, both clinical and...
The prevalence of diabetes has reached epidemic proportion in many sectors of the world.1 Atherosclerotic cardiovascular disease has been correlated with the presence, duration and severity of diabetes.2,3 In addition, both clinical and...
The prevalence of diabetes has...
08/01/2008
Journal of Invasive Cardiology
08/01/2008
Shahid Aziz, BSc, MD, MRCP, MBChB; John L. Morris, MD, FRCP; Raphael A. Perry, MD, FRCP, BMBS, BSc; Rodney H. Stables, DM, MA, BM, BCh, FRCP, MD
First-generation balloon-expandable stents such as the Palmaz-Schatz stent were often deployed at low pressure using compliant delivery balloons. Overhang of the deployment balloon outside the stent increased the risk of edge dissection when...
First-generation balloon-expandable stents such as the Palmaz-Schatz stent were often deployed at low pressure using compliant delivery balloons. Overhang of the deployment balloon outside the stent increased the risk of edge dissection when...
First-generation...
08/01/2008
Journal of Invasive Cardiology
08/01/2008
Rodney H. Stables, DM, MA, BM, BCh, FRCP, MD
First-generation balloon-expandable stents such as the Palmaz-Schatz stent were often deployed at low pressure using compliant delivery balloons. Overhang of the deployment balloon outside the stent increased the risk of edge dissection when...
First-generation balloon-expandable stents such as the Palmaz-Schatz stent were often deployed at low pressure using compliant delivery balloons. Overhang of the deployment balloon outside the stent increased the risk of edge dissection when...
First-generation...
08/01/2008
Journal of Invasive Cardiology
Commentary
08/01/2008
James C. Blankenship, MD
Postdilatation is the least-studied aspect of current stenting technique, the neglected child in the large family of interventional wunderkinds. In contrast to the high-stakes sirolimus-versus-paclitaxel controversy, which has produced an...
Postdilatation is the least-studied aspect of current stenting technique, the neglected child in the large family of interventional wunderkinds. In contrast to the high-stakes sirolimus-versus-paclitaxel controversy, which has produced an...
Postdilatation is the...
08/01/2008
Journal of Invasive Cardiology
08/01/2008
William A. Van Decker, MD
Contrast media plays an important role in defining coronary anatomy in diagnostic and interventional cardiac catheterization procedures as well as in radiology. Iodine-containing compounds have been shown to have radio-opaque properties that...
Contrast media plays an important role in defining coronary anatomy in diagnostic and interventional cardiac catheterization procedures as well as in radiology. Iodine-containing compounds have been shown to have radio-opaque properties that...
Contrast media plays an...
08/01/2008
Journal of Invasive Cardiology
08/01/2008
Gianfranco Butera, MD, PhD; Mario Carminati, MD; Raffaele Calabró, MD
Ductal origin of the distal pulmonary artery1 is characterized by a patent ductus arteriosus in continuity with the proximal end of a pulmonary artery (either left or right, or both) with no continuity to the main pulmonary artery (PA)....
Ductal origin of the distal pulmonary artery1 is characterized by a patent ductus arteriosus in continuity with the proximal end of a pulmonary artery (either left or right, or both) with no continuity to the main pulmonary artery (PA)....
Ductal origin of the distal...
08/01/2008
Journal of Invasive Cardiology
08/01/2008
Osamu Katoh, MD
In patients with acute myocardial infarction, immediate reperfusion of the occluded artery has significantly decreased early mortality rates and improved late clinical outcomes.1 Although current revascularization strategies using stent...
In patients with acute myocardial infarction, immediate reperfusion of the occluded artery has significantly decreased early mortality rates and improved late clinical outcomes.1 Although current revascularization strategies using stent...
In patients with acute...
08/01/2008
Journal of Invasive Cardiology
08/01/2008
Alan Feit, MD; Shyam Poludasu, MD; Jonathan D. Marmur, MD, FACC; Erdal Cavusoglu, MD; Venkata R. Battala, MBBS
The superiority of low-molecular weight heparin (LMWH) over unfractionated heparin (UFH) in the management of acute coronary syndrome (ACS) patients was demonstrated in the Efficacy and Safety of Subcutaneous Enoxaparin in Non-Q-Wave Coronary...
The superiority of low-molecular weight heparin (LMWH) over unfractionated heparin (UFH) in the management of acute coronary syndrome (ACS) patients was demonstrated in the Efficacy and Safety of Subcutaneous Enoxaparin in Non-Q-Wave Coronary...
The superiority of low-molecular...
08/01/2008
Journal of Invasive Cardiology
08/01/2008
Mitchell N. Rashid, MD; Kristin Gilbert, BS; Matthew W. Watkins, MD; Edward F. Terrien, MD; Bina Ahmed, MD; Faye Straight, RN; Harold L. Dauerman, MD; Prospero B. Gogo, Jr., MD, FACC, FSCAI; Jason T. Bradley, MD
Percutaneous femoral access is utilized for 7.5 million patients per year worldwide and vascular closure devices are used in approximately 2 million patients annually. All current vascular closure devices (VCDs) have been associated with...
Percutaneous femoral access is utilized for 7.5 million patients per year worldwide and vascular closure devices are used in approximately 2 million patients annually. All current vascular closure devices (VCDs) have been associated with...
Percutaneous femoral access is...
08/01/2008
Journal of Invasive Cardiology
08/01/2008
Dean J. Kereiakes, MD, FACC, MSCAI; Roxana Mehran, MD; Peter J. Fitzgerald, MD, PhD; Ichizo Tsujino, MD, PhD; Wayne B. Batchelor, MD; Alexandra J. Lansky, MD; Mitchell W. Krucoff, MD; Joachim Schofer, MD; John L. Petersen, II, BS , MD, MHS; Christophe Dubois, MD, PhD; William Wijns, MD, PhD; Ecaterina Cristea, MD; Stefan Verheye, MD, PhD; Jyotsna Garg, MD
The prevalence of diabetes has reached epidemic proportion in many sectors of the world.1 Atherosclerotic cardiovascular disease has been correlated with the presence, duration and severity of diabetes.2,3 In addition, both clinical and...
The prevalence of diabetes has reached epidemic proportion in many sectors of the world.1 Atherosclerotic cardiovascular disease has been correlated with the presence, duration and severity of diabetes.2,3 In addition, both clinical and...
The prevalence of diabetes has...
08/01/2008
Journal of Invasive Cardiology
Commentary
08/01/2008
Lawrence A. Garcia, MD, FACC, FAHA; Amjad AlMahameed, MD, MPH, RPVI
Vascular closure devices (VCDs) provide simple, painless and reliable hemostasis following endovascular procedures performed via femoral arterial access. Their use has enhanced patient comfort and satisfaction, shortened the time to...
Vascular closure devices (VCDs) provide simple, painless and reliable hemostasis following endovascular procedures performed via femoral arterial access. Their use has enhanced patient comfort and satisfaction, shortened the time to...
Vascular closure devices (VCDs)...
08/01/2008
Journal of Invasive Cardiology
Feature
08/01/2008
Rodney H. Stables, DM, MA, BM, BCh, FRCP, MD; Raphael A. Perry, MD, FRCP, BMBS, BSc
First-generation balloon-expandable stents such as the Palmaz-Schatz stent were often deployed at low pressure using compliant delivery balloons. Overhang of the deployment balloon outside the stent increased the risk of edge dissection when...
First-generation balloon-expandable stents such as the Palmaz-Schatz stent were often deployed at low pressure using compliant delivery balloons. Overhang of the deployment balloon outside the stent increased the risk of edge dissection when...
First-generation...
08/01/2008
Journal of Invasive Cardiology
Letters to the Editor
08/01/2008
Paolo Angelini, MD
The case report from Hussain et al1 on an “absent” right coronary artery (RCA) seems to perpetuate an erroneous notion and its nomenclature. The possibility that a patient is born without a coronary artery was discussed by several authors in...
The case report from Hussain et al1 on an “absent” right coronary artery (RCA) seems to perpetuate an erroneous notion and its nomenclature. The possibility that a patient is born without a coronary artery was discussed by several authors in...
The case report from Hussain et...
08/01/2008
Journal of Invasive Cardiology