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Volume 23 - Issue 10 - October 2011

10/03/2011
Norihiko Shinozaki, MD, PhD
ABSTRACT: A 78-year-old male presented with exertional chest pain and renal dysfunction. Diagnostic coronary angiogram revealed severe subtotal occlusion in intermediate left anterior descending artery. We conducted percutaneous coronary...
ABSTRACT: A 78-year-old male presented with exertional chest pain and renal dysfunction. Diagnostic coronary angiogram revealed severe subtotal occlusion in intermediate left anterior descending artery. We conducted percutaneous coronary...
ABSTRACT: A 78-year-old male...
10/03/2011
Journal of Invasive Cardiology
10/03/2011
Joao Carlos Silva, MD; Nuno Moreno, MD; Aurora Andrade, MD
ABSTRACT: The ventricular septal rupture is an uncommon complication of myocardial infarction (MI) with a reported incidence of 0.2% in the thrombolytic era. The outcome remains extremely poor, and surgical defect closure still remains the...
ABSTRACT: The ventricular septal rupture is an uncommon complication of myocardial infarction (MI) with a reported incidence of 0.2% in the thrombolytic era. The outcome remains extremely poor, and surgical defect closure still remains the...
ABSTRACT: The ventricular septal...
10/03/2011
Journal of Invasive Cardiology
09/30/2011
Adrian P. Banning, MD, PhD, MBBS; Alberto R. De Caterina, MD; Florim Cuculi, MD
Case DescriptionA 71-year-old woman with a history of hypertension and intermittent atrial fibrillation was referred for evaluation of shortness of breath (New York Heart Association II-III) and atypical chest pain. The resting...
Case DescriptionA 71-year-old woman with a history of hypertension and intermittent atrial fibrillation was referred for evaluation of shortness of breath (New York Heart Association II-III) and atypical chest pain. The resting...
Case DescriptionA 71-year-old...
09/30/2011
Journal of Invasive Cardiology
09/30/2011
Matthew S. Cummings, MD; Bruce Kuo, MD; Khaled M. Ziada, MD
ABSTRACT: With increasing use of transradial access (TRA) to perform coronary angiography, arterial anomalies of the upper extremity are more frequently encountered. We describe a patient with an aberrant right subclavian artery (RSCA)...
ABSTRACT: With increasing use of transradial access (TRA) to perform coronary angiography, arterial anomalies of the upper extremity are more frequently encountered. We describe a patient with an aberrant right subclavian artery (RSCA)...
ABSTRACT: With increasing use of...
09/30/2011
Journal of Invasive Cardiology
09/30/2011
Mais Trabolsi, MD; Muhyaldeen Dia, MD; Luay Rifai, MD
ABSTRACT: Peripartum cardiomyopathy is a rare disorder in which heart failure occurs during the last month of pregnancy or within 5 months of delivery, in the absence of any other etiology or prior heart disease.1 We present the case of a...
ABSTRACT: Peripartum cardiomyopathy is a rare disorder in which heart failure occurs during the last month of pregnancy or within 5 months of delivery, in the absence of any other etiology or prior heart disease.1 We present the case of a...
ABSTRACT: Peripartum...
09/30/2011
Journal of Invasive Cardiology
09/30/2011
Prafulla G. Kerkar, MD, DM, FACC; Parag S. Bhalgat, MD
ABSTRACT: Natural history of aortic regurgitation (AR) following transcatheter closure (TCC) of intracardiac or aortopulmonary shunt needs to be explored. AR can appear immediately or later after TCC and may increase or regress.1,2 We...
ABSTRACT: Natural history of aortic regurgitation (AR) following transcatheter closure (TCC) of intracardiac or aortopulmonary shunt needs to be explored. AR can appear immediately or later after TCC and may increase or regress.1,2 We...
ABSTRACT: Natural history of...
09/30/2011
Journal of Invasive Cardiology
09/30/2011
Danyaal Moin, MD; Emmanouil S. Brilakis, MD, PhD, FACC, FAHA, FESC, FSCAI; Subhash Banerjee, MD, FSCAI
ABSTRACT: We present a case of angina in a patient with a left internal mammary artery graft that had a large side branch. Closure was attempted using an Amplatzer vascular plug but during attempts to position the device, the side-branch...
ABSTRACT: We present a case of angina in a patient with a left internal mammary artery graft that had a large side branch. Closure was attempted using an Amplatzer vascular plug but during attempts to position the device, the side-branch...
ABSTRACT: We present a case of...
09/30/2011
Journal of Invasive Cardiology
Review
09/30/2011
Morton J. Kern, MD, MSCAI, FACC, FAHA
Clinical VignetteA 59-year-old man has 3 hours of chest pain and is transported to the emergency department. He is confused, combative, hypotensive (80/60), tachypneic, and tachycardic, with bilateral rales, hypoxia. The patient is intubated...
Clinical VignetteA 59-year-old man has 3 hours of chest pain and is transported to the emergency department. He is confused, combative, hypotensive (80/60), tachypneic, and tachycardic, with bilateral rales, hypoxia. The patient is intubated...
Clinical VignetteA 59-year-old...
09/30/2011
Journal of Invasive Cardiology
Editor's Message
09/29/2011
Richard E. Shaw, PhD, FACC
Dear Readers,The goal of the Journal of Invasive Cardiology is to provide state-of-the-art information that will support clinicians in the effective management of patients with cardiovascular disease.  There are many selections in this issue...
Dear Readers,The goal of the Journal of Invasive Cardiology is to provide state-of-the-art information that will support clinicians in the effective management of patients with cardiovascular disease.  There are many selections in this issue...
Dear Readers,The goal of the...
09/29/2011
Journal of Invasive Cardiology
Editorial
09/29/2011
John S. Douglas, Jr., MD
Achieving optimal arterial access for performance of percutaneous coronary intervention (PCI) should involve considerations of safety, efficacy, timeliness, and patient satisfaction with safety paramount. In this regard, there has been a...
Achieving optimal arterial access for performance of percutaneous coronary intervention (PCI) should involve considerations of safety, efficacy, timeliness, and patient satisfaction with safety paramount. In this regard, there has been a...
Achieving optimal arterial...
09/29/2011
Journal of Invasive Cardiology
Tips and Techniques
09/29/2011
Gustavo A. Tamashiro, MD; Alberto Tamashiro, MD; Miguel O. Villegas, MD; Andres E. Dini, MD; Ana P. Mollón, MD; Denis A. Zelaya, MD; Carlos I. Soledispa-Suarez, MD; José Antonio Díaz, MD
Abstract: Popliteal artery morphology changes while undergoing knee motion. A main flexion (i.e., the ‘hinge point’) and other flexions (termed ‘accessory flexions’) were described as a result of popliteal artery adaptation to knee flexion....
Abstract: Popliteal artery morphology changes while undergoing knee motion. A main flexion (i.e., the ‘hinge point’) and other flexions (termed ‘accessory flexions’) were described as a result of popliteal artery adaptation to knee flexion....
Abstract: Popliteal artery...
09/29/2011
Journal of Invasive Cardiology
Tips and Techniques
09/29/2011
Dimitrios Alexopoulos, MD, PhD; Grigorios Tsigkas, MD, PhD; Athanasios Moulias, MD
Abstract: Implantation of two or more adjacent-sequential stents is frequently required during coronary interventions, especially when treating long lesions.  We present two cases illustrating that plain fluoroscopic imaging may be misleading...
Abstract: Implantation of two or more adjacent-sequential stents is frequently required during coronary interventions, especially when treating long lesions.  We present two cases illustrating that plain fluoroscopic imaging may be misleading...
Abstract: Implantation of two or...
09/29/2011
Journal of Invasive Cardiology
Commentary
09/29/2011
William W. O'Neill, MD
You can liken performance of high-risk percutaneous coronary intervention (PCI) to attempting to repair a damaged car engine while it is turned on. Moreover, that car is trying to slowly drive away from a steep cliff with the ocean crashing...
You can liken performance of high-risk percutaneous coronary intervention (PCI) to attempting to repair a damaged car engine while it is turned on. Moreover, that car is trying to slowly drive away from a steep cliff with the ocean crashing...
You can liken performance of...
09/29/2011
Journal of Invasive Cardiology
Original Contribution
09/29/2011
Bryan G. Schwartz, MD; Christina H. Economides, MD, MM, FSCAI; Daniel J. Ludeman, BS; Guy S. Mayeda, MD; Steven Burstein, MD; Robert A. Kloner, MD, PhD
Abstract: Background. Intra-aortic balloon pumps (IABPs) are indicated during high-risk percutaneous coronary intervention (HR-PCI) to reduce major procedural complications. The clinical utility of the newer Impella and TandemHeart devices is...
Abstract: Background. Intra-aortic balloon pumps (IABPs) are indicated during high-risk percutaneous coronary intervention (HR-PCI) to reduce major procedural complications. The clinical utility of the newer Impella and TandemHeart devices is...
Abstract: Background....
09/29/2011
Journal of Invasive Cardiology
Commentary
09/29/2011
Abraham G. Kocheril, MD, FHRS, FACC, FACP
Atrial fibrillation (AF) is the most prevalent sustained cardiac arrhythmia, increasing in occurrence with age. Based on recent epidemiology, it is estimated to affect 6.1 million Americans, and this number is likely to increase to 15.9...
Atrial fibrillation (AF) is the most prevalent sustained cardiac arrhythmia, increasing in occurrence with age. Based on recent epidemiology, it is estimated to affect 6.1 million Americans, and this number is likely to increase to 15.9...
Atrial fibrillation (AF) is the...
09/29/2011
Journal of Invasive Cardiology
Original Contribution
09/29/2011
Mehmood Zeb, MBBS, MRCP; Paul Andrew Scott, MBChB, MRCP; Arthur Yue, MD, FRCP; Paul R. Roberts, MD, FRCP; John M. Morgan, MD, FRCP
Abstract: Purpose. Radiofrequency ablation (RFA) is an established therapy for the treatment of paroxysmal and persistent atrial fibrillation (AF). Many techniques have been reported to achieve RFA. We report a single-center experience of RFA...
Abstract: Purpose. Radiofrequency ablation (RFA) is an established therapy for the treatment of paroxysmal and persistent atrial fibrillation (AF). Many techniques have been reported to achieve RFA. We report a single-center experience of RFA...
Abstract: Purpose....
09/29/2011
Journal of Invasive Cardiology
Commentary
09/29/2011
Adhir R. Shroff, MD, MPH, FACC, FSCAI; Anupama Shivaraju, MD
Many clinicians across the world have adopted the transradial approach for coronary angiography and percutaneous coronary intervention (PCI).1,2 Reduced vascular complications, early ambulation, patient satisfaction, and reduced procedural...
Many clinicians across the world have adopted the transradial approach for coronary angiography and percutaneous coronary intervention (PCI).1,2 Reduced vascular complications, early ambulation, patient satisfaction, and reduced procedural...
Many clinicians across the world...
09/29/2011
Journal of Invasive Cardiology
Original Contribution
09/29/2011
Xavier Carrillo, MD
Abstract: Objectives. This study used intravascular ultrasound (IVUS) to evaluate radial artery volume changes after intra-arterial administration of nitroglycerin and/or verapamil. Background. Radial artery spasm, which is associated with...
Abstract: Objectives. This study used intravascular ultrasound (IVUS) to evaluate radial artery volume changes after intra-arterial administration of nitroglycerin and/or verapamil. Background. Radial artery spasm, which is associated with...
Abstract: Objectives. This study...
09/29/2011
Journal of Invasive Cardiology
Commentary
09/29/2011
Mladen I. Vidovich, MD
The optimal revascularization strategy for emergent left main coronary artery (LMCA) in the setting of acute coronary syndrome (ACS) remains largely an unresolved issue. The most current ACC/AHA 2009 Focused Update Guidelines assign it a IIb...
The optimal revascularization strategy for emergent left main coronary artery (LMCA) in the setting of acute coronary syndrome (ACS) remains largely an unresolved issue. The most current ACC/AHA 2009 Focused Update Guidelines assign it a IIb...
The optimal revascularization...
09/29/2011
Journal of Invasive Cardiology
Original Contribution
09/29/2011
Vicens Martí, MD; Manel Sabaté, MD, PhD; Victoria Lusk; Victoria Martin-Yuste, MD, PhD; Luis Alvarez-Contreras, MD; Salvatore Brugaletta, MD, PhD; Ignacio Ferreira-Gonzalez, MD, PhD; Clarissa Cola, MD; Joan Garcia-Picart, MD
Abstract: Background. Unprotected left main (ULM) coronary disease is considered by contemporary guidelines a class I indication for surgery. However, percutaneous coronary intervention (PCI) is often carried out in the ULM in either emergent...
Abstract: Background. Unprotected left main (ULM) coronary disease is considered by contemporary guidelines a class I indication for surgery. However, percutaneous coronary intervention (PCI) is often carried out in the ULM in either emergent...
Abstract: Background....
09/29/2011
Journal of Invasive Cardiology