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Volume 23 - Issue 2 - February, 2011

Clinical Images
01/28/2011
Shalima R. Gautam, MD, FNB; Deepak Mishra, MD, DM; B.K. Goyal, MD
ABSTRACT: We present a rare case of a tortuous aorta in a patient with kyphoscoliosis and the advantages of using radial angiography in this case. J INVASIVE CARDIOL 2011;23:E36 Key words: tortuous aorta, kyphoscoliosis
ABSTRACT: We present a rare case of a tortuous aorta in a patient with kyphoscoliosis and the advantages of using radial angiography in this case. J INVASIVE CARDIOL 2011;23:E36 Key words: tortuous aorta, kyphoscoliosis
ABSTRACT: We present a rare case...
01/28/2011
Journal of Invasive Cardiology
Letters to the Editor
01/28/2011
Edward Proctor, MD, FACC, FSCAI; Jack P. Chen, MD, FACC, FSCAI, FCCP
To the Editor: Despite advancements in stent technology, procedural success in complex lesion morphologies is often dependent upon pre-stent lesion preparation. Lesion subtypes such as bifurcation, thrombotic, chronic total occlusion, and...
To the Editor: Despite advancements in stent technology, procedural success in complex lesion morphologies is often dependent upon pre-stent lesion preparation. Lesion subtypes such as bifurcation, thrombotic, chronic total occlusion, and...
To the Editor: Despite...
01/28/2011
Journal of Invasive Cardiology
Case Report
01/28/2011
Aditya M. Sharma, MD; Hicham Yactime; Giridhar Vedala
ABSTRACT: Acute myocardial infarction during pregnancy or the postpartum period is rare. We report a case of a 40-year-old postpartum woman who developed ST-elevation myocardial infarction due to severe diffuse coronary vasospasm. To our...
ABSTRACT: Acute myocardial infarction during pregnancy or the postpartum period is rare. We report a case of a 40-year-old postpartum woman who developed ST-elevation myocardial infarction due to severe diffuse coronary vasospasm. To our...
ABSTRACT: Acute myocardial...
01/28/2011
Journal of Invasive Cardiology
Case Report
01/28/2011
Richard Schmidt, BA; Michael Kasper, MD; Bunyad Haider, MD; Marc Klapholz, MD; Christine Gerula, MD; Edo Kaluski, MD
ABSTRACT: High-risk cardiac patients, especially those with severe coronary artery disease, are prone to ischemic, arrhythmic and heart failure complications during urgent or emergent noncardiac surgery. The American and European guidelines...
ABSTRACT: High-risk cardiac patients, especially those with severe coronary artery disease, are prone to ischemic, arrhythmic and heart failure complications during urgent or emergent noncardiac surgery. The American and European guidelines...
ABSTRACT: High-risk cardiac...
01/28/2011
Journal of Invasive Cardiology
Case Report
01/28/2011
John J. Ryan, MB, BCh; Rajiv S. Swamy, MD; Atman P. Shah, MD, FACC, FSCAI
ABSTRACT: We present the case of a gentleman who presented to our hospital with recurrent episodes of sudden cardiac death treated initially with cardioversion. Immediate coronary angiography revealed a 7 mm aneurysm in the proximal left...
ABSTRACT: We present the case of a gentleman who presented to our hospital with recurrent episodes of sudden cardiac death treated initially with cardioversion. Immediate coronary angiography revealed a 7 mm aneurysm in the proximal left...
ABSTRACT: We present the case of...
01/28/2011
Journal of Invasive Cardiology
Case Report
01/28/2011
Claudia A. Martinez, MD; Howard A. Cohen, MD; Carlos E. Ruiz, MD, PhD
ABSTRACT: Paravalvular leaks (PVL) are a well-known complication after prosthetic valve surgery. Effective non-surgical repair techniques are being developed using several off-label transcatheter occlusive devices given that there is no...
ABSTRACT: Paravalvular leaks (PVL) are a well-known complication after prosthetic valve surgery. Effective non-surgical repair techniques are being developed using several off-label transcatheter occlusive devices given that there is no...
ABSTRACT: Paravalvular leaks...
01/28/2011
Journal of Invasive Cardiology
Case Report
01/28/2011
Hye-Jin Jung, MD; Jung-Ju Sir, MD
ABSTRACT: Although drug-eluting stent (DES) thrombosis is a recognized complication of coronary intervention, recurrent late stent thrombosis is rarely reported. Clopidogrel resistance or low-responsiveness may be associated with recurrent...
ABSTRACT: Although drug-eluting stent (DES) thrombosis is a recognized complication of coronary intervention, recurrent late stent thrombosis is rarely reported. Clopidogrel resistance or low-responsiveness may be associated with recurrent...
ABSTRACT: Although drug-eluting...
01/28/2011
Journal of Invasive Cardiology
Case Report
01/28/2011
Erkan Ilhan, MD; Sinan Sahin; Ahmet Celebi, MD
ABSTRACT: A 54-year-old man was transferred to our emergency department because of acute inferior myocardial infarction. However, ST-segment elevation resolved after intravenous nitrate administration on admission and coronary angiography...
ABSTRACT: A 54-year-old man was transferred to our emergency department because of acute inferior myocardial infarction. However, ST-segment elevation resolved after intravenous nitrate administration on admission and coronary angiography...
ABSTRACT: A 54-year-old man was...
01/28/2011
Journal of Invasive Cardiology
Case Report
01/28/2011
Ashraf Alazzoni, MD; James L. Velianou, MD; Sanjit S. Jolly, MD, MSc, FRCP
ABSTRACT: Small randomized trials in patients with ST-elevation myocardial infarction have shown that aspiration thrombectomy improves angiographic outcomes and may improve clinical outcomes. However, there remains a lack of reports on...
ABSTRACT: Small randomized trials in patients with ST-elevation myocardial infarction have shown that aspiration thrombectomy improves angiographic outcomes and may improve clinical outcomes. However, there remains a lack of reports on...
ABSTRACT: Small randomized...
01/28/2011
Journal of Invasive Cardiology
Case Report
01/28/2011
Reji Pappy, MD; Thomas A. Hennebry, MB, BCh, BAO, MD; Tarun W. Dasari, MD
ABSTRACT: Heparin-induced thrombocytopenia (HIT) is a well-known complication after exposure to heparin products. Profound thrombocytopenia has also been reported with the use of abciximab, a glycoprotein IIb/IIIa receptor antagonist, which...
ABSTRACT: Heparin-induced thrombocytopenia (HIT) is a well-known complication after exposure to heparin products. Profound thrombocytopenia has also been reported with the use of abciximab, a glycoprotein IIb/IIIa receptor antagonist, which...
ABSTRACT: Heparin-induced...
01/28/2011
Journal of Invasive Cardiology
Complex Case Intervention
01/28/2011
Aditya M. Sharma, MD; Herbert D. Aronow, MD, MPH, FACC, FSCAI; James Wilks, MD
ABSTRACT: A 34-year-old male with insulin-dependent type II diabetes mellitus developed recurrent ST-elevation myocardial infarction in the setting of diabetic ketoacidosis. In both circumstances, coronary angiography revealed a large...
ABSTRACT: A 34-year-old male with insulin-dependent type II diabetes mellitus developed recurrent ST-elevation myocardial infarction in the setting of diabetic ketoacidosis. In both circumstances, coronary angiography revealed a large...
ABSTRACT: A 34-year-old male...
01/28/2011
Journal of Invasive Cardiology
Clinical Images
01/27/2011
Joan Garcia-Picart, MD; Vicens Martí, MD; Antoni Serra, MD, PhD
A 74-year-old male was admitted for acute coronary syndrome. Seven years earlier he had undergone surgery for an abdominal aortic aneurysm and a venous graft bypass to the right coronary artery. At the present admission, the electrocardiogram...
A 74-year-old male was admitted for acute coronary syndrome. Seven years earlier he had undergone surgery for an abdominal aortic aneurysm and a venous graft bypass to the right coronary artery. At the present admission, the electrocardiogram...
A 74-year-old male was admitted...
01/27/2011
Journal of Invasive Cardiology
Tips and Techniques
01/27/2011
Akihiko Takahashi, MD, PhD; Shingo Sakamoto, MD; Norimasa Taniguchi, MD, PhD
ABSTRACT: Guiding catheter-induced coronary artery dissection is a rare, but hazardous complication of percutaneous coronary intervention (PCI) and is associated with the potential risk of impairment of coronary blood flow. Therefore,...
ABSTRACT: Guiding catheter-induced coronary artery dissection is a rare, but hazardous complication of percutaneous coronary intervention (PCI) and is associated with the potential risk of impairment of coronary blood flow. Therefore,...
ABSTRACT: Guiding...
01/27/2011
Journal of Invasive Cardiology
Tips and Techniques
01/27/2011
Archana Gautam, MD; Raghav Gupta, MD; Thomas A. Hennebry, MB, BCh, BAO, MD
ABSTRACT: Acute limb ischemia (ALI) remains a life-threatening condition. Studies with catheter-directed thrombolysis and percutaneous mechanical thrombectomy systems show modest improvements in mortality compared to surgery but with pitfalls...
ABSTRACT: Acute limb ischemia (ALI) remains a life-threatening condition. Studies with catheter-directed thrombolysis and percutaneous mechanical thrombectomy systems show modest improvements in mortality compared to surgery but with pitfalls...
ABSTRACT: Acute limb ischemia...
01/27/2011
Journal of Invasive Cardiology
01/27/2011
Pranav Kansara, MD, MS; Susan Graham, MD
ABSTRACT: Spontaneous coronary artery dissection (SCAD) is atherosclerotic or non-atherosclerotic in origin. Eosinophilic infiltrate is identified in coronary artery adventitia in non-atherosclerotic SCAD. We postulate that a systemic...
ABSTRACT: Spontaneous coronary artery dissection (SCAD) is atherosclerotic or non-atherosclerotic in origin. Eosinophilic infiltrate is identified in coronary artery adventitia in non-atherosclerotic SCAD. We postulate that a systemic...
ABSTRACT: Spontaneous coronary...
01/27/2011
Journal of Invasive Cardiology
Original Contribution
01/27/2011
Mayank Agrawal, MD; Rajesh Sachdeva, MD; Barry F. Uretsky, MD; Sumith Aleti, MD; Darpan Bansal, MD
ABSTRACT: Background. Procedural MI is a frequent complication of percutaneous coronary intervention (PCI). Angiotensin converting enzyme inhibitors (ACE-I) have been shown to reduce ischemic events in the setting of acute myocardial...
ABSTRACT: Background. Procedural MI is a frequent complication of percutaneous coronary intervention (PCI). Angiotensin converting enzyme inhibitors (ACE-I) have been shown to reduce ischemic events in the setting of acute myocardial...
ABSTRACT: Background. Procedural...
01/27/2011
Journal of Invasive Cardiology
Commentary
01/27/2011
Holly L. Humphrey, MD; Robert J. Applegate, MD
Predicting outcomes in patients undergoing coronary revascularization has been a topic of long-standing interest. The ACC/AHA (American College of Cardiology/American Heart Association) lesion classification system devised in 1986 and revised...
Predicting outcomes in patients undergoing coronary revascularization has been a topic of long-standing interest. The ACC/AHA (American College of Cardiology/American Heart Association) lesion classification system devised in 1986 and revised...
Predicting outcomes in patients...
01/27/2011
Journal of Invasive Cardiology
Original Contribution
01/27/2011
Terrence J. Sacchi, MD; Ashok J. Prasad, MD; Sorin J. Brener, MD; Raushan Abdula, MD
ABSTRACT: Numerous risk scores have been designed to predict the outcome of percutaneous coronary intervention (PCI). The Synergy between Percutaneous Coronary Intervention with Taxus and Cardiac Surgery (SYNTAX) score has been shown to...
ABSTRACT: Numerous risk scores have been designed to predict the outcome of percutaneous coronary intervention (PCI). The Synergy between Percutaneous Coronary Intervention with Taxus and Cardiac Surgery (SYNTAX) score has been shown to...
ABSTRACT: Numerous risk scores...
01/27/2011
Journal of Invasive Cardiology
Original Contribution
01/27/2011
Shigenori Ito, MD; Takayuki Yoshida, MD; Kosuke Nakasuka, MD; Kotaro Morimoto, MD; Masahiko Inomata, MD; Nozomu Tamai, MD; Shin Suzuki, MD; Yoshimasa Murakami, MD; Akihiro Morino, CE; Yoshiyuki Shimizu, CE; Koichi Sato, MD
ABSTRACT: Recent studies have shown that drug-eluting stents (DES) induce vascular endothelial dysfunction in both Cypher and Taxus stents. These studies evaluated coronary vasomotion in the peri-stent coronary segment for 1 lesion with 1...
ABSTRACT: Recent studies have shown that drug-eluting stents (DES) induce vascular endothelial dysfunction in both Cypher and Taxus stents. These studies evaluated coronary vasomotion in the peri-stent coronary segment for 1 lesion with 1...
ABSTRACT: Recent studies have...
01/27/2011
Journal of Invasive Cardiology
Commentary
01/27/2011
Rita Jermyn, MD; Luis Gruberg, MD
The treatment of coronary artery bifurcation lesions remains one of the most challenging lesion subsets in interventional cardiology because of a low success rate, a relatively high incidence of procedural complications, greater restenosis...
The treatment of coronary artery bifurcation lesions remains one of the most challenging lesion subsets in interventional cardiology because of a low success rate, a relatively high incidence of procedural complications, greater restenosis...
The treatment of coronary artery...
01/27/2011
Journal of Invasive Cardiology
Original Contribution
01/27/2011
Antonella Tommasino, MD
ABSTRACT: Aims. As data on the use of the latest-generation drug-eluting stents (DES) in bifurcation interventions are lacking, we realized a multicenter registry to assess the procedural and clinical results obtained in patients with...
ABSTRACT: Aims. As data on the use of the latest-generation drug-eluting stents (DES) in bifurcation interventions are lacking, we realized a multicenter registry to assess the procedural and clinical results obtained in patients with...
ABSTRACT: Aims. As data on the...
01/27/2011
Journal of Invasive Cardiology
Original Contribution
01/27/2011
Francesco Burzotta, MD, PhD; Filippo Crea, MD; Giovanni Schiavoni, MD; Rocco Mongiardo, MD; Santiago Federico Coroleu, MD; Marta Francesca Brancati, MD; Italo Porto, MD, PhD; Antonio Maria Leone, MD, PhD; Antonella Tommasino, MD; Giampaolo Niccoli, MD, PhD; Carlo Trani, MD; Mario Attilio Mazzari, MD
ABSTRACT: Background. Optimal management of patients needing non-cardiac surgery after coronary stenting has not been established. Objective. To assess the perioperative outcome of patients undergoing non-cardiac surgery after coronary...
ABSTRACT: Background. Optimal management of patients needing non-cardiac surgery after coronary stenting has not been established. Objective. To assess the perioperative outcome of patients undergoing non-cardiac surgery after coronary...
ABSTRACT: Background. Optimal...
01/27/2011
Journal of Invasive Cardiology
Editor's Message
01/27/2011
Richard E. Shaw, PhD, FACC
Dear Readers, The goal of the Journal of Invasive Cardiology is to provide state-of-the-art information relevant to the effective diagnosis and treatment of patients with cardiovascular disease. There are many selections in this issue that I...
Dear Readers, The goal of the Journal of Invasive Cardiology is to provide state-of-the-art information relevant to the effective diagnosis and treatment of patients with cardiovascular disease. There are many selections in this issue that I...
Dear Readers, The goal of the...
01/27/2011
Journal of Invasive Cardiology