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Volume 23 - Issue 6 - June 2011

05/31/2011
Mehulkumar K. Kanadiya, MBBS, MPH; Shalabh Singhal, MD; Vipin B. Koshal, DO
ABSTRACT: Clopidogrel is a thienopyridine derivative antiplatelet compound. The antiplatelet effects of clopidogrel originate through noncompetitive antagonism of the platelet ADP receptor, P2Y12, resulting in inhibition of platelet...
ABSTRACT: Clopidogrel is a thienopyridine derivative antiplatelet compound. The antiplatelet effects of clopidogrel originate through noncompetitive antagonism of the platelet ADP receptor, P2Y12, resulting in inhibition of platelet...
ABSTRACT: Clopidogrel is a...
05/31/2011
Journal of Invasive Cardiology
05/31/2011
Aditya Kapoor, MD, DM, FACC; Aditya Batra, MD; Rajeev Agarwala, DM
ABSTRACT: All three coronary arteries originating from a single coronary ostium is a rarity. Single coronary artery (CA) arising from the left aortic sinus is far more uncommon than one arising from the right sinus. Usually in such cases, the...
ABSTRACT: All three coronary arteries originating from a single coronary ostium is a rarity. Single coronary artery (CA) arising from the left aortic sinus is far more uncommon than one arising from the right sinus. Usually in such cases, the...
ABSTRACT: All three coronary...
05/31/2011
Journal of Invasive Cardiology
05/31/2011
Takashi Matsukage, MD, PhD; Yuji Ikari, MD, PhD, FACC, FESC; Naoki Masuda, MD
ABSTRACT: We report a case of percutaneous coronary intervention (PCI) where a 6 French (Fr) guiding catheter could not be advanced through extremely tortuous subclavian and brachiocephalic arteries with a right transradial approach....
ABSTRACT: We report a case of percutaneous coronary intervention (PCI) where a 6 French (Fr) guiding catheter could not be advanced through extremely tortuous subclavian and brachiocephalic arteries with a right transradial approach....
ABSTRACT: We report a case of...
05/31/2011
Journal of Invasive Cardiology
05/31/2011
Manivannan Srinivasan, MBBS, MRCP; Abhiram Prasad, MD, FRCP
ABSTRACT: Myocardial bridging (MB) is a common anatomical varient in which a segment of coronary artery takes an intramural path. Occasionally, it can result in symptomatic ischemia. We present four cases in which MB was treated with...
ABSTRACT: Myocardial bridging (MB) is a common anatomical varient in which a segment of coronary artery takes an intramural path. Occasionally, it can result in symptomatic ischemia. We present four cases in which MB was treated with...
ABSTRACT: Myocardial bridging...
05/31/2011
Journal of Invasive Cardiology
05/31/2011
B. Sivaramakrishna, MS; Vikas Rastogi, MD; Davinder S. Chadha, MD, DM
ABSTRACT: An 18-year-old male developed post-traumatic priapism subsequent to a fall causing blunt perineal trauma. Color Doppler ultrasound showed a high-flow arterio-venous fistula with feeders from branches of the left internal iliac...
ABSTRACT: An 18-year-old male developed post-traumatic priapism subsequent to a fall causing blunt perineal trauma. Color Doppler ultrasound showed a high-flow arterio-venous fistula with feeders from branches of the left internal iliac...
ABSTRACT: An 18-year-old male...
05/31/2011
Journal of Invasive Cardiology
05/31/2011
Sanjay C. Shah, MD, DM; Chirayu Vyas, MD, DM; Tejas M. Patel, MD, DM
ABSTRACT: Percutaneous transvenous mitral commissurotomy (PTMC) using Inoue technique through a right femoral vein approach (RFVA) is well established. Left femoral vein approach (LFVA) is traditionally contraindicated because of certain...
ABSTRACT: Percutaneous transvenous mitral commissurotomy (PTMC) using Inoue technique through a right femoral vein approach (RFVA) is well established. Left femoral vein approach (LFVA) is traditionally contraindicated because of certain...
ABSTRACT: Percutaneous...
05/31/2011
Journal of Invasive Cardiology
05/31/2011
Amr M. Mohsen, MD, FACC, FSCAI; Abdelkader Almanfi, MD; Mohammad Otahbachi, MD
ABSTRACT: Anterior ST-segment elevation is the hallmark electrocardiographic finding of acute anterior left ventricular infarction that is caused by occlusion in one of the branches of the left coronary artery. We report a case of marked...
ABSTRACT: Anterior ST-segment elevation is the hallmark electrocardiographic finding of acute anterior left ventricular infarction that is caused by occlusion in one of the branches of the left coronary artery. We report a case of marked...
ABSTRACT: Anterior ST-segment...
05/31/2011
Journal of Invasive Cardiology
05/27/2011
Alejandro R. Peirone, MD; Alejandro Contreras, MD; Marcelo Cabrera, MD
ABSTRACT: Percutaneous atrial septal defect closure has been demonstrated to be a safe and effective procedure. Many different devices have been utilized during the last decade with a low complication rate. We report a patient who presented...
ABSTRACT: Percutaneous atrial septal defect closure has been demonstrated to be a safe and effective procedure. Many different devices have been utilized during the last decade with a low complication rate. We report a patient who presented...
ABSTRACT: Percutaneous atrial...
05/27/2011
Journal of Invasive Cardiology
05/27/2011
Abdallah F. Omeish, MD; Issa M. Ghanma, MD; Raid I. Alamlih, RN
ABSTRACT: We report on a 68-year-old male patient (smoker, chronic obstructive pulmonary disease, diabetic for 25 years) who was admitted with acute pulmonary edema 5 months after undergoing  coronary artery bypass grafting (left internal...
ABSTRACT: We report on a 68-year-old male patient (smoker, chronic obstructive pulmonary disease, diabetic for 25 years) who was admitted with acute pulmonary edema 5 months after undergoing  coronary artery bypass grafting (left internal...
ABSTRACT: We report on a...
05/27/2011
Journal of Invasive Cardiology
05/27/2011
Neus Salvatella, MD; Joana Silva, MD; Xavier Carrillo, MD
ABSTRACT: Very late stent thrombosis is a rare but devastating complication. Several factors are known to contribute to its occurrence, and are related to the patient, procedure, lesion and premature discontinuation of antiplatelet therapy....
ABSTRACT: Very late stent thrombosis is a rare but devastating complication. Several factors are known to contribute to its occurrence, and are related to the patient, procedure, lesion and premature discontinuation of antiplatelet therapy....
ABSTRACT: Very late stent...
05/27/2011
Journal of Invasive Cardiology
Editor's Message
05/27/2011
Richard E. Shaw, PhD, FACC
Dear Readers,The goal of the Journal of Invasive Cardiology is to provide state-of-the-art information 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...
05/27/2011
Journal of Invasive Cardiology
Clinical Images
05/27/2011
Jun Zhu, MD; Wei Xiong, MD; Qin Xuguang, MD
ABSTRACT: We present three cases of a single coronary artery that is the anomalous RCA originating from the mid LAD artery. These cases are rare. We discuss how to make accurate diagnosis and select appropriate treatment.J INVASIVE CARDIOL...
ABSTRACT: We present three cases of a single coronary artery that is the anomalous RCA originating from the mid LAD artery. These cases are rare. We discuss how to make accurate diagnosis and select appropriate treatment.J INVASIVE CARDIOL...
ABSTRACT: We present three cases...
05/27/2011
Journal of Invasive Cardiology
Clinical Images
05/27/2011
Kavalipati Narasaraju, MD, DM; Varsha Joshi, DMRD, DNB
A 59-year-old man with a history of hypertension, family history of premature coronary artery disease and atypical chest heaviness was referred to exercise stress test. After achieving 89% target heart rate at a workload of 9 metabolic...
A 59-year-old man with a history of hypertension, family history of premature coronary artery disease and atypical chest heaviness was referred to exercise stress test. After achieving 89% target heart rate at a workload of 9 metabolic...
A 59-year-old man with a history...
05/27/2011
Journal of Invasive Cardiology
Commentary
05/27/2011
Lloyd W. Klein, MD; Carlos Arrieta-Garcia, MD
Nearly 50% of all patients with acute inferior myocardial infarction (MI) have involvement of the right ventricle; however only 25% of these patients develop clinically evident hemodynamic manifestations.1 Right ventricular infarction (RV MI)...
Nearly 50% of all patients with acute inferior myocardial infarction (MI) have involvement of the right ventricle; however only 25% of these patients develop clinically evident hemodynamic manifestations.1 Right ventricular infarction (RV MI)...
Nearly 50% of all patients with...
05/27/2011
Journal of Invasive Cardiology
05/27/2011
Sandra A. Weiss, MD; Atman P. Shah, MD, FACC, FSCAI; Neeraj Jolly, MD, DM
ABSTRACT: We present a case of a 66-year-old male who presented with ST elevation myocardial infarction and complicated by cardiac arrest. The patient underwent emergent multivessel revascularization. However, the patient developed right...
ABSTRACT: We present a case of a 66-year-old male who presented with ST elevation myocardial infarction and complicated by cardiac arrest. The patient underwent emergent multivessel revascularization. However, the patient developed right...
ABSTRACT: We present a case of a...
05/27/2011
Journal of Invasive Cardiology
Tips and Techniques
05/27/2011
Duc Thinh Pham, MD; Ravikiran Korabathina, MD; Navin Kumar Kapur, MD
ABSTRACT: Cardiac rupture is a fatal complication of transmural myocardial infarction that is associated with high mortality. We describe the successful management of a case of subacute cardiac rupture and cardiogenic shock supported by a...
ABSTRACT: Cardiac rupture is a fatal complication of transmural myocardial infarction that is associated with high mortality. We describe the successful management of a case of subacute cardiac rupture and cardiogenic shock supported by a...
ABSTRACT: Cardiac rupture is a...
05/27/2011
Journal of Invasive Cardiology
Original Contribution
05/26/2011
Abhay Krishna, MD; Aditya Kapoor, MD, DM, FACC; Sudeep Kumar, MD, DM, FACC; Satyendra Tewari, MD, DM; Naveen Garg, MD, DM, DNB; Pravin Kumar Goel, MD, DM
ABSTRACT: Background. Release of B-type natriuretic peptide (BNP) may be triggered by tissue hypoxia even in the absence of left ventricular (LV) dysfunction, generating interest in studying changes in levels following percutaneous coronary...
ABSTRACT: Background. Release of B-type natriuretic peptide (BNP) may be triggered by tissue hypoxia even in the absence of left ventricular (LV) dysfunction, generating interest in studying changes in levels following percutaneous coronary...
ABSTRACT: Background. Release of...
05/26/2011
Journal of Invasive Cardiology
Original Contribution
05/26/2011
David Adlam, BA, BM, BCh, DPhil, MRCP; Rebecca Inglis, BA, BMBCh, MRCP; Marcus Gleave, MBChB; William Bradlow, BMBS, MRCP
ABSTRACT: Objective. Pericardiocentesis is a life-saving procedure associated with a small, but significant, risk of major complication. An apical or subcostal approach may be used, although the relative complication rates are not reported....
ABSTRACT: Objective. Pericardiocentesis is a life-saving procedure associated with a small, but significant, risk of major complication. An apical or subcostal approach may be used, although the relative complication rates are not reported....
ABSTRACT: Objective....
05/26/2011
Journal of Invasive Cardiology
Commentary
05/26/2011
James R. Wilentz, MD
Surgical correction of renal arterial disease has been reported in the United States since 19751 and was primarily used in patients suffering severe or refractory hypertension or incipient renal failure with demonstrable critical renal artery...
Surgical correction of renal arterial disease has been reported in the United States since 19751 and was primarily used in patients suffering severe or refractory hypertension or incipient renal failure with demonstrable critical renal artery...
Surgical correction of renal...
05/26/2011
Journal of Invasive Cardiology
Original Contribution
05/26/2011
Ehtisham Mahmud, MD; Manjusha Ilapakurti, MBBS, MPH; Patrick Hu, MD, PhD; Nayab Zafar, MD; Vachaspathi Palakodeti, MD; Sotirios Tsimikas, MD; Anand Prasad, MD, FACC, FSCAI, RPVI
ABSTRACT: Background. Benefit of percutaneous revascularization for atherosclerotic renal artery stenosis (RAS) may be attenuated by distal embolization of atheroemboli. The purpose of this study was to characterize RAS plaque composition...
ABSTRACT: Background. Benefit of percutaneous revascularization for atherosclerotic renal artery stenosis (RAS) may be attenuated by distal embolization of atheroemboli. The purpose of this study was to characterize RAS plaque composition...
ABSTRACT: Background. Benefit of...
05/26/2011
Journal of Invasive Cardiology
Original Contribution
05/26/2011
John T. Coppola, MD, FACC, FSCAI; Ravikiran Korabathina, MD; John A. Ambrose, MD; John Liuzzo, MD, PhD; Sajal Das, MD; Mary Devoe, RN; Saurabh Agarwal, MD; Srmiti Deshmukh, MD
ABSTRACT: Background. Coronary artery disease (CAD) patients experience chest pain (CP) from cardiac and non-cardiac etiologies. Objective. Proton pump inhibitor (PPI) treatment of CAD patients with atypical CP would result in less CP, as...
ABSTRACT: Background. Coronary artery disease (CAD) patients experience chest pain (CP) from cardiac and non-cardiac etiologies. Objective. Proton pump inhibitor (PPI) treatment of CAD patients with atypical CP would result in less CP, as...
ABSTRACT: Background. Coronary...
05/26/2011
Journal of Invasive Cardiology
Commentary
05/26/2011
Habib Samady, MD; Gautam Kumar, MD, FSCAI
Following the first successful clinical aorto-coronary saphenous vein graft (SVG) implantation by DeBakey and Garrett in 1964,1 coronary artery bypass grafting (CABG) rapidly became the most frequent surgical procedure in the United States in...
Following the first successful clinical aorto-coronary saphenous vein graft (SVG) implantation by DeBakey and Garrett in 1964,1 coronary artery bypass grafting (CABG) rapidly became the most frequent surgical procedure in the United States in...
Following the first successful...
05/26/2011
Journal of Invasive Cardiology
Original Contribution
05/26/2011
Tesfaldet T. Michael, MD, MPH; Donald Haagen, RCIS, MD; Tayo Addo, MD; Aristotelis C. Papayannis, MD; Abdul-Rahman Abdel-Karim, MD; Bilal Saeed, MD; Panagiotis Karyofillis, MD; Biswajit Kar, MD; Peter B. Berger, MD; Christopher Lichtenwalter, MD; Emmanouil S. Brilakis, MD, PhD, FACC, FAHA, FESC, FSCAI; Owen Obel, MD; Subhash Banerjee, MD, FSCAI; Joseph K. Bissett, MD; Rajesh Sachdeva, MD; Vassilios V. Voudris, MD, PhD; Michele Roesle, RN, BSN, MD; James Rossen, MD; Bavana V. Rangan, BDS, MPH, MD; Panayotis Fasseas, MD; James A. de Lemos, MD
ABSTRACT: The Stenting of Saphenous Vein Grafts (SOS) trial demonstrated a reduction in clinical and angiographic adverse events with paclitaxel-eluting stents (PES) compared to bare-metal stents (BMS) in saphenous vein graft (SVG) lesions,...
ABSTRACT: The Stenting of Saphenous Vein Grafts (SOS) trial demonstrated a reduction in clinical and angiographic adverse events with paclitaxel-eluting stents (PES) compared to bare-metal stents (BMS) in saphenous vein graft (SVG) lesions,...
ABSTRACT: The Stenting of...
05/26/2011
Journal of Invasive Cardiology