Volume 20 - Issue 10 - October, 2008

Radial Access — Be Prepared!

Ioannis Stathopoulos, MD, PhD

Author Affiliations:
From the Weill Medical College of Cornell University, New York Hospital Queens, Flushing, New York.
The authors report no conflicts regarding the content hererin.
Manuscript submitted June 19, 2008, provisional acceptance given July 28, 2008, manuscript accepted August 5, 2008.
Address for correspondence: Ioannis Stathopoulos, MD, PhD, Clinical Assistant Professor of Medicine, NYHQ, Catheterization laboratory, 56-45 Main Street, Flushing, New York, NY 11355.  E-mail: [email protected]

ABSTRACT: We present the case of a 46-year-old female patient that experienced recurrent stent thrombosis and underwent attempted primary PCI via the radial artery. Although radial artery cannulation with a 6 Fr sheath and the diagnostic angiography were successfully performed, the PCI could not be achieved because of failure to advance the 6 Fr guide through the radial artery, due to severe angulation of a high take-off radial artery, combined with a proximal radial artery stenosis.

J INVASIVE CARDIOL 2008;20:549–550

Case Report. A 46 year-old...

Spontaneous Coronary Artery Dissection: Case Series and Review

Mazullah Kamran, MD, Amrit Guptan, MD, Monika Bogal, MD

Author Affiliations:
From the Zena and Michael A. Wiener Cardiovascular Institute at Mt. Sinai Medical Center, New York, New York.
The authors report no conflicts of interest regarding the content herein.
Manuscript submitted March 7, 2008, provisional acceptance given March 28, 2008, manuscript accepted May 27, 2008
Address for correspondence: Dr. Mazullah Kamran, Mt. Sinai Medical Center, The Zena and Michael A. Wiener Cardiovascular Institute, The Mt. Sinai Medical Center, Box 1030, One Gustave L. Levy Place, New York, New York 10029. Email: [email protected]

ABSTRACT: Spontaneous coronary artery dissection (SCAD) is a rare but important cause of acute coronary syndromes. SCAD can cause unstable angina, acute myocardial infarction, and sudden death. Predisposing factors include atherosclerosis, the peripartum period, and structural and inflammatory conditions affecting the arterial wall. The diagnosis of coronary dissection is usually made by coronary angiography. Prompt diagnosis and treatment of patients with dissection improves survival. Therapeutic options include medical therapy, percutaneous coronary intervention, and surg...

Vascular Changes and Black Hole Phenomenon after Coronary Brachytherapy: A Pathologically Distinct Entity

*Santhosh K.G Koshy, MD, DM, #Neal S. Kleiman, MD, *Lekha K. George, MD, †Vijay Misra, MD,
†William B. Hillegass, MD, MPH, †Brigitta C. Brott, MD

Author Affiliations:
From the *Department of Medicine, University of Tennessee Health Science Center, Memphis, Tennessee; #Methodist DeBakey Heart Center, Houston, Texas;   and the †Department of Medicine, University of Alabama at Birmingham, Alabama.
The authors report no conflicts of interest regarding the content herein.
Manuscript submitted May 27, 2008 and accepted July 10, 2008.
Address for correspondence: Santhosh K.G. Koshy, MD, DM, FACC, FSCAI, Director of Interventional Cardiology, University of Tennessee Health Science Center, 1211 Union Avenue, Suite 340, Memphis, Tennessee 38104. E-mail: [email protected]

ABSTRACT: Restenosis remains an important issue even after coronary brachytherapy despite its efficacy in the treatment for in-stent restenosis. The acute and chronic changes in vascular wall are unique following brachytherapy. The restenotic tissue post coronary brachytherapy is relatively acellular and appears echolucent in intravascular ultrasound examination. This is dubbed the “black hole” phenomenon. Despite the similarity in the mode of action of brachytherapy and drug eluting stent implantation, the black hole phenomenon seems to be uncommon after drug-e...

Late Presentation of an Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery: Case Report and Review

Ravi K. Ramana, DO, Peter Varga, MD, Ferdinand Leya, MD

Author Affiliations:
From the Division of Cardiology, Loyola University Medical Center, Maywood, Illinois.
The authors report no conflicts of interest regarding the content herein.
Manuscript submitted July 2, 2008, provisional acceptance given July 28, 2008, manuscript accepted August 5, 2008.
Address for correspondence: Ravi K. Ramana, DO, Cardiac Catheterization Laboratory, Division of Cardiology, Loyola University Medical Center, 2160 South First Avenue, Maywood, IL  60153.  E-mail: [email protected]

ABSTRACT: Anomalous origin of the left coronary artery (LCA) from the pulmonary artery (ALCAPA) is a rare cause of ischemia, heart failure and/or sudden death. A premortem diagnosis beyond early childhood is exceedingly rare because over 90% of untreated infants die in the first 12 months of life. We present a case of an asymptomatic fourteen-year old male with ALCAPA diagnosed by multidetector computed tomography (MDCT) angiography, who was successfully treated by surgical coronary transfer of the ALCAPA with reimplantation of the LCA to the aortic root.

J...

Editor’s Message

Dear Readers,

This issue of the Journal of Invasive Cardiology continues our series of special focus sections to provide a more in-depth examination of important topics in cardiovascular medicine. The special section for the October 2008 issue includes articles focusing on the use of radial artery access for diagnostic and interventional catheterization procedures. The guest editor for this section is Dr. Deepak Bhatt, Chief of Cardiology at the VA Boston Healthcare system and director of the Integrated Interventional Cardiology Program at the VA and the Brigham and Women&rsquo...

Percutaneous Mitral Valvuloplasty through a Carpentier-Edwards Ring

*M. Kettani, MD,  §Belghiti Hasnaa, MD,  *N. El Haitem, PhD

Author Affiliations:

From the *Department of Cardiology A, University Hospital Ibn Sina, Rabat, Morocco, and the §Department of Cardiology B, University Hospital Ibn Sina, Rabat, Morocco.

The authors report no conflicts of interest regarding the content herein.

Manuscript submitted February 5, 2008, provisional acceptance given February 20, 2008, manuscript accepted March 3, 2008.

Address for correspondence: Belghiti Hasnaa, MD, Department of Cardiology B, University Hospital Ibn Sina, Rabat, Morocco. E-mail: [email protected]

...

Three Cases of Left Main Stem Thrombus Complicating PCI: The Role of FilterWire Protection for the Virgin Territory

Eugene B. Wu, MRCP, MD,  Wilson W.M. Chan, FRCP,  Cheuk-Man Yu, MD

Author Affiliations:

Division of Cardiology, Department of Medicine and Therapeutics, Prince of Wales Hospital, Chinese University Hong Kong.

There are no grants, financial support, or conflicts of interests related to the research in this paper.

Manuscript submitted February 14, 2008, provisional acceptance given April 28, 2008, manuscript accepted June 3, 2008.

Address for correspondence: Eugene Brian Wu, MRCP, MD, Division of Cardiology, Department of Medicine and Therapeutics, Prince of Wales Hospital, Chinese University Hong Kong, Ngan Shing Street, Shatin, Hong Ko...

Covered Stent for the Treatment of Recurrent Bilateral Renal Artery In-Stent Restenosis

*,§Bryan P. Yan, MBBS, FRACP,  §Thomas J. Kiernan, MD, MRCPI,  §Kenneth Rosenfield, MD

Author Affiliations:

From the Cardiology Division, Section of Vascular Medicine, Massachusetts General Hospital and §Harvard Medical School, Boston, Massachusetts.

Disclosures: Dr. Rosenfield has received research grants from Idev, Abbott Vascular, Cordis Corp., Boston Scientific Corp., Bard, Baxter, Invatec, and Lumen; is a consultant to Cordis, Boston Scientific, Baxter, CardioMind, Micelle, Complete Conference Management, Idev, Abbott Vascular, Boston Biomedical Associates; owns stock in Lumen, CardioMind, Xtent, and Cardiomems; and has a financial relationship with VIVA...

Late Outcomes after Drug-Eluting Stent Implantation in “Real-World” Clinical Practice

David R. Ramsdale, MB, ChB, FRCP, MD, Archana Rao, MB, ChB, MRCP, MD, Omar Asghar, MB, ChB, MRCP,
Kathryn A. Ramsdale, BSc, MB, ChB, Ewan McKay, BSc, MB, ChB<p></p>

Author Affiliations:  From the Cardiothoracic Centre, Liverpool, United Kingdom.
The authors report no conflicts of interest regarding the content herein.
Manuscript submitted March 24, 2008, provisional acceptance given April 30, 2008, manuscript accepted July 21, 2008.
Address for correspondence: Dr. David R Ramsdale, Consultant Cardiologist, The Cardiothoracic Centre, Thomas Drive, Liverpool. L14 3PE. Email: [email protected]
 

ABSTRACT: Background. We report the late outcomes in 411 consecutive patients undergoing drug-eluting stent (DES) implantation by a single operator between 2003–2006. Methods. Prospective registry with continuous follow up. Patients with stable angina (SA) or acute coronary syndrome (ACS) received DES for long lesions, small vessels, chronic total occlusion, bifurcation, aorto-ostial, left main, post atherectomy or saphenous vein graft lesions, multivessel/multilesion single vessel (V) disease, in-stent restenosis (ISR) or diabetes. Results. Age range: 34–86 yea...

Percutaneous Repair of a Pseudoaneurysm Associated with Coarctation of the Aorta

Wael F. Al-Husami , MD and Thomas Piemonte, MD

Author Affiliations:

From the Department of Cardiology, Lahey Clinic Medical Center, Tufts University School of Medicine, Burlington, Massachusetts.

Disclosure: Dr. Piemonte is a member of the speaker’s bureau for Boston Scientific Corporation.

Manuscript submitted March 10, 2008, provisional acceptance given June 3, 2008, manuscript accepted June 11, 2008.

Address for correspondence: Wael F. Al-Husami, MD, Department of Cardiology, Lahey Clinic Medical Center, Tufts University School of Medicine, 41 Mall Road, Burlington, MA 01805. E-mail: [email protected]...

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