Volume 20 - Issue 10 - October, 2008

Intracoronary Thrombus Aspiration through a Guiding Catheter in a Case with Stent Thrombosis

Sedat Turkoglu, MD,  Vedat Simsek, MD,  Timur Timurkaynak, MD

Author Affiliations:

From the Department of Cardiology, Gazi University School of Medicine, Ankara, Turkey.
The authors report no conflicts of interest regarding the content herein.
Manuscript submitted March 10, 2008, provisional acceptance given April 24, 2008, manuscript accepted May 27, 2008.
Address for correspondence: Sedat Turkoglu, MD, Gazi University School of Medicine, Department of Cardiology, 06500, Besevler, Ankara, Turkey. Email: [email protected]

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ABSTRACT:...

Comparison of Inoue Balloon, Metallic Commissurotome and Multi-Track Double-Balloon Valvuloplasty

*Saleem Sharieff, MD, §Kanwal Aamir, MBBS, *Waseem Sharieff, MD, PhD, §Habiba Tasneem, MBBS,
§Tariq Masood, MD, §Tahir Saghir, MBBS, §Khan Shah-e-Zaman, MBBS, MRCP

Author Affiliations:
From the §National Institute of Cardiovascular Diseases (NICVD), Rafiqui Shaheed Road, Opposite Jinnah Postgraduate Medical Centre, Karachi, Pakistan and *Hamilton General Hospital, McMaster University, Hamilton, Ontario, Canada.
The authors report no conflicts of interest regarding the content herein.
Manuscript submitted April 29, 2008, provisional acceptance given May 8, 2008, manuscript accepted July 28, 2008.
Address for correspondence: Saleem Sharieff, MD, Grand River Hospital, Medicine, 835 King Street West, Kitchener, Ontario N2G 1G3, Canada. E-mail: [email protected]

In the Treatment of Rheumatic Mitral Stenosis

 

ABSTRACT: Background. Percutaneous mitral valvuloplasty (PMV) is a well known non-surgical technique for treating patients with rheumatic mitral stenosis (MS). There are very few studies that have compared the 3 techniques together for their safety and efficacy. Methods. To compare the three different techniques for percutaneous mitral valvuloplasty (PMV) using Inoue balloon (IB), metallic commissurotome (PMMC), or multi-track double balloon (MTDB) in patients with MS. Results. A total of ...

Magnesium Sulphate during Transradial Cardiac Catheterization: A New Use for an Old Drug?

*Jonathan Byrne, MD, §Mark Spence, MD, £Laurent Haegeli, MD, £Eric Fretz, MD, £Anthony Della Siega, MD,
£Malcolm Williams, MD, £David Kinloch, MD, £Richard Mildenberger, MD, ¶Peter Klinke, MD,
¶David Hilton, MD

Author Affiliations:
From the *Division of Cardiology, King’s College Hospital, Denmark Hill, London, United Kingdom, §Belfast Royal Infirmary, Belfast, United Kingdom, £Royal Jubilee Hospital, Victoria, British Columbia, Canada, and ¶Victoria Heart Institute Foundation, Victoria, British Columbia, Canada.
The authors report no conflicts of interest regarding the content herein.
Manuscript submitted March 28, 2008, provisional acceptance given May 12, 2008, manuscript accepted June 11, 2008.
Address for correspondence: Jonathan A. Byrne, MD, PhD, Cardiology, King's College Hospital, Denmark Hill, London, SE5 9RS, United Kingdom.  E-mail: [email protected]

ABSTRACT: Objective. To assess the effect of intra-arterial magnesium on the radial artery during transradial cardiac catheterization. Background. Transradial coronary angiography has become popular in the last decade and offers several advantages over transfemoral angiography. Radial artery spasm is a major limitation of this approach, and a vasodilatory cocktail is usually given. The aim of this study was to examine the effect of magnesium sulphate on the radial artery during cardiac catheterization. Methods. This was a prospective, double-blind, randomized trial of 86 patients undergoing...

Unprotected Left Main Coronary Artery Bifurcation Stenosis

Nobuyoshi Tanaka, MD,  Mitsuyasu Terashima, MD,  Yoshihisa Kinoshita, MD,  Masashi Kimura, MD,
Kenya Nasu, MD,  Mariko Ehara, MD,  Etsuo Tsuchikane, MD,  Tetsuo Matsubara, MD,
Yasushi Asakura,  Osamu Katoh, MD,  Takahiko Suzuki, MD

Author Affiliations:

From the Department of Cardiology, Toyohashi Heart Center, Toyohashi, Japan.
The authors report no conflicts of interest regarding the content herein.
Manuscript submitted March 25, 2008, provisional acceptance given May 27, 2008, manuscript accepted June 19, 2008.
Address for correspondence; Nobuyoshi Tanaka, MD, Department of Cardiology, Toyohashi Heart Center, 21-1 Gobudori, Oyama-cho, Toyohashi, 441-8530, Japan.  E-mail: [email protected]
 

 

Impact of Plaque Debulking Prior to Single Sirolimus-Eluting Stent Implantation

ABSTRACT: Background. The impact of plaque debulking with directional coronary atherectomy (DCA) prior to single sirolimus-eluting stent (SES) implantation in an unprotected left main coronary artery (LMCA) involving bifurcation stenosis has not been fully evaluated.  Methods. One hundred and one patients with unprotected LMCA bifurcation lesions treated with single SES implantation (from the LMCA to the left descending coronary artery [LAD] across the left ...

Transradial Retrieval of a Dislodged Stent from the Left Main Coronary Artery

Walid Ahmar, BSc(Hons), PhD, MBBS, FRACP, Yuvaraj Malaiapan, MRCP, FRACP,
Ian T. Meredith, BSc(Hons), PhD, MBBS, FRACP

Author Affiliations:
From the Monash Cardiovascular Research Centre, MonashHEART, Southern Health & Department of Medicine, Monash University, Melbourne Australia.
The authors report no conflicts of interest regarding the content herein.
Manuscript submitted April 18 and accepted May 2, 2008.
Address for correspondence: Yuvaraj Malaiapan, MonashHeart, Monash Medical Center, Clayton Road, Clayton, Victoria, Australia.  E-mail: [email protected]

ABSTRACT: We report a case of successful transradial retrieval of a dislodged and mechanically distorted coronary artery stent from the left main stem in an elderly male. Transradial percutaneous coronary intervention was undertaken to reconstruct a lesion in the left circumflex artery complicated by stent dislodgement. A microsnare was used to successfully retrieve the stent.

J INVASIVE CARDIOL 2008;20:545–547

Coronary stent dislodgement is a rare occurrence in percutaneous intervention and is often associated with significant morbidity....

Transradial Retrieval of a Dislodged Stent from the Left Main Coronary Artery

Walid Ahmar, BSc(Hons), PhD, MBBS, FRACP, Yuvaraj Malaiapan, MRCP, FRACP,
Ian T. Meredith, BSc(Hons), PhD, MBBS, FRACP

Author Affiliations:

From the Monash Cardiovascular Research Centre, MonashHEART, Southern Health & Department of Medicine, Monash University, Melbourne Australia.
The authors report no conflicts of interest regarding the content herein.
Manuscript submitted April 18 and accepted May 2, 2008.
Address for correspondence: Yuvaraj Malaiapan, MonashHeart, Monash Medical Center, Clayton Road, Clayton, Victoria, Australia.  E-mail: [email protected]

ABSTRACT: We report a case of successful transradial retrieval of a dislodged and mechanically distorted coronary artery stent from the left main stem in an elderly male. Transradial percutaneous coronary intervention was undertaken to reconstruct a lesion in the left circumflex artery complicated by stent dislodgement. A microsnare was used to successfully retrieve the stent.

J INVASIVE CARDIOL 2008;20:545–547

Coronary stent dislodgement is a rare occurrence in percutaneous intervention and is often associated with significant morbidity....

Use of Intra-Arterial Papaverine for Severe Arterial Spasm during Radial Cardiac Catheterization

Faizel Osman, MD, MRCP, Nigel Buller, MD, FRCP, Rick Steeds, MA, MD, MRCP

Author Affiliations:
From the Department of Cardiology, Queen Elizabeth Hospital, University Hospital Birmingham NHS Trust, Edgbaston, Birmingham.
The authors report no conflicts of interest regarding the content herein.
Manuscript submitted January 2, 2008, provisional acceptance given February 8, 2008, and accepted February 18, 2008.
Address for correspondence:  Faizel Osman, MD, MRCP, Department of Cardiology, Queen Elizabeth Hospital, University Hospital Birmingham NHS Trust Edgbaston, Birmingham B15 2TH.  E-mail: [email protected]

ABSTRACT: Coronary angiography and intervention can be performed safely using the radial artery. However, arterial spasm is often encountered and usually amenable to nitrate/verapamil therapy. Rarely, surgical intervention is required to remove catheters and wires. Intra-arterial papavarine can be used to treat severe radial artery spasm and prevent the need for urgent surgical intervention.

J INVASIVE CARDIOL 2008;20:551–552

Case Report. A 46-year-old female presented with a 2-month history of nonexertional left-sided chest pain radiating to ...

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...

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