Volume 21 - Issue 5 - May, 2009

Conservative Approach for Perforation and Early Pseudoaneurysm of Left Anterior Descending Artery during Overlapped Stenting

From the Department of Interventional Cardiology, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran, and the *Department of Epidemiology, University Medical Center Groningen, Groningen, the Netherlands.

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

Manuscript submitted December 5, 2008, provisional acceptance given January 13, 2009, and final version accepted February 9. 2009.

Address for correspondence: Abbas Soleimani, MD, North Kargar Street, Tehran Heart Center, Postal code 1411713138, Tehran, Iran.,Tehran Heart Center



Preprocedural White Blood Cell Count as a Predictor of Death and Major Adverse Cardiac Events (full title below)

Preprocedural White Blood Cell Count as a Predictor of Death and Major Adverse Cardiac Events in Patients Undergoing Percutaneous Coronary Intervention with Drug-Eluting Stents

ABSTRACT: Background. Patients with elevated white blood cell (WBC) counts who undergo percutaneous coronary intervention (PCI) are at increased risk for short- and long-term mortality as well as major adverse cardiac events (MACE). We assessed the relationship between elevated WBC counts and clinical events in patients who underwent PCI with drug-eluting stents (DES). Methods. Our retrospecti



Percutaneous Revascularization of Chronic Total Occlusion of Left Anterior Descending Artery (full title below)

Percutaneous Revascularization of Chronic Total Occlusion of Left Anterior Descending Artery Using Contralateral Injection via
Isolated Conus Artery

From the *Division of Cardiology, Department of Medicine, Keio University School of Medicine, Tokyo, and the §Division of Radiology, Department of Medicine, Keio University School of Medicine, Tokyo, Japan.

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

Manuscript submitted December 15, 2008, and accepted January 5, 2009.

Address for correspondence: Akio Kawamura, MD, Division of Cardi



Pre-PCI White Blood Cell Count: Should We Care?

Numerous epidemiologic and clinical studies have shown leukocytosis to be an independent predictor of future cardiovascular events.1 While a causal mechanism has yet to be determined, the relationship remains consistent, temporal and dose-dependent in a wide array of patients, ranging from those free of coronary heart disease to those presenting with acute myocardial infarction (MI).2 In the era of percutaneous coronary intervention (PCI), an elevated preprocedural white blood cell (WBC) count has been associated with worse clinical outcomes in patients undergoing angioplasty with or without b



IVUS-Guided Management of Late Stent Malaposition with Peri-Stent Restenosis with Coronary Artery Aneurysm (full title below)

From *Mumbai University, Seth G. S. Medical College and KEM Hospital, Mumbai, India, and §McMaster University, Hamilton Health Sciences, Hamilton General Hospital, Hamilton, Ontario, Canada.

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

Manuscript submitted November 7, 2008, provisional acceptance given February 17, 2009, final version accepted February 20, 2009.

Address for correspondence: Charan Lanjewar, MD, DM, Associate Professor, Cardiology, Seth G.S.Medical College and KEM Hospital, Parel(E), Mumbai, India. E-mail: charanlanjewar@hotmai



Impact of Thrombus Aspiration Use for the Treatment of Stent Thrombosis on Early Patient Outcomes

ABSTRACT: Background. Recent data suggest a clinical benefit with the systematic use of thrombus aspiration (TA) for the treatment of ST-elevation myocardial infarction (STEMI). Nevertheless, the impact of TA as a treatment strategy for stent thrombosis (ST) is unknown. This study aimed to analyze the impact of TA use for the treatment of ST on patient outcomes. Methods. From 2003 to 2008, 91 consecutive patients who presented with a definite ST were included in this analysis. We compared procedural success rates and the incidence of the composite criteria death-recurrent MI-recurrent ST at 30



An Unusual Complication of Transradial Coronary Angiography

From the Department of Cardiology, Western Infirmary, Glasgow, G11 6NT, United Kingdom.

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

Manuscript submitted December 16, 2008, provisional acceptance given February 6, 2009, and final version accepted February 20, 2009.

Address for correspondence: Jonathan R. Dalzell, MRCP, Department of Cardiology, Western Infirmary, Dumbarton Road, Glasgow, G11 6NT, United Kingdom. E-mail: [email protected]

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ABSTRACT: We report the



Stent Thrombosis Aspiration Thrombectomy: Is This Another Glimmer of Hope?

Percutaneous coronary intervention (PCI) has become the default therapy for obstructive coronary artery disease and invariably involves coronary stenting. Currently, stenting with a drug-eluting stent (DES) has become the default method for intervention, with few exceptions.1 The major drawback of this strategy is both acute and subacute stent thrombosis. The DES type, positioning, and lesion complexity may all contribute to stent thrombosis, the mechanisms of which are still under investigation.2 While there may be some debate as to the absolute occurrence of stent thrombosis, the complicatio