Volume 21 - Issue 9 - September, 2009

Consistent Door-to-Balloon Times of Less Than 90 Minutes for STEMI Patients Transferred for Primary PCI

Bina Ahmed, MD, Stefan Lischke, MD, Faye Straight, RN, Prospero Gogo, MD, Stephen Leffler, MD, Marc Kutler, MD, David J. Schneider, MD, Harold L. Dauerman, MD

Myocardial Infarction — Fusion or Confusion?

Sivakumar Ardhanari, MD, Ashok J. Shah, MD, Ranjan K. Thakur, MD, MPH

From the Thoracic and Cardiovascular Institute, Sparrow Health System & Michigan State University, Lansing, Michigan.

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

Manuscript submitted February 12, 2009, provisional acceptance given March 3, 2009, final version accepted March 11, 2009.

Address for correspondence: Ranjan K. Thakur, MD, MPH, Thoracic and Cardiovascular Institute, 405 West Greenlawn, Suite 400, Lansing, MI 48910. E-mail: [email protected]

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ABSTRACT: A...

Rapid Transfer for ST-Elevation Myocardial Infarction PCI: It’s Just Not That Hard!

*James C Blankenship, MD and §Sara H. Williams

“Dost thou love life? Then do not squander time, for that is the stuff life is made of.”

— Benjamin Franklin

Seldom in medicine has an idea gained credence so rapidly as the idea that lives are saved by rapid reperfusion for ST-elevation myocardial infarction (STEMI) using percutaneous coronary intervention (PCI). Perhaps this is because it appeals to the best instincts of so many. Emergency medicine personnel are enthralled to be able to activate catheterization laboratories with pre-hospital 12-lead electrocar...

Treatment of the Budd-Chiari Syndrome (BCS) Caused by Membranous Obstruction of Inferior Vena Cava (Full title below)

Mahmoud Ebrahimi, MD

Treatment of the Budd-Chiari Syndrome (BCS) Caused by Membranous Obstruction of Inferior Vena Cava with Percutaneous Transluminal Angioplasty: Report of an Amazing Relation between Undiagnosed BCS and Infertility

From the Cardiovascular Research Center, Avicenna (Bu-Ali) Research Institute, Mashhad University of Medical Science, Mashhad, Iran, and the Interventional Cardiology Ward, Imam Reza Hospital, Mashhad University of Medical Science, Mashhad, Iran.

The author reports no conflicts of interest regarding the content herein.

Manuscript submitted February 7, 2...

Radiation Protection during Hybrid Procedures: Innovation Creates New Challenges

a,bJaclynn M. Sawdy, RT(R), a,bMark D. Gocha, RCIS, aVincent Olshove, CCP, aJoanne L. Chisolm, RN, a,dSharon L. Hill, MSN, ACNP, a,cAlistair Phillips, MD, a,b,cMark Galantowicz, MD, a,bJohn P. Cheatham, MD, a,bRalf J. Holzer, MD, MSc

ABSTRACT: Background. The cooperation between interventional cardiologists and cardiothoracic surgeons has expanded the spectrum of treatment modalities for patients with congenital heart disease. These hybrid techniques have created new challenges, one of which being the provision of adequate but practical radiation protection. This study evaluates the use of a lightweight radiation protection drape (RADPAD®) that may be suitable for shielding during hybrid procedures. Methods. To simulate a pediatric patient, an 8.7 liter water-filled tub was placed on an X-ray table and exposed to 10-secon...

Use of Rotational Atherectomy in the Body of a Saphenous Vein Coronary Graft

Creighton W. Don, MD, PhD, Igor Palacios, MD, *Kenneth Rosenfield, MD

From the Department of Medicine, Division of Cardiology, Cardiac Cath Lab and *Vascular Medicine and Intervention, Massachusetts General Hospital, Boston, Massachusetts.

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

Manuscript submitted March 17, 2009, and accepted April 7, 2009.

Address for correspondence: Creighton W. Don, MD, PhD, Massachusetts General Hospital, 55 Fruit St. GB800, Boston, MA 02114. E-mail: [email protected]

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ABSTRACT: The use of the Rot...

Causes of Death in Patients undergoing Percutaneous Coronary Intervention with Drug-Eluting Stents in a Real-World Setting

Michael S. Lee, MD, Timothy Canan, BS, Alice Perlowski, MD, Ravi Bhatia, MD, Daniel Jurewitz, MD, Jonathan M. Tobis, MD

ABSTRACT: Background. Reports of stent thrombosis and death in patients who have received drug-eluting stents (DES) have provoked debate regarding their long-term safety. We investigated the specific causes of death in patients receiving DES at an academic tertiary-care center. Methods. A retrospective analysis of 1,023 consecutive patients who underwent percutaneous coronary intervention (PCI) with DES from 2003 to 2006 at UCLA Medical Center was performed. Dates and cause of death were obtained by reviewing the patient’s medical record, contacting the patient’s doctor, or accessing the S...

Improvement of Renal Function after Opening Occluded Atherosclerotic Renal Arteries

*Hiroshi Kanamori, MD, PhD, §Masanao Toma, MD, *Atsushi Fukatsu, MD, PhD

From the *Department of Nephrology, Kyoto University Graduate School of Medicine, and the §Department of Cardiovascular Medicine, Kyoto University Graduate School of Medicine, Kyoto, Japan.

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

Manuscript submitted February 27, 2009, provisional acceptance given April 13, 2009, and final version accepted April 17, 2009.

Address for correspondence: Hiroshi Kanamori, MD, PhD, Department of Nephrology, Kyoto University Graduate School of Medicine, 54 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto, 606-8507, Japa...

Percutaneous Left Atrial Appendage Transcatheter Occlusion (PLAATO) for Stroke Prevention in Atrial Fibrillation: 2-Year Outcome

Jai-Wun Park, MD, PhD, Boris Leithäuser, MD, Ulrich Gerk, MD, *Martin Vršansky, Friedrich Jung, PhD

ABSTRACT: Purpose. In more than 90% of patients with atrial fibrillation (AF), stroke is due to thrombotic embolization from the left atrial appendage (LAA). Transcatheter occlusion with percutaneous left atrial appendage transcatheter occlusion (PLAATO), a self-expanding, membrane-covered spherical nitinol cage, is feasible and an alternative to anticoagulation therapy. Methods. This was a single-center prospective registry study for verification of stroke risk reduction in patients with AF 2 years after PLAATO. Results. Seventy-three patients with AF (permanent 65, paroxysmal 8) in whom anti...

Very Late Stent Thrombosis of Sirolimus-Eluting Stent Combined with Late Stent Malapposition and Aneurysm Formation

Sun-Yang Min, MD, Young-Hak Kim, MD, *Seung-Jung Park, MD

From the Department of Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea.

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

Manuscript submitted March 6, 2009, provisional acceptance given April 23, 2009, and final version accepted April 27, 2009.

*Address for correspondence: Seung-Jung Park, MD, Department of Cardiology, University of Ulsan College of Medicine, Cardiac Center, Asan Medical Center, 388-1 Poongnap-dong, Songpa-gu, Seoul, 138-736, Korea. E-mail: [email protected] ...

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