Volume 21 - Issue 9 - September, 2009

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] ...

Effects of the Number and Interval of Balloon Inflations during Primary PCI (Full title below)

a,bGuisong Wang, MD, c,dSanguo Zhang, MD, aSteven J. Joggerst, MD, aJohn McPherson, MD, aDavid X. Zhao, MD

Effects of the Number and Interval of Balloon Inflations during Primary PCI on the Extent of Myocardial Injury in Patients with STEMI: Does Postconditioning Exist in Real-World Practice?

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ABSTRACT: Postconditioning reduces infarct size in animal models and clinical studies. The present retrospective study aimed to evaluate the effects of the number and interval delay of balloon inflations during primary percutaneous coronary intervention (PCI) on enzymatic infarct size, myocardial perfusion and cardiac function in patients with ST-segment elevation ...

Percutaneous Coronary Intervention in a Patient with Factor XI Deficiency

*Avi Shimony, MD, §Etai Levi, MD, *Doron Zahger, MD

From the *Department of Cardiology, Soroka University Medical Center, Ben Gurion University of the Negev, Beer Sheva, Israel; and the §Department of Hematology, Soroka University Medical Center, Ben Gurion University of the Negev, Beer Sheva, Israel.

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

Manuscript submitted March 3, 2009, and accepted April 10, 2009.

Address for correspondence: Avi Shimony, MD, Department of Cardiology, Soroka University Medical Center, Ben Gurion University of the Negev, Beer Sheva, Israel. E-mail: [email protected]...

Myocardial Salvage beyond Recanalization of the STEMI Lesion

Sameer Mehta, MD and Estefania Oliveros, MD

As rapid global progress is being made to reduce door-to-balloon times (D2B) for primary percutaneous coronary intervention (PCI) by improving the ST-elevation myocardial infarction (STEMI) procedure and the D2B process, it is imperative to look beyond recanalization of the infarct-related STEMI lesion.

Restoration of left ventricular (LV) function remains critical and therapies that may supplement the restoration of thrombolysis in myocardial infarction (TIMI) flow and myocardial blush grade (MBG) by thrombectomy, local drug delivery and stenting, need urgent exploration. Despite current o...

In-Stent Deployment of a Stripped Stent during Percutaneous Coronary Intervention of a Right Coronary Artery

*Leslie Wilke, DO, §Vijay G. Divakaran, MD, MPH, £Sudhir Mungee, MD

From the *Department of Internal Medicine, University of Illinois College of Medicine at Peoria, Peoria, Illinois; the §Department of Cardiology, Baylor College of Medicine, Houston, Texas; and £Heartcare Midwest, OSF St. Francis Medical Center, Peoria, Illinois.

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

Manuscript submitted February 4, 2009, provisional acceptance given March 16, 2009 and final version accepted May 7, 2009.

Address for correspondence: Sudhir Mungee, MD, FACC, Heartcare Midwest, OSF St. Francis Medical Center, 5405 North K...

Intravascular Ultrasound-Based Left Main Coronary Artery Assessment: (Full title below)

aYves Suter, MD, bAndreas W. Schoenenberger, MD, cStefan Toggweiler, MD, aPeiman Jamshidi, MD, dTherese Resink, PhD, aPaul Erne, MD

Intravascular Ultrasound-Based Left Main Coronary Artery Assessment: Comparison between Pullback from Left Anterior Descending and Circumflex Arteries

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ABSTRACT: Objective. We compared continuous pullback from the left anterior descending artery (LAD) with pullback from the circumflex artery (CX) for the assessment of the left main coronary artery (LMCA) by intravascular ultrasound (IVUS). Background. Gray-scale IVUS and virtual histology by IVUS (IVUS-VH) overcome many shortcomings of contrast angiography in diagnostic assessment of the LMCA. IVUS of LCM...

Assessment of Left Main Coronary Disease: Does it Matter Which Road One Takes?

V. S. Srinivas, MBBS and Sangita-Ann J. Christian, MD

Assessment of intermediate severity left main coronary artery (LMCA) lesions is often performed in the cardiac catheterization laboratory because obstructive disease in this location is associated with a worse long–term prognosis.1–3 Some studies also suggest that the passage and delivery of interventional equipment through a diseased LMCA accelerates disease progression in this segment.4,5 Although traditionally considered a surgical disease, an increasing body of evidence supports percutaneous revascularization with drug-eluting stents, particularly in isolated LMCA disease.6 As a result...

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