Volume 21 - Issue 9 - September, 2009

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...

Patient Satisfaction is Comparable to Early Discharge versus Overnight Observation after Elective PCI (see full title below)

FULL TITLE: Patient Satisfaction is Comparable to Early Discharge versus Overnight Observation after Elective Percutaneous Coronary
Intervention

aRuchira Glaser, MD, MSCE, bZachary Gertz, MD, dWilliam H. Matthai, MD, cRobert L. Wilensky, MD, dMark Weiner, MD, bDaniel Kolansky, MD, bJohn Hirshfeld Jr., MD, bHoward Herrmann, MD

ABSTRACT: Background. Previous investigation has suggested that early discharge after percutaneous coronary intervention (PCI) is feasible and safe, but these studies have utilized largely radial approaches or been conducted in non-U.S. cohorts. We sought to assess patient satisfaction, safety and cost of a strategy of selective early discharge in U.S. patients undergoing PCI via a femoral approach with contemporary adjunctive pharmacologic and hemostasis agents. Methods and Results. Patients with stable coronary artery disease undergoing elective PCI were prospectively recruited and randomize...

Peripheral Chronic Total Occlusions Treated with Subintimal Angioplasty and a True Lumen Re-Entry Device

*Hazim Al-Ameri, MD, †Victoria Shin, MD, †Guy S. Mayeda, MD, †Steven Burstein, MD, ‡Ray V. Matthews, MD, *,‡Robert A. Kloner, MD, PhD, †,§David M. Shavelle, MD

ABSTRACT: Objective. We sought to verify how effective the Pioneer catheter (Medtronic, Inc., Minneapolis, Minnesota) is in overcoming the complexity of re-entry during subintimal angioplasty and provide a case series describing the technique. Background. Subintimal angioplasty is effective in treating peripheral chronic total occlusions (CTO). However, this technique is often limited by the inability to re-enter the true lumen after subintimal crossing of the occluded segment. The Pioneer catheter was the first device to address this difficulty associated with subintimal angioplasty. Methods....

Effect of Radiographic Contrast Media on Markers of Complement Activation and Apoptosis (Full title below)

Spyridon Deftereos, MD, Georgios Giannopoulos, MD, Charalampos Kossyvakis, MD, Konstantinos Raisakis, MD, Andreas Kaoukis, MD, Metaxia Driva, MD, Olga Ntzouvara, MD, Vasiliki Panagopoulou, MD, Ilias Rentoukas, MD, Dimitrios J. Nikas, MD, Vlasios Pyrgakis, MD,
*Martin A. Alpert, MD

Effect of Radiographic Contrast Media on Markers of Complement Activation and Apoptosis in Patients with Chronic Coronary Artery Disease Undergoing Coronary Angiography

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ABSTRACT: The effects of radiographic contrast media on markers of complement activation and apoptosis in patients with chronic coronary artery disease (CAD) are unknown. The purpose of this study was to assess the comparative effects of ionic high-osmolar and non-ionic iso-osmolar radiographic contrast media on plasma markers of complement activation and apoptosis in patients with chro...

Structural Heart Disease Interventions: An Emerging Discipline in Cardiovascular Medicine

Roberto J. Cubeddu, MD, Ignacio Inglessis, MD, Igor F. Palacios, MD

ABSTRACT: Within the past decade, we have witnessed the exponential growth of novel percutaneous transcatheter therapies for the treatment of valvular and congenital heart disorders among others. Consequently, a new field has emerged in the world of adult cardiovascular medicine known as “structural heart disease interventions.” We herein provide a contemporary review highlighting many of the important historical landmarks that have set the stage for the development of this new and exciting subspecialty, and introduce a comprehensive overview of the structured training and challenges that ...

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