Volume 21 - Issue 12 - December, 2009

Avoiding Intelligence Failures in the Cardiac Catheterization Laboratory (Full title below)

Jonathan D. Marmur, MD, Renee P. Bullock-Palmer, MD, Shyam Poludasu, MD, Erdal Cavusoglu, MD

Avoiding Intelligence Failures in the Cardiac Catheterization Laboratory: Strategies for the Safe and Rational Use of Dalteparin or Enoxaparin during Percutaneous Coronary Intervention

ABSTRACT: Low-molecular-weight heparin (LMWH) has been a mainstay for the management of acute coronary syndromes (ACS) for almost a decade. However, several recent developments have seriously threatened the prominence of this drug class: (i) the adoption of an early invasive strategy, frequently leading to percutaneous coronary intervention (PCI) where the dosing and monitoring of LMWH is unfamiliar ...

Late-Acquired Stent Malapposition after Sirolimus-Eluting Stent Implantation (Full title below)

*Sudhir Rathore, MD, §Mitsuyasu Terashima, MD, §Takahiko Suzuki, MD

Late-Acquired Stent Malapposition after Sirolimus-Eluting Stent Implantation following Acute Coronary Syndrome: Angiographic, IVUS, OCT and Coronary Angioscopic Observation

ABSTRACT: Drug-eluting stents (DES) have been shown to significantly reduce the incidence of restenosis and target lesion revascularization in a wide variety of clinical situations. DES have also been shown to significantly reduce neointimal hyperplasia as compared to bare-metal stents. However, the antiproliferative properties of DES also delay vascular healing and have been associated with stent malapposition,...

Late Sequela of Kawasaki’s Disease: Optical Coherence Tomographic Finding

Jin-Man Cho, MD, Il-Suk Sohn, MD, †Ik-Kyung Jang, MD, PhD

Case Description. A 24-year-old male without coronary risk factors came to our office for recent-onset exertional angina associated with shortness of breath. His medical history was notable for Kawasaki’s disease at the age of two. A stress test showed anterior ischemia. Subsequently, he underwent computed tomography (Figure 1) and coronary angiography, which revealed a calcified tubular narrowing of the proximal left anterior descending (LAD) and chronic total occlusion in the proximal right coronary artery (RCA), with bridge collaterals (Figures 2A and B). Optical coherence tomography (OCT...

Retrograde Approach to Chronic Total Occlusions: Can Septal Vessels Be Used More Than Once?

Albert Alahmar, MD, Simon Redwood, MD, Anthony Gershlick, MD

From the Cardiovascular Intervention Department, University Hospitals of Leicester, United Kingdom.

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

Manuscript submitted May 29, 2009, provisional acceptance given August 11, 2009, final version accepted September 8, 2009.

Address for correspondents: Albert E. Alahmar, MD, Cardiovascular Intervention Department, Leicester University Hospitals of Leicester Glenfield Hospital, Leicester, United Kingdom LE3 9QP. E-mail: [email protected]


Percutaneous Aortic Valve Implantation in Patients with Coronary Artery Disease: Review of Therapeutic Strategies

Danny Dvir, MD,† Abid Assali, MD,† Konstantinos Spargias, MD,‡ Ran Kornowski, MD†

From the †Department of Cardiology, Rabin Medical Center, Petach Tikva, and the 'Sackler' Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel, ‡Onassis Cardiac Surgery Centre, 1st Cardiology Department, Athens, Greece.

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

Manuscript submitted July 6, 2009, provisional acceptance given July 20. 2009, and final version accepted July 27, 2009.

Address for correspondence: Prof. R. Kornowski, Department of Cardiology, Rabin Medical Center, Petach Tikva 49100, Israel. E-mail: [email protected]...

Chinese “Firebird” Brand Sirolimus-eluting Stent Fracture

Wei Hu, MD, PhD, Da Dong Zhang, MD, Jun Gu, MD

From the Department of Cardiology, Shanghai Minhang District Central Hospital, Shanghai, China.

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

Manuscript submitted May 4, 2009, provisional acceptance given June 23, 2009, final version accepted July 15, 2009.

Address for correspondence: Wei Hu, Department of Cardiology, Minhang District Central Hospital, 201100, Shanghai, China. E-mail: [email protected]


ABSTRACT: Recently, a stent fracture (SF) was reported as...

Spontaneous Coronary Artery Dissection-A Diagnosis To Be Considered in Young Patients (Full title below)

‡Rafael Nogueira de Macedo, MD, ‡Samuel de Paula Miranda, MD,
*†Ricardo Leite Vieira da Costa, MD, MPH

Spontaneous Coronary Artery Dissection — A Diagnosis To Be Considered in Young Patients Presenting with Acute Myocardial Infarction

From the ‡Emergency Department, Hospital de Messejana, Fortaleza, Brazil, *Haemodynamics, Hospital Mont Klinikum, Fortaleza, Brazil, †Haemodynamics, Hospital de Messejana, Fortaleza, Brazil.

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

Manuscript submitted April 1, 2009, provisional acceptance given April 27, 2009, final version accepted May 4, 2009.

Address for correspondence: Rafael N. Macedo, E...

Preprocedural Inflammation Does Not Affect Neointimal Hyperplasia following Everolimus-Eluting Stent Implantation

Daisaku Nakatani, MD, PhD, Junya Ako, MD, PhD, Masao Yamasaki, MD, PhD, Takao Shimohama, MD, PhD,
Takao Hasegawa, MD, Hiromasa Otake, MD, PhD, Katsuhisa Waseda, MD, PhD, Ichizo Tsujino, MD, PhD,
Ryota Sakurai, MD, Bon-Kwon Koo, MD, PhD, Hyeonsoo Chang, MSME, Paul G. Yock, MD,
*Krishnankutty Sudhir, MD, PhD, *Wesley Pierson, PhD, §Gregg W. Stone, MD, †Shigeru Saito, MD,
Yasuhiro Honda, MD, Peter J. Fitzgerald, MD, PhD

ABSTRACT: Background. Preprocedual C-reactive protein (CRP) has been reported to correlate with in-stent restenosis following bare-metal stent implantation. The aim of this study was to investigate the impact of preprocedural inflammation on neointimal hyperplasia assessed by intravascular ultrasound (IVUS) following everolimus-eluting stent (EES) implantation. Methods. We identified 134 patients meeting the following criteria: 1) patients treated with EES; 2) those with stable or unstable angina; and 3) patients available for high-sensitivity (hs)-CRP before the procedure and volumetric IVUS ...

Management of Guidewire-Induced Coronary Artery Perforations through Transradial Route-A Simple Approach

†Tejas Patel, MD, Sanjay Shah, MD,
Indra Kuladhipati, MD

From the †Total Cardiovascular Solutions Private Limited, and Sheth V.S.General Hospital, Ahmedabad, India.

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

Manuscript submitted June 19, 2009, provisional acceptance given July 20, 2009, final version accepted August 3, 2009.

Address for correspondence: Tejas Patel, MD, FACC, FSCAI, Professor and Head, Department of Cardiology, Sheth V.S.General Hospital, Ahmedabad-380 006, India. E-mail: [email protected]



Validation of a Risk Score for Target Vessel Revascularization after Coronary Stent Implantation

aAlexandre S. Quadros, MD, PhD, bFabiane Diemer, RN, bDulce Welter, RN, Thais Modkovski, MD,
aRogério Sarmento-Leite, MD, PhD, aCarlos A.M. Gottschall, MD, PhD, FSCAI, FIAGS

ABSTRACT: Objective. Our aim was to validate a risk score for new target vessel revascularization (TVR) after bare-metal stent (BMS) implantation. Methods. The risk score was developed in a cohort of patients previously treated with BMS at our institution. This risk score ranges from 0 to 5 points, according to the presence of diabetes mellitus (1 point), reference vessel diameter (> 3.5 mm = 0 points; 3–3.5 mm = 1; 20 mm = 2). Patients included in the validation cohort were treated between January and December 2005. Pati...

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