Volume 14 - Issue 1 - January, 2002
Triple Vessel Stenting for Triple Vessel Coronary Disease
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When percutaneous coronary intervention (PCI) was introduced, it was limited to patients suffering from refractory angina pectoris due to isolated lesions of a single major epicardial coronary artery.1 Over the last 2 decades, however, the treatment of multivessel coronary disease has expanded from surgical bypass to include PCI with and without implantation of stents.2 Coronary artery bypass graft surgery (CABG) has been shown to prolong survival of patients with left main or triple vessel coronary disease, significant ischemia, or left ventricular dysfunction.3 On the other hand, controlled
Triple Vessel Stenting for Triple Vessel Coronary Disease
- Fri, 8/1/08 - 12:11pm
- 0 Comments
- 7650 reads
When percutaneous coronary intervention (PCI) was introduced, it was limited to patients suffering from refractory angina pectoris due to isolated lesions of a single major epicardial coronary artery.1 Over the last 2 decades, however, the treatment of multivessel coronary disease has expanded from surgical bypass to include PCI with and without implantation of stents.2 Coronary artery bypass graft surgery (CABG) has been shown to prolong survival of patients with left main or triple vessel coronary disease, significant ischemia, or left ventricular dysfunction.3 On the other hand, controlled
The Bent Stent
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Case Description. A 45-year-old male with established coronary artery disease was admitted for 2 weeks of recurrent rest-onset chest pain symptoms. The patient had undergone 2 previous percutaneous coronary interventions at another hospital. In 1997, an acute stent thrombosis of a second obtuse marginal necessitated urgent coronary artery bypass graft surgery (CABG) with vein grafts to the marginal and right posterior lateral artery. Four months prior to the current admission, he underwent a repeat CABG with a left internal mammary artery (LIMA) graft placed to the left anterior desc
Duplicate version/Feature of Triple Vessel Stenting article
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When percutaneous coronary intervention (PCI) was introduced, it was limited to patients suffering from refractory angina pectoris due to isolated lesions of a single major epicardial coronary artery.1 Over the last 2 decades, however, the treatment of multivessel coronary disease has expanded from surgical bypass to include PCI with and without implantation of stents.2 Coronary artery bypass graft surgery (CABG) has been shown to prolong survival of patients with left main or triple vessel coronary disease, significant ischemia, or left ventricular dysfunction.3 On the other hand, controlled
Endovascular Stent Placement for Management of Total Renal Artery Occlusion in a Child
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Percutaneous transluminal angioplasty (PTA) has been recognized as a safe, simple and effective alternative to operation for the management of renal artery stenosis (RAS). However, major complications such as complete arterial occlusion and renal parenchymal perforation may ensue and usually require surgical intervention.1 In this report, we present a case of total renal artery occlusion as a complication of previous PTA in an 8-year-old boy. After a successful balloon angioplasty and stent implantation, his renal artery was kept patent. To the best of our knowledge, this is the first pediatri
A Stitch in Time Saves Nine
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In this issue of the Journal of Invasive Cardiology, Mehta and colleagues provide an interesting report describing their initial clinical experience with a device, the X-Press system, for percutaneous closure of a femoral arterial access site. The device uses the placement of sutures to directly close the puncture site. There are several important points to note. The first is that the X-Press device was simple to use and appeared to be easier to use than other currently available systems, with a mean deployment time of about 5.5 minutes.1 The low failure rate with the X-Press device (about 6%)
Left Anterior Descending Coronary Artery to Right Ventricular Fistula Complicating Coronary Stenting
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Coronary artery perforation is a rare complication of percutaneous transluminal coronary angioplasty (PTCA) and coronary stenting. This complication most commonly results in a communication between the coronary artery lumen and the pericardial space; tamponade may ensue. Fistulization to the left or *right ventricle has been described during PTCA; however, it has never been reported as a complication of coronary stenting. We report a case where vessel rupture following stent placement led to the development of a fistula between the left anterior descending artery (LAD) and the right ventricle
In-Hospital and Long-Term Outcomes of Patients with Acute Myocardial Infarction Undergoing Direct Angioplasty During Regular and
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Direct percutaneous coronary angioplasty (d-PTCA) has emerged as an effective reperfusion strategy in patients presenting within the first 12 hours of an acute myocardial infarction as compared to intravenous thrombolytics.1–5 Several randomized thrombolytic trials have demonstrated that the benefit of reperfusion is strongly dependent on the time from symptom onset until treatment.6,7 This has led to concern about the potential adverse effect of the increase in time to reperfusion with d-PTCA when performed after hours for acute myocardial infarction (AMI) due to the delay in mobilization o
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