Percutaneous Repair of a Pseudoaneurysm Associated with Coarctation of the Aorta

Author Affiliations:

From the Department of Cardiology, Lahey Clinic Medical Center, Tufts University School of Medicine, Burlington, Massachusetts.

Disclosure: Dr. Piemonte is a member of the speaker’s bureau for Boston Scientific Corporation.

Manuscript submitted March 10, 2008, provisional acceptance given June 3, 2008, manuscript accepted June 11, 2008.

Address for correspondence: Wael F. Al-Husami, MD, Department of Cardiology, Lahey Clinic Medical Center, Tufts University School of Medicine, 41 Mall Road, Burlington, MA 01805. E-mail: [email protected]

Covered Stent for the Treatment of Recurrent Bilateral Renal Artery In-Stent Restenosis

Author Affiliations:

From the Cardiology Division, Section of Vascular Medicine, Massachusetts General Hospital and §Harvard Medical School, Boston, Massachusetts.

Disclosures: Dr. Rosenfield has received research grants from Idev, Abbott Vascular, Cordis Corp., Boston Scientific Corp., Bard, Baxter, Invatec, and Lumen; is a consultant to Cordis, Boston Scientific, Baxter, CardioMind, Micelle, Complete Conference Management, Idev, Abbott Vascular, Boston Biomedical Associates; owns stock in Lumen, CardioMind, Xtent, and Cardiomems; and has a financial relationship with VIVA

Three Cases of Left Main Stem Thrombus Complicating PCI: The Role of FilterWire Protection for the Virgin Territory

Author Affiliations:

Division of Cardiology, Department of Medicine and Therapeutics, Prince of Wales Hospital, Chinese University Hong Kong.

There are no grants, financial support, or conflicts of interests related to the research in this paper.

Manuscript submitted February 14, 2008, provisional acceptance given April 28, 2008, manuscript accepted June 3, 2008.

Address for correspondence: Eugene Brian Wu, MRCP, MD, Division of Cardiology, Department of Medicine and Therapeutics, Prince of Wales Hospital, Chinese University Hong Kong, Ngan Shing Street, Shatin, Hong Ko

Percutaneous Mitral Valvuloplasty through a Carpentier-Edwards Ring

Author Affiliations:

From the *Department of Cardiology A, University Hospital Ibn Sina, Rabat, Morocco, and the §Department of Cardiology B, University Hospital Ibn Sina, Rabat, Morocco.

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

Manuscript submitted February 5, 2008, provisional acceptance given February 20, 2008, manuscript accepted March 3, 2008.

Address for correspondence: Belghiti Hasnaa, MD, Department of Cardiology B, University Hospital Ibn Sina, Rabat, Morocco. E-mail: [email protected]

Radial Access — Be Prepared!

ABSTRACT: We present the case of a 46-year-old female patient that experienced recurrent stent thrombosis and underwent attempted primary PCI via the radial artery. Although radial artery cannulation with a 6 Fr sheath and the diagnostic angiography were successfully performed, the PCI could not be achieved because of failure to advance the 6 Fr guide through the radial artery, due to severe angulation of a high take-off radial artery, combined with a proximal radial artery stenosis.

J INVASIVE CARDIOL 2008;20:549–550

Case Report. A 46 year-old

Transradial Retrieval of a Dislodged Stent from the Left Main Coronary Artery

ABSTRACT: We report a case of successful transradial retrieval of a dislodged and mechanically distorted coronary artery stent from the left main stem in an elderly male. Transradial percutaneous coronary intervention was undertaken to reconstruct a lesion in the left circumflex artery complicated by stent dislodgement. A microsnare was used to successfully retrieve the stent.

J INVASIVE CARDIOL 2008;20:545–547

Coronary stent dislodgement is a rare occurrence in percutaneous intervention and is often associated with significant morbidity.

Superficial Femoral Artery Stent Fracture that Led to Perforation, Hematoma and Deep Venous Thrombosis

ABSTRACT: We describe the case of a 70-year old male with total occlusion of the left superficial femoral artery (SFA) treated with percutaneous implantation of a self-expanding nitinol stent. The patient’s course post-stent implantation was complicated by the development of stent fracture with SFA perforation and a large, compressive  intramuscular hematoma with deep venous thrombosis (DVT). The patient returned to the catheterization laboratory where the fracture and perforation were successfully treated by the deployment of another stent across the fracture site. The DVT was i

Popliteal Artery Pseudoaneurysm following FoxHollow Atherectomy: A Rare Complication

ABSTRACT: Atherectomy using the FoxHollow device is an exciting treatment as an alternative to lower extremity arterial bypass for treatment of peripheral vascular disease in symptomatic patients with critical limb ischemia and disabling claudication. We present an interesting case of popliteal artery pseudoaneurysm following FoxHollow atherectomy, which is a rare complication. Mechanical factors have been implicated in causation of trauma to the vessel wall during atherectomy. Endovascular treatment of peripheral vascular disease has become increasingly common, thus it is important to know

Successful Percutaneous Treatment of Acute Bilateral Lower Limb Ischemia

ABSTRACT: Acute limb ischemia is a surgical emergency as a delay in reperfusion is associated with a high risk of irreversible tissue infarction potentially leading to limb loss and death. However, in medically compromised patients, perioperative morbidity and mortality remain high. An elderly woman with multiple comorbidities developed acute bilateral lower limb ischemia and was not felt to have a surgical revascularization option. Percutaneous restoration of reperfusion was successfully achieved by obtaining bilateral antegrade femoral arterial access followed by local infusion of fibrino

Coexistent In-Stent Restenosis, Late Incomplete Stent Apposition and Mural Thrombus in a Zotarolimus-Eluting Stent

ABSTRACT: Drug-eluting stents (DES) have been demonstrated to dramatically reduce the rate of in-stent restenosis (ISR). However, some studies found an increased rate of late incomplete stent apposition (ISA) and late stent thrombosis (ST) in DES compared to traditional bare metal stents (BMS). Endeavor stent, a new cobalt-alloy DES coated with phosphorylcholine and zotarolimus, has been reported to have a very favorable safety profile with few documented late acquired ISA and late ST. In the present report, we described an interesting case with coexistent ISR, late ISA and mural thrombus i