Rotational Coronary Sinus Venography and Magnetic Navigation to Facilitate LV Lead Placement in (FULL TITLE BELOW)

ABSTRACT: This report demonstrates the production and use of 3-D reconstruction of a coronary sinus from a single-injection rotational angiogram. The detailed virtual model enabled easy magnetic navigation of a wire for device placement in cardiac resynchronization therapy.



The use of the magnetic navigation system (MNS, Stereotaxis, St Louis, Missouri) in electrophysiology is now well established. This system has been described in

Percutaneous Right Ventricular Assist via the Internal Jugular Vein in Cardiogenic Shock Complicating (FULL TITLE BELOW)

ABSTRACT: Management of right heart failure in acute myocardial infarction (AMI) includes emergent reperfusion of the infarct-related artery, fluid resuscitation, vasopressor and inotropic support, and trans-venous pacing in the presence of high-grade atrio-ventricular conduction block. Historically, mechanical support for right ventricular failure after an AMI has been limited to intra-aortic balloon pump (IABP) counterpulsation or surgically placed ventricular assist devices. Recently, a percutaneous right ventricular assist device (pRVAD, TandemHeart; CardiacAssist Inc., Pittsbu

Migration of an Embolized Deployed Stent from the Left Main with Subsequent Crushing: A New Use for the IVUS Catheter?

ABSTRACT: Coronary stent dislodgement and loss carries significant morbidity and risk of infarction and thrombosis if left untreated. There have been multiple previous techniques for stent retrieval or deployment after stent loss including wire braiding, distal small balloon retrieval technique, snare use, forceps in large vessels and the stent crush technique.1–4 We report an unusual case of a largely deployed stent which was iatrogenically embolized retrogradely to the left main and its migration using an IVUS catheter with successful stent crushing in the pr

Retrograde Recanalization of a Chronic Ostial Occlusion of the Left Anterior Descending Artery: (Full title below)

Retrograde Recanalization of a Chronic Ostial Occlusion of the Left Anterior Descending Artery: How to Manage Extreme Takeoff Angles

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ABSTRACT: Chronic total coronary occlusions (CTO) still remain one of the most technically challenging clinical scenearios in which to perform interventions. Although the antegrade approach is the most common method of CTO recanalization, a retrograde attempt improves the success rate and its usage has been increasingly adopted in the recent years. However, the retrograde method requires exceptional expertise and skills in orde

Spontaneous Multivessel Coronary Artery Dissection

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ABSTRACT: As opposed to iatrogenic coronary dissection, spontaneous dissection is an extremely rare clinical condition. Typically seen in a single coronary vessel of peripartum women presenting with acute coronary syndrome, there are isolated case reports of men presenting multivessel involvement for this life-threatening condition. We describe a 54-year-old male with a history of diabetes, hypertension and methamphetamine abuse who presented to the emergency after a brief, witnessed cardiac arrest. Admission ECG revealed sinus tachycardia with inferior Q waves. He was fo

Don’t Rule Out Retroperitoneal Bleeding Just Because the Angiogram Was Done from the Radial Artery

pg. E3 - E4

ABSTRACT: The use of radial artery for vascular access for cardiac catheterization and intervention has gained increasing acceptance over the last few years as result of the lower risk of vascular complications compared to use of the femoral artery. The strong evidence showing that major bleeding (commonly access site related) is an independent predictor of mortality in acute coronary syndrome patients undergoing intervention has only accelerated this change. This case highlights that although the risk of access site complications is reduced with the radial approach there

Complete Atrioventricular Block: A Rare Presentation of Mitral Valve Endocarditis

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ABSTRACT: Infective endocarditis is one of the uncommon causes of complete atrioventricular (AV) block. Complications from aortic valve infection are more often associated with conduction abnormalities than with mitral valve endocarditis. In fact, complete AV block rarely occurs in mitral valve infections, with only a few cases having been reported. We report a case of mitral valve endocarditis in which the initial presentation was fever and newly developed, complete AV block. Patients with mitral valve endocarditis complicated by complete AV block are at high risk. Pro

Primary Antiphospholipid Syndrome with Recurrent Coronary Thrombosis, Acute Pulmonary Thromboembolism and Intracerebral Hematoma

From the Department of Cardiology, Royal Hospital, Muscat, Oman.

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

Manuscript submitted May 21, 2009, provisional acceptance given June 8, 2009, final version accepted June 24, 2009.

Address for correspondence: Dr. Panduranga Prashanth, Department of Cardiology, Royal Hospital, Post Box 1331, Muscat-111, Oman. E-mail: [email protected]


ABSTRACT: We present a young patient with myocardial infarction who had rec

Very Late Thrombosis of a Sirolimus-Eluting Stent after 57 Months

From the *University of Miami Miller School of Medicine, and Charles E. Schmidt College of Science, Florida Atlantic University, Boca Raton, Florida, and §Nova Southeastern College of Medicine, Ft. Lauderdale, Florida.

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

Manuscript submitted May 29, 2009, provisional acceptance given June 24, 2009, final version accepted July 7, 2009.

Address for correspondence: Anil Paturi, MD, Internal Medicine Residency Program, JFK Medical Center, 4 South, 5301 S. Congress, Atlantis, FL 33462. E-mail: apaturi@me

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

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]