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February 2002

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Volume 14 Issue 2
An anomalous origin of the left coronary artery arising from the pulmonary artery (ALCAPA) is an uncommon congenital coronary abnormality, occurring in fewer than 0.01% of patients undergoing diagnostic cardiac catheterization.1,2 Also termed Bland-W…
Coronary guidewire fracture and subsequent retrieval of the retained pieces is an uncommon, but known complication of percutaneous coronary angioplasty. To our knowledge, however, this is the first report of a coronary guidewire unraveling after posi…
Case Description. A 79-year-old female with history of hypertension, hyperlipidemia and peripheral vascular disease underwent successful direct stenting of her left anterior descending coronary artery on March 15, 2000 in the setting of unstable angi…
Case Report. R.C. is a 45-year-old white male who presented to the Emergency Department at Largo Medical Center with a massive acute anterior wall myocardial infarction (MI). The patient denied any prior history of coronary artery disease (CAD), but…
Recent large randomized trials have shown that abciximab [a potent inhibitor of platelet aggregation via glycoprotein (GP) IIb/IIIa blockade] is a safe and effective drug in reducing the incidence of death, myocardial infarction and the need for urge…
Stent implantation has made its way into widespread clinical use since improvements in stent design and stent delivery systems facilitated deployment even in coronary lesions that are difficult to access. A variety of different stent designs are now…
In this month's issue of the Journal of Invasive Cardiology, a new section dedicated to the invasive and interventional management of acute coronary syndromes (ACS) is being launched. This is an exciting opportunity for our community to share the lat…
In this month's issue of the Journal of Invasive Cardiology, a new section dedicated to the invasive and interventional management of acute coronary syndromes (ACS) is being launched. This is an exciting opportunity for our community to share the lat…
The acute coronary syndromes share a common pathogenetic mechanism involving plaque disruption, platelet activation and superimposed thrombus.1 Acutely ruptured plaques have a characteristic angiographic appearance directly reflecting mechanical disr…
Engagement of the left coronary ostium is usually accomplished with the standard Judkins technique in the majority of patients without further manipulation.1 For the minority of patients with difficult anatomies, there is an enormous variety of cathe…
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