June 2002

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Volume 14 Issue 6
Management of bleeding at the femoral vascular access site following percutaneous catheterization is of paramount importance. Traditionally, manual or mechanical compression has been the standard approach to achieve hemostasis. Prior to this clinical…
Intracoronary stents have been a major milestone in interventional cardiology ever since two large, randomized trials1,2 documented that they reduced restenosis and repeat revascularization rates and increased event-free survival at 6 months. Recent…
In comparison to conventional balloon dilatation, intracoronary stents reduce the rate of restenoses and peri-interventional complications for specific vessel segments and in vessels with a diameter of > 3 mm. The lower rate of restenoses after st…
In-stent restenosis (ISR) is the most important limitation to current percutaneous coronary intervention (PCI) practice. Intimal hyperplasia has been well defined as the principal mechanism involved in recurrence after stent implantation. Although se…
Intracoronary calcium channel blockers have been administered during percutaneous coronary interventions (PCI) for the management of reduced coronary flow due to microvascular dysfunction.1–3 More recent studies have shown that intracoronary calcium…
In the current issue of the Journal, Michaels et al.1 provide convincing evidence that the prophylactic administration of verapamil prior to percutaneous coronary intervention (PCI) of saphenous vein grafts See Michaels et al. on pages 299–302 red…
Even though myocardial infarction during pregnancy is a rare occurrence, it is associated with a 37–50% mortality rate.1 Acute myocardial infarction (AMI) in pregnancy was first described by Katz in 1922 and has a reported incidence of 1 in 10,000 pr…
As many of you may know, the field of Invasive Cardiology experienced a huge loss on May 6th, 2002. Dr. Thomas Linnemeier, a member of our editorial board and a long-time close personal friend and colleague of mine, was fatally injured in an automobi…
Severe metabolic disorders and related cardiovascular complications, including myocardial infarction, peripheral vascular disease and stroke, have been reported in human immunodeficiency virus (HIV) patients on high-activity antiretroviral therapy (H…
Intractable ventricular tachyarrhythmias (IVTA) have been defined as frequent, recurrent and recalcitrant ventricular tachyarrhythmias and/or ventricular fibrillation (VF), which may result in significant symptoms potentially associated with hemodyna…