November 2003

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Volume 15 Issue 1
Successful Placement of a Stent in a Previously Treated Un-Stentable Vessel Segment, Made Possible by the ACS Hi-Torque Wiggle Wire‚Ñ¢: A Case Report
Case Description. A 66-year-old male presented with angina pectoris. He had a long history of coronary artery disease treated with multiple coronary interventions over an eight-year period. Significant cardiac risk factors included hypertension and h…
Multi-Lesion “Culotte” and “Crush” Bifurcation Stenting with Sirolimus-Eluting Stents: Long-Term Angiographic Outcome
Case Report. A 63-year-old man, an ex-smoker with a history of hypertension and previous myocardial infarction, was admitted with stable angina (Canadian Cardiovascular Society Class 1) for elective percutaneous coronary intervention. Pre-procedure c…
Anomalous Origin of Left Internal Mammary Artery
Origin of the internal mammary artery from sites other than the inferior surface of the first part of the subclavian artery is not uncommon. We describe the case of a left internal mammary artery (LIMA) originating from the third part of the left sub…
Successful Treatment in a Case of Acute Aortic Dissection Complicated with Acute Myocardial Infarction Due to Occlusion of the L
Recently, the surgical results of acute aortic dissection (Stanford type A) have improved. However, the treatment of cases complicated with severe organ ischemia, especially myocardial ischemia, is very difficult. When the aortic dissection extends t…
Quantitative coronary angiography data post-percutaneous transluminal coronary angioplasty and at 6-month follow up. DV90adv < 3.5 Gy (n = 27) (open column) versus DV90adv > 3.5 Gy (n = 13) (gray column).
Considerations on Radiation Source Selection and Utilization in Vascular Brachytherapy
The initial evaluation of radiotherapy in animal models of restenosis focused on the used of 192Iridium ribbons, a commercially available source. After initial animal studies revealed that therapy with this isotope reliably inhibited vascular renarro…
Unique structure of polymer in the pGlcNAc patch.
Hemostasis in the Era of the Chronic Anticoagulated Patient
Mechanisms for Hemostasis and Comparative Efficacy The technology to produce poly-N-acetylglucosamine (pGlcNAc) polymer is based on a biomaterial that is derived in a fiber form from aseptic cultures of a marine microalgae diatom. Once isolated and…
(B) Resolution of thrombus immediately following thrombolysis in the right and left pulmonary arteries.
Thrombolytic Therapy for Right Atrial and Pulmonary Embolus
A 68-year-old male with a history of hypertension presented to the emergency department with acute onset pain and severe swelling of the left lower extremity. Pleuritic chest discomfort was also noted. He had been traveling by automobile from Canada…
LAO projection demonstrating severe in-stent restenosis of RGEA-RCA anastamosis.
Treatment of In-Stent Restenosis in a Gastroepiploic Artery Coronary Bypass Graft with Brachytherapy
Since it was first used in 1984 and reported in 1987,1,2 the right gastroepiploic artery (RGEA) has emerged as an effective third or isolated arterial conduit for complete arterial bypass grafting or for use in cases of limited graft numbers or poor…
Subselective injection (30° LAO projection) using a 6 Fr Amplatz II diagnostic catheter shows the anomalous RCA with high anterior takeoff and a 75–80% stenosis in its mid-portion. The Amplatz II catheter is not long enough to engage the ostium.
Percutaneous Coronary Artery Stenting of an Anomalous Right
Coronary Artery with High Anterior Takeoff Using Standard Size 7
The anomalous right coronary artery (RCA) with high anterior takeoff is an uncommon, yet technically difficult vessel to cannulate, moreover to intervene upon. The high anterior location of the anomalous ostium is often difficult to reach with standa…
Editor's Message - November 2003
This issue of the Journal of Invasive Cardiology coincides with the Annual Scientific Sessions of the American Heart Association and includes original research articles, case reports, a special review, two CME offerings and articles from the journal…