August 2003

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Volume 15 Issue 10
Coronary arteries arising from a solitary ostium in the aorta are rare congenital malformations that usually do not produce ischemia. Like normally arising arteries, however, such single coronary arteries and their branches are prone to atheroscleros…
Directional coronary atherectomy (DCA) with eventual stent implantation seems to be the ideal strategy to treat ostial lesions and lesion with a large plaque burden.1–3 However, non-Q wave myocardial infarction emerged as a major drawback of DCA.1–5…
Coronary angiography and intervention are important tools that have greatly improved long-term survival for patients with ischemic heart disease. Extensive radiation received during prolonged fluoroscopic procedures has created a resurgence of cases…
Angiographically detected coronary artery aneurysms are difficult to treat; they occur with an incidence of 0.3–4.9% (2–10% after interventional procedures).1,2 They can provoke ischemia1 or myocardial infarction.3 Several cases of covered stent impl…
Treatment of in-stent restenosis using catheter-based brachytherapy is an effective treatment modality. Several international randomized trials have established the safety and efficacy of different systems and isotopes.1–3 Although patients with rela…
Profound advancements in the management of acute coronary syndromes (ACS) have been realized in recent years. Initial medical therapy for non-ST segment elevation ACS has evolved to include the use of the combined treatment modalities of antiplatelet…
Chris Cates: I thought we had a tough job in interventional cardiology, but according to your presentation, it sounds like the device industry has it even tougher! Incentives within the system seem to be misaligned, and many cross-incentives exist, a…
Treatment of bifurcation lesions has been associated with lower success and higher complications rates. They represent a major interventional challenge. Redistribution of plaque (snowplow effect) often leads to occlusion of the side branch. To lower…
Dear Readers, This issue of the Journal of Invasive Cardiology includes original research articles, case reports, case reports with brief literature reviews, articles from the Journal special sections "Practice Management and Economics", and "Acute…
Intravascular stent implantation is the preferred treatment for native and post-operative branch pulmonary stenosis.1–4 The standard procedure for stent placement1 includes calibrated angiography, which has been regarded as the optimal calibration me…