March 2003

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Volume 15 Issue 5
The pharmacological and mechanical coronary angioplasty environment extensively enhances the immediate outcome so much that acute procedural complications seem to belong to the past. Other than restenosis, the management of which is now well codified…
Recently, the Companion Trial was terminated via the Safety and Monitoring Board for that trial. This was a breakthrough trial in which patients with moderate to severe congestive heart failure (New York Heart Association class III and IV), left vent…
Radiofrequency catheter ablation (RFCA) has become the most effective and safe method for treating Wolff-Parkinson-White (WPW) syndrome in children and adolescents. Accessory pathways (APs) located in the postero-septal region account for up to 28% o…
Dear Readers, This issue of the Journal of Invasive Cardiology, which coincides with the 52nd Annual Scientific Sessions of the American College of Cardiology, includes original research articles, case reports, editorials, articles from the Journal…
To the Editor: Recently, I have treated a number of patients with functioning dialysis fistulae or synthetic arteriovenous grafts referred for arm swelling developing after pacemaker insertion (Figure A). Invariably, a stenosis or occlusion develops…
The incidence of chronic total occlusions (CTO) is between 20–40% in patients with angiographically documented coronary artery disease.1 Percutaneous coronary intervention (PCI) for chronic total occlusion is associated with a significantly lower suc…
The choice of contrast agent used in diagnostic cardiac catheterization might be considered relatively unimportant compared to decisions on arterial access, choice of catheters and potential technical pitfalls. However, the choice of contrast agent c…
Some Patients Can’t Be Revascularized with PCI or CABG Despite the advances that have occurred in coronary revascularization, there is a growing population of patients who are not candidates for either coronary artery bypass grafting (CABG) or conve…
Renal artery stenosis may occur in combination with hypertension and renal function impairment. Renal artery revascularization with angioplasty may facilitate hypertension control and preserve renal function.1,2 However, distal embolization with chol…
Thrombolytic therapy and surgery are 2 approaches to the treatment of mechanical valve thrombosis (MVT). Because surgery is an invasive and very costly procedure, noninvasive thrombolytic therapy may be a practical and effective treatment option for…