May 2003

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Volume 15 Issue 7
Jim Zidar: We have chosen magnetic resonance imaging as our primary imaging tool at Duke University. A new cardiac magnetic resonance imaging research laboratory is being installed at Duke, with an adjacent clinical laboratory. In our view, magnetic…
(IAGS Proceedings - Part II of II) Nick Hopkins: The preliminary reports on intracranial angioplasty and stenting showed very high morbidity and mortality rates associated with the procedure — particularly in symptomatic patients. As Dr. Myler sugge…
Both insulin-dependent and non-insulin dependent diabetes mellitus (DM) are powerful and independent risk factors for coronary artery disease (CAD). In patients with diabetes, the risk of CAD is increased two- to four-fold. Atherosclerotic coronary d…
“The patient is given aspirin (1.0 g per day) for 3 days, starting the day before the procedure. Heparin and low molecular weight dextran are administered during dilatation; warfarin is started after the procedure and is continued until follow-up stu…
Throughout the history of interventional procedures, unfractionated heparin has been the standard anticoagulant.1 More recently, in coronary intervention, agents have been found to provide better efficacy and/or safety than sole therapy with unfracti…
Acute vessel closure is a serious event, complicating 0.5–9.3% of percutaneous coronary interventions (PCI), and is associated with major clinical adverse events including emergency coronary bypass surgery, acute myocardial infarction and death.1–4 A…
ABSTRACT: The use of intravenous enoxaparin, a glycoprotein (GP) IIb/IIIa inhibitor, during percutaneous coronary intervention (PCI) has been shown to be safe and to possibly reduce in-hospital and 30-day major adverse cardiac events (MACE). NICE-4,…
Dr. Karch and colleagues describe the results of right atrial mapping with a 64-pole basket catheter during persistent, induced sustained, and nonsustained atrial fibrillation. One implication which may be gathered from their report is that as atrial…
Vasomotor angina is a diagnostically and therapeutically challenging cause of myocardial ischemia. In many cases, affected patients undergo multiple hospitalizations and complex invasive testing, without a definitive diagnosis for years. Even after d…
Case description. A 19-year-old man, who probably suffered from Kawasaki disease (KD) from 3 years of age, presented with acute myocardial infarction and was treated with direct plain old balloon angioplasty at another hospital. Emergency coronary an…