June 2003

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Volume 15 Issue 8
Despite advances in the technical and pharmacologic aspects of percutaneous coronary intervention (PCI), periprocedural myocardial infarction (PPMI) remains a significant complication of the procedure. Previous studies identified clinical characteris…
Over the past 20 years, percutaneous transluminal coronary angioplasty (PTCA) has emerged as the treatment of choice for many patients with atherosclerotic coronary artery disease. With increased experience and technical advances, the procedural succ…
Over 200,000 peripheral interventions were performed in 1997; this number continues to grow at a rapid pace.1 Peripheral artery disease (PAD), also referred to as peripheral vascular disease (PVD), affects 12–20% of Americans >= 65 years old, resu…
In 1942, Pendergrass et al.1 reported renal function impairment associated with the use of radiographic contrast media for the first time. Those authors studied 16 patients who died after undergoing excretory urography. Nine of the 16 patients had ac…
(PART II of II) 7) Hemodialysis. Lehnert et al.,63 in a randomized study, assessed the prophylactic use of hemodialysis for 3 hours in patients with serum creatinine above 1.4 mg/dl who underwent both cardiac and non-cardiac procedures, beginning im…
Double-orifice mitral valve (DOMV) is a rare congenital anomaly characterized by the presence of 2 mitral orifices, each possessing an independent chordal attachment to a papillary muscle.1,2 DOMV may occur as an isolated anomaly or, more often, in a…
Acute transient renal insufficiency after exposure to radiocontrast agents has been well described. The incidence varies among studies depending on the definition and the patient population studied.1 One of the more commonly accepted definitions for…
Contrast-induced nephropathy (CIN) is a well-recognized complication of angiographic procedures. The incidence varies according to the population studied, the definition applied and the vigilance of the angiographer in measuring post procedure renal…
Contrast-induced nephropathy (CIN) represents a significant clinical problem in the United States, where more than 1,000,000 patients undergo cardiac catheterization procedures every year. This makes catheterization the second most frequent in-hospit…