June 2003

|
Volume 15 Issue 8
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…
Coronary perforation is an infrequent, but well recognized, complication of percutaneous coronary intervention. In 1994, Ellis et al. classified coronary perforations on a scale of 1–3 based on angiographic criteria.1 A subsequent study by Dippel et…
The transradial technique is a currently accepted alternative to the femoral site for vascular access during coronary percutaneous interventions. While in some laboratories it is only used when the femoral entry site proves troublesome or impossible,…
Coronary spasm induced solely by guidewire insertion is very rare. We report a rare case of diffuse coronary spasm secondary to coronary angioplasty guidewire insertion. Although such a significant level of spasm is very rare, lesser degrees of spasm…
The surface electrocardiogram (ECG) is usually the first diagnostic test a patient with chest pain receives upon arriving to the emergency department (ED). The manifestation of regional myocardial ischemia or injury is dependent upon the distance of…
The left internal mammary artery (LIMA) is an elastic or elasto-muscular artery with a diameter of 2–3 mm. It is preferred as a surgical conduit because of better flow and less risk of atherosclerosis and intimal hyperplasia, which results in higher…
Vascular brachytherapy (VBT) has evolved as a viable method to treat in-stent restenosis (ISR), which is due to neointimal hyperplasia distributed either focally or diffusely over the entire length of the stent.1 Radiation acts by inhibiting all phas…
Dear Readers, This issue of the Journal of Invasive Cardiology includes original research articles, expert commentary, case reports, a CME offering, and an article from the Journal special section called “The Electrophysiology Corner”. The first…
The development of platelet glycoprotein (GP) IIb/IIIa receptor inhibitors has been a major advance in reducing ischemic complications among a broad spectrum of patients undergoing percutaneous coronary intervention (PCI).1–9 Currently, three intrave…
Lyme disease is an arthropod born disease caused by the bacterium Borrelia burgdorferi. These bacteria are transmitted by deer ticks of the Ixodes species, Ixodes scapularis on the east coast of the United States and Ixodes pacificus on the west coas…