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February 2004

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Volume 16 Issue 2
ABSTRACT: Despite notable refinements in percutaneous coronary intervention (PCI) techniques, these procedures are still associated with some morbidity and mortality. A case of elective coronary angioplasty is described that was complicated by corona…
ABSTRACT: A 78-year-old man with a highly symptomatic left atrial tachycardia, refractory to medical therapy, was referred for radiofrequency catheter ablation. Using a double trans-septal technique, two long sheaths were placed across the interatri…
Learning objectives. At the conclusion of this activity, the participant should be able to: 1) discern that SVG lumen diameters extend over a larger range than do native vessels, and this article provides justification for treating this increased ran…
ABSTRACT: Treatment of long, diffuse in-stent restenosis remains a therapeutic challenge. We report the successful use of multiple sirolimus-eluting stents (three 33-mm long stents) in a long, diffuse in-stent restenotic lesion. No major adverse card…
With the increasing use of stents, sidebranch compromise after stent deployment in the parent vessel has been a matter of concern. In such bifurcation lesions, it is hard to obtain initial success. Moreover, they carry a high risk of restenosis. Alth…
Case History. A 59-year-old man with a history of percutaneous coronary intervention of the right coronary artery (RCA) was admitted with unstable angina. An electrocardiogram revealed T-wave inversions and non specific ST changes in leads II, III, a…
ABSTRACT: We describe a case of acute myocardial infarction (AMI) due to compression of the left main coronary artery (LMCA) by a false channel created by an acute aortic dissection (AAD). The dynamic pattern of artery obstruction is detailed as a k…
Compared to unfractionated heparin (UFH), enoxaparin has many advantages in the management of acute coronary syndromes (ACS). Rapidly and reliably absorbed after subcutaneous administration, enoxaparin has pharmacodynamic and pharmacokinetic profiles…
ABSTRACT: The success rate of percutaneous recanalization of chronic total occlusion remains low. The Safe-Cross wire, which utilizes the principle of optical coherent reflectometry for guidance and has the ability to deliver radiofrequency energy fo…
Chronic total occlusions (CTO) account for 10–15% of patients undergoing coronary angioplasty. Recanalizing CTO has been a challenge to the interventional cardiologist because of the inability to visualize the vessel lumen and/or cross the hard fibro…
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