March 2005

|
Volume 17 Issue 3
Eccentric, hazy proximal stenosis in saphenous vein graft to obtuse marginal branch.
Percutaneous Management of a Saphenous Venous Graft Leaking Pseudoaneurysm
Case report. A 73-year-old male with a previous history of four-vessel coronary artery bypass graft surgery (CABG; LIMA-LAD, SVG-OM3, sequential SVG to RPDA-RPL) in 1985 presented with chest pain consistent with unstable angina. Medical history was s…
Selective angiography of the left main coronary artery (LMCA) in a LAO projection reveals an apparent significant stenotic lesion in its mid-portion.
Catheter-induced Spasm of the Left Main Coronary Artery Due to Anatomic “Kinking” in Its Course
Catheter-induced spasm of the left main coronary artery is rare but has been previously reported. The accurate diagnosis and differentiation of left main coronary spasm from fixed left main obstructive disease has obvious significant clinical implica…
A) Posteroanterior chest X-Ray demonstrating appropriate lead placement in the right ventricular apex.
“Twiddling” to the Extreme: Development of Twiddler Syndrome in an Implanted Cardioverter-Defibrillator
Twiddler syndrome is an infrequent but potentially dangerous complication of device therapy for dysrhythmias. This syndrome results from the manipulation of the implanted pulse generator by the patient, leading to traction and subsequent lead dislodg…
Sequence of the selective injection of the left gastric artery with aortic origin. (A) Beginning of the selective injection, proximal stenosis and vascularization of the gastric fundus. (B) and (C) The contrast fills in a retrograde manner the vessels of
Endovascular Treatment of a Stenosed Anomalous Left Gastric Artery: Unique Open Artery of the Gastrointestinal Tract
Case report. We report the case of a 46-year-old male who presented with an 18-month history of postprandial abdominal pain that had worsened during the previous two months, diarrhea, and a 12 kg weight lost. His previous medical history included sur…
Editor's Message (March 2005)
Dear Readers, This issue of the Journal of Invasive Cardiology, which coincides with the American College of Cardiology Annual Scientific Sessions, includes original research articles, case reports, editorials, a review, and articles from the journa…
Black Aorta: A Rare Finding at Aortic Valve Replacement
Case report. A 73-year-old male presented to his cardiologist with complaints of dyspnea on exertion over the past two years. The dyspnea had been progressively worsening over the previous three months, to the point where the patient had to stop and…
(A) This angiogram of the native left coronary system demonstrates significant focal in-stent restenosis of both the LAD and LCx stents.
Cutting Balloon Entrapment During Treatment of In-stent Restenosis: An Unusual Complication and Its Management
The Barath Cutting Balloon (CB) (Boston Scientific, Natick, Massachusetts) was designed to score atherosclerotic plaque during balloon angioplasty using 3 or 4 longitudinal atherotomes.1 This microsurgical dilatation technique allows coronary dilatat…
Cine angiographic images in the frontal projection. (A) Angiogram in the arch demonstrates the saccular aneurysm (white large arrow) and the left subclavian artery (black arrow) arising opposite to the aneurysm. Note, there is a graft from the left caroti
Self-fabricated Covered Stent to Exclude an Aortic Aneurysm after Balloon Angioplasty for Post-surgical Recoarctation
The management of coarctation of the aorta beyond the immediate neonatal period has long been the focus of much controversy. Development of aortic aneurysms, with their inherent risk of spontaneous rupture and death,1,2 is not infrequently observed i…
Doppler Evaluation and Coil Embolization of Left Internal Mammary Artery Bypass Graft Side Branch
The presence of cardiovascular symptoms secondary to the existence of a large branch of the internal mammary artery before its anastomosis to the anterior descending artery is controversial. Sutherland and Desai described the presence of the lateral…
(A) The saphenous vein graft to the obtuse marginal branch has 2 severe lesions (white arrows).
A Novel Use for a Distal Embolic Protection Device: Stent Retrieval
Stent embolization is an uncommon but potentially serious complication of percutaneous coronary intervention (PCI). The incidence of coronary stent embolization is 0.3–8.3% and varies with stent type, need for manual crimping, and clinical situation.…