March 2005

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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…
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.…
A 40-Year-Old Female with Exertional Angina
The incidence of coronary anomalies in patients undergoing coronary angiography is approximately 1.3%.1 Most of these anomalies are clinically benign, but some of them are associated with a high risk of myocardial infarction and sudden cardiac death.…
(A) In-stent restenosis on a proximal left anterior descending artery (arrow); (B) buddy wiring for balloon positioning; (C) final result.
Use of a Second, “Buddy” Wire During Percutaneous Coronary Interventions: A Simple Solution for Some Challenging Situations
The appropriate selection of the type of guide wire and its correct manipulation and positioning inside the coronary vessels are essential for successful percutaneous intervention (PCI). In most procedures, one guide wire is sufficient to allow the o…
To Pump or Not to Pump: A Surgeon’s View on Randomization
25 Years Later
Historia magistra vitae est. Cicero, Tusculanas, 2 A look at the historical evolution of coronary bypass surgery is helpful in understanding the dilemma facing cardiac surgeons today. What is the ideal technique to achieve the best surgical revascu…