March 2005

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Volume 17 Issue 3
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…
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…
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…
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…
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…
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…
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…
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.…
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.…
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…