March 2005

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Volume 17 Issue 3
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…
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.…
It is well established that early angioplasty reduces mortality in acute ST-segment elevation myocardial infarction (STEMI).1–5 As the benefits of primary angioplasty over thrombolysis are time-dependent, it is important to minimize door-to-balloon t…
The benefits of the transradial approach have clearly been documented in numerous studies in the past ten years.1–9 Access site bleeding complication rates are lower and early ambulation results in a significant reduction in patient morbidity and a l…
Patients with recurring symptoms of angina due to saphenous vein graft (SVG) disease pose a difficult and increasingly frequent challenge. In general, these patients are older and have more extensive and diffuse disease of both the native circulation…
Balloon mitral valvuloplasty (BMV) is an effective method for treating rheumatic mitral valve stenosis, producing good short- and long-term results1–2 that are comparable to surgical valvotomy.3–4 Two BMV techniques have been extensively used: the In…
In this issue of the Journal of Invasive Cardiology, Eeckhout, et al. have described the adjunctive use of intravascular ultrasound to guide stent implantation in the treatment of symptomatic, “unprotected” left main coronary artery disease. While th…