May 2005

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Volume 17 Issue 5
May-05
Dear Readers, This issue of the Journal of Invasive Cardiology includes original research articles, case reports and case reports with brief reviews, as well as articles from the journal’s special sections Adjunctive Therapy and Interventional Pedia…
Letter to the Editor: Intracoronary Aminophylline for Heart Block with AngioJet Thrombectomy
Thrombectomy in acute myocardial infarction (AMI) makes intuitive sense with positive results from small studies demonstrating benefit. However, the AngioJet (AJC) catheter (Possis Medical, Minneapolis Minnesota) has come under recent criticism since…
(A) Diagnostic angiography of the left coronary artery demonstrating complete occlusion at the ostium of the left anterior descending artery (LAD). The distal vessel is filled via small bridging collaterals originating from the proximal left circumflex ar
Successful Use of a New Guidewire with Radiofrequency Ablation Capability for the Treatment of Chronic Total Occlusion at the Os
The major limitation of percutaneous therapy (PCI) for the treatment of chronic total occlusions (CTOs) is the inability to cross with a wire. We report successful recanalization of a CTO situated at the ostium of the left anterior descending artery.…
Coronary angiography demonstrating subtotal occlusion of the proximal left anterior descending artery (RAO 30º, cranial 30º), with thrombus in the stented area. Arrow denotes the small view enlarging the thrombosed stent.
A Case of Late Stent Thrombosis after Exercise Electrocardiography: Exercise- or Residual Plaque-induced?
Although stent thrombosis is currently a rare complication of percutaneous coronary intervention (PCI), it can cause devastating clinical results such as acute myocardial infarction (AMI) and death.1 The peak incidence of stent thrombosis usually occ…
Issues in the Management of Antiplatelet Therapy in Patients Undergoing Surgical Revascularization. A Roundtable Discussion*

The process of platelet adhesion, activation and aggregation plays a pivotal role in the pathogenesis of coronary thrombosis after atherosclerotic plaque rupture, and pharmacological inhibition of platelet function forms the cornerstone of treatment…
International Andreas Gruentzig Society 8th Biennial Meeting: Acute Myocardial Infarction: Early Strategies to Optimize Results
Greg Braden: Let’s discuss the issue of MI patients who live in communities where there is quick access to catheterization laboratories, versus those in remote communities who don’t have easy access to cath labs. We live in a modestly rural area wher…
Adjusted survival curves. Adjusted for age, gender, race, systolic and diastolic blood pressure, heart rate, prior MI, congestive heart failure, diabetes, peak creatinine kinase, coronary artery disease severity, and left ventricular ejection fraction. G
Long-Term Outcomes Based on Time-to-Angiography in Patients Admitted with Non-ST-Segment Elevation Acute Coronary Syndromes
The current American College of Cardiology/American Heart Association guidelines recommend coronary angiography and revascularization for patients with non-ST-segment elevation acute coronary syndromes (NSTE-ACS) and high-risk clinical features.1 Thi…
Scattergram to study the impact of lesion length and reference diameter on the occurrence of 6-month MACE.
Differential Outcome after Intracoronary Radiation Therapy Is Related to a Simple Classification Based on Lesion Length and Refe
Intracoronary radiation therapy, by virtue of its antiproliferative and favorable remodeling effects, reduces restenosis in both in-stent restenosis (ISR) and de novo lesions. While several large, randomized and non-randomised trials have demonstrate…
(A) and (B) Eccentric and central crossing of the two guidewires through the flap valve on the anterior-posterior and left-anterior oblique radiographic projections, respectively.
Catheter Closure of Perforated Secundum Atrial Septal Defect Under Intracardiac Echocardiographic Guidance Using a Single Amplat
Transcatheter closure of single secundum atrial septal defects (ASDs) or patent foramen ovale (PFO) is a well-accepted alternative to surgical repair in selected patients,1 and intracardiac echocardiography (ICE) has been demonstrated to be superior…
Magnetic resonance angiogram of the neck reveals bilateral diffuse carotid artery aneurysms, also involving the vertebral artery.
Eosinophilic Arteritis with Coronary Aneurysms and Stenoses
A 43-year-old Chinese woman with eosinophilia and a swollen neck was found to have extensive aneurysmal dilatation of both carotid arteries. Although there were no anginal symptoms, cardiac investigation revealed an abnormal radionuclide perfusion st…