January 2006

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Volume 18 Issue 1
Baseline postprocedure coronary angiogram in 2001 that shows no coronary artery disease.
One Year Follow-Up of Sirolimus-Eluting Stent in a Cardiac
Post-Transplant Patient

Case Report. A 57-year-old woman underwent orthotopic cardiac transplant in 1997 secondary to nonischemic cardiomyopathy. Her symptoms of heart failure started in 1993 after a week of flu-like illness. A year later, she was diagnosed with congestive…
Aortography, aneurysm of ascending aorta in left oblique view.
Double-Catheter Technique for Catheterization of the Left Coronary Artery in a Patient with an Ascending Aorta Aneurysm
Aneurysms of the ascending aorta are not uncommon in the catheterization laboratory. When encountered, they lead to problems catheterizing the left coronary artery in particular. We typically use catheters with a large bend in these cases (Amplatz Le…
Electrocardiogram taken upon arrival to the emergency room showing, 3 mm ST-segment elevation in I and aVL, hyperacute T-waves with J-point elevation in leads V4–V5, reciprocal ST-segment depression and T-wave inversion in leads III, aVF and V1–V3.
Acute Coronary Occlusion and Myocardial Infarction Secondary to Blunt Chest Trauma from an Automobile Airbag Deployment
Non-penetrating thoracic trauma has been associated with multiple structural and electrical cardiac injuries and complications with a mortality rate of up to 15%.1 The mechanisms for non-penetrating cardiac injury include: direct trauma, rapid decele…
Coronary angiogram in RAO cranial view demonstrating mid-LAD obstruction.
Coronary Artery Aneurysm following Drug-Eluting Stent Implantation
Percutaneous coronary interventions (PCI) are uncommon causes of coronary artery aneurysms (CAA). The incidence of CAA after percutaneous transluminal coronary angioplasty (PTCA) ranges from 3.9–5%,1,2,5–7 and after directional coronary atherectomy f…
Percutaneous Abdominal Aortic Disease Management: Long-Term Results (IAGS 2004)
Wolfgang Ritter: We know that all devices have problems; for example, the VanGuard or the AneuRx® (Medtonic, Inc., Sunnyvale, California) can incur some disintegration 4 to 5 years postimplantation. With the Zenith device, the problem of late occlusi…
Industry Round Table: Where Are the New Drugs? (IAGS 2004)
Philip Reid (Eli Lilly & Company): Speaking as a cardiologist, not as a neurologist, I find that the challenge with the trial that Renato has just described is to demonstrate the efficacy of abciximab in acute nonhemorrhagic stroke patients. We m…
Jan-06
Dear Readers, This issue of the Journal of Invasive Cardiology commences our 18th year of publication. There has been incredible growth in the field of invasive cardiology during 2005. Many of these growth areas have challenged the boundaries of tra…
Left ventriculography in 30º right anterior oblique projection showing the myocardial staining in left ventricle and left atrial appendage.
Myocardial Staining during Left Ventriculography with a Pigtail Catheter
The pigtail is the preferred catheter for left ventriculography. Because of its end-hole, which allows its manipulation with a guidewire, it can be advanced to the left ventricle both by the femoral and brachial approaches. The design of the catheter…
Right ventricular angiogram showing restrictive VSD with right-to-left shunting.
Right Ventricular Outflow Tract Stenting in Tetrology of Fallot with Restrictive Ventricular Septal Defect
Case Report. A 6-month-old child was admitted with cyanosis noted from birth with failure to thrive, cyanotic spells and worsening cyanosis. The child weighed 4.5 kg, had severe systemic desaturation (
Left coronary angiogram showing LAD filling defect.
Unrecognized Stent Embolization Causing Recurrent Chest Pain
Stent embolization is a relatively rare but serious complication of coronary stenting. Early reports identified hand-crimped and coiled stents as being particularly prone to embolization.1 In addition, certain procedural and lesion characteristics ha…