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 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…
Moderate right-to-left shunt through superior baffle leak (arrow) in Case 1 as seen in right anterior oblique projection.
Transcatheter Closure of Atypical Right-to-Left Shunts after Fontan Surgery
Current treatment strategies for patients with single ventricle physiology are aimed toward Fontan operations. Often, the Fontan completion is performed with an intentional fenestration to allow systemic venous decompression at the expense of mild cy…
Clinical outcome in patients included in Groups 1, 2 and 3. (A) Freedom from cardiac death. (B) Cumulative survival. (C) Freedom from major adverse cardiac events (death, reinfarction, repeat revascularization procedures).
Prognostic Impact of a Chronic Occlusion in a Noninfarct Vessel in Patients with Acute Myocardial Infarction and Multivessel Dis
Primary percutaneous coronary intervention (PCI) is the best reperfusion strategy in patients with ST-elevation acute myocardial infarction (AMI).1 This is mainly because it achieves a very high rate of successful recanalization of the infarct vessel…