January 2006

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Volume 18 Issue 1
Nearly two years after the widespread introduction of drug-eluting stents (DES) on the U.S. market, it is perhaps time to step back and evaluate the impact of this revolutionary technology on the practice of cardiology. Financial modeling has suggest…
The development and even progression of coronary atherosclerotic lesions may occur without compromising the lumen in the early phases due to outward growth of the vessel wall; a concept known as “positive” or “outward” arterial remodeling.1 Remodelin…
Primary angioplasty has become the preferred therapeutic modality in patients with acute myocardial infarction (AMI). Despite a rapid and sustained restoration of flow through a previously occluded epicardial coronary artery, perfusion at the myocard…
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…
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 (
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…
Balloon injury to the vessel wall triggers a reaction of thrombosis, inflammation and neointimal proliferation. The inflammatory process is mediated by a complex interaction between blood cells (platelets and leukocytes), coagulation factors (thrombi…
Drug-eluting stents (DES) have been established as a safe and effective tool in preventing in-stent restenosis and repeat revascularization in selected patients and lesions.1,2 However, individual and procedure-related factors can reduce their inhibi…
Peripheral arterial disease (PAD) is a problem of substantial public health importance. The disorder is estimated to affect 27 million people in Europe and North America alone.1 Recent data have consistently revealed a sharp increase in PAD prevalenc…
This short paper by Moreno et al. claims to show that patients with a chronic total occlusion (CTO) in a non-culprit coronary artery, who also have multivessel disease (MVD) and an acute myocardial infarction (MI) have a worse outcome than those with…