October 2006

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Volume 18 Issue 10
Use of the radial artery for coronary angiography was first reported by Campeau in 1989.1 Since then, this approach has become more popular and has been extended to coronary interventions, particularly with the use of aggressive antithrombotic therap…
More than 25 years after the introduction of angioplasty, percutaneous recanalization of coronary artery chronic total occlusions (CTOs) remains a technical challenge with a lower success rate than most other lesions attempted.1 The presence of a CTO…
Atherosclerosis is a chronic inflammatory reaction of the arterial wall. The etiopathogenesis of atherosclerosis is multifactorial and includes inflammatory, infectious, metabolic and immune system involvement. Accelerated atherosclerosis is the mali…
Left ventricular-to-right atrial communications are rare types of ventricular septal defects known collectively as the Gerbode defect.1 Acquired forms of this defect have been described as a complication of infective endocarditis due to septal perfor…
Off-pump coronary bypass surgery has emerged as an alternative to conventional coronary bypass surgery (CABG) in recent years. This involves the creation of an anastomosis on a normothermic, beating heart while blood flows down partially occluded cor…
Intracoronary radiation therapy (IRT), utilizing both gamma- and beta-emitting radiation sources, was until recently the only effective method for the prevention of recurrent in-stent restenosis (ISR) and the need for additional revascularization pro…
Catheter-induced coronary artery dissection is an uncommon complication of percutaneous coronary intervention and cardiac catheterization, but when it occurs, the outcomes can be devastating. The exact incidence remains unknown, with some suggesting…
Mitral annuloplasty with Cosgrove-Edwards ring is a widely accepted and less morbid surgical alternative to mitral valve replacement in a selected group of patients.1,2 Injury of the left circumflex artery during suture placement is unusual but has b…
Case Presentation. A 65-year-old female with no known coronary artery disease presented with acute chest tightness and shortness of breath a few days after the death of her husband. She had a personal history of smoking and hypertension, treated wit…
Contrast-induced nephropathy (CIN) is a common problem after cardiac catheterization and percutaneous coronary intervention (PCI), and is associated with substantial morbidity and mortality.1–3 The etiology of CIN has not been clearly delineated. Ren…