November 2006

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Volume 18 Issue 11
Recrossing a deployed stent with a guidewire is sometimes required when a distal lesion is recognized after wire withdrawal, or when a second “buddy wire” is required to facilitate distal advancement of another device. A popular technique is to creat…
Dear Readers, This November 2006 issue of the Journal of Invasive Cardiology, which coincides with the 2006 American Heart Association (AHA) Annual Scientific Sessions held in Chicago, Illinois, includes original research articles, commentaries, a…
Acute thrombosis of the unprotected left main coronary artery (LMCA) produces cardiogenic shock (CS), or left main shock syndrome, in the majority of affected patients.1,2 The prognosis of the subset of patients that have complete (TIMI 0) occlusion…
Coronary embolism is one of the less common causes of myocardial infarction. In this case, we describe a patient who sustained a myocardial infarction due to coronary embolism which was successfully treated using a thrombus aspiration device, thereby…
Percutaneous coronary intervention (PCI) with balloon angioplasty or bare-metal stents are not adequate procedures in the treatment of the left main (LM) coronary artery disease because they are associated with an unacceptable restenosis rate, which…
The introduction of drug-eluting stents in clinical practice has markedly lowered the incidence of coronary restenosis,1,2 although the management of bifurcation lesions remains challenging.3 The “kissing” stent technique, whereby stents placed in th…
Atrial fibrillation (AF) is commonly seen in patients with mitral regurgitation (MR). Mitral valve (MV) repair with simultaneous atrial ablation for the management of AF is the preferred method of treatment for MR associated with AF. There have been…
Case Presentation. A 55-year-old African-American male with a past medical history notable for coronary artery disease, insulin-dependent diabetes mellitus complicated by end-organ damage, hypertension and hyperlipidemia presented to our institution…
An 82-year-old female with exertional dyspnea and a positive stress test underwent elective coronary angiography which revealed lesions in the left anterior descending coronary artery and right coronary artery (RCA). Staged percutaneous interventions…
The epicardial coronary venous system has become the subject of renewed interest in recent years. There appear to be three main domains in which a thorough understanding of the venous system may lead to potentially useful clinical interventions. Firs…