November 2006

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Volume 18 Issue 11
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…
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…
A patent foramen ovale (PFO) can be identified in as many as 25% of the adult population.1 Though in the vast majority of cases the PFO is clinically silent, its presence is associated with serious and well-recognized complications. The association b…
Why do residual shunts exist after patent foramen ovale (PFO) closure devices are placed? Possible explanations include the use of a device too small for the defect, inability of the placed device to adequately conform to the defect, leakage through…
Early restoration of normal coronary perfusion after myocardial infarction (MI) limits infarct size, preserves left ventricular (LV) function and reduces mortality. The primary objective of reperfusion therapy is not only to restore epicardial vessel…