March 2006

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Volume 18 Issue 3
Angiograms in frontal view showing the superior (a) and the inferior (b) fistulae (F) originated separately from the inferior branch of the right pulmonary artery (PA). The dilated right inferior pulmonary vein (PV) is also visualized.
Successful Occlusion of Multiple Pulmonary Arteriovenous Fistulae Using Amplatzer® Vascular Plugs
Pulmonary arteriovenous fistulae, or malformations (PAVMs), are congenital or (rarely) acquired abnormal vascular connections between a pulmonary artery and a pulmonary vein. The fistula itself is typically a thin-walled aneurysmal vascular structure…
Industry Round Table: Where Are the New Devices?
Brian Firth (Cordis Corporation): As you all probably know, Cordis, in its entirety, is a cardiovascular device company, and now a combination drug/device company. There are four major divisions: 1) Cordis Cardiology, 2) Cordis Endovascular, 3) Biose…
Final result.
Spontaneous Dissection of the Left Coronary Tree after an Interruption of Pregnancy Treated with Extensive Stenting
Spontaneous coronary artery dissection (SCAD) is a rare cause of acute myocardial infarction and sudden death. It typically occurs in healthy women during the peripartum period or in the presence of connective tissue disorders.1–4 Although the lesion…
Initial Experiences of Removal of Intra-Aortic Balloon Pumps with the Angio-Seal‚Ñ¢
The Angio-Seal™ Hemostatic Puncture Closure Device (St. Jude Medical, St. Paul, Minnesota) uses a biodegradable anchor and resorbable collagen plug to achieve local hemostasis after cardiac catheterization with up to 8 Fr arterial sheaths. Many inves…
Iron Heart
The medical history of a 59-year-old male, summarized by a selected frame of his most recent angiogram of the heart in a left anterior oblique projection (Figure 1), illustrates the contemporary device armamentarium to fight cardiac disease. Five yea…
(A) ECG performed in ER pre-PCI showing sinus tachycardia, inferior wall infarction, inferior-posterior myocardial injury, and anterior ischemia; (B) ECG performed 12 hours post-PCI during continued hemodynamic instability.
Simultaneous Papillary Muscle Avulsion and Free Wall Rupture during Acute Myocardial Infarction. Intra-Aortic Balloon Pump: A Br
Cardiogenic shock complicates 7% of acute myocardial infarctions (AMI) in patients presenting to hospitals, with a concomitant mortality rate of 70%.1 In the age of reperfusion therapy, significant improvement in reducing this adverse outcome for sho…
Mar-06
Dear Readers, This issue of the Journal of Invasive Cardiology, which coincides with the Annual Scientific Sessions of the American College of Cardiology. Please be sure to visit our website for the informative case reports that are part of the Marc…
(A) Coronary angiography in 45º left anterior oblique projection (LAO) showing the left main coronary artery stenosis (arrow); (B) LAO caudal view that does not show the irregularity.
Left Main Coronary Artery Extrinsic Compression Syndrome: A Combined Intravascular Ultrasound and Pressure Wire Report
The extrinsic compression of the left main coronary artery (LMCA) secondary to pulmonary artery trunk (PA) dilatation is a relatively new syndrome that has been associated with severe pulmonary hypertension.1–5 It is mostly associated with acyanogen…
(A) Baseline angiogram showed severe LMT stenosis and a diffuse LAD and LCX lesion. (B) Angiogram after DES deployment into the LMT. (C) The angle of bifurcation was unchanged during high-pressure balloon dilatation. (D) Final angiogram after provisional
A Novel Method for Deploying a Stent into a Highly Angulated Position through Use of a Stent Strut: Application of a Five-in-Sev
Stenting has reduced restenosis and the need for repeat intervention following percutaneous coronary intervention (PCI).1 However, lesions at the coronary bifurcation still present a challenge to the interventional cardiologist.2 To overcome the prob…
Preprocedure angiogram of the RCA (left anterior oblique view) showing total occlusion with a meniscus-like filling defect.
Rheolytic Thrombectomy for Thromboembolic Occlusion of the Internal Carotid Artery Complicating Coronary Intervention
Stroke is a relatively rare but catastrophic complication of percutaneous coronary intervention (PCI), and is the cause of substantial morbidity and mortality rates. The incidence of stroke after PCI is reported to be 0.3 to 0.5%, which has not chang…