July 2006

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Volume 18 Issue 7
Interatrial transseptal catheterization is a technique commonly used in the electrophysiology laboratory to access the left atrium. The procedure is being used more commonly as ablation of atrial fibrillation is more widely applied. Traditionally, tr…
Pericardial effusions can result from various clinical entities. Occasionally, pericardial effusion may result in cardiac tamponade requiring immediate drainage. In some patients, especially those with malignant pericardial effusions, the effusions m…
Stent thrombosis is defined as acute thrombotic occlusion in the stented segment of a coronary artery, usually presenting as ST-segment elevation myocardial infarction,1 and typically occurs within the first several weeks after stent placement. Stent…
Case Report. A 59-year-old male with exertional angina pectoris had undergone coronary angiography in 1998. Selective left coronary angiography showed that his left anterior descending artery (LAD) was totally occluded at the proximal site without an…
Case Report. A 79-year-old female with a medical history of obesity, hypertension and coronary artery disease was admitted to an outside institution with complaints of shortness of breath and chest heaviness. Myocardial infarction was excluded throug…
Intra-aortic balloon pump (IABP) therapy is widely used as hemodynamic support among patients presenting with severe acute myocardial infarction, particularly in the case of cardiogenic shock. Usual complications include limb ischemia and puncture si…
Suture-mediated closure devices have had extensive use for closure of arterial access sites using 6–8 French (Fr) sheaths.1 Some experience with suture closure for large vessel arterial access has been described as well.2,3 The utility of these devic…
Light-to-moderate alcohol consumption has been associated with a decreased risk of ischemic cardiac events and stroke.1 The cardioprotective effects of alcohol have been attributed to favorable lipid changes, including lower LDL, increased HDL choles…
Although catheter-based brachytherapy has been demonstrated to effectively treat in-stent restenosis, a technique-dependent issue known as “geographic miss” has evolved as a potential limitation contributing to long-term treatment failures. The mecha…
Recurrent unexplained syncope and presyncope comprise approximately 1–6% of emergency room and approximately 1% of hospital admissions.1,2 The estimated incidence of self-reported syncope is 6.2 per 1,000 person years in the Framingham study.3 The ov…