November 2007

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Volume 19 Issue 11
Multivessel PCI versus CABG: One-Year Outcomes and
Cost Analysis
Optimal revascularization strategy for patients with multivessel coronary artery disease has been, and remains, a topic of controversy. Rapid technological advances in percutaneous coronary interventions (PCI) such as the introduction of new devices…
Multivessel PCI versus CABG: One-Year Outcomes and
Cost Analysis
Optimal revascularization strategy for patients with multivessel coronary artery disease has been, and remains, a topic of controversy. Rapid technological advances in percutaneous coronary interventions (PCI) such as the introduction of new devices…
Comparison of three approaches for prosthetic heart valve delivery.
Percutaneous Aortic Valve Replacement: New Hope for
Inoperable and High-Risk Patients
Aortic stenosis is the most common valvular heart disease in the Western world and its prevalence is increasing with an aging population. Critical aortic stenosis affects an estimated 3% of individuals over 75 years of age.1 Without intervention, pro…
Consensus Update on the Appropriate Usage of Cardiac
Computed Tomographic Angiography
Introduction and Purpose The consensus statement outlined here was formulated following a roundtable meeting among clinical experts in the fields of radiology and cardiology held in Miami, Florida, in June 2007. This group was gathered under the ausp…
Echocardiographic images of the defect. ( A) Four-chamber view (preoperative tranthoracic echocardiogram [TTE]): Large perimembranous defect with inlet extension measuring 14 mm at its maximal diameter. (B) Modified four-chamber view (postoperative TTE):
Percutaneous Closure of Postoperative and Post-Traumatic
Ventricular Septal Defects
Surgery has been regarded as the gold standard method of treatment for all kinds of ventricular septal defects (VSDs).1 The incidence of postoperative residual shunts varies according to the type of defect being repaired, with malalignment (tetralogy…
Left circumflex (LCx) artery angiogram showing a bifurcation lesion in the proximal segment of the LCx and the tortuous first obtuse marginal, and a focal lesion in the distal LCx.
Unintended Stent Extraction from a Coronary Artery during
Bifurcation Coronary Angioplasty
Provisional stenting is the most widely used method for the treatment of bifurcation coronary artery lesions. It consists of the placement of the first stent in the main branch, followed by provisional stenting of the side branch through the main bra…
(A) Holter monitoring showed no ST-T-wave changes during the asymptomatic phase. (B) ST-segment elevation was observed in the NASA (V2) lead and a reciprocal change in the CC5 (V5) lead coincident with the patient’s chest pain.
Stent Implantation for Diffuse and Multiple Coronary Spasm
in a Patient with Variant Angina Refractory to Optimal Medical
Ther
Variant angina is more frequently seen in East Asia than in the West. It may be associated with acute myocardial infarction, severe cardiac arrhythmia and sudden death. Most patients obtain sufficient relief by vasodilator drug management such as cal…
Baseline demographic and clinical characteristics of the study population. Data are expressed as mean value ± standard deviation (SD) or number of patients.
Dissociation of the Inflammatory Reaction following PCI for
Acute Myocardial Infarction
Early reperfusion after coronary occlusion reduces the extent of acute myocardial infarction (AMI) as well as mortality.1 However, reperfusion itself may cause damage to surviving myocardium, the so-called “reperfusion injury”.2 Neutrophils are activ…
Baseline characteristics.
Isolated Disease of the Ostium Left Anterior Descending or
Circumflex Artery: Management Using a Left Main Stenting
Technique.
Treatment of isolated coronary stenoses involving the ostium of the left anterior descending (LAD) or circumflex (LCX) artery is challenging for the interventionalist. Although focal stenting is often attempted, it may result in incomplete lesion cov…
Extended Stenting of Distal Left Main Coronary Artery for
the Treatment of Branch Ostial Disease — Belling the Cat or
Bearding
Besides the inherent risk involved in an angioplasty of a major vessel supplying a large myocardial area, percutaneous coronary intervention (PCI) of left main coronary artery (LMCA) branch ostial disease is fraught with some unique problems, namely,…