February 2007

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Volume 19 Issue 2
RCA in RAO view. There are thin septal collaterals (arrows) to the LAD and collaterals from the PDA to the distal LAD.
Agenesis of the Left Main Stem: A Rare Cause of Sudden Cardiac Death
Case Report. A 32-year-old male suffered cardiac arrest out of hospital, was successfully resuscitated and transferred to our tertiary cardiac unit where we performed coronary angiography. Despite multiple attempts, the left main coronary artery (LMC…
Transvenous Pacing Causing Tamponade in Patients Receiving Glycoprotein IIb/IIIa Inhibitors for Percutaneous Coronary Interventi
A backup temporary pacing wire is often used in patients with heart block undergoing cardiac catheterization and percutaneous coronary intervention (PCI). It is particularly recommended for any patient undergoing rotational atherectomy or rheolytic t…
Transesophageal echocardiography (TEE) of the prosthetic mitral valve with left atrium adjacent to the transducer. (A) A 6 mm defect is present (black arrow) adjacent to the mitral valve sewing ring on the lateral aspect of the left ventricle near the lef
Paravalvular Mitral Regurgitation Treated with an Amplatzer Septal Occluder Device: A Case Report and Review of the Literature
Case Report The patient is a 62-year-old male with a past medical history significant for hypertension, hyperlipidemia and coronary artery disease. In October 2004, he developed congestive heart failure and was diagnosed with severe mitral regurgitat…
1. Coronary angiogram shows that the first obtuse marginal (OM) branch is totally occluded at the ostium (A, RAO caudal view). The OM branch was successfully recanalized and a sirolimus-eluting stent was implanted (Cypher 3.0 x 23 mm) (B). The stent was p
Fractured DES with a Patent Coronary Artery: Clinical Implications
Drug-eluting stents (DES) have, for the most part, replaced bare-metal stents (BMS) as a safe and effective therapeutic modality for treating coronary stenosis. Post-DES restenosis with sirolimus-eluting stents (SES) or paclitaxel-eluting stents (PES…
Bivalirudin and DES: A PCI Strategy that Pays
The choice of anticoagulant in patients undergoing percutaneous coronary intervention (PCI) has been the subject of intense investigation over the past decade. Ever since anticoagulation with heparin was observed to be an essential treatment in patie…
(a) Low-magnification scanning electron microscopic image of an expanded BiodivYsio stent. (b–f) Higher-magnification images showing peeling of the polymer layer on the inner surface of the straight and loop regions; excess polymer on the stent edges; pol
Scanning Electron Microscopic Analysis of Defects in Polymer Coatings of Three Commercially Available Stents: Comparison of Biod
Coronary stenting has demonstrated a consistent ability to reduce restenosis rates compared with percutaneous “plain old” balloon catheter angioplasty. However, in-stent restenosis has long remained the major limitation of coronary stenting. Recent r…
VB-stenting for trifurcation disease. A 9 Fr guide is utilized. After wiring the 3 branches, kissing balloon (KB) dilatation is done as needed. The MB and SB1 are stented using the V-stenting technique. KB is then performed on all 3 branches as needed.
Long-Term Outcomes in Treating Left Main Trifurcation Coronary Artery Disease with the Paclitaxel-Eluting Stent
Left main (LM) trifurcation coronary stenting is a challenging and complex percutaneous procedure that has been reported in small series and case reports.1–5 Typically, this disease is treated surgically, but with the advent of drug-eluting stents (D…
Radial artery larger than ulnar (antero-posterior film, palm facing upwards). (A) Brachial artery; (B) small recurrent radial; (C) ulnar; (D) small recurrent ulnar; (E) Radial and ulnar arteries overlayed; (F) common interosseous; (G) radial; and (H) smal
Transulnar Access for Coronary Angiography and Intervention: An Early Review to Guide Research and Clinical Practice
Percutaneous coronary intervention and coronary angiography are increasingly performed via radial artery access after resurrection of this route by Campeau in 1989.1 The reasons for this are reduced local complication rates compared to procedures usi…
Cardiac MRI gradient echocardiogram of the coronal oblique view showing communication between the left ventricular pseudoaneurysm and the left ventricle. LVPA = pseudoaneurysm; LV = left ventricle.
Large Mitral Annular Left Ventricular Pseudoaneurysm Detected by Cardiac Magnetic Resonance Imaging
Case Report. A 57-year-old white female school teacher had undergone mitral valve replacement 8 months earlier for streptococcal endocarditis and had required subsequent repair of a paravalvular leak 2 months later. The patient recently fell and frac…
Renal V-Stenting
An 83-year-old male with a recent history of arterial hypertension and progressive renal failure was referred for an elective percutaneous intervention of a bilateral renal artery stenosis, i.e., an ostial lesion of a left inferior renal polar artery…
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