February 2007

|
Volume 19 Issue 2
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…
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…
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…
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…
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…
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…
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…
Targeted renal therapy (TRT) with direct intrarenal artery fenoldopam (FEN) infusions were used to treat a multifactorial acute renal failure (ARF) patient with acute limb ischemia, contrast-induced nephropathy (CIN) and sepsis. TRT was initially inf…
Hypertensive emergency (also referred to as malignant hypertension) is defined by the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7) as severe elevation in blood press…
Arterial revascularization by means of percutaneous transluminal angioplasty (PTA) is being increasingly used for the treatment of patients with severely symptomatic peripheral artery disease (i.e., those with critical limb ischemia). This phenomenon…