March 2007

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Volume 19 Issue 3
The left system showed significant atherosclerotic disease in the circumflex territory and in the diagonal artery. The left anterior descending artery was unable to be clearly visualized (A). The right coronary artery was completely occluded proximally (B
A Rare Case of Anomalous Left Anterior Descending Artery with a Large Interarterial CT Angiographic Study
Case Report. A 50-year-old Caucasian male with no significant past medical history presented to our institution with sudden onset of shortness of breath. He admitted to having exertional chest pressure and shortness of breath for a few years. His ris…
Baseline coronary angiography demonstrating (A) RIMA to RCA with occlusive ISR immediately distal to RIMA insertion site (RAO).
Recanalization of an Occluded Right Coronary Artery into the Right Internal Mammary Artery Using a Retrograde Approach
Chronic total occlusions (CTO) remain one of the most technically challenging areas of coronary intervention. As a result, new innovative techniques are continually being developed in an effort to improve the procedural success rate of CTO recanaliza…
Contemporary Prevention, Management and Treatment of Stroke — Who Will Treat Acute Stroke in 2010 and How Will It Be Treated? Se
We’re going to move on to the second session entitled: Contemporary Prevention, Management and Treatment of Stroke — Who Will Treat Acute Stroke in 2010 and How Will It Be Treated?The data on this first slide (Figure 1) show the magnitude of the prob…
Bridging the Gaps Surrounding Coronary Artery Stenting: The Current State of Carotid Stenting
I’m going to give you a perspective on where we see the current state of carotid artery stenting from the regulatory and reimbursement perspectives, and perhaps a bit of technical unmet needs and future prospects. Obviously, this is going to be larg…
Industry Update: Acute Ischemic Stroke
First of all, I would like to thank the organizers of this meeting, particularly Dr. Michael Cowley, who asked me to attend. It’s an honor to be here. As a biochemist who has spent most of his life with his head in the “cell-culture” neighborhood, it…
Working Together in the Treatment of Carotid Artery Disease
When I think about the way we treat carotid disease, I see a great example of multiple specialties that are not working together. Everybody has something to offer the specialty of carotid stenting, and everybody, in my view, needs to possess the foll…
The Current State of Stroke and Stroke Treatment
David Holmes really set the stage with his discussion, but let me also summarize what stroke means today. After suffering a major stroke, one-third of patients will recover, one-third will die, and one-third will be wrecked; it’s the latter group tha…
Complete occlusion of the pulmonary left lower-lobe artery.
Thrombus Aspiration and Local Fibrinolytic Therapy for Acute Pulmonary Thromboembolism
We report a case on the use of percutaneous thrombus aspiration of pulmonary artery with an Aspirex® 11 Fr catheter (Straub Medical, Wangs, Switzerland) followed by local fibrinolytic therapy to treat a submassive pulmonary embolism (PE) in associati…
Selected coronary angiographic images (A) before and (B) after implantation of sirolimus-eluting stents. (C) Six-month follow up shows focal in-stent stenosis (arrow). (D) The lesion was balloon-dilated. (E) A hazy area is visible more distally (arrow). (
In-Stent Pseudo-Restenosis Due to an Organized Thrombus Six Months after Implantation of a Sirolimus-Eluting Stent
Case Presentation. An 82-year-old female with several coronary risk factors was referred to our hospital for management of angina pectoris. She had undergone unsuccessful primary angioplasty for inferior myocardial infarction 7 years earlier, with co…
Coronary angiography before (a) and after (b) sirolimus-eluting stent implantation. Cross-sectional intravascular ultrasound images (c, d) and reconstructed longitudinal image (e) using a commercially available software (EchoPlaque, Indec Systems, Inc., S
Sirolimus-Eluting Stent Implantation Outside a Previous Stent

Case Presentation. A 43-year-old male with a history of myocardial infarction and primary stenting (left circumflex artery in July 1997 and right coronary artery in September 2005) was admitted to undergo angioplasty for his totally reoccluded left c…