January 2008

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Volume 20 Issue 1
Coronary CT Angiography after Invasive Angiography: Is It Worth It?
Key Words: noninvasive angiography; CTA; CT angiography; computed tomographic angiography; multidetector computed tomography; MDCT Cardiac computed tomographic angiography (CT angiography) is increasingly being used clinically to define the coronary…
Clinical and Angiographic Results after Implantation of a
Passive-Coated Coronary Stent in Patients with Acute Myocardial
Infa
Although drug-eluting stents (DES) show very good results in terms of early restenosis rates in patients with coronary artery disease as compared to bare-metal stents (BMS), there is little information available on the safety and efficacy of stent im…
Indications for Multidetector Computed Tomographic CoronaryAngiography after Catheter-Based Coronary Angiography
Multidetector computed tomographic coronary angiography (MDCTA) has rapidly gained in popularity and applicability.1 Most recently, the concept of MDCTA-guided percutaneous intervention has been introduced, with MDCTA evaluation of minimum luminal a…
Jan-08
This issue of the Journal of Invasive Cardiology includes original research articles, a Rapid Communication, selections from the journal’s special section Clinical Images and online case reports which can be found in archive section on our website, a…
Subtraction angiograms of the descending thoracic aorta. ( A) Nonselective anterior-posterior angiogram with a pigtail catheter demonstrates the pseudo-aneurysm (arrow). ( B) Selective right anterior oblique angiogram with a Judkins right (JR) 4 catheter
Successful Percutaneous Closure of an Aortic Graft Pseudo- Aneurysm with a Patent Foramen Ovale Occluder Device
Case Report. A 22-year-old female presented to an outside hospital with back pain radiating to the epigastrum. The patient had a history of hypertension and Takayasu’s arteritis. At age 17 she underwent resection of an ascending aortic aneurysm via a…
Electrocardiography showing ST-elevation over inferior leads and ST-depression over precordial leads.
Lethal Presentations of Coronary Artery Spasm after an Event-Free
Period of Six Years following Initial Diagnosis
Isolated coronary artery spasm without atherosclerotic obstruction is an unusual cause of myocardial infarction (MI). The chest pain and electrocardiographic (ECG) changes can be resolved promptly following administration of nitroglycerin in the emer…
Chest skiagram in a postero-anterior view suggesting situs inversus and dextrocardia.
Percutaneous Mitral Commissurotomy in a Case of Mirror-Image
Dextrocardia and Rheumatic Mitral Stenosis
Distorted cardiac anatomy offers technical difficulties during fluoroscopy-guided transcatheter procedures. This is even more the case with percutaneous transvenous mitral commissurotomy (PTMC), where the cardiac malpositions considerably increase th…
Abdominal aortogram showing total occlusion of the left renal artery with faint late filling of a vascular structure (arrows) at site of left renal artery.
Stabilization of Renal Function, Improvement in Blood Pressure
Control and Pulmonary Edema Symptoms after Opening a Totally
Oc
Stenting has emerged as a procedure associated with low mortality and morbidity for symptomatic renovascular disease. Frequently responsible for uncontrollable hypertension, congestive heart failure and progressive renal failure leading to endstage r…
Diffuse coronary artery ectasia with acutely occluded right coronary artery ( A )
A Case of Acute Coronary Thrombosis in Diffuse Coronary
Artery Ectasia
Case Report. A 75-year-old Afro-Caribbean male presented to our hospital with typical ischemic chest pain associat ed wi th a rai sed t roponin I l eve l of 3.5. His electrocardiogram (ECG) on admission showed anterolateral T-wave inversion. The diag…
Twelve-lead electrocardiogram on admission, showing marked ST-elevations in anterior, lateral and inferior leads.
Simultaneous Late Stent Thrombosis of Drug-Eluting Stents
Causing Acute Anterior and Inferior Myocardial Infarction
Late stent thrombosis (occurring more than 30 days after stent placement), is a catastrophic complication of drug-eluting stents (DES) that has recently gained heightened awareness. It has been reported to occur at a rate of 0.6% per year after DES p…