April 2008

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Volume 20 Issue 4
Figure 1. (a) New method using the PercuSurge system. Deep engagement of a 5 Fr guiding catheter as a direct thrombus aspirator along with a distal protection balloon of the PercuSurge system. (b) Conventional method using the PercuSurge system: use of th
A Novel Method of PercuSurge Distal Protection in a Five French
Guiding Catheter without an Export Aspiration Catheter
Use of a distal protection device is essential in current percutaneous coronary intervention (PCI) procedures because distal embolization can be avoided with some specific lesions such as vein grafts,1,2 carotid stenoses3,4 and thrombus-rich coronary…
Table 1. Cardiac catheterization and hemodynamic data.
Transcatheter Device Closure of Atrial Septal Defects in Patients
Older than 60 Years of Age: Immediate and Follow-Up Results
Percutaneous closure of atrial septal defects (ASDs) is a safe procedure and has been routinely performed in many centers around the world as an alternative to surgical closure.1–5 However, in elderly patients with ASD, prolonged left-to-right shunt…
The Declining Relevance of Age in the Treatment of Atrial Septal Defects
Atrial septal defects (ASD), which comprise roughly 10% of all congenital cardiac disease, are frequently first encountered in the adult population.1 Significant shunting results in the insidious development of symptoms, culminating in overt heart fa…
Figure 3. Time to hemostasis for the FISH device compared to manual compression among patients who are not anti-coagulated.
Efficacy of a Novel Procedure Sheath and Closure Device during
Diagnostic Catheterization: The Multicenter Randomized Clinical
Multiple devices are currently available for closure of the femoral artery access site after cardiac catheterization.1 Currently, the most widely used closure devices are the Angio-Seal™ device (St. Jude Medical, St. Paul, Minnesota)2–4 and the Percl…
Vascular Closure Devices: Have We Caught the Right FISH?
The introduction of vascular closure devices (VCDs) in the mid-1990s has truly made a difference for the interventional cardiologist. Despite a multitude of studies showing either decreased, increased or similar rates of vascular complications, VCDs…
Table 1. Lesion location of coronary artery aneurysm after DCA.
Short- or Long-Term Outcomes of Coronary Artery Aneurysms
Occurring after Directional Coronary Atherectomy
Coronary artery aneurysms (CAAs) represent a relatively uncommon finding in patients who undergo percutaneous coronary intervention (PCI). However, the prevalence of CAAs has been shown to be higher in patients undergoing PCI utilizing directional c…
Table 1. Clinical baseline characteristicts of the 28 patients (33 procedures).
Urgent PCI in Patients with Stent Thrombosis: An Observational
Single-Center Study Comparing Thrombus Aspiration and
Standard
Stent thrombosis (ST) is a recognized complication limiting the clinical efficacy of percutaneous coronary interventions (PCI), the incidence reported being between 0.5% and 2.2%.1–5 Due to the increasing number of stent-based PCI procedures, the abs…
Stent Thrombosis – A Complication Best Avoided
Stent thrombosis (ST), while infrequent, is a serious complication of percutaneous coronary intervention (PCI) resulting in myocardial infarction (MI) or death.1–4 While drug- eluting stents (DES) have reduced the rate of restenosis and target lesion…
Figure 1. Unbound free fatty acid (FFAu) levels after percutaneous coronary intervention.
B-Type Natriuretic Peptide and Serum Unbound Free Fatty Acid
Levels after Contemporary Percutaneous Coronary Intervention
B-type natriuretic peptide (BNP) and serum unbound free fatty acid (FFAu) are novel cardiac markers. BNP is a polypeptide secreted by the cardiac ventricles in response to volume and pressure overload. Measurement of BNP levels has demonstrated diagn…
Table 1. Distal embolic filters.
Protection Devices and Thrombectomy for Native Coronary
Artery ST-Elevation Myocardial Infarction
Primary percutaneous coronary intervention (PCI) is established as optimal therapy for patients with ST-elevation myocardial infarction (STEMI).1 The goal of primary PCI is to achieve a thrombolysis in myocardial infarction (TIMI) 3 flow and also to…