July 2008

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Volume 20 Issue 7
Most obstructions in femoral artery are due to atherosclerotic occlusive disease. Fibromuscular dysplasia (FMD) is most prevalent in the renal, carotid, and iliac arteries and its known cause of renal artery stenosis. FMD exists in multiple vascular…
Coronary perforation is an uncommon complication of percutaneous coronary intervention (PCI). The reported incidence is approximately 0.4–1.2%.1 Coronary perforations are typically graded from 1 to 3, the latter representing a frank perforation with…
Arterial puncture and sheath placement in the subclavian artery is an infrequent complication of central venous access. The incidence of arterial puncture during subclavian vein access has been estimated at 2.7–4.9%; it is probably higher in critical…
Dear Readers, This issue of the Journal of Invasive Cardiology continues our series of special focus sections to provide a more detailed examination of important topics in cardiovascular medicine. This month’s focus is on the various uses of Cardiac…
Cardiac computed tomography (CT) really arrived on the cardiology scene at the dawn of the 21st century. Though much important work on cardiac CT had been taking place for years before that time, the publication of a few key articles documenting the…
Case Presentation. Although left ventricular (LV) pseudoaneurysm is seen infrequently, it should be recognized and distinguished from the common type of left ventricular aneurysm. The diagnosis can be difficult and the lesions are prone to rupture, t…
Congenital left ventricular (LV) aneurysms are rare, and the term “congenital ventricular aneurysm” can be used to describe an isolated aneurysm when no known causes of acquired aneurysms (i.e., coronary disease, post cardiac surgery, trauma to the c…
Percutaneous coronary intervention (PCI) for atherosclerotic coronary artery disease is an effective therapy for restoring vessel caliber and improving blood flow to ischemic myocardium. At least 1.25 million PCIs are performed annually in the United…
Case Presentation. A 63-year-old Caucasian male with multiple cardiovascular risk factors including hypertension, dyslipidemia, history of smoking and a positive family history experienced an antero-apical myocardial infarction (MI) 12 years ago foll…
Patients with cardiogenic shock resulting from acute myocardial infarction (MI) experience greater than 50% in-hospital mortality despite aggressive invasive and medical management.1 Right ventricular (RV) ischemia or infarction has been demonstrated…