October 2010

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Volume 22 Issue 10
Innovation in Real-World Practice
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AngioSculpt PTCA Balloon Catheter Entrapment and Detachment Managed with Stent Jailing
ABSTRACT: The AngioSculpt PTCA Scoring Balloon Catheter is an FDA-approved device for plaque modulation. We describe the first case of AngioSculpt EX catheter entrapment and detachment in the right coronary artery during PCI that was successfully man…
Rotational Atherectomy in Coronary Dissection
ABSTRACT: Rotational atherectomy is contraindicated in the presence of coronary dissection. Clinical scenarios of coronary dissection in which rotational atherectomy offers the only option are rare but can occur. This case study presents a challengin…
Late-Presenting Left Internal Mammary to Great Cardiac Vein Fistula Treated with a Vascular Plug
ABSTRACT: A 73-year old patient, who underwent triple bypass surgery in another hospital in 1991 after suffering an acute myocardial infarction, was admitted to our institution after an episode of unstable angina. Evidence of a left internal mammary…
Successful Retrieval of a Broken Intravascular Ultrasound Catheter Tip in the Coronary Artery
ABSTRACT: We report the successful retrieval of a broken intracoronary intravascular ultrasound (IVUS) catheter tip that was mostly invisible on fluoroscopy by using a snare catheter and pulling from distal to proximal. An 80-year old male had presen…
Management of Severe Bilateral Carotid Artery Stenosis Concomitant to Severely Symptomatic CAD Requiring CABG (Full Title Below)
Management of Severe Bilateral Carotid Artery Stenosis Concomitant to Severely Symptomatic Coronary Arterial Disease Requiring Coronary Artery Bypass Grafting: A Case-Based Review
Acute Streptococcal Myocarditis Presenting as Acute ST-Elevation Myocardial Infarction
ABSTRACT: Acute streptococcal myocarditis is an uncommon diagnosis in the developed world. Its presentation masquerading as acute myocardial infarction is still uncommon. We describe a case of a young male presenting with a recent diagnosis of strept…
A Case of Early Drug-Eluting Stent Fracture
ABSTRACT: Although stent fracture following femoro-popliteal intervention is well recognized, coronary stent fracture represents an underrecognized entity. Its incidence is low but it represents an important clinical entity as it may complicate with…
Menstruation-Associated Spontaneous Coronary Artery Dissection
ABSTRACT: Eighty percent of all spontaneous coronary artery dissections occur in women. A third of these occur in pregnancy or post-partum period and a variation in hormonal levels is thought to play an etiologic role. It has been suggested that the…
Temporary Aortic Occlusion to Facilitate Large-Bore Arterial Closure
ABSTRACT: Percutaneous closure of large-bore arterial sheaths remains a clinical challenge. We report a case of facilitated large-bore closure using a low-profile valvuloplasty balloon for aortic occlusion. This technique enhanced percutaneous closur…