December 2011

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Volume 23 Issue 12
False Left Ventricular Apical Aneurysm — A Rare Complication After Transapical Aortic Valve Replacement
Abstract: We report on a case of a false aneurysm at the access site after transapical aortic valve replacement. Although this is not the first case report about this issue, our case emphasizes the importance of follow-up echocardiography after trans…
Early Detection of Chronic Myocardial Ischemia in a Patient Implanted with an ICD Capable of Intracardiac Electrogram Monitoring
Abstract: Although myocardial ischemia monitored by some implantable cardioverter-defibrillators has the potential to improve patient care, no clinical experience with this novel technology has been described yet. We report for the first time ischemi…
Radial Artery Spasm During Transradial Coronary Procedures
Abstract: Although transradial access (TRA) for coronary procedures has many advantages over the transfemoral approach, it’s still not the dominant route used in coronary interventions. Radial artery spasm (RAS) is an important limitation of TRA. We…
Percutaneous Coronary Intervention in the Very Elderly: Do Nonagenarians Have the Most to Gain or the Most to Lose?
The elderly are often poorly represented in major clinical trials of percutaneous coronary intervention (PCI).1 An exact definition for “elderly” varies; for instance, the 2002 ACC/AHA practice guideline for the management of acute coronary syndromes…
30-Day Outcome After Percutaneous Coronary Angioplasty in Nonagenarians: Feasibility and Specific Considerations in Different Clinical Settings
Abstract: Background. Nonagenarians have been systematically excluded from randomized trials dealing with invasive coronary strategies, resulting in a lack of evidence-based guidelines regarding the optimal approach in this population. Aim. To descri…
Percutaneous Closure of Patent Ductus Arteriosus — Current Status
Since the description of successful surgical ligation of patent ductus arteriosus (PDA) by Gross and Hubbard in 1939,1 surgery has been the procedure of choice in the treatment of PDA. Surgical treatment has been shown to be safe and effective with o…
Percutaneous Closure of the Patent Ductus Arteriosus Using the Nit-Occlud PDA-R (Reverse) Device: Initial Experience Reporting Immediate and Short-Term Results
Abstract: Purpose. To review the initial clinical outcomes of patent ductus arteriosus (PDA) closure using the new Nit-Occlud PDA-R device (NOPDA-R). Materials and methods. The NOPDA-R is a self-expandable, nitinol-made, premounted and cone-shaped de…
The SYNTAX Score: Usefulness, Limitations, and Future Directions
In 2009, the landmark Synergy between PCI with Taxus and Cardiac Surgery (SYNTAX) trial sought to establish whether coronary artery bypass grafting (CABG) or percutaneous coronary intervention (PCI) was the standard of care for patients with three-ve…
The SYNTAX Score Predicts Early Mortality Risk in the Elderly with Acute Coronary Syndrome Having Primary PCI
Abstract: Background. The SYNTAX score (SXscore), an angiographic score reflecting coronary lesion complexity, predicts clinical outcomes in patients with left main or multivessel disease, and in patients with ST-segment elevation myocardial infarcti…
Predictors of Clinical SYNTAX Score in Coronary Artery Disease: Serum Uric Acid, Smoking, and Framingham Risk Stratification
Abstract: Background. High serum uric acid (SUA) has been well demonstrated to be associated with morbidity and mortality in the general population as well as in patients with coronary artery disease (CAD). Recent studies show that the clinical SYNTA…