April 2011

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Volume 23 Issue 4
Optical Coherence Tomography-Guided Stenting of a Large Coronary Aneurysm: Images at Implantation and at 6 Months
ABSTRACT: Intravascular imaging with optical coherence tomography (OCT) can produce high-resolution images (10–20 µm) of the coronary vessel wall and is being increasingly used to provide insight into coronary pathology and neointima formation follow…
Improvement in Hemodynamics with a New, Larger-Volume (50 cc) Intra-Aortic Balloon for High-Risk Percutaneous Coronary Intervention
ABSTRACT: A primary cause of adverse outcomes among high-risk patients undergoing percutaneous coronary intervention (PCI) may be a diminished capacity to tolerate the hemodynamic and ischemic insults that can occur during the procedure. A common mea…
Fluoroscopically-Guided Micropuncture Femoral Artery Access for Large-Caliber Sheath Insertion
ABSTRACT: Over the last decade, significant developments have been made in the treatment of structural heart disease. Some of these techniques require placement of large arterial sheaths for device delivery. Optimal vascular access is essential for s…
Vascular Access Closure Devices: In Search of “Perfect” Closure
The demand for vascular access closure devices (VCD) has grown in conjunction with the rapid expansion of percutaneous coronary intervention (PCI). As the vast majority of invasive cardiovascular procedures are performed using femoral arterial access…
Safety and Efficacy of the New Angio-Seal Evolution Closure Device: A Single-Center Experience
ABSTRACT: Background. The Angio-Seal Evolution (ASE) is a novel vascular closure device (VCD) engineered to reduce the individual skills needed for deployment. A clinical comparison of ASE with manual femoral compression (MC) has never been reported.…
Percutaneous Life Support: Is It Safe to Plug and Play?
In this issue of the Journal of Invasive Cardiology, Dr. Bagai et al1 from Vanderbilt have presented their single-center experience with percutaneous life support in a highly heterogeneous and clinically at-risk population. They describe their partic…
Efficacy and Safety of Percutaneous Life Support During High-Risk Percutaneous Coronary Intervention, Refractory Cardiogenic Shock and In-Laboratory Cardiopulmonary Arrest
ABSTRACT: Background. High-risk percutaneous coronary interventions (PCI), refractory cardiogenic shock and in-lab cardiac arrest are all associated with significant mortality. Percutaneous left ventricular assist devices (pLVAD) and CPS (cardiopulmo…
Drug-Eluting Stents and Rotational Atherectomy — “No ‘Roto’ Regret”
Available for over 20 years, rotational atherectomy continues to maintain a critical role in our armamentarium. Since it was first described, there were three major phases in its use: the pre-stent stage, the bare-metal stent stage and the drug-eluti…
Rotational Atherectomy in the Drug-Eluting Stent Era: A Single-Center Experience
ABSTRACT: Background. In heavily calcified lesions, rotational atherectomy (RA) improves procedural success and facilitates stent deployment. Reports on RA in the drug-eluting stent (DES) era are limited. The objective of this study was to determine…
Long-Term Reduction of Mortality in the 4-Year Follow up of Tirofiban Therapy in Elective Percutaneous Coronary Interventions (TOPSTAR) Trial
ABSTRACT: Background. TOPSTAR was a randomized, placebo-controlled trial studying the effects of adding the glycoprotein IIb/IIIa inhibitor tirofiban to conventional treatment with aspirin and clopidogrel in patients undergoing elective percutaneous…