April 2011

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Volume 23 Issue 4
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…
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…
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…
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…
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.…
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…
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…
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…
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…
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…