April 2013

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Volume 25 Issue 5
Customized Covered Stent Graft for Percutaneous Closure of Fontan Baffle Leak
We report the innovation of both a partly covered and completely covered custom designed variable diameter balloon expandable stent for percutaneous closure of a baffle leak after total caval pulmonary connection (TCPC). Customized balloon-expandable…
Alcohol Septal Ablation as a Bail-Out Procedure for Suicide Left Ventricle After Transcatheter Aortic Valve Implantation
We report a case in which alcohol septal ablation was used as a bailout therapy for the acutely developed intracavity obstruction after TAVI. Alcohol septal ablation can be considered as a salvage therapeutic tool when other therapies are ineffective…
Percutaneous Repair of Aortic Puncture With Amplatzer Closure Device During Attempted Transseptal Puncture
Attempted atrial transseptal puncture in a 63-yr-old man undergoing an ablative procedure for atrial fibrillation was complicated by inadvertent delivery of an 8 Fr sheath across the aorta. Due to obesity-related perioperative risks we opted for perc…
Carotid Artery Thrombosis Treated With Catheter Intervention Using Proximal Occlusion and Flow Reversal
Using a Gore Flow Reversal protection device, we were able to use catheter therapy to treat a carotid thrombosis, which was previously contraindicated for this condition. The embolic protection device and the procedural technical aspects are describe…
The Clinical Spectrum of Longitudinal Deformation of Coronary Stents: From a Mere Angiographic Finding to a Severe Complication
We report three cases of longitudinal stent deformation observed at our Institution.
Transcollateral Approach for Percutaneous Revascularization of Complex Superficial Femoral Artery Chronic Total Occlusion
Chronic total occlusions of the superficial femoral artery occur in approximately 40% of patients with symptomatic peripheral arterial disease. When antegrade revascularization is not feasible, a retrograde approach should be considered, usually via…
A Coronary Pseudoaneurysm Within a Restenotic Stent Treated by Implantation of a Pericardium-Covered Stent and Drug-Eluting Balloon
Coronary pseudoaneurysm after bare metal stent implantation is a rare event. Observation, surgical resection or implantation of another stent, bare or covered, are alternative management options. The most appropriate treatment should be evaluated in…
Severe Thrombocytopenia Complicating Transcatheter Occlusion of a Patent Ductus Arteriosus
Despite advances, transcatheter closure of a patent ductus arteriosus can be associated with rare complications. We report herein six cases of severe thrombocytopenia complication following transcatheter occlusion of a PDA.
Showcasing Lessons From Around the World
As we continue to showcase lessons learned from leading cardiovascular centers located around the world, we have included numerous articles in the May issue that should be of great interest to the practicing interventionalist including methods to imp…
Transcatheter Closure of Left Coronary Cameral Fistula With Amplatzer Duct Occluder II
The surgical and transcatheter coil closure of coronary arterial fistulas are described in the literature. We report our experience of a successful transcatheter closure of a coronary arterial fistula, arising from the left coronary artery and draini…