September 2014

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Volume 26 Issue 9
A patient is presented with symptomatic right coronary artery (RCA) CTO who failed maximal medical therapy as well as multiple antegrade PCI attempts. Successful RCA CTO intervention was finally achieved using a novel over-the-wire balloon catheter (…
We present a case of a patient with an acute coronary syndrome who had the exceptionally rare finding of multivessel giant coronary artery aneurysms (>8 mm) involving the left main and ostial right coronary arteries with concomitant atheroscleroti…
Epicardial collateral perforation is a serious complication of retrograde chronic total occlusion percutaneous coronary intervention. We describe two cases of epicardial collateral perforation that were successfully sealed with local thrombin injecti…
A case is presented that shows rotational atherectomy can be a useful tool in a compromising situation, such as severely underexpanded implanted stents.
A thoughtful commentary on the evolution of stent technology and resulting complications, as pertaining to this month’s article by Kaliyadan, et al.
Advancements in equipment and the flexibility to switch between multiple technical approaches in a single procedure have dramatically increased the success of CTO-PCI. This study compares contemporary procedural outcomes of hybrid CTO-PCI with previo…
This review evaluates the known mediators of local and systemic inflammation implicated in the atherothrombotic process and considers which may be valuable to the clinician now and in the future.
Recent technological advances have led to increased use of bilateral femoral artery access and the requirement for large-bore access. Our study examines the relationship between bifurcation level of one CFA and the contralateral CFA in order to bette…
A serious long-term complication of drug-eluting stent (DES) implantation is the occurrence of very late stent thrombosis beyond 1 year after implantation. We identified a series of patients who presented with acute myocardial infarction due to stent…
Transfemoral transcatheter aortic valve replacement (TAVR) is currently reserved for patients with severe, symptomatic aortic stenosis who are inoperable or at high surgical risk.  We provide a simplified, stepwise guide for transfemoral TAVR with th…