September 2002

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Volume 14 Issue 9
The cutting balloon was first designed by Barath et al.1 Approved for use outside the United States since 1995, the cutting balloon (InterVentional Technologies Inc., San Diego, California) has been recently approved as a treatment modality for inter…
Acute myocardial infarction may occur alone or, less frequently, associated with other medical conditions, such as intestinal hemorrhage, trauma, vascular operation and more rarely cerebral hemorrhage.1 We describe a case of a patient in which a myoc…
Overview. Against the background of established clinical benefit in non-ST segment elevation acute coronary syndromes (ACS) and elective percutaneous revascularization, recent trials examining the role of glycoprotein (GP) IIb/IIIa inhibition in acut…
Metallic coronary stents have shown to be essential in the treatment of (sub)acute vessel closure after balloon angioplasty and multicenter randomized trials have shown a decreased restenosis rate in selected patient subgroups compared to conventiona…
In this issue, Huang et al. focus on new techniques to solve in-stent restenosis that are caused by neointimal hyperplasia. A major focus of interventional cardiology is to decrease the need of retreatment of coronary lesions. Stenting, increasingly…
Sidebranch occlusion (SBO) is a challenging problem during interventional procedures.1–5 Although occlusion of branches smaller than 2 mm was reported to be of little clinical importance, this may lead to angina or myocardial infarction. Sidebranches…
The study presented by Timurkaynak et al. in this issue of the Journal discusses a contemporary topic, which is direct stenting.1 It is interesting that the evaluation of this technique is performed in the setting of coronary bifurcations or in the p…
Case Description. A 45-year-old man with a history of coronary artery disease presented to the Emergency Room of a community hospital with chest discomfort. He reported the onset of intense retrosternal chest pressure with radiation to both arms, ass…
Sidebranches can be compromised during high-pressure intracoronary stenting, especially in the setting of intrinsic ostial narrowing.1–3 Immediate compromise of sidebranches involves plaque shifting, spasm and thrombosis. When patients return with re…