August 2018

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Volume 30 Issue 8
Long-Term Outcomes of Different Two-Stent Techniques With Second-Generation Drug-Eluting Stents for Unprotected Left Main Bifurcation Disease: Insights From the FAILS-2 Study
Several two-stent techniques for unprotected left main coronary artery (ULMCA) bifurcation lesions have been described, however, a paucity of data exists regarding the optimal strategy, especially in the second-generation drug-eluting stent (2G-DES)…
State of Transcatheter Aortic Valve Implantation in Spain Versus Europe and Non-European Countries
TAVI indications are expanding to lower-risk patients. The objective of this study was to analyze the state of TAVI in Spain vs other European and non-European countries. Using an online questionnaire, we analyzed the routine practice of 250 TAVI cen…
Outcomes of Orbital Atherectomy in Severely Calcified Small (2.5 mm) Coronary Artery Vessels
We evaluated the outcomes of plaque modification with orbital atherectomy followed by PCI with small-diameter stents for severely calcified coronary arteries.
Management of a Balloon Shaft Fracture During Subintimal Retrograde Chronic Total Occlusion Percutaneous Coronary Intervention Due to In-stent Restenosis
Balloon shaft fracture can be challenging to treat in the setting of retrograde CTO-PCI with guidewire externalization; withdrawal of the guide catheter may allow successful removal of the balloon shaft fragment.
Percutaneous Closure of a Femoral Arteriovenous Fistula During Transfemoral TAVI
Percutaneous AVF closure was performed post TAVI in a patient with severe aortic stenosis and an AVF between the right SFA and femoral vein.
Unusual Implantation of a Coronary Sinus Reducer in the Middle Cardiac Vein
In patients with small or unfavorable coronary sinus (CS) anatomies, implantation of a CS reducer in atypical sites might be considered, if the target vein is of appropriate size and provides appropriate venous drainage.  
Mother-and-Child Telescopic Guide-Catheter Extension to Identify Severe Left Main Stem Disease in a Patient With a Severely Dilated Aortic Root
The importance of selective coronary angiography in patients with severely dilated aortas awaiting surgery is discussed.
Preprocedural Utility of the Echocardiographic Retroaortic Anomalous Coronary Sign
Image highlights echocardiographic findings associated with the RAC sign and its utility as a non-invasive modality to recognize technically complex and high-risk retroaortic coronary anomalies prior to intervention.
Radiation Safety in the Catheterization Laboratory: Current Perspectives and Practices
There is great variability in radiation safety practices in cardiac catheterization laboratories around the world. We performed an international online survey on radiation safety including interventional cardiologists, electrophysiologists, intervent…
The SYNTAX II Score Predicts Mortality at 4 Years in Patients Undergoing Percutaneous Coronary Intervention
We evaluate the utility of the SYNTAX II score, which incorporates angiographic and clinical parameters, for risk stratification and prediction of 4-year mortality in 831 real-world patients.