October 2018

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Volume 30 Issue 10
Comparative Effectiveness Study of Drug-Eluting and Bare-Metal Peripheral Artery Stents in Endovascular Femoropopliteal Artery Revascularization
This study compared clinically driven target-lesion revascularization, target-vessel revascularization, and target-limb revascularization outcomes at 1 year between drug-eluting stent and bare-metal stent treatments in a real-world setting.
Use of the STEMI Team for Treatment of Patients With Pulmonary Embolism: A Pilot Study
Patients with massive and submassive pulmonary embolism (PE) require rapid identification, triage, and consideration for reperfusion therapy. The objective of this analysis was to evaluate a pilot study using the existing STEMI team and a dedicated P…
Outcome of Patients Undergoing Transcatheter Aortic Valve Implantation After Prior Balloon Aortic Valvuloplasty
We aimed to determine whether prior balloon aortic valvuloplasty would unfavorably impact transcatheter aortic valve implantation. Outcomes of interest were procedural results, hospital stay, and in-hospital outcomes, including major adverse events.
Use of Ultrasound-Accelerated, Catheter-Directed Local Thrombolysis for Venous and Arterial Occlusions in a Pediatric Hospital
Acute vascular thrombosis is associated with significant morbidity and mortality in children. We examine the use of ultrasound-assisted catheter-directed thrombolysis in a pediatric center for treating acute thrombosis.
Identification of Coronary Vasospasm as a Cause of Recurrent Acute Coronary Syndrome
This case highlights the importance of nitrate administration, as routinely performed during coronary arteriography.
Thrombotic Occlusion of Ectatic Coronary Arteries in a Young Patient
Multiple rounds of aspiration thrombectomy followed by balloon angioplasty of the left anterior descending (LAD) failed to completely restore the flow into the distal LAD secondary to re-occlusion from thrombus formation.
Aortic Pseudoaneurysm Causing Compression of the Left Main Coronary Artery
A 75-year-old man with a history of mechanical aortic valve replacement with aortic conduit for severe aortic insufficiency underwent routine screening computed tomography evaluation revealing right coronary anastomosis endoleak and proximal aortic r…
Recannulation of Distal Radial Artery for Staged Procedure After Successful Primary Percutaneous Coronary Intervention
There are limited data regarding the snuffbox approach. Our experience highlights the feasibility of snuffbox approach as the access route for primary PCI and recannulation of distal radial artery for staged PCI.
Layered Neointimal Pattern Secondary to Intraluminal Clot Organization in an Optical Coherence Tomography Longitudinal Study
We present a patient with non-obstructive intraluminal clot protrusion treated with medical therapy. Follow-up OCT scan showed layered neointimal changes similar to images observed in stent failure.
Four-Layer Stent Sandwich for Recurrent In-Stent Occlusion of the Right Coronary Artery: “The Four Musketeers” Fighting for Coronary Flow
A 70-year-old man with a history of two successfully treated in-stent chronic total occlusions (IS-CTO) of the ostial right coronary artery (RCA) using drug-eluting stents presented with typical angina.