June 2016

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Volume 28 Issue 6
Prehospital Clopidogrel Administration in Patients With ST-Segment Elevation Myocardial Infarction Treated With Primary PCI: Real-Life Experience From the Multicenter NRDES Registry
We sought to compare outcomes of STEMI patients from the National Registry of Drug-Eluting Stents (NRDES) stratified by time of clopidogrel loading dose administration.
Coronary Embolism After Iatrogenic Radial Endarterectomy
We present a rare complication of severe radial artery spasm and endarterectomy, with occlusion of the diagnostic catheter and coronary embolization.
Catheter Entrapment During Posterior Mitral Leaflet Pushing Maneuver for MitraClip Implantation
We report the case of an 84-year-old patient who underwent MitraClip implantation wherein the pushing maneuver was complicated by the clip accidentally gripping the pigtail catheter along with the two leaflets. 
Ultrasound-Guided Arterial Access: Outcomes Among Patients With Peripheral Artery Disease and Critical Limb Ischemia Undergoing Peripheral Interventions
This study examined the feasibility and immediate outcomes of ultrasound-guided access in traditional and advanced access approaches.
Numbers, Numbers, Numbers – So Many Details Hide in Plain Sight! Insights From HEAT-PPCI and HEAT-SEALED
An editorial on the utility of the HEAT-SEALED pathway presented by Shahzad et al in this month's issue of the JIC.  
Mechanical Circulatory Support in Percutaneous Coronary Interventions: Expanding the Possibilities
A short review and commentary on the increasing use of LVADs.
PCI in Patients Supported With CF-LVADs: Indications, Safety, and Outcomes
Patients with heart failure supported with LVADs may require coronary intervention during their support. This case series seeks to explore the indications, safety, and outcomes of PCI in this population.
Retrograde CTO-PCI Through Vein Grafts: Come on Down!
CTO-PCI success rates still do not approach those of conventional PCIs despite the available options; more robust data are required in the form of randomized trials before CTO-PCI becomes commonplace. 
Use of Saphenous Vein Bypass Grafts for Retrograde Recanalization of Coronary Chronic Total Occlusions: Insights From a Multicenter Registry
The use of SVGs for retrograde native vessel CTO-PCI has received limited study. We reviewed the medical records and coronary angiograms of retrograde CTO-PCIs performed through an SVG at 4 U.S. institutions between 2012 and 2013.
Comparative Analysis of Radial Versus Femoral Diagnostic Cardiac Catheterization Procedures in a Cardiology Training Program
This study was conducted to evaluate the differences in the procedural variables between transradial and transfemoral access for coronary angiography, with cardiology fellows as the primary operators.