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Case Reports

Case Report
Complex High Risk Percutaneous Coronary Intervention in a 54-Year-Old Patient After Surgical Turndown and a Unique Approach to the Heart Team
03/05/2025
Aaron Shaikh, MD; Bernardo Cortese, MD
A 54-year-old male with a past medical history of Hodgkin’s lymphoma with previous chemo and radiation therapy 22 years ago and type II diabetes initially presented at an outlying hospital with acute onset dyspnea. An initial...
A 54-year-old male with a past medical history of Hodgkin’s lymphoma with previous chemo and radiation therapy 22 years ago and type II diabetes initially presented at an outlying hospital with acute onset dyspnea. An initial...
A 54-year-old male with a past...
03/05/2025
Cath Lab Digest
BEHIND THE SCENES
Talking With the Operator
03/05/2025
Bernardo Cortese, MD
This was a complex intervention requiring quick decision-making that centered around a heart team approach.
This was a complex intervention requiring quick decision-making that centered around a heart team approach.
This was a complex intervention...
03/05/2025
Cath Lab Digest
Case Report
The Takeru™ PTCA Balloon Dilatation Catheter for Pre Intravascular Lithotripsy (IVL)
02/05/2025
Daniel Vilchez, MD
Deliverability of IVL devices can be challenging. Thankfully, the low-profile design coupled with increased pushability of Terumo’s Takeru™ PTCA Balloon Dilatation Catheter facilitates the use of IVL in heavily calcified lesions. 
Deliverability of IVL devices can be challenging. Thankfully, the low-profile design coupled with increased pushability of Terumo’s Takeru™ PTCA Balloon Dilatation Catheter facilitates the use of IVL in heavily calcified lesions. 
Deliverability of IVL devices...
02/05/2025
Cath Lab Digest
Case Report
Benefits of “Dual Prep” With Rotational Atherectomy and Subsequent Use of Intravascular Lithotripsy (IVL)
02/04/2025
Stephan H. Heo, MD, FACC
With an aging population, the need to modify severely calcified coronary lesions prior to stent deployment is as common and difficult as ever. In this case, we highlight the treatment strategy of a tight lesion in a large vessel that was...
With an aging population, the need to modify severely calcified coronary lesions prior to stent deployment is as common and difficult as ever. In this case, we highlight the treatment strategy of a tight lesion in a large vessel that was...
With an aging population, the...
02/04/2025
Cath Lab Digest
Case Report
Not the Usual Suspect: Intracoronary Hematoma Presenting as an Acute STEMI
01/09/2025
Yashwant Agrawal, MD, FACC, FSCAI; Dominika M. Zoltowska, MD; Anthony Elghoul; Anwita Reddy Nimma; Tim A. Fischell, MD, FACC, FSCAI
Spontaneous or trauma-related coronary intramural hematoma, a subset of coronary artery dissection, is a rare, challenging, and under-recognized diagnosis constituting 1% to 4% of all myocardial infarctions.(1)
Spontaneous or trauma-related coronary intramural hematoma, a subset of coronary artery dissection, is a rare, challenging, and under-recognized diagnosis constituting 1% to 4% of all myocardial infarctions.(1)
Spontaneous or trauma-related...
01/09/2025
Cath Lab Digest
Case Report
Endless Loop Tachycardia: An Uncommon Entity in the Common Devices
01/05/2025
Pradnya Brijmohan Bhattad, MD; Anderson Ariaga, MD; Arnav Jain; Luigi Pacifico, DO
Pacemaker-mediated tachycardia (PMT) also known as endless loop tachycardia, is an iatrogenic arrhythmia that occurs primarily in patients with dual chamber pacemakers with at least atrial-sensing and ventricular pacing functions.
Pacemaker-mediated tachycardia (PMT) also known as endless loop tachycardia, is an iatrogenic arrhythmia that occurs primarily in patients with dual chamber pacemakers with at least atrial-sensing and ventricular pacing functions.
Pacemaker-mediated tachycardia...
01/05/2025
Cath Lab Digest
Case Report
Occluded Tibiopedal Access to Cross and Treat Complex Tibial Artery Occlusive Disease in a Patient With Critical Limb Ischemia
11/08/2024
Sreejit Nair, MD; Ashwani Sastry, MD; Janardhan Srinivasan, MD; Michael Canavan, DPM; Fadi Saab, MD, FACC, FSCAI; John H. Rundback, MD, FAHA, FSIR
Retrograde pedal access has been well-described in the literature to facilitate complex arterial revascularization when a traditional antegrade approach fails. This is useful for infrapopliteal disease that is often seen in patients with CLI.
Retrograde pedal access has been well-described in the literature to facilitate complex arterial revascularization when a traditional antegrade approach fails. This is useful for infrapopliteal disease that is often seen in patients with CLI.
Retrograde pedal access has been...
11/08/2024
Vascular Disease Management
Case Report
Advanced Radial Access Techniques for Complex Coronary Interventions in Challenging Anatomies
10/01/2024
Prasanna Sengodan, MD; Ahmed Hassaan Qavi, MD
Drs Qavi and Sengodan share a successful radial access intervention in a retroflexed left circumflex artery lesion with challenging subclavian anatomy. 
Drs Qavi and Sengodan share a successful radial access intervention in a retroflexed left circumflex artery lesion with challenging subclavian anatomy. 
Drs Qavi and Sengodan share a...
10/01/2024
Cath Lab Digest
Chronic Limb-Threatening Ischemia (CLTI)
Treating a CTO of the SFA Using Auryon Laser Atherectomy in a CLTI Patient
08/31/2024
Nader Chadda, MD, FACC; IIyas Chadda
The patient is a 77-year-old man with diabetes mellitus, congestive heart failure, and abdominal aortic aneurysm status post repair with stent graft placement, who has been suffering from bilateral foot wounds that have been nonhealing. The...
The patient is a 77-year-old man with diabetes mellitus, congestive heart failure, and abdominal aortic aneurysm status post repair with stent graft placement, who has been suffering from bilateral foot wounds that have been nonhealing. The...
The patient is a 77-year-old man...
08/31/2024
Cath Lab Digest
Case Report
Transcatheter Arterialization of Deep Veins (TADV)
07/29/2024
Mehdi H. Shishehbor, DO, MPH, PhD; Shilpkumar Arora, MD, MPH
The LimFlow procedure (Inari Medical) provides a promising alternative for patients with no-option CLI, potentially reducing the need for major amputations. This case demonstrates the potential of TADV in achieving limb salvage and highlights...
The LimFlow procedure (Inari Medical) provides a promising alternative for patients with no-option CLI, potentially reducing the need for major amputations. This case demonstrates the potential of TADV in achieving limb salvage and highlights...
The LimFlow procedure (Inari...
07/29/2024
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