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High-Risk PCI Clinical Images

Clinical Images
Percutaneous Coronary Intervention for Left Main Chronic Total Occlusion: Unprotected or Protected Case?
04/01/2023

Marin Pavlov, MD, PhD and Tomislava Bodrozic Dzakic, MD

Marin Pavlov, MD, PhD and Tomislava B...
A 60-year-old male with chronic obstructive pulmonary disease and active smoking was admitted for positive treadmill test. He reported exertional chest pain 4 months ago; however, since then he had been symptom free. Echocardiography showed...
A 60-year-old male with chronic obstructive pulmonary disease and active smoking was admitted for positive treadmill test. He reported exertional chest pain 4 months ago; however, since then he had been symptom free. Echocardiography showed...
A 60-year-old male with chronic...
04/01/2023
Journal of Invasive Cardiology
Clinical Images
Coil Embolization for Management of Brachiocephalic Artery Perforation and Mediastinal Hematoma Following Percutaneous Coronary Intervention
03/01/2023

André Alexandre, MD1,2;  Bruno Brochado, MD1,2;  Tiago Adrega, MD1;  João Silveira, MD1,2;  Severo Torres, MD1,2

André Alexandre, MD1,2;  Bruno Brocha...
A 65-year-old man who presented with lateral ST-segment-elevation myocardial infarction was referred for primary percutaneous coronary intervention. These image show brachiocephalic artery perforation with subsequent mediastinal hematoma.
A 65-year-old man who presented with lateral ST-segment-elevation myocardial infarction was referred for primary percutaneous coronary intervention. These image show brachiocephalic artery perforation with subsequent mediastinal hematoma.
A 65-year-old man who presented...
03/01/2023
Journal of Invasive Cardiology
Clinical Images
Dislodged Coronary Stents: The Presnaring Technique
03/01/2023

Issa Kutkut, MD;  Babar Khan, MD;  Stephen O. Hunley, MD;  Barbara D. Lawson, MD;  Zachary M. Gertz, MD

Issa Kutkut, MD;  Babar Khan, MD;  St...
When dislodged stents remain on the coronary wire, the wire can be snared outside of the body. These two cases demonstrate the use of the presnaring technique to retrieve dislodged coronary stents when the stent remained on the coronary wire.
When dislodged stents remain on the coronary wire, the wire can be snared outside of the body. These two cases demonstrate the use of the presnaring technique to retrieve dislodged coronary stents when the stent remained on the coronary wire.
When dislodged stents remain on...
03/01/2023
Journal of Invasive Cardiology

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Clinical Images
Stent Damage Associated With a Guide Catheter Extension During Percutaneous Coronary Intervention
02/01/2023

Konstantinos C. Theodoropoulos, MD, MSc;  Antonios Kouparanis, MD;  Matthaios Didagelos, MD;  George Kassimis, MD, PhD;  Antonios Ziakas, MD, PhD

Konstantinos C. Theodoropoulos, MD, M...
Clinical images demonstrating stent damage during the insertion in the distal cylinder of the Telescope GCE.
Clinical images demonstrating stent damage during the insertion in the distal cylinder of the Telescope GCE.
Clinical images demonstrating...
02/01/2023
Journal of Invasive Cardiology
Clinical Images
Three Devices on One
02/01/2023

Ariana Gonzálvez-García, MD1;  Raúl Moreno, MD, PhD2;  Santiago Jiménez-Valero, MD2; Guillermo Galeote, MD, PhD2;  Alfonso Jurado-Román, MD, PhD2

Ariana Gonzálvez-García, MD1;  Raúl M...
This case represents the first patient with Mitraclip, Amplatzer, and TricValve devices with a profound clinical improvement and long-term follow-up.
This case represents the first patient with Mitraclip, Amplatzer, and TricValve devices with a profound clinical improvement and long-term follow-up.
This case represents the first...
02/01/2023
Journal of Invasive Cardiology
Clinical Images
Balloon Shaft Fracture: A Nightmare Scenario in the Setting of Percutaneous Coronary Intervention
02/01/2023

Ömer Ferudun Akkuş, MD1;  Murat Gök, MD1;  Furkan Karahan, MD1;  Suat Canbaz, MD2;   Kenan Yalta, MD1

Ömer Ferudun Akkuş, MD1;  Murat Gök, ...
These images illustrate an attempt to pull back the balloon of an implanted proximal stent swiftly (before it was completely deflated) just following unplanned disengagement of the guiding catheter from the right coronary ostium.
These images illustrate an attempt to pull back the balloon of an implanted proximal stent swiftly (before it was completely deflated) just following unplanned disengagement of the guiding catheter from the right coronary ostium.
These images illustrate an...
02/01/2023
Journal of Invasive Cardiology

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Clinical Images
Left Main Coronary Artery Compression in Pulmonary Hypertension: Value of Multimodality Imaging in Diagnosis and Treatment
12/01/2022

Leticia Barrios, MD1;  Marion Delcroix, MD, PhD2;  Steven Dymarkowski, MD, PhD3; Johan Bennett, MD, PhD1;  Tom Adriaenssens, MD, PhD1

Leticia Barrios, MD1;  Marion Delcroi...
A 43-year-old woman with pulmonary arterial hypertension associated with atrial septal defect, surgically repaired 5 years ago, and treated with the endothelin receptor antagonist macitentan monotherapy due to phosphodiesterase-5-inhibitor...
A 43-year-old woman with pulmonary arterial hypertension associated with atrial septal defect, surgically repaired 5 years ago, and treated with the endothelin receptor antagonist macitentan monotherapy due to phosphodiesterase-5-inhibitor...
A 43-year-old woman with...
12/01/2022
Journal of Invasive Cardiology
Clinical Images
Percutaneous Intervention of Coarctation of Aorta in an Adult Man Presenting With Congestive Heart Failure
12/01/2022

Rajesh Vijayvergiya, DM1;  Ganesh Kasinadhuni, DM1;  Akash Batta, DM1;  Atit A Gawalkar, DM1;  Manphool Singhal, MD2

Rajesh Vijayvergiya, DM1;  Ganesh Kas...
A 52-year-old diabetic, hypertensive male presented with progressive dyspnea and palpitation for the last 3 months. Clinical examination revealed low blood pressure in lower limbs with an ankle-brachial index (ABI) of 0.50. Systemic...
A 52-year-old diabetic, hypertensive male presented with progressive dyspnea and palpitation for the last 3 months. Clinical examination revealed low blood pressure in lower limbs with an ankle-brachial index (ABI) of 0.50. Systemic...
A 52-year-old diabetic,...
12/01/2022
Journal of Invasive Cardiology
Clinical Images
Stentless Treatment for a Left Main Quadrifurcation Lesion
12/01/2022

Yoshinobu Murasato, MD, PhD;  Soichiro Omura, MD;  Shoko Fukuda, MD

Yoshinobu Murasato, MD, PhD;  Soichir...
A 69-year-old man underwent coronary intervention for stenosis in the left main (LM) quadrifurcation lesion with SYNTAX score 23 (SYNTAX II score: coronary intervention 27.5, bypass surgery 33.5) 1 week after primary stenting in the right...
A 69-year-old man underwent coronary intervention for stenosis in the left main (LM) quadrifurcation lesion with SYNTAX score 23 (SYNTAX II score: coronary intervention 27.5, bypass surgery 33.5) 1 week after primary stenting in the right...
A 69-year-old man underwent...
12/01/2022
Journal of Invasive Cardiology

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Clinical Images
Use of Trapping Techniques and a GooseNeck Snare to Retrieve a Fractured Balloon Catheter
08/01/2022

Thomas E. Kaier, MD, MBA, PhD1; Andreas S. Kalogeropoulos, MD, PhD1,2;  Antonis N. Pavlidis, MD, PhD1

Thomas E. Kaier, MD, MBA, PhD1; Andre...
A 47-year-old male lifelong smoker underwent percutaneous coronary intervention (PCI) to the distal segment of an ectatic right coronary artery (RCA) in the context of non–ST-elevation myocardial infarction (NSTEMI). The procedure was...
A 47-year-old male lifelong smoker underwent percutaneous coronary intervention (PCI) to the distal segment of an ectatic right coronary artery (RCA) in the context of non–ST-elevation myocardial infarction (NSTEMI). The procedure was...
A 47-year-old male lifelong...
08/01/2022
Journal of Invasive Cardiology

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News

Psychological Stress & HD
Adding 9th Psychological Health Metric to Life’s Essential 8 Enhances Cardiovascular Health Construct for Predicting Mortality Risk
08/08/2024
A cardiovascular health construct based on the American Heart Association’s Life’s Essential 8 but enhanced with a ninth psychological health metric strongly predicts all-cause and cardiovascular mortality, according to a new study at...
A cardiovascular health construct based on the American Heart Association’s Life’s Essential 8 but enhanced with a ninth psychological health metric strongly predicts all-cause and cardiovascular mortality, according to a new study at...
A cardiovascular health...
08/08/2024
Cath Lab Digest
Reprocessing Devices
SxanPro Introduces New Cost-Recovery Dashboard to Reduce Hospital Device Waste
08/08/2024
The advanced XCHG dashboard uses customizable algorithms to analyze inventory data, collected from the UDI using SxanPro's mobile technology, to identify items that can be transferred, sold, or repurposed. This unique capability minimizes...
The advanced XCHG dashboard uses customizable algorithms to analyze inventory data, collected from the UDI using SxanPro's mobile technology, to identify items that can be transferred, sold, or repurposed. This unique capability minimizes...
The advanced XCHG dashboard uses...
08/08/2024
Cath Lab Digest
Sleep and CVD
Study of Sleep in Women Shows Delaying Bedtime by Just 90 Minutes Each Night Damages Endothelial Cells
08/06/2024
After just six weeks of shortened sleep, the study found, the cells that line our blood vessels are flooded by damaging oxidants. And unlike well-rested cells, sleep-restricted cells fail to activate antioxidant responses to clear the...
After just six weeks of shortened sleep, the study found, the cells that line our blood vessels are flooded by damaging oxidants. And unlike well-rested cells, sleep-restricted cells fail to activate antioxidant responses to clear the...
After just six weeks of...
08/06/2024
Cath Lab Digest
TAVR
Can a Cerebral Embolic Protection Device Prevent a Stroke During a Heart Valve Procedure? New Research Shows Potential Benefit
08/06/2024
The study population consisted of 414,649 patients. Of those, 53,398 patients received an embolic protection device. This is the largest study to date among patients undergoing a transcatheter aortic valve replacement.
The study population consisted of 414,649 patients. Of those, 53,398 patients received an embolic protection device. This is the largest study to date among patients undergoing a transcatheter aortic valve replacement.
The study population consisted...
08/06/2024
Cath Lab Digest
Risk Factors
Study Reveals Link Between Transthyretin (TTR) Protein Levels and Heart Disease Risk
08/06/2024
"Our research highlights the critical role of TTR levels in predicting heart disease risk," said Pankaj Arora, MD. "By understanding the factors that influence TTR levels, we can better identify individuals at high risk and develop targeted...
"Our research highlights the critical role of TTR levels in predicting heart disease risk," said Pankaj Arora, MD. "By understanding the factors that influence TTR levels, we can better identify individuals at high risk and develop targeted...
"Our research highlights the...
08/06/2024
Cath Lab Digest
Out-of-Hospital Care
Corazon Offers Comprehensive Services to Ambulatory Surgery Centers, Including those Looking to Enter Cardiovascular
08/05/2024
“Our goal is to empower ASCs to enhance their cardiovascular services, ultimately improving patient outcomes and operational efficiency,” said Karen Hartman, President of Corazon. “With our comprehensive approach, we guide ASCs through the...
“Our goal is to empower ASCs to enhance their cardiovascular services, ultimately improving patient outcomes and operational efficiency,” said Karen Hartman, President of Corazon. “With our comprehensive approach, we guide ASCs through the...
“Our goal is to empower ASCs to...
08/05/2024
Cath Lab Digest
Scientists and clinicians at Scripps Research have shown that heart conditions can be diagnosed roughly as accurately using just three electrodes and an artificial intelligence (AI) tool. CREDIT Scripps Research
AI
New AI Tool Simplifies ECG: Fewer Leads, Same Accuracy
08/01/2024
Scientists report that their AI algorithm can recreate full 12-lead ECGs with data from only three ECG leads. Moreover, clinicians can identify heart attacks with nearly the same accuracy when they review the AI-generated ECGs as compared to...
Scientists report that their AI algorithm can recreate full 12-lead ECGs with data from only three ECG leads. Moreover, clinicians can identify heart attacks with nearly the same accuracy when they review the AI-generated ECGs as compared to...
Scientists report that their AI...
08/01/2024
Cath Lab Digest
Psychological Stress & HD
Stock Market Turbulence Linked to Increased Risk of Heart Attacks, Strokes, and Suicide: A Groundbreaking Study Analyzes 12 Million Deaths
08/01/2024
The research, which analyzed over 12 million deaths across China from 2013 to 2019, provides compelling evidence that the psychological stress induced by stock market fluctuations has severe and immediate health implications.
The research, which analyzed over 12 million deaths across China from 2013 to 2019, provides compelling evidence that the psychological stress induced by stock market fluctuations has severe and immediate health implications.
The research, which analyzed...
08/01/2024
Cath Lab Digest
Mental Health
AHA: Risks of Anxiety, Suicide Attempt May Rise Significantly After Cardiovascular Hospitalization
07/31/2024
This analysis of a large database included environmental and lifestyle factors that assessed both short- and long-term risk. It also reviewed whether different genetic susceptibilities to psychiatric disorders affect the possible link between...
This analysis of a large database included environmental and lifestyle factors that assessed both short- and long-term risk. It also reviewed whether different genetic susceptibilities to psychiatric disorders affect the possible link between...
This analysis of a large...
07/31/2024
Cath Lab Digest
Peripheral Interventions
VentureMed Completes Enrollment of the FLEX Vessel Prep System FLEX First AV Registry For The Treatment of Arteriovenous (AV) Access Management
07/30/2024
The FLEX Vessel Prep System has a unique non-balloon-based mechanism of action that creates longitudinal micro-incisions that release circumferential tension in diseased vessels. This release of tension is how FLEX modifies AV stenoses to...
The FLEX Vessel Prep System has a unique non-balloon-based mechanism of action that creates longitudinal micro-incisions that release circumferential tension in diseased vessels. This release of tension is how FLEX modifies AV stenoses to...
The FLEX Vessel Prep System has...
07/30/2024
Cath Lab Digest

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Psychological Stress & HD
Adding 9th Psychological Health Metric to Life’s Essential 8 Enhances Cardiovascular Health Construct for Predicting Mortality Risk
08/08/2024
A cardiovascular health construct based on the American Heart Association’s Life’s Essential 8 but enhanced with a ninth psychological health metric strongly predicts all-cause and cardiovascular mortality, according to a new study at...
A cardiovascular health construct based on the American Heart Association’s Life’s Essential 8 but enhanced with a ninth psychological health metric strongly predicts all-cause and cardiovascular mortality, according to a new study at...
A cardiovascular health...
08/08/2024
Cath Lab Digest
Reprocessing Devices
SxanPro Introduces New Cost-Recovery Dashboard to Reduce Hospital Device Waste
08/08/2024
The advanced XCHG dashboard uses customizable algorithms to analyze inventory data, collected from the UDI using SxanPro's mobile technology, to identify items that can be transferred, sold, or repurposed. This unique capability minimizes...
The advanced XCHG dashboard uses customizable algorithms to analyze inventory data, collected from the UDI using SxanPro's mobile technology, to identify items that can be transferred, sold, or repurposed. This unique capability minimizes...
The advanced XCHG dashboard uses...
08/08/2024
Cath Lab Digest
Clinical Images
Redo Transcatheter Aortic Valve Replacement in a Young Patient With Congenital Aortic Valve Disease
08/07/2024
A 39-year-old man with Shone complex presented with acute decompensated heart failure. He had undergone 4 previous sternotomies and a 23-mm Sapien XT transcatheter aortic valve replacement for severe bioprosthetic aortic regurgitation in 2014.
A 39-year-old man with Shone complex presented with acute decompensated heart failure. He had undergone 4 previous sternotomies and a 23-mm Sapien XT transcatheter aortic valve replacement for severe bioprosthetic aortic regurgitation in 2014.
A 39-year-old man with Shone...
08/07/2024
Journal of Invasive Cardiology
Sleep and CVD
Study of Sleep in Women Shows Delaying Bedtime by Just 90 Minutes Each Night Damages Endothelial Cells
08/06/2024
After just six weeks of shortened sleep, the study found, the cells that line our blood vessels are flooded by damaging oxidants. And unlike well-rested cells, sleep-restricted cells fail to activate antioxidant responses to clear the...
After just six weeks of shortened sleep, the study found, the cells that line our blood vessels are flooded by damaging oxidants. And unlike well-rested cells, sleep-restricted cells fail to activate antioxidant responses to clear the...
After just six weeks of...
08/06/2024
Cath Lab Digest
TAVR
Can a Cerebral Embolic Protection Device Prevent a Stroke During a Heart Valve Procedure? New Research Shows Potential Benefit
08/06/2024
The study population consisted of 414,649 patients. Of those, 53,398 patients received an embolic protection device. This is the largest study to date among patients undergoing a transcatheter aortic valve replacement.
The study population consisted of 414,649 patients. Of those, 53,398 patients received an embolic protection device. This is the largest study to date among patients undergoing a transcatheter aortic valve replacement.
The study population consisted...
08/06/2024
Cath Lab Digest
Risk Factors
Study Reveals Link Between Transthyretin (TTR) Protein Levels and Heart Disease Risk
08/06/2024
"Our research highlights the critical role of TTR levels in predicting heart disease risk," said Pankaj Arora, MD. "By understanding the factors that influence TTR levels, we can better identify individuals at high risk and develop targeted...
"Our research highlights the critical role of TTR levels in predicting heart disease risk," said Pankaj Arora, MD. "By understanding the factors that influence TTR levels, we can better identify individuals at high risk and develop targeted...
"Our research highlights the...
08/06/2024
Cath Lab Digest
Al-Ogaili Figure
Clinical Videos
Stentectomy by an Entrapped Rotational Atherectomy Burr
08/05/2024
Video Supplement to "Stentectomy by an Entrapped Rotational Atherectomy Burr" (Clinical Image).
Video Supplement to "Stentectomy by an Entrapped Rotational Atherectomy Burr" (Clinical Image).
Video Supplement to "Stentectomy...
08/05/2024
Journal of Invasive Cardiology
Clinical Images
Stentectomy by an Entrapped Rotational Atherectomy Burr
08/05/2024
A 73-year-old man presented with exertional angina and anterior ischemia on stress testing. He had undergone prior coronary artery bypass surgery and multiple percutaneous coronary interventions.
A 73-year-old man presented with exertional angina and anterior ischemia on stress testing. He had undergone prior coronary artery bypass surgery and multiple percutaneous coronary interventions.
A 73-year-old man presented with...
08/05/2024
Journal of Invasive Cardiology
Out-of-Hospital Care
Corazon Offers Comprehensive Services to Ambulatory Surgery Centers, Including those Looking to Enter Cardiovascular
08/05/2024
“Our goal is to empower ASCs to enhance their cardiovascular services, ultimately improving patient outcomes and operational efficiency,” said Karen Hartman, President of Corazon. “With our comprehensive approach, we guide ASCs through the...
“Our goal is to empower ASCs to enhance their cardiovascular services, ultimately improving patient outcomes and operational efficiency,” said Karen Hartman, President of Corazon. “With our comprehensive approach, we guide ASCs through the...
“Our goal is to empower ASCs to...
08/05/2024
Cath Lab Digest
Scientists and clinicians at Scripps Research have shown that heart conditions can be diagnosed roughly as accurately using just three electrodes and an artificial intelligence (AI) tool. CREDIT Scripps Research
AI
New AI Tool Simplifies ECG: Fewer Leads, Same Accuracy
08/01/2024
Scientists report that their AI algorithm can recreate full 12-lead ECGs with data from only three ECG leads. Moreover, clinicians can identify heart attacks with nearly the same accuracy when they review the AI-generated ECGs as compared to...
Scientists report that their AI algorithm can recreate full 12-lead ECGs with data from only three ECG leads. Moreover, clinicians can identify heart attacks with nearly the same accuracy when they review the AI-generated ECGs as compared to...
Scientists report that their AI...
08/01/2024
Cath Lab Digest

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