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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
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
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
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
Clinical Images
Stent Damage Associated With a Guide Catheter Extension During Percutaneous Coronary Intervention
02/01/2023
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
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
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
Clinical Images
Left Main Coronary Artery Compression in Pulmonary Hypertension: Value of Multimodality Imaging in Diagnosis and Treatment
12/01/2022
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
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
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
Clinical Images
Use of Trapping Techniques and a GooseNeck Snare to Retrieve a Fractured Balloon Catheter
08/01/2022
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

News

White Paper
SG2 Data Highlights Urgency for Increased Cardiovascular Intervention Resources in U.S. Hospitals
11/14/2024
Sg2 recommends health systems focus on short-term care redesign and long-term investment plans for catheterization labs, care teams, resources and patient beds to match forecasted demand. The paper includes multiple short- and long-term...
Sg2 recommends health systems focus on short-term care redesign and long-term investment plans for catheterization labs, care teams, resources and patient beds to match forecasted demand. The paper includes multiple short- and long-term...
Sg2 recommends health systems...
11/14/2024
Cath Lab Digest
First Aid guidelines
AHA/American Red Cross: Updated First Aid Guidelines Enhance Care for Opioid Overdose, Bleeding, Other Emergencies
11/14/2024
These are the first major comprehensive updates to the first aid guidelines since 2010 and address shifts in how the public manages common and critical first aid emergencies.
These are the first major comprehensive updates to the first aid guidelines since 2010 and address shifts in how the public manages common and critical first aid emergencies.
These are the first major...
11/14/2024
Cath Lab Digest
Thrombectomy
Data Show Patients Treated with Penumbra’s Computer Assisted Vacuum Thrombectomy Technology for Pulmonary Embolism Experience Shorter Hospital Stays and Fewer Complications Compared to Other Treatment Options
11/13/2024
Data show patients with intermediate-risk pulmonary embolism (PE) treated with Penumbra’s computer assisted vacuum thrombectomy (CAVT™) technology have a shorter length of hospital stay, shorter post-procedure length of stay, and fewer...
Data show patients with intermediate-risk pulmonary embolism (PE) treated with Penumbra’s computer assisted vacuum thrombectomy (CAVT™) technology have a shorter length of hospital stay, shorter post-procedure length of stay, and fewer...
Data show patients with...
11/13/2024
Cath Lab Digest
Atherosclerosis
Study Identifies Molecule That Simulates Inflammation-Reducing Effects of Low-Fat Diet
11/13/2024
“We have already seen its effectiveness in multiple models of atherosclerosis,” said Andrei Maiseyeu, associate professor at the Cardiovascular Research Institute and Department of Biomedical Engineering at Case Western Reserve’s School of...
“We have already seen its effectiveness in multiple models of atherosclerosis,” said Andrei Maiseyeu, associate professor at the Cardiovascular Research Institute and Department of Biomedical Engineering at Case Western Reserve’s School of...
“We have already seen its...
11/13/2024
Cath Lab Digest
defibrillation
Researchers Discover Far Less Energy Is Needed Than Currently Used in State-of-the-Art Defibrillation Techniques
11/11/2024
"Existing low-energy defibrillation protocols yield only a moderate reduction in tissue damage and pain," author Roman Grigoriev said. "Our study shows these can be completely eliminated. Conventional protocols require substantial power for...
"Existing low-energy defibrillation protocols yield only a moderate reduction in tissue damage and pain," author Roman Grigoriev said. "Our study shows these can be completely eliminated. Conventional protocols require substantial power for...
"Existing low-energy...
11/11/2024
Cath Lab Digest
Heat & CVD
NEJM: Using a Fan and Wetting the Skin Reduces Risk of Deadly Cardiac Strain in Hot and Humid Weather
11/11/2024
"Older adults, especially those with heart disease, are at greater risk due to the strain that hot temperatures put on the heart. Understanding the impacts of different cooling strategies on the heart is important to help vulnerable people...
"Older adults, especially those with heart disease, are at greater risk due to the strain that hot temperatures put on the heart. Understanding the impacts of different cooling strategies on the heart is important to help vulnerable people...
"Older adults, especially those...
11/11/2024
Cath Lab Digest
Endocarditis
New Catheter-Based Approach for Right-Sided Infective Endocarditis
11/11/2024
In a recent study, over 90% of the participants had their infection cleared, and they had lower in-hospital mortality compared to those whose infections remained.
In a recent study, over 90% of the participants had their infection cleared, and they had lower in-hospital mortality compared to those whose infections remained.
In a recent study, over 90% of...
11/11/2024
Cath Lab Digest
Hearts in space
Artificial 'Mini-Hearts' Take Flight to the International Space Station
11/11/2024
The International Space Station research project will examine microgravity’s effect on heart tissue and is designed to better understand how microgravity affects the function of the human heart.
The International Space Station research project will examine microgravity’s effect on heart tissue and is designed to better understand how microgravity affects the function of the human heart.
The International Space Station...
11/11/2024
Cath Lab Digest
Microvascular Disease
Hourglass-Shaped Stent Could Ease Severe Chest Pain From Microvascular Disease
11/08/2024
The different design is thought to increase back pressure, redistributing blood flow more fully through small vessels in the heart that were not working at capacity.
The different design is thought to increase back pressure, redistributing blood flow more fully through small vessels in the heart that were not working at capacity.
The different design is thought...
11/08/2024
Cath Lab Digest
Peripheral IVL
DISRUPT BTK II: Shockwave Medical Further Validates Utility of Intravascular Lithotripsy in Lower Limb Lesions in Late-Breaking Presentation at VIVA 2024
11/08/2024
DISRUPT BTK II's primary effectiveness endpoint of procedural success, defined as ≤50% residual stenosis for all treated target lesions without serious angiographic complications, was met with a rate of 97.9% at 30 days.
DISRUPT BTK II's primary effectiveness endpoint of procedural success, defined as ≤50% residual stenosis for all treated target lesions without serious angiographic complications, was met with a rate of 97.9% at 30 days.
DISRUPT BTK II's primary...
11/08/2024
Cath Lab Digest

White Paper
SG2 Data Highlights Urgency for Increased Cardiovascular Intervention Resources in U.S. Hospitals
11/14/2024
Sg2 recommends health systems focus on short-term care redesign and long-term investment plans for catheterization labs, care teams, resources and patient beds to match forecasted demand. The paper includes multiple short- and long-term...
Sg2 recommends health systems focus on short-term care redesign and long-term investment plans for catheterization labs, care teams, resources and patient beds to match forecasted demand. The paper includes multiple short- and long-term...
Sg2 recommends health systems...
11/14/2024
Cath Lab Digest
First Aid guidelines
AHA/American Red Cross: Updated First Aid Guidelines Enhance Care for Opioid Overdose, Bleeding, Other Emergencies
11/14/2024
These are the first major comprehensive updates to the first aid guidelines since 2010 and address shifts in how the public manages common and critical first aid emergencies.
These are the first major comprehensive updates to the first aid guidelines since 2010 and address shifts in how the public manages common and critical first aid emergencies.
These are the first major...
11/14/2024
Cath Lab Digest
Thrombectomy
Data Show Patients Treated with Penumbra’s Computer Assisted Vacuum Thrombectomy Technology for Pulmonary Embolism Experience Shorter Hospital Stays and Fewer Complications Compared to Other Treatment Options
11/13/2024
Data show patients with intermediate-risk pulmonary embolism (PE) treated with Penumbra’s computer assisted vacuum thrombectomy (CAVT™) technology have a shorter length of hospital stay, shorter post-procedure length of stay, and fewer...
Data show patients with intermediate-risk pulmonary embolism (PE) treated with Penumbra’s computer assisted vacuum thrombectomy (CAVT™) technology have a shorter length of hospital stay, shorter post-procedure length of stay, and fewer...
Data show patients with...
11/13/2024
Cath Lab Digest
Atherosclerosis
Study Identifies Molecule That Simulates Inflammation-Reducing Effects of Low-Fat Diet
11/13/2024
“We have already seen its effectiveness in multiple models of atherosclerosis,” said Andrei Maiseyeu, associate professor at the Cardiovascular Research Institute and Department of Biomedical Engineering at Case Western Reserve’s School of...
“We have already seen its effectiveness in multiple models of atherosclerosis,” said Andrei Maiseyeu, associate professor at the Cardiovascular Research Institute and Department of Biomedical Engineering at Case Western Reserve’s School of...
“We have already seen its...
11/13/2024
Cath Lab Digest
defibrillation
Researchers Discover Far Less Energy Is Needed Than Currently Used in State-of-the-Art Defibrillation Techniques
11/11/2024
"Existing low-energy defibrillation protocols yield only a moderate reduction in tissue damage and pain," author Roman Grigoriev said. "Our study shows these can be completely eliminated. Conventional protocols require substantial power for...
"Existing low-energy defibrillation protocols yield only a moderate reduction in tissue damage and pain," author Roman Grigoriev said. "Our study shows these can be completely eliminated. Conventional protocols require substantial power for...
"Existing low-energy...
11/11/2024
Cath Lab Digest
Heat & CVD
NEJM: Using a Fan and Wetting the Skin Reduces Risk of Deadly Cardiac Strain in Hot and Humid Weather
11/11/2024
"Older adults, especially those with heart disease, are at greater risk due to the strain that hot temperatures put on the heart. Understanding the impacts of different cooling strategies on the heart is important to help vulnerable people...
"Older adults, especially those with heart disease, are at greater risk due to the strain that hot temperatures put on the heart. Understanding the impacts of different cooling strategies on the heart is important to help vulnerable people...
"Older adults, especially those...
11/11/2024
Cath Lab Digest
Endocarditis
New Catheter-Based Approach for Right-Sided Infective Endocarditis
11/11/2024
In a recent study, over 90% of the participants had their infection cleared, and they had lower in-hospital mortality compared to those whose infections remained.
In a recent study, over 90% of the participants had their infection cleared, and they had lower in-hospital mortality compared to those whose infections remained.
In a recent study, over 90% of...
11/11/2024
Cath Lab Digest
Hearts in space
Artificial 'Mini-Hearts' Take Flight to the International Space Station
11/11/2024
The International Space Station research project will examine microgravity’s effect on heart tissue and is designed to better understand how microgravity affects the function of the human heart.
The International Space Station research project will examine microgravity’s effect on heart tissue and is designed to better understand how microgravity affects the function of the human heart.
The International Space Station...
11/11/2024
Cath Lab Digest
Microvascular Disease
Hourglass-Shaped Stent Could Ease Severe Chest Pain From Microvascular Disease
11/08/2024
The different design is thought to increase back pressure, redistributing blood flow more fully through small vessels in the heart that were not working at capacity.
The different design is thought to increase back pressure, redistributing blood flow more fully through small vessels in the heart that were not working at capacity.
The different design is thought...
11/08/2024
Cath Lab Digest
Peripheral IVL
DISRUPT BTK II: Shockwave Medical Further Validates Utility of Intravascular Lithotripsy in Lower Limb Lesions in Late-Breaking Presentation at VIVA 2024
11/08/2024
DISRUPT BTK II's primary effectiveness endpoint of procedural success, defined as ≤50% residual stenosis for all treated target lesions without serious angiographic complications, was met with a rate of 97.9% at 30 days.
DISRUPT BTK II's primary effectiveness endpoint of procedural success, defined as ≤50% residual stenosis for all treated target lesions without serious angiographic complications, was met with a rate of 97.9% at 30 days.
DISRUPT BTK II's primary...
11/08/2024
Cath Lab Digest

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