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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; Tomislava Bodrozic Dzakic, MD
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
Bruno Brochado, MD; Andre Alexandre, MD; Tiago Adrega, MD; Joao Silveira, MD; Severo Torres, MD; Les Stewart
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
Barbara D. Lawson, MD; Issa Kutkut, MD; Zachary M. Gertz, MD; Babar Khan, MD; Stephen O. Hunley, MD
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
Antonios Ziakas, MD; Konstantinos C. Theodoropoulos, MD, MSc; Antonios Kouparanis, MD; George Kassimis, MD, PhD
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
Raúl Moreno-Gómez, MD, PhD; Guillermo Galeote, MD, PhD; Santiago Jimenez-Valero, MD, PhD; Alfonso Jurado-Román, MD, PhD; Ariana Gonzalvez-Garcia, MD
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
Omer Ferudun Akkus, MD; Murat Gok, MD; Furkan Karahan, MD; Suat Canbaz, MD; Kenan Yalta, MD
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
Leticia Barrios, MD; Marion Delcroix, MD, PhD; Steven Dymarkowski, MD, PhD; Johan Bennett, MD, PhD; Tom Adriaenssens, MD, PhD
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
Ganesh Kasinadhuni, MD; Rajesh Vijayvergiya, MD, DM; Akash Batta, MD; Atit A. Gawalkar, DM; Manphool Singhal, MD
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
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
Andreas S. Kalogeropoulos, MD, PhD, FRCP; Antonis N. Pavlidis, MD, PhD; Thomas E. Kaier, MD, MBA, PhD
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

Intravascular Imaging
ECLIPSE Trial: Intravascular Imaging Can Improve Outcomes for Complex Stenting Procedures in Patients with High-Risk Calcified CAD
03/31/2025
“The ECLIPSE trial shows that use of intravascular imaging (IVI) to guide coronary stenting in severely calcified lesions prevents death, stent thrombosis, and unplanned repeat procedures in this high-risk patient population,” says first...
“The ECLIPSE trial shows that use of intravascular imaging (IVI) to guide coronary stenting in severely calcified lesions prevents death, stent thrombosis, and unplanned repeat procedures in this high-risk patient population,” says first...
“The ECLIPSE trial shows that...
03/31/2025
Cath Lab Digest
Aortic Stenosis
New Data Confirm Rapid, Unpredictable Progression of Severe Aortic Stenosis and Need for Urgent Referral and Evaluation of Patients
03/31/2025
New data from DETECT AS and the EARLY TAVR Trial were presented at ACC.25 in Chicago, addressing the critical needs of patients with structural heart disease.
New data from DETECT AS and the EARLY TAVR Trial were presented at ACC.25 in Chicago, addressing the critical needs of patients with structural heart disease.
New data from DETECT AS and the...
03/31/2025
Cath Lab Digest
CAD in Women
New Intermountain Health Study Finds Gap Between Heart Disease Outcomes in Men and Women Has Narrowed Over Past 20 Years  
03/31/2025
Women studied tended to be older with more comorbidities (like high blood pressure, diabetes, and history of stroke and heart failure), have more stable chest pain, and experience less severe chest pain or heart attack when they came into the...
Women studied tended to be older with more comorbidities (like high blood pressure, diabetes, and history of stroke and heart failure), have more stable chest pain, and experience less severe chest pain or heart attack when they came into the...
Women studied tended to be older...
03/31/2025
Cath Lab Digest
AI
HeartFocus Clinical Trial Proves AI Can Empower Novices to Deliver Diagnostic-Quality Cardiac Ultrasounds
03/31/2025
Results showed that 100% of exams conducted by novices using HeartFocus met the diagnostic standards for all primary endpoints, with a strong correlation to expert-acquired scans across qualitative and quantitative assessments.
Results showed that 100% of exams conducted by novices using HeartFocus met the diagnostic standards for all primary endpoints, with a strong correlation to expert-acquired scans across qualitative and quantitative assessments.
Results showed that 100% of...
03/31/2025
Cath Lab Digest
plaque analysis
CONFIRM2 Registry: Late-Breaking Clinical Trial Results Demonstrate the Predictive Power of Cleerly's AI-QCT for Women’s Cardiovascular Risk at ACC.25
03/31/2025
The findings demonstrate that AI-QCT features of coronary artery disease (CAD), as detected by Cleerly’s AI-QCT, can identify women at high risk for major adverse cardiovascular events (MACE) and improves risk stratification - a population...
The findings demonstrate that AI-QCT features of coronary artery disease (CAD), as detected by Cleerly’s AI-QCT, can identify women at high risk for major adverse cardiovascular events (MACE) and improves risk stratification - a population...
The findings demonstrate that...
03/31/2025
Cath Lab Digest
Statins
CorCal Outcomes Study: Who Needs a Statin? Intermountain Study Compares Prescribing Recommendations Based on Traditional Risk Factors vs. Coronary Artery Calcium Scoring
03/31/2025
The research is part of CorCal Outcomes, a large, randomized clinical trial at Intermountain Health that is comparing the PCE versus CAC score guidance to initiate a statin prescription for patients for primary prevention of coronary heart...
The research is part of CorCal Outcomes, a large, randomized clinical trial at Intermountain Health that is comparing the PCE versus CAC score guidance to initiate a statin prescription for patients for primary prevention of coronary heart...
The research is part of CorCal...
03/31/2025
Cath Lab Digest
CardiAMP Procedure
Cell Therapy
BioCardia Phase 3 CARDIAMP-HF Trial of Novel Cardiac Cell Therapy for Ischemic Heart Failure Shows Increased Survival, Decreased Cardiac Events, and Improved Quality of Life at Two Years
03/31/2025
"In this rigorous CardiAMP-HF Trial, patients who received the novel cell therapy adjunctive to medication experienced decreased mortality and MACCE, with improved quality of life, when compared to those on medication alone," said...
"In this rigorous CardiAMP-HF Trial, patients who received the novel cell therapy adjunctive to medication experienced decreased mortality and MACCE, with improved quality of life, when compared to those on medication alone," said...
"In this rigorous CardiAMP-HF...
03/31/2025
Cath Lab Digest
Peripheral Arterial Disease
New Study Finds Peripheral Artery Disease Often Underdiagnosed and Undertreated; Opportunity to Improve Treatments and Lower Death Rates
03/31/2025
Researchers identified 7,522 patients who had a symptomatic peripheral artery disease diagnosis at Intermountain Health facilities between January 2006 and December 2021 and were seen once in follow-up within at least 18 months of their...
Researchers identified 7,522 patients who had a symptomatic peripheral artery disease diagnosis at Intermountain Health facilities between January 2006 and December 2021 and were seen once in follow-up within at least 18 months of their...
Researchers identified 7,522...
03/31/2025
Cath Lab Digest
TAVR
Evolut Low Risk Trial: Medtronic Evolut TAVR System Shows Durable Clinical Outcomes and Outstanding Valve Performance at 5 Years in Low-Risk AS Patients
03/31/2025
"Results at five years support Evolut's supra-annular, self-expanding TAVR as a safe, effective, and durable alternative to surgery for patients with severe aortic stenosis, regardless of their surgical risk," said Michael J. Reardon, MD.
"Results at five years support Evolut's supra-annular, self-expanding TAVR as a safe, effective, and durable alternative to surgery for patients with severe aortic stenosis, regardless of their surgical risk," said Michael J. Reardon, MD.
"Results at five years support...
03/31/2025
Cath Lab Digest
Calcium Score
Low Coronary Artery Calcium Score is Associated with An Excellent Prognosis Regardless of a Person’s Age, New Intermountain Health Study Finds
03/31/2025
“We found that a zero-plaque burden is not only highly prognostic of good heart health at any age, but also of excellent overall survival,” said Jeffrey L. Anderson, MD, principal investigator of the study.
“We found that a zero-plaque burden is not only highly prognostic of good heart health at any age, but also of excellent overall survival,” said Jeffrey L. Anderson, MD, principal investigator of the study.
“We found that a zero-plaque...
03/31/2025
Cath Lab Digest

CRT Conference Coverage
Disparities in Interventional Cardiology
04/02/2025
Laura Simson
At the Sunday afternoon "Disparities in Interventional Cardiology" session at CRT 2025, experts presented compelling data and discussed the barriers that limit diverse representation in the field, ranging from clinical trials and...
At the Sunday afternoon "Disparities in Interventional Cardiology" session at CRT 2025, experts presented compelling data and discussed the barriers that limit diverse representation in the field, ranging from clinical trials and...
At the Sunday afternoon...
04/02/2025
Journal of Invasive Cardiology
CRT Conference Coverage
Artificial Intelligence in Coronary Artery Disease Diagnosis and Intervention
04/02/2025
Laura Simson
In his Sunday morning session and ensuing panel discussion at CRT 2025, Dr Ran Kornowski of the Rabin Medical Center in Petach-Tikva, Israel, detailed how AI is transforming clinical practice and research in interventional cardiology.
In his Sunday morning session and ensuing panel discussion at CRT 2025, Dr Ran Kornowski of the Rabin Medical Center in Petach-Tikva, Israel, detailed how AI is transforming clinical practice and research in interventional cardiology.
In his Sunday morning session...
04/02/2025
Journal of Invasive Cardiology
Original Contribution
Polidocanol Ablation in Midventricular Obstructive Cardiomyopathy: Novel Approach and Early Outcomes
04/01/2025
Limited data exist regarding polidocanol use for septal ablation, particularly in the context of midventricular obstruction (MVO) . This study presents the first reported use of polidocanol for septal ablation in patients with MVO.
Limited data exist regarding polidocanol use for septal ablation, particularly in the context of midventricular obstruction (MVO) . This study presents the first reported use of polidocanol for septal ablation in patients with MVO.
Limited data exist regarding...
04/01/2025
Journal of Invasive Cardiology
Original Contribution
Heart Rate Variability of Interventional Cardiology Fellows and Attendings and Changes Over Time
04/01/2025
The study examined the stress levels of interventional cardiology (IC) fellows and attendings using both objective (heart rate variability) and subjective (State Trait Anxiety Inventory) metrics across the IC fellowship.
The study examined the stress levels of interventional cardiology (IC) fellows and attendings using both objective (heart rate variability) and subjective (State Trait Anxiety Inventory) metrics across the IC fellowship.
The study examined the stress...
04/01/2025
Journal of Invasive Cardiology
Intravascular Imaging
ECLIPSE Trial: Intravascular Imaging Can Improve Outcomes for Complex Stenting Procedures in Patients with High-Risk Calcified CAD
03/31/2025
“The ECLIPSE trial shows that use of intravascular imaging (IVI) to guide coronary stenting in severely calcified lesions prevents death, stent thrombosis, and unplanned repeat procedures in this high-risk patient population,” says first...
“The ECLIPSE trial shows that use of intravascular imaging (IVI) to guide coronary stenting in severely calcified lesions prevents death, stent thrombosis, and unplanned repeat procedures in this high-risk patient population,” says first...
“The ECLIPSE trial shows that...
03/31/2025
Cath Lab Digest
Aortic Stenosis
New Data Confirm Rapid, Unpredictable Progression of Severe Aortic Stenosis and Need for Urgent Referral and Evaluation of Patients
03/31/2025
New data from DETECT AS and the EARLY TAVR Trial were presented at ACC.25 in Chicago, addressing the critical needs of patients with structural heart disease.
New data from DETECT AS and the EARLY TAVR Trial were presented at ACC.25 in Chicago, addressing the critical needs of patients with structural heart disease.
New data from DETECT AS and the...
03/31/2025
Cath Lab Digest
CAD in Women
New Intermountain Health Study Finds Gap Between Heart Disease Outcomes in Men and Women Has Narrowed Over Past 20 Years  
03/31/2025
Women studied tended to be older with more comorbidities (like high blood pressure, diabetes, and history of stroke and heart failure), have more stable chest pain, and experience less severe chest pain or heart attack when they came into the...
Women studied tended to be older with more comorbidities (like high blood pressure, diabetes, and history of stroke and heart failure), have more stable chest pain, and experience less severe chest pain or heart attack when they came into the...
Women studied tended to be older...
03/31/2025
Cath Lab Digest
AI
HeartFocus Clinical Trial Proves AI Can Empower Novices to Deliver Diagnostic-Quality Cardiac Ultrasounds
03/31/2025
Results showed that 100% of exams conducted by novices using HeartFocus met the diagnostic standards for all primary endpoints, with a strong correlation to expert-acquired scans across qualitative and quantitative assessments.
Results showed that 100% of exams conducted by novices using HeartFocus met the diagnostic standards for all primary endpoints, with a strong correlation to expert-acquired scans across qualitative and quantitative assessments.
Results showed that 100% of...
03/31/2025
Cath Lab Digest
plaque analysis
CONFIRM2 Registry: Late-Breaking Clinical Trial Results Demonstrate the Predictive Power of Cleerly's AI-QCT for Women’s Cardiovascular Risk at ACC.25
03/31/2025
The findings demonstrate that AI-QCT features of coronary artery disease (CAD), as detected by Cleerly’s AI-QCT, can identify women at high risk for major adverse cardiovascular events (MACE) and improves risk stratification - a population...
The findings demonstrate that AI-QCT features of coronary artery disease (CAD), as detected by Cleerly’s AI-QCT, can identify women at high risk for major adverse cardiovascular events (MACE) and improves risk stratification - a population...
The findings demonstrate that...
03/31/2025
Cath Lab Digest
Statins
CorCal Outcomes Study: Who Needs a Statin? Intermountain Study Compares Prescribing Recommendations Based on Traditional Risk Factors vs. Coronary Artery Calcium Scoring
03/31/2025
The research is part of CorCal Outcomes, a large, randomized clinical trial at Intermountain Health that is comparing the PCE versus CAC score guidance to initiate a statin prescription for patients for primary prevention of coronary heart...
The research is part of CorCal Outcomes, a large, randomized clinical trial at Intermountain Health that is comparing the PCE versus CAC score guidance to initiate a statin prescription for patients for primary prevention of coronary heart...
The research is part of CorCal...
03/31/2025
Cath Lab Digest

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