Complications

Editor's Corner

The Trend Toward Performing Procedures in Outpatient Centers Will Continue

01/03/2020

Craig Walker, MD

Cardiovascular Institute of the South, Houma, Louisiana

Craig Walker, MD Cardiovascular I...

Craig Walker, MD, comments on a “must read” article for anyone who may be contemplating performing interventions in an outpatient endovascular center.

Craig Walker, MD, comments on a...

01/03/2020

Vascular Disease Management

An Economic Analysis of a Single-Use Negative Pressure Wound Therapy (sNPWT) Device Compared to Conventional Dressings in Reducing Surgical Site Complications Following Surgery

Background: Surgical site complications (SSCs) are associated with excess morbidity and mortality and represent a significant burden to the health-care system, making surgical site infect...

10/25/2019

Clinical Editor's Corner

The “Big 5”: Avoiding the Most Dangerous Complications of TAVR

09/05/2019

Morton J. Kern, MD

We should be aware of the Big 5 complications of TAVR and do everything possible to avoid these feared events.

We should be aware of the Big 5...

09/05/2019

Cath Lab Digest

Clinical Images

3D Optical Coherence Tomography Reveals Fractured Coronary Stent as Cause of Acute Myocardial Infarction

08/27/2019

Daniel R. Obaid, PhD, MA(Cantab), MRCP(UK); Alexander J. Chase, MBBS, PhD; Dave Smith, BM, MD

Daniel R. Obaid, PhD, MA(Cantab), MRC...

3D-OCT revealed extensive fracture and distortion of the struts in the distal portion of a stent, presumably caused by aggressive postdilation at the time of implantation. This was managed successfully with the insertion of a new coronary...

3D-OCT revealed extensive...

08/27/2019

Journal of Invasive Cardiology

Can Lightning Strike Twice? Tackling Complications From Transcatheter Aortic Valve Implantation

08/27/2019

Jonathan Yap, MBBS, MRCP, MPH¹; See Hooi Ewe, MBBS, MRCP, PhD¹; Victor Chao, MBBS, FRCS²; Kay Woon Ho, MBBS, MRCP¹

Jonathan Yap, MBBS, MRCP, MPH1; See ...

This case demonstrates that TAVI complications may occur in the peri- and postprocedural periods; operators must be aware of the differentials for such complications and well-versed in their management.

This case demonstrates that TAVI...

08/27/2019

Journal of Invasive Cardiology

Coronary Artery Air Embolism

07/23/2019

Rakesh Agarwal, MBBS, MD and D.P. Sinha, MBBS, MD, DM

Rakesh Agarwal, MBBS, MD and D.P. Sin...

Coronary artery air embolism can be fatal if not proficiently managed. Vasospasm is said to be protective in that it breaks the larger air bubbles, as occurred in the present case.

Coronary artery air embolism can...

07/23/2019

Journal of Invasive Cardiology

ECG Primer for the Cath: What Does a Tall R Wave in V1 Mean? The Four Categories Approach

06/07/2019

Leo Ungar¹, MD, Teferi Mitiku², MD, Morton Kern³, MD, MSCAI, FACC, FAHA

Leo Ungar1, MD, Teferi Mitiku2, MD, M...

Your cath patient is in the lab and the electrocardiogram (ECG) shows a tall R wave in V1 (defined as an R wave amplitude that is greater than that of the S wave). What should you be thinking about and what is the differential for this...

Your cath patient is in the lab...

06/07/2019

Cath Lab Digest

Letter from the Editor

Treatment of Heavily Calcified Unprotected Left Main Disease With Lithotripsy: The First Case Series

05/30/2019

Bernard Wong, MBChB; Seif El-Jack, MBBS; Ali Khan, MBBS; Ruth Newcombe, DCR; Timothy Glenie, MBChB; Aleksandar Cicovic, MBChB; Guy Armstrong, MBChB

Bernard Wong, MBChB; Seif El-Jack, M...

This first case series presents the use of Shockwave Intravascular Lithotripsy in a patient with LMCA disease with multivessel disease who declined surgery, a patient with isolated LMCA disease and severe cardiomyopathy, and a late...

This first case series presents...

05/30/2019

Journal of Invasive Cardiology

Right Ventricular Wall Hematoma Following Angioplasty to RCA Occlusion

03/27/2019

Mina S.A. Ghobrial, BMedSci, MBChB (Hons), MRCP¹ and Mohaned Egred, BSc (Hons), MBChB, MD^1,2

Mina S.A. Ghobrial, BMedSci, MBChB (H...

Right ventricle intramural hematoma is a rare complication of right coronary artery PCI. With the increased uptake and prevalence of complex chronic total occlusion interventions, unusual complications will continue to occur; sharing and...

Right ventricle intramural...

03/27/2019

Journal of Invasive Cardiology

Case Report

Recurrent Arteriovenous Fistula as a Rare Complication of Transradial Coronary Angiography

03/04/2019

Sheharyar Minhas, MD¹, Kevin Barretto², Maira Malik^2,3, Sunil Dhar, MD^1,2

¹Department of Cardiology; Department of Internal Medicine, Nazareth Hospital, Philadelphia, Pennsylvania; ²Philadelphia College of Osteopathic Medicine, Philadelphia, Pennsylvania; ³Combined Military Hospital, Lahore Medical College, Lahore, Pakistan

Sheharyar Minhas, MD1, Kevin Barretto...

Iatrogenic AV fistulas result from penetration of a needle through an arterial and venous tributary during angiographic catheterization procedures. Rarely, when the communication between the artery and vein does not seal spontaneously, an AV...

Iatrogenic AV fistulas result...

03/04/2019

Cath Lab Digest