Cardiac Imaging

A 67-Year-Old Man With a Mass Shadow in His Heart Chamber During Coronary Angiography

04/01/2020

A 67-year-old man was admitted to our hospital due to chest tightness induced by activity that had started about 2 months earlier. To clarify the causes of chest pain in this patient, cardiac magnetic resonance imaging was performed,...

A 67-year-old man was admitted...

04/01/2020

Journal of Invasive Cardiology

Radial Artery Spiral Dissection Confirmed by OCT Without Guidewire Shadow

04/01/2020

Zijing Liu , MD;

Dan Niu , MD;

Jincheng Guo , MD;

A novel technique was used to eliminate the guidewire shadow artifact by removing the guidewire in frequent domain optical coherence tomography interpretation in vivo. This technique allowed us to observe a rare iatrogenic spiral dissection...

A novel technique was used to...

04/01/2020

Journal of Invasive Cardiology

Impella-Induced Left Ventricular Microbubbles, A Potential Sign for Hemolysis

04/01/2020

Nidal Abi Rafeh , MD;

Henry C. Quevedo , MD;

We observed left ventricular microbubbles associated with Impella support in the setting of a high-risk coronary intervention. Left ventricular microbubbles may indicate exaggerated shear stress and cavitation phenomenon, potentially leading...

We observed left ventricular...

04/01/2020

Journal of Invasive Cardiology

Adjunctive Rotational Atherectomy and Intravascular Lithotripsy for Heavily Calcified Left Main Disease Via Radial Access

04/01/2020

Jonathan Hill ;

Fernando Macaya , MD;

Julian Yeoh , MBBS, FRACP;

Rafal Dworakowski , PhD, FRCP;

Coronary angiography demonstrated severe distal LM disease in a patient with heavy concentric calcification extending into the LAD and left circumflex arteries. Rotational atherectomy and lithotripsy were used to debulk plaque so that...

Coronary angiography...

04/01/2020

Journal of Invasive Cardiology

Alpha-Loop for Permanent Pacemaker Implantation in Restrictive Cardiomyopathy

04/01/2020

Yash Paul Sharma , MD, DM;

Kewal Kanabar , MD;

Sagar Makode , MD;

Krishna Prasad , MD;

High-grade and complete heart block commonly occurs in adult patients with restrictive cardiomyopathy, and requires aggressive monitoring and prophylactic pacemaker/defibrillator. There are limited data on the procedural details of pacemaker...

High-grade and complete heart...

04/01/2020

Journal of Invasive Cardiology

Initiatives

Reverse-Loop Technique for Percutaneous Transvenous Mitral Commissurotomy in a Patient With Huge Left Atrium

11/25/2019

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Kewal Kanabar , MD;

Rajesh Vijayvergiya , MD, DM;

A 34-year-old man was referred for percutaneous transvenous mitral commissurotomy (PTMC); he had undergone 2 PTMC attempts at another institute, but both attempts failed because of inability to cross the mitral valve with the balloon. We...

A 34-year-old man was referred...

11/25/2019

Journal of Invasive Cardiology

Feature Interview

Coronary Guidewire Fracture Into a Radial Artery Loop: A New Complication in the Transradial Era?

11/25/2019

Giuseppe Talanas , MD;

Roberta Siciliano , MD;

Guido Parodi , MD, PhD;

To date, complete fracture of a coronary wire into a radial artery loop has never been reported. We describe the occurrence of a new complication in the transradial intervention era.

To date, complete fracture of a...

11/25/2019

Journal of Invasive Cardiology

Education

Acquired Coronary Fenestration

11/25/2019

Abdul Moiz Hafiz , MD;

Nikolaos Kakouros , MBBS, PhD, MRCP, MD(Res);

Mary Perras , MS, ANP;

We demonstrate how tandem anatomic and physiologic assessment can be used to diagnose, functionally evaluate, and effectively treat angiographic coronary fenestration.

We demonstrate how tandem...

11/25/2019

Journal of Invasive Cardiology

Women in Electrophysiology

Longitudinal Stent Deformation: Precise Diagnosis With Optical Coherence Tomography

11/25/2019

Raúl Moreno-Gómez , MD, PhD;

Santiago Jimenez-Valero , MD, PhD;

Ariana Gonzalvez-Garcia , MD;

Harold Hernandez-Matamoros , MD;

This case illustrates the value of OCT to identify and correctly diagnose longitudinal stent deformation.

This case illustrates the value...

11/25/2019

Journal of Invasive Cardiology

Spotlight Interview

Single Sheath for Dual Injection Prior to CTO Intervention

11/25/2019

Eleftherios Kontopodis , MD;

Nikolaos Oikonomidis , MD;

Ioannis Tsiafoutis , MD;

Efstathios Lazaris , MD;

Michalis Koutouzis , MD, PhD;

To our knowledge, this is the first reported case of a dual injection using a single sheath approach, in order to evaluate a CTO and plan a future intervention.

To our knowledge, this is the...

11/25/2019

Journal of Invasive Cardiology