Cardiac Imaging

Cover Story

Multiple Coronary Artery Aneurysms in Alport Syndrome

11/25/2019

Alport syndrome (AS) is a genetic disorder characterized by abnormal alpha chains of type IV collagen in multiple organs including the kidney, cochlea, cornea, lens, and retina. Aortic disease including dissection and aneurysm has been...

Alport syndrome (AS) is a...

11/25/2019

Journal of Invasive Cardiology

Large Right Coronary Artery Aneurysm

10/29/2019

Antonio E. Smith , MD;

Said Ashraf , MD;

Tanveer Mir , MD;

Kartik R. Kumar , MD;

Kendall Bell , MD;

Tomo Ando , MD;

Frank A. Baciewicz , MD;

Complications of aneurysm include thrombosis and distal embolization, rupture, and vasospasm. The natural history and prognosis remain obscure. Controversies persist regarding the use of surgical or medical management.

Complications of aneurysm...

10/29/2019

Journal of Invasive Cardiology

Type 3 Coronary Perforation on Optical Coherence Imaging

10/29/2019

Viji S. Thomson , MD, DM;

Lijo Varghese , MD, DM;

George Joseph , MD, DM;

OCT imaging revealed a 1.5 mm-long transmural breach in a segment of the artery devoid of calcium or eccentric plaque burden. Focal negative remodeling identified on OCT was deemed the reason for this otherwise unexplained cause of coronary...

OCT imaging revealed a 1.5...

10/29/2019

Journal of Invasive Cardiology

Rendered OCT Imaging of an Impressive Stent Malapposition in the Left Main Coronary Artery

08/27/2019

Giovanni Lorenzoni , MD;

Pierluigi Merella , MD;

Paola Berne , MD;

Gavino Casu , MD;

Graziana Viola , MD;

Our case emphasizes the need to use intravascular imaging to optimize stent implantation in the left main coronary artery.

Our case emphasizes the need to...

08/27/2019

Journal of Invasive Cardiology

Clinical Images

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

08/27/2019

Daniel Obaid , MBBCh, PhD;

Alexander J. Chase , MBBCh, PhD, MBBS, MD;

Dave Smith , BM, MD;

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

Kay-Woon Ho , MBBS, MRCP;

See Hooi Ewe , MBBS, MRCP, PhD;

Victor T. Chao , MBBS, FRCS;

Jonathan Yap , MBBS, MRCP, MPH, MD;

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

Importance of Right Marginal Branch Protection During Primary Angioplasty in Inferior STEMI With Right Ventricular Involvement

02/24/2019

Michal Swierczewski ;

Zuzanna Sala ;

Rajmund Bobrowski ;

Marcin Demkow , PhD, MD;

Lukasz Kalinczuk , MD, PhD;

We document the high effectiveness of an extra guidewire insertion aimed at mechanical lumen protection of the right marginal branch from displaced thrombus.

We document the high...

02/24/2019

Journal of Invasive Cardiology

CLINICAL IMAGES

Modified Sleeve Technique for Calcified Coronary Bifurcations

02/24/2019

Zaheed Tai , MD, DO, FACC, FSCAI;

This modification of the GuideLiner technique is useful for left main and non-left main bifurcations.

This modification of the...

02/24/2019

Journal of Invasive Cardiology

Large Epicardial Hematoma After Percutaneous Coronary Intervention: Multimodality Imaging

02/24/2019

Suhail Q. Allaqaband , MD;

M. Fuad Jan , MBBS, MD;

A. Jamil Tajik , MD;

Dhaval Desai , MD;

Abdur Ahmad , MD;

Eric S. Weiss , MD, MPH;

Setu Trivedi , DO;

Epicardial hematoma can manifest immediately or within a few minutes to hours after coronary intervention. Multimodality imaging is critical for diagnosis and management of such cases.

Epicardial hematoma can manifest...

02/24/2019

Journal of Invasive Cardiology

Septal Hematoma: A Rare But Potentially Serious Complication of Retrograde CTO-PCI

02/24/2019

David P. Lee , MD;

Matthew W.P. Jackson , RT(R), MB, MRCP;

Mohaned Egred , MBChB, MD, BSc(Hons), FRCP, BSc, MRCP;

We present a case of a rare complication of septal collateral perforation resulting in the formation of septal hematoma that fortunately on this occasion did not result in any significant clinical deterioration, and was managed conservatively...

We present a case of a rare...

02/24/2019

Journal of Invasive Cardiology