Cardiac Imaging

Clinical Images

Superficial Femoral Artery Aneurysm as a Cause of Deep Vein Thrombosis Treated With a Covered Stent

10/26/2018

Adrian Mercado-Alamo, MD; Anwar Zaitoun, MD; Saroj Neupane, MD; Thomas Davis, MD

Adrian Mercado-Alamo, MD; Anwar Zait...

Deep vein thrombosis due to superficial femoral artery aneurysm is an extremely rare condition that develops due to aneurysm direct compression of a segment of the venous system. We present a female patient who had recently undergone a left...

Deep vein thrombosis due to...

10/26/2018

Journal of Invasive Cardiology

Clinical Images

Percutaneous Management of Left Atrial Appendage Perforation: Keep Calm and Think Fast

10/26/2018

Giovanni Lorenzoni, MD; Pierluigi Merella, MD; Paolo Pischedda, MD; Gavino Casu, MD

Giovanni Lorenzoni, MD; Pierluigi Me...

Left atrial appendage (LAA) perforation is a possible complication not only after release of the closure device, but also during the diagnostic phase due to sheath positioning in the LAA.

Left atrial appendage...

10/26/2018

Journal of Invasive Cardiology

Clinical Images

Interatrial Septal Dissection Complicating a MitraClip Procedure

10/26/2018

Amged Abdelaziz, MD; Saqib Ali Gowani, MD; Brett Hiendlmayr, MD; Jennifer Jantz, MD; Francis Kiernan, MD; Raymond G. McKay, MD

Amged Abdelaziz, MD; Saqib Ali Gowan...

We report the first case of interatrial dissection and hematoma in association with the MitraClip procedure.

We report the first case of...

10/26/2018

Journal of Invasive Cardiology

Clinical Images

Novel Cerebral Protection Technique During Right Transcarotid TAVR in Bicuspid Aortic Stenosis and Porcelain Aorta

10/26/2018

Brett Hiendlmayr, MD; Kerry E. McGuire, APRN; Lauren E. Curtis, APRN; William H. Perucki, MD; Saqib Ali Gowani, MD; Amged Abdelaziz, MD; Nicole E. Hoover, PA-C; Mohiuddin Cheema, MD; Talhat Azemi, MD

Brett Hiendlmayr, MD; Kerry E. McGui...

Periprocedural stroke related to TAVR is associated with increased morbidity and mortality. Cerebral embolic protection using the Sentinel device has demonstrated reduced rates of stroke during TAVR. However, alternative access such as a...

Periprocedural stroke related to...

10/26/2018

Journal of Invasive Cardiology

Clinical Images

Atrial Myxoma With Feeding Vessels From Both the Right and Left Coronary Arteries: A Rare Finding During Coronary Angiography

10/26/2018

Pascal Frederiks, MD; Hans Vandekerckhove, MD; Kurt Hermans, MD

Pascal Frederiks, MD; Hans Vandekerc...

A 73-year-old woman presented with exertional chest pain and mild dyspnea for several months. In this case, preoperative coronary angiography showed neovascularization originating from the RCA and LCX. Vascular supply in left atrial myxomas...

A 73-year-old woman presented...

10/26/2018

Journal of Invasive Cardiology

Clinical Images

Identification of Coronary Vasospasm as a Cause of Recurrent Acute Coronary Syndrome

09/27/2018

Nicolas Majunke, MD; Maximilian von Roeder, MD; Stephan Sch√ºrer, MD; Sandra Erbs, MD

Nicolas Majunke, MD; Maximilian von ...

This case highlights the importance of nitrate administration, as routinely performed during coronary arteriography.

This case highlights the...

09/27/2018

Journal of Invasive Cardiology

Clinical Images

Four-Layer Stent Sandwich for Recurrent In-Stent Occlusion of the Right Coronary Artery: "The Four Musketeers" Fighting for Coronary Flow

09/26/2018

Kajetan Grodecki, MS¹; Artur Debski, MD²; Adam Witkowski, MD, PhD²; Maksymilian P. Opolski, MD, PhD²

Kajetan Grodecki, MS1; Artur Debski,...

A 70-year-old man with a history of two successfully treated in-stent chronic total occlusions (IS-CTO) of the ostial right coronary artery (RCA) using drug-eluting stents presented with typical angina.

A 70-year-old man with a history...

09/26/2018

Journal of Invasive Cardiology

Clinical Images

Single Leaflet Device Attachment Complicating Percutaneous Edge-to-Edge Repair of the Tricuspid Valve Using the MitraClip

08/28/2018

Chak-Yu So, MBChB; Kun-Chong Tam, MD; Yat-Yin Lam, MD; Alex Pui-Wai Lee, MD

Chak-Yu So, MBChB; Kun-Chong Tam, MD...

A 72-year-old woman with severe mitral and tricuspid regurgitation secondary to chronic atrial fibrillation presented with refractory heart failure despite optimal medical treatment. She was considered inoperable, and thus underwent...

A 72-year-old woman with severe...

08/28/2018

Journal of Invasive Cardiology

Clinical Images

Understanding the Musical Dance of the Engaged Coronary Catheter: Insights From Advanced Myocardial Mechanics

08/28/2018

Khawaja Afzal Ammar, MBBS, MS; Tanvir Bajwa, MD; Suhail Q. Allaqaband, MD; Anthony DeFranco, MD

Khawaja Afzal Ammar, MBBS, MS; Tanvi...

This case of a 56-year-old woman with normal coronaries displays the side-to-side motion of the unengaged catheter followed by the rhythmic up-and-down, piston-like movements of the catheter tip after engagement.

This case of a 56-year-old woman...

08/28/2018

Journal of Invasive Cardiology

Clinical Images

Unusual Implantation of a Coronary Sinus Reducer in the Middle Cardiac Vein

07/30/2018

Riccardo Gorla, MD, PhD¹; Francesco Giannini, MD²; Francesco Bedogni, MD¹; Federico De Marco, MD, PhD¹

Riccardo Gorla, MD, PhD1; Francesco ...

In patients with small or unfavorable coronary sinus (CS) anatomies, implantation of a CS reducer in atypical sites might be considered, if the target vein is of appropriate size and provides appropriate venous drainage.

In patients with small or...

07/30/2018

Journal of Invasive Cardiology