Cardiac Imaging

Clinical Images

Optical Coherence Tomography for Guiding Plaque Stabilization in a Patient With Myocardial Infarction and Massive Coronary Thrombosis

06/28/2018

Mateusz Śpiewak , MD, PhD;

Maksymilian P. Opolski , PhD, MD;

Milosz J. Jaguszewski , MD, PhD;

Adam Witkowski , MD, PhD;

An OCT-guided watchful-waiting strategy is used to avoid the invasive treatment of the LMCA in a very young patient with massive coronary thrombosis.

An OCT-guided watchful-waiting...

06/28/2018

Journal of Invasive Cardiology

Clinical Images

Atherosclerosis of the Internal Mammary Artery: Intravascular Ultrasound and Virtual Histology Imaging

03/30/2018

Ann Connor , MD;

Sanjay Mehta , MD;

Falak Shah , MD;

Atherosclerotic disease of the shaft of the IMA is rare. Angiography or arterial duplex ultrasound before bypass surgery of the IMA should be performed even when considering the patient for an emergent bypass surgery.

Atherosclerotic disease of the...

03/30/2018

Journal of Invasive Cardiology

Image Corner

High-Quality cCTA Imaging Enables FFRct Analysis

03/01/2018

Images courtesy of Medscan Barangaroo, Sydney, Australia

Images courtesy of Medscan Barangaroo...

Physicians strive to avoid unnecessary invasive angiograms when determining the extent of coronary artery disease (CAD) in a patient as well as CAD’s impact on blood flow to the heart.

Physicians strive to avoid...

03/01/2018

Cath Lab Digest

Clinical Images

Kinking of Right Coronary Artery as a Complication in Pulmonary and Tricuspid Valve Replacement

02/24/2018

Osama Samara , MD;

Simon R. Davies , MBBCh, MD;

A 47-year-old patient with severe tricuspid and pulmonary regurgitation was electively admitted for surgical replacement of both valves. Post-op ECG changes suggested acute myocardial ischemia. Angiography revealed kinking in the distal RCA...

A 47-year-old patient with...

02/24/2018

Journal of Invasive Cardiology

Clinical Images

Thromboembolic Occlusion of the Left Coronary Artery During Transcatheter Aortic Valve Implantation

01/29/2018

Kajetan Grodecki , MS;

Piotr Scislo , MD, PhD;

Krzysztof J. Filipiak , MD, PhD;

Zenon Huczek , MD, PhD;

Maksymilian P. Opolski , PhD, MD;

Janusz Kochman , MD, PhD;

Grzegorz Opolski , MD, PhD;

Non-cerebral thromboembolic complications of TAVI are rare, but life threatening. We report a 62-year-old woman with aortic stenosis who qualified for TAVI due to obesity and developed hypotension and bradycardia as a result of thromboembolic...

Non-cerebral thromboembolic...

01/29/2018

Journal of Invasive Cardiology

Clinical Images

Coronary Artery Straightening Causing Acute Severe Mitral Regurgitation

01/29/2018

John S. Douglas Jr., MD;

Farshad Forouzandeh , MD, PhD;

A 79-year-old woman had an atretic LIMA to LAD but without significant LAD stenosis, patent SVG to OM1, patent SVG to RCA, and severe tandem lesions in a very tortuous LCX for which she underwent PCI. Placement of a BMW coronary guidewire...

A 79-year-old woman had an...

01/29/2018

Journal of Invasive Cardiology

Clinical Images

Multimodality Imaging and Percutaneous Closure of a Large Left Main Coronary Artery to Superior Vena Cava Fistula

01/29/2018

Sanjay Mehta , MD;

Atman P. Shah , MD, FACC, FSCAI;

Images illustrate 3D reconstruction CT showing fistula arising from the LMCA draining into the SVC. Additional angiographic images show the fistula before and after percutaneous closure with Amplatzer Vascular plugs.

Images illustrate 3D...

01/29/2018

Journal of Invasive Cardiology

Clinical Images

Healing of Iatrogenic Coronary Dissection and Intramural Hematoma: Insights From OCT

12/27/2017

Shahar Lavi , MD, PhD;

Samual Hayman , MBBS, MSc;

A 57-year-old female presented with Canadian Cardiovascular Society class 2 angina and a positive stress test. Angiography was performed via right radial approach, resulting in spiral dissection and TIMI 0 flow.

A 57-year-old female presented...

12/27/2017

Journal of Invasive Cardiology

Clinical Images

Migration of Intraaortic Balloon Pump Placed Via the Axillary Artery

12/27/2017

Yaron D. Barac , MD, PhD;

Hazim Alwair , MD;

David F. Kong , MD, AM, DMT;

Chetan B. Patel , MD;

Mani A. Daneshmand , MD;

Carmelo A. Milano , MD;

Jacob N. Schroder , MD;

Axillary artery IABP placement enables those awaiting transplant to ambulate and get stronger, but motion increases risk of IABP migration. The management of a migrated pump in a 44-year-old man with heart failure is described.

Axillary artery IABP placement...

12/27/2017

Journal of Invasive Cardiology

Clinical Images

Transcarotid Transcatheter Aortic Valve Replacement as Preferred Alternative Access in a Patient With Bilateral Carotid Artery Disease

12/27/2017

Thomas Bilfinger , MD;

Henry Tannous , MD;

Jonathan Weinstein , DO, MD;

Neal Patel , MD;

Puja B. Parikh , MD;

Luis Gruberg , MD;

Shang Loh , MD;

A 78-year-old man presented with severe symptomatic aortic stenosis and a heavily calcified, stenotic aortic valve. Given multiple comorbidities, the heart team agreed on a transcatheter approach via the left common carotid artery.

A 78-year-old man presented with...

12/27/2017

Journal of Invasive Cardiology