Cardiac Imaging

Clinical Images

Cardioembolic Stroke in Patient With Transcatheter Occluded Left Atrial Appendage

12/27/2017

Umberto Cucchini, MD, PhD; Denisa Muraru, MD, PhD; Luigi P. Badano, MD, PhD

Umberto Cucchini, MD, PhD; Denisa Mu...

A cerebral ischemic event in a patient managed with LAA transcatheter obliteration is illustrated. TEE allowed identification and accurate definition of the LAA device leakage.

A cerebral ischemic event in a...

12/27/2017

Journal of Invasive Cardiology

Clinical Images

The Reverse T-Stenting and Small Protrusion Technique: A Novel Technique for Coronary Bifurcation Lesions

11/28/2017

Ioannis Tsiafoutis, MD, PhD¹; Theodoros Zografos, MD, PhD¹; Athanasios Antonakopoulos, MD, MSc¹; Michael Koutouzis, MD, PhD¹; Grigorios Tsigkas, MD, PhD²; Nikolaos Bourboulis, MD, PhD¹; Apostolos Katsivas, MD, PhD¹

Ioannis Tsiafoutis, MD, PhD1; Theodo...

Bifurcation lesions may be encountered in approximately 15%-20% of PCIs. A 2-stent approach is required in up to 30% of these procedures. We describe a novel technique based on a modification of TAP stenting, suitable for procedures where a...

Bifurcation lesions may be...

11/28/2017

Journal of Invasive Cardiology

Clinical Images

Young Athlete With Complex Aneurysmal Coronary Stenosis

11/28/2017

Eric P. Stahl, MD¹; Farshad Forouzandeh, MD, PhD²; Brent P. Little, MD³; Habib Samady, MD²

Eric P. Stahl, MD1; Farshad Forouzan...

Kawasaki disease is an acute vasculitis that occurs predominantly in infants and children younger than 5 years old. If undiagnosed and untreated, the risk of developing coronary artery aneurysms increases to about 20%. In patients who present...

Kawasaki disease is an acute...

11/28/2017

Journal of Invasive Cardiology

Clinical Images

A Bleeding Heart: Coronary-Cameral Fistula After Septal Myomectomy

11/28/2017

Daniel Walters, MD; Ryan Reeves, MD; Lawrence Ang, MD; Ali Pourdjabbar, MD; Ehtisham Mahmud, MD

Daniel Walters, MD; Ryan Reeves, MD;...

This case highlights a striking angiographic example of coronary-cameral fistula occurring after septal myomectomy, a complication occurring somewhat frequently with typical spontaneous resolution.

This case highlights a striking...

11/28/2017

Journal of Invasive Cardiology

Clinical Images

Caught in Time: When IVC Filters Save Lives

11/28/2017

Anwar Zaitoun, MD¹; Nikhil Ambulgekar, MD¹; Andrew Boshara, MD²; Saroj Neupane, MD¹; Antonious Attallah, MD¹

Anwar Zaitoun, MD1; Nikhil Ambulgeka...

IVC filters are indicated in patients with venous thromboembolic disease in whom anticoagulation is a contraindication. This case highlights the importance of IVC filter placement in patients with extensive proximal deep vein thromboses in...

IVC filters are indicated in...

11/28/2017

Journal of Invasive Cardiology

Clinical Images

Catheter-Induced Coronary Spasm: Serious But Preventable

11/28/2017

Farshad Forouzandeh, MD, PhD¹ and Alexander V. Smolensky, MD²

Farshad Forouzandeh, MD, PhD1 and Ale...

While catheter-induced spasm is considered to be rare, it needs to be ruled out (especially in cases of LM stenosis) to avoid unnecessary revascularization. We present a patient where the underlying tendency for coronary spasm was so high,...

While catheter-induced spasm is...

11/28/2017

Journal of Invasive Cardiology

Clinical Images

A Novel, Simple, and Safe Technique for Retrieving a Crushed Stent From the Coronary Artery: Balloon-Assisted Stent Retraction

11/28/2017

Hesham K. Abdelaziz, PhD; Jonas Eichhofer, PhD; Billal Patel, PhD

Hesham K. Abdelaziz, PhD; Jonas Eich...

Various percutaneous methods have been described for the retrieval of damaged stents; however, these methods can be complex and carry a risk of stent embolization or vascular damage. We present a simple and safe technique using a compliant...

Various percutaneous methods...

11/28/2017

Journal of Invasive Cardiology

Clinical Images

Imaging and Physiology to Guide Venous Graft Interventions Without Contrast Administration in Advanced Renal Failure

10/23/2017

Yasir Parviz, MBBS, MRCP¹; Khady Fall, MD¹; Gregg W. Stone, MD^1,2; Akiko Maehara, MD^1,2; Ori Ben-Yehuda, MD^1,2; Gary S. Mintz, MD²; Ziad A. Ali, MD, DPhil^1,2

Yasir Parviz, MBBS, MRCP1; Khady Fal...

We describe step-by-step “zero-contrast” saphenous vein bypass graft intervention using a modified technique.

We describe step-by-step...

10/23/2017

Journal of Invasive Cardiology

Clinical Images

Electrophysiology Study and Catheter Ablation With Superior Vena Cava Stump

10/23/2017

Bhavanesh Makanjee, MD¹; Paul Galiwango, MD¹; Subodh Verma, MD, PhD²; Bobby Yanagawa, MD, PhD²

Bhavanesh Makanjee, MD1; Paul Galiwa...

We report the complete absence of a superior vena cave in a patient without prior history of cardiac surgery or device implantation. This is a very rare congenital cardiac abnormality, which if unrecognized, may lead to complications in...

We report the complete absence...

10/23/2017

Journal of Invasive Cardiology

Clinical Images

Treatment of Severe Native Left Pulmonary Artery Stenosis With Coronary Stent Implantation in a 2.4 kg Neonate

08/29/2017

Matthew C. Schwartz, MD; T. Curtis Alford, ARNP; Matthew Saxonhouse, MD; David Ohmstede, MD; Joseph Paolillo, MD

Matthew C. Schwartz, MD; T. Curtis A...

Transcatheter stent placement is an appealing option to treat discrete branch pulmonary artery stenosis in small, premature neonates in whom surgical treatment with arterioplasty can be challenging.

Transcatheter stent placement is...

08/29/2017

Journal of Invasive Cardiology