Cardiac Imaging

Clinical Images

Cardioembolic Stroke in Patient With Transcatheter Occluded Left Atrial Appendage

12/27/2017

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;

Michalis Koutouzis , MD, PhD;

Theodoros Zografos , MD, PhD;

Grigorios Tsigkas , MD, PhD;

Athanasios Antonakopoulos , MD, MSc;

Nikolaos Bourboulis , MD, PhD;

Apostolos Katsivas , MD, PhD;

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 , MD;

Brent P. Little , MD;

Farshad Forouzandeh , MD, PhD;

Habib Samady , MD;

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

Ali Pourdjabbar , MD;

Lawrence Ang , MD;

Ryan R. Reeves , MD;

Ehtisham Mahmud , MD;

Daniel Walters , 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

Nikhil V. Ambulgekar , MD;

Anwar Zaitoun , MD;

Saroj Neupane , MD;

Andrew Boshara , MD;

Antonious Attallah , MD;

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, PhD;

Alexander V. Smolensky , MD;

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

Jonas Eichhofer , PhD, MD;

Billal Patel , PhD;

Hesham K. Abdelaziz , MD, PhD;

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

Gregg W. Stone , MD, FACC, FSCAI;

Gary S. Mintz , MD;

Ziad A. Ali , MD, DPhil;

Yasir Parviz , MBBS, MRCP;

Khady Fall , MD;

Akiko Maehara , MD;

Ori Ben-Yehuda , MD;

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

Paul Galiwango , MD;

Subodh Verma , MD, PhD;

Bobby Yanagawa , MD, PhD;

Bhavanesh Makanjee , MD;

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;

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