Cardiac Imaging

Clinical Images

Multimodality Imaging of Anomalous Origin of Right Coronary Artery From Pulmonary Artery (ARCAPA)

08/29/2017

The diagnosis and management of an exceedingly rare anomalous right coronary artery from pulmonary artery are described.

The diagnosis and management of...

08/29/2017

Journal of Invasive Cardiology

Clinical Images

A Time to Act and a Time to Watch: Severe Guide-Catheter Induced Proximal Coronary Dissection With Extensive Ascending Aorta and Arch Dissection, Managed by Immediate Coronary Stenting and Watchful Waiting

08/29/2017

Probal Roy , MD;

Paul G. Bannon , MBBS, PhD;

Rong Bing , MD;

Jerrett Lau , MD;

Harry C. Lowe , MD, MBChB, PhD, FRACP;

Prompt stenting of the dissection entry flap allowed for stabilization and eventual healing of a severe catheter-induced aortic dissection, without resorting to surgical intervention.

Prompt stenting of the...

08/29/2017

Journal of Invasive Cardiology

Original Contribution

Classification for Assessing the Quality of Diagnostic Coronary Angiography

08/15/2017

Martin B. Leon , MD;

Nicolas Bettinger , MD;

Philippe Généreux , MD;

Roxana Mehran , MD;

Gregg W. Stone , MD, FACC, FSCAI;

In the present report, we sought to establish a novel standardized quantitative classification for the quality of coronary angiography, taking into consideration two main parameters: coronary contrast filling and coronary sinus contrast...

In the present report, we sought...

08/15/2017

Journal of Invasive Cardiology

Original Contribution

Contrast Minimization With the New-Generation DyeVert Plus System for Contrast Reduction and Real-Time Monitoring During Coronary and Peripheral Procedures: First Experience

07/25/2017

Arturo Giordano , MD, PhD;

Nicola Corcione , MD;

Paolo Ferraro , MD;

Stefano Messina , MD;

Gennaro Maresca , MD;

Raffaella Avellino , BSc;

Giovanni Napolitano , MD;

Elena Cavarretta , MD, PhD;

Contrast-induced nephropathy remains the main adverse effect of contrast administration. We appraised the DyeVert Plus system inclusive of contrast reduction and real-time monitoring in a consecutive series of coronary or peripheral...

Contrast-induced nephropathy...

07/25/2017

Journal of Invasive Cardiology

Transradial Coronary Angiogram in a Sitting Position

07/25/2017

Cindy L. Grines , MD, FACC, FSCAI;

Konstantinos Marmagkiolis , MD, MBA, FACC, FSCAI;

Mehmet Cilingiroglu , MD;

To our knowledge, this is the first reported case of coronary angiogram in a patient in a sitting position.

To our knowledge, this is the...

07/25/2017

Journal of Invasive Cardiology

Clinical Images

Incidental Detection of Arteria Lusoria During Transradial Coronary Intervention

07/25/2017

Nagaraja Moorthy , MD, DM;

Natraj Setty , DM;

Thagachagere R. Raghu , DM;

Manjunath Cholenahally Nanjappa , MD, DM;

Jayashree Kharge , MD, DM;

Transradial coronary angiography and interventions in patients with arteria lusoria, while technically challenging, are feasible without crossover to femoral approach. Interventional cardiologists should be aware of this rare entity when...

Transradial coronary angiography...

07/25/2017

Journal of Invasive Cardiology

Clinical Images

Cavotricuspid-Isthmus Dependent Flutter or Left-Sided Atrial Tachycardia?

07/25/2017

Kevin Ming Wei Leong , MBBS, MRCP;

Fernando Guerrero , BSc;

Phang Boon Lim , MA, MRCP, PhD;

This image highlights a potential pitfall in interpreting RA activation maps with previous CTI block during a tachyarrhythmia and underscores the need for careful inspection, especially when using other electroanatomical navigation systems...

This image highlights a...

07/25/2017

Journal of Invasive Cardiology

Clinical Images

Handle With Care: A Ductus Arteriosus Aneurysm in an Elderly Patient

07/25/2017

Sebastiano Gili , MD;

Pierluigi Omedè , MD;

Fulvio Orzan , MD, PhD;

Fabrizio D'Ascenzo , MD;

Antionio Montefusco , MD;

Ductus arteriosus aneurysm is a rare finding, with sporadic cases reported in children and infants. In the elderly, it poses serious therapeutic challenges, as the risk of rupture is counterbalanced by the high risk of its correction.

Ductus arteriosus aneurysm is a...

07/25/2017

Journal of Invasive Cardiology

Clinical Images

Twin Hearts in Identical Twins

06/27/2017

Nikolaos Nikoloulis , MD;

Athanasios Tsiampalis , MD;

Nikitas Karavidas , MD;

Nikolaos Platogiannis , MD, MSc;

Dimitrios Platogiannis , MD, PhD;

John Papanikolaou , MD, PhD;

When premature coronary artery disease is found in one of a monozygotic twin pair, evaluating the other twin is a reasonable approach.

When premature coronary artery...

06/27/2017

Journal of Invasive Cardiology

Clinical Images

Coronary CT Angiography for In-Stent Restenosis: Diagnosis and Therapeutic Planning

05/31/2017

Maria Martin , MD, PhD;

Juan Calvo , MD, PhD;

Pablo Avanzas , MD, PhD, FESC;

Jose Rozado , MD;

Isaac Pascual , MD;

Cesar Moris , MD, PhD;

This case is illustrative of the potential role of coronary CT angiography to identify the severity and mechanism of restenosis, and thus guide the PCI procedure in a case of especially difficult catheterization.

This case is illustrative of the...

05/31/2017

Journal of Invasive Cardiology