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Cardiac Imaging

Clinical Images
Dislodged Coronary Stents: The Presnaring Technique
03/01/2023

Issa Kutkut, MD;  Babar Khan, MD;  Stephen O. Hunley, MD;  Barbara D. Lawson, MD;  Zachary M. Gertz, MD

Issa Kutkut, MD;  Babar Khan, MD;  St...
When dislodged stents remain on the coronary wire, the wire can be snared outside of the body. These two cases demonstrate the use of the presnaring technique to retrieve dislodged coronary stents when the stent remained on the coronary wire.
When dislodged stents remain on the coronary wire, the wire can be snared outside of the body. These two cases demonstrate the use of the presnaring technique to retrieve dislodged coronary stents when the stent remained on the coronary wire.
When dislodged stents remain on...
03/01/2023
Journal of Invasive Cardiology
Clinical Images
Left Main Coronary Artery Compression in Pulmonary Hypertension: Value of Multimodality Imaging in Diagnosis and Treatment
12/01/2022

Leticia Barrios, MD1;  Marion Delcroix, MD, PhD2;  Steven Dymarkowski, MD, PhD3; Johan Bennett, MD, PhD1;  Tom Adriaenssens, MD, PhD1

Leticia Barrios, MD1;  Marion Delcroi...
A 43-year-old woman with pulmonary arterial hypertension associated with atrial septal defect, surgically repaired 5 years ago, and treated with the endothelin receptor antagonist macitentan monotherapy due to phosphodiesterase-5-inhibitor...
A 43-year-old woman with pulmonary arterial hypertension associated with atrial septal defect, surgically repaired 5 years ago, and treated with the endothelin receptor antagonist macitentan monotherapy due to phosphodiesterase-5-inhibitor...
A 43-year-old woman with...
12/01/2022
Journal of Invasive Cardiology
Clinical Images
Failed Manta Closure Device After High-Risk PCI
01/03/2022

Hussayn Alrayes, DO1;  Loay Kabbani, MD2;  Mir Basir, DO1

Hussayn Alrayes, DO1;  Loay Kabbani, ...
Although the collagen-based Manta closure device (Teleflex) is a safe and effective option to close large-bore arterial access sites, complications can occur in at-risk cohorts, as seen in this clinical scenario.
Although the collagen-based Manta closure device (Teleflex) is a safe and effective option to close large-bore arterial access sites, complications can occur in at-risk cohorts, as seen in this clinical scenario.
Although the collagen-based...
01/03/2022
Journal of Invasive Cardiology
Clinical Images
One Ostium to Rule Them All: Rare Case of a Single Coronary Artery
11/01/2021

Kiersten Frenchu, MD;  David Lakhter, BS;  Vladimir Lakhter, DO;  Pravin Patil, MD

Kiersten Frenchu, MD;  David Lakhter,...
This case of a rare single coronary artery demonstrates that cardiac CTA is an essential tool to define artery course and provide further risk stratification.
This case of a rare single coronary artery demonstrates that cardiac CTA is an essential tool to define artery course and provide further risk stratification.
This case of a rare single...
11/01/2021
Journal of Invasive Cardiology
Clinical Images
Primary Antiphospholipid Antibody Syndrome Presenting as Acute Myocardial Infarction
11/01/2021

Ali Faizal, MD, DM;  Sajid Yoonus, MD, DM;  Shreetal Rajan Nair, MD, DM;  Shajudeen Kayakkal, MD, DM;  Jomy Vadasseril Jose, MD, DM

Ali Faizal, MD, DM;  Sajid Yoonus, MD...
A 46-year-old woman with no significant past history presented to the emergency department with symptoms of AMI. Coronary angiography showed occlusion of the distal LAD. Aspiration was performed in the vessel and yielded pinkish friable...
A 46-year-old woman with no significant past history presented to the emergency department with symptoms of AMI. Coronary angiography showed occlusion of the distal LAD. Aspiration was performed in the vessel and yielded pinkish friable...
A 46-year-old woman with no...
11/01/2021
Journal of Invasive Cardiology
Clinical Images
Challenging Case of Balloon Mitral Valvuloplasty: Coronary Balloon to the Rescue
09/01/2021

Sriram Veeraraghavan, MD, DM1; Narendhiran Pandurangan, MD, DM1; Bharath Raj Kidambi, MD, DM1; Aayush K. Singal, MD, DM2

Sriram Veeraraghavan, MD, DM1; Narend...
A 52-year-old female patient with severe rheumatic non-calcific mitral stenosis presented to the emergency department in New York Heart Association class IV heart failure.
A 52-year-old female patient with severe rheumatic non-calcific mitral stenosis presented to the emergency department in New York Heart Association class IV heart failure.
A 52-year-old female patient...
09/01/2021
Journal of Invasive Cardiology
Clinical Images
Differential Diagnosis of Coronary Angiographic Filling Defect
08/01/2021

Rintaro Mukai, MD1;  Takashi Kajiya, MD1;  Nobuhiko Atsuchi, MD, PhD1;  Mitsuru Ohishi, MD, PhD2

Rintaro Mukai, MD1;  Takashi Kajiya, ...
A correct diagnosis of “filling defect” is necessary because device selection is different for each case. IVUS is useful for differential diagnosis of calcification, thrombus, or air bubble.
A correct diagnosis of “filling defect” is necessary because device selection is different for each case. IVUS is useful for differential diagnosis of calcification, thrombus, or air bubble.
A correct diagnosis of “filling...
08/01/2021
Journal of Invasive Cardiology
Clinical Images
Left Atrial Appendage Occlusion With the LAmbre Device: First-in-Human in the United States
07/30/2021

Mohammed Qintar, MD, MSc1;  Dee Dee Wang, MD;  James Lee, MD;  Marvin H. Eng, MD;  Tiberio Frisoli, MD;  Pedro Villablanca, MD, MSc;  William W. O’Neill, MD;  Brian O’Neill, MD

Mohammed Qintar, MD, MSc1;  Dee Dee W...
The LAmbre device offers an alternative for patients who may not qualify for conventional LAA occlusion devices. We describe its use in a 79-year-old male patient with non-valvular atrial fibrillation and multiple falls who was considered...
The LAmbre device offers an alternative for patients who may not qualify for conventional LAA occlusion devices. We describe its use in a 79-year-old male patient with non-valvular atrial fibrillation and multiple falls who was considered...
The LAmbre device offers an...
07/30/2021
Journal of Invasive Cardiology
Clinical Images
Unintentional Extraction of a Deployed Coronary Stent Due to Microcatheter Fracture
06/29/2021

J.J. Coughlan, MD;  Peter Crean, MD;  John V. Cosgrave, MD

J.J. Coughlan, MD;  Peter Crean, MD; ...
To our knowledge, this is the first reported case of unintentional removal of a deployed stent due to the fracture of a micro-catheter tip.
To our knowledge, this is the first reported case of unintentional removal of a deployed stent due to the fracture of a micro-catheter tip.
To our knowledge, this is the...
06/29/2021
Journal of Invasive Cardiology
Clinical Images
Aortic Rupture in Transcatheter Aortic Valve Replacement
06/29/2021

David Blusztein, MD and Harsh Agrawal, MD

David Blusztein, MD and Harsh Agrawal...
This case demonstrates a rare but catastrophic complication of transcatheter aortic valve replacement (TAVR). In an era where TAVR is now indicated in low-risk patients, serious complication rates are less frequent. It exemplifies the...
This case demonstrates a rare but catastrophic complication of transcatheter aortic valve replacement (TAVR). In an era where TAVR is now indicated in low-risk patients, serious complication rates are less frequent. It exemplifies the...
This case demonstrates a rare...
06/29/2021
Journal of Invasive Cardiology

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