Cardiac Imaging

Right Ventricular Wall Hematoma Following Angioplasty to RCA Occlusion

03/27/2019

Mina S.A. Ghobrial , MBBS, MRCP, BMedSci, MBChB;

Mohaned Egred , MBChB, MD, BSc(Hons), FRCP, BSc, MRCP;

Right ventricle intramural hematoma is a rare complication of right coronary artery PCI. With the increased uptake and prevalence of complex chronic total occlusion interventions, unusual complications will continue to occur; sharing and...

Right ventricle intramural...

03/27/2019

Journal of Invasive Cardiology

Transient Lingual Ischemia Complicating Coronary Angiography

02/24/2019

Emmanouil Skalidis , MD, PhD;

Evangelos Zacharis , MD, PhD;

Michalis Hamilos , MD, PhD;

Ioannis Skalidis , MD;

Ioannis Anastasiou , MD;

Fragiskos Parthenakis , MD, PhD;

Arterial embolism is a potential complication of coronary angiography and could theoretically affect the lingual circulation. However, the transient nature of clinical signs and symptoms suggests vasospasm as the most likely underlying...

Arterial embolism is a potential...

02/24/2019

Journal of Invasive Cardiology

Clinical Images

Challenging Aorto-Coronary Occlusion: Which Solution?

12/27/2018

Giovanni Lorenzoni , MD;

Pierluigi Merella , MD;

Gavino Casu , MD;

Aorto-coronary occlusion is a particularly difficult lesion to treat, especially in an emergent setting. To our knowledge, this is the first description of the use of a microcatheter not to support the guidewire, but to open an aorto-coronary...

Aorto-coronary occlusion is a...

12/27/2018

Journal of Invasive Cardiology

Clinical Images

Thrombotic Occlusion of Ectatic Coronary Arteries in a Young Patient

09/27/2018

Tawseef Dar , MD;

Sibghat Tul Llah , MD;

Sumaiya Sharif , MD;

Hursh Naik , MD;

Multiple rounds of aspiration thrombectomy followed by balloon angioplasty of the left anterior descending (LAD) failed to completely restore the flow into the distal LAD secondary to re-occlusion from thrombus formation.

Multiple rounds of aspiration...

09/27/2018

Journal of Invasive Cardiology

Clinical Images

Aortic Pseudoaneurysm Causing Compression of the Left Main Coronary Artery

09/27/2018

Michael P. Gannon , MD;

Loukas S. Boutis , MD, FACC, FSCAI;

Derek R. Brinster , MD;

Rick A. Esposito , MD;

Shahryar G. Saba , MD;

John N. Makaryus , MD;

A 75-year-old man with a history of mechanical aortic valve replacement with aortic conduit for severe aortic insufficiency underwent routine screening computed tomography evaluation revealing right coronary anastomosis endoleak and proximal...

A 75-year-old man with a history...

09/27/2018

Journal of Invasive Cardiology

Clinical Images

Recannulation of Distal Radial Artery for Staged Procedure After Successful Primary Percutaneous Coronary Intervention

09/26/2018

Young Joon Hong , MD;

Yongcheol Kim , MD;

Myung Ho Jeong , MD, PhD;

Kirill Berezhnoi , MD;

Sang-Yeub Lee , MD, PhD;

Min-Chul Kim , MD, PhD;

Doo-Sun Sim , MD, PhD;

Ju-Han Kim , MD, PhD;

Youngkeun Ahn , MD, PhD;

There are limited data regarding the snuffbox approach. Our experience highlights the feasibility of snuffbox approach as the access route for primary PCI and recannulation of distal radial artery for staged PCI.

There are limited data regarding...

09/26/2018

Journal of Invasive Cardiology

Clinical Images

Compartment Syndrome: A Rare and Frightening Complication of Transradial Catheterization

09/25/2018

Ioannis Tsiafoutis , MD;

Konstantina Katsanou , MD;

Michalis Koutouzis , MD, PhD;

Theodoros Zografos , MD, PhD;

The compartment syndrome is a severe complication of transradial approach and can be prevented by prompt treatment of forearm hematoma; otherwise, fasciotomies are urgent.

The compartment syndrome is a...

09/25/2018

Journal of Invasive Cardiology

Clinical Images

Three Cases of Rare Retroaortic Coronary Anomalies Diagnosed With Angiography and Cardiac CTA

08/28/2018

Brody D. Slostad , MD;

Chance M. Witt , MD;

Thomas A. Foley , MD;

Coronary artery anomalies are relatively rare (~1% on CTA). We present two exceedingly rare cases, as well as the first reported case of anomalous retro-aortic coronary arteries diagnosed with cardiac CTA and angiography.

Coronary artery anomalies are...

08/28/2018

Journal of Invasive Cardiology