High-risk PCI

Original Contribution

02/25/2018

Axillary artery cannulation is an important alternate access site for catheter-based procedures in selected patients. Our objective was to identify a fluoroscopic bony landmark for safe percutaneous axillary artery cannulation.

Axillary artery cannulation is...

02/25/2018

Journal of Invasive Cardiology

Original Contribution

Percutaneous Mechanical Circulatory Support for Cardiac Disease: Temporal Trends in Use and Complications Between 2009 and 2015

07/15/2017

Jacob C. Jentzer , MD;

Charanjit S. Rihal , MD, MBA, FSCAI;

Gregory W. Barsness , MD;

Abdallah El Sabbagh , MD;

Mackram F. Eleid , MD;

Joseph G. Murphy , MD;

Malcolm R. Bell , MD;

Bradley W. Ternus , MD;

We present the indications for use, temporal trends, complications, and 1-year clinical outcomes after single-access percutaneous mechanical circulatory support device placement from years 2009-2015 at our institution.

We present the indications for...

07/15/2017

Journal of Invasive Cardiology

Case Report

Acute Vein Graft Closure: A High Risk Subset of Saphenous Vein Graft Intervention

07/10/2017

Zaheed Tai , MD, DO, FACC, FSCAI;

Percutaneous coronary intervention (PCI) of vein grafts is associated with a higher rate of periprocedural myocardial infarction (MI), target vessel revascularization, and mortality compared to native vessel intervention.

Percutaneous coronary...

07/10/2017

Cath Lab Digest

Case Report

Transcatheter Management of Post Infarction Ventricular Septal Rupture With Concomitant Percutaneous Coronary Intervention

09/05/2016

Khalid Amber , FACC, FSCAI, FESC;

Hussein A. Alsalkhi , MD;

Ahmed N. Rajeeb , MD;

Ventricular septal defect (VSD) or rupture (VSR) after acute myocardial infarction is an uncommon but catastrophic event with poor prognosis. Immediate surgical closure with hemodynamic support (such as an intra-aortic balloon pump or IABP)...

Ventricular septal defect (VSD)...

09/05/2016

Cath Lab Digest

Review

The Role of Percutaneous Mechanical Circulatory Support Devices in High-Risk Percutaneous Coronary Interventions

09/05/2016

Harsh Agrawal , MD;

Kul Aggarwal , MD;

Percutaneous coronary interventions (PCI) have increased both in number and complexity in the last two decades. Tackling complex coronary lesions in patients who have reduced coronary and central perfusion pressures, depressed cardiac output,...

Percutaneous coronary...

09/05/2016

Cath Lab Digest

Original Contribution

Totally Percutaneous Insertion and Removal of Impella Device Using Axillary Artery in the Setting of Advanced Peripheral Artery Disease

07/15/2016

Marc S. Cohen , MD;

Mihir Barvalia , MD, MHA;

Zeshan Rana , MD;

Rajiv Tayal , MD, MPH;

Benjamin LeSar , MD;

Najam Wasty , MD;

Spas Kotev , MD;

Humayun Iftikhar , MD;

We describe 3 cases of a new entirely percutaneous technique utilizing the axillary artery for the delivery of cardiac-assist devices for protected PCI in the setting of prohibitive PAD.

We describe 3 cases of a new...

07/15/2016

Journal of Invasive Cardiology

Case Report

Chocolate CHIP Intervention Reloaded: Rotational Strikes Back!

06/07/2016

Bernetta M. Howard , BSN, CCRN, RN-BC;

Orlando Marrero , RCIS, MBA;

Gautam Kumar , MD, FSCAI;

Rupak Desai , MBBS;

Here, we have demonstrated that rotational atherectomy with adjunctive Chocolate balloon angioplasty facilitates excellent stent expansion and apposition, and will hopefully decrease the risk of restenosis and thrombosis in this very...

Here, we have demonstrated that...

06/07/2016

Cath Lab Digest

Commentary

Retrograde CTO-PCI Through Vein Grafts: Come on Down!

05/27/2016

Anas Alomar , MD;

Hamza Ansari , MD;

Jeffrey A. Breall , MD, PhD;

CTO-PCI success rates still do not approach those of conventional PCIs despite the available options; more robust data are required in the form of randomized trials before CTO-PCI becomes commonplace.

CTO-PCI success rates still do...

05/27/2016

Journal of Invasive Cardiology

Case Files by Dr. George

High-Risk PCI and Balloon Valvuloplasty in the Setting of ACS Complicated by Critical Aortic Stenosis Using Percutaneous Left Ventricular Assist Device

04/04/2016

Jon C. George , MD, MBA;

Christian F. Witzke , MD;

Deepakraj Gajanana , MD;

D. Lynn Morris , MD;

Vincent M. Figueredo , MD;

Sean Janzer , MD;

We describe a unique case of AMI complicated by concomitant critical aortic stenosis where pLVAD was used for hemodynamic stabilization during PCI and valvuloplasty.

We describe a unique case of AMI...

04/04/2016

Cath Lab Digest

Original Contribution

Impact of Surgical Consultation on Outcomes in Hemodynamically Supported High-Risk Percutaneous Coronary Intervention: Insights From PROTECT II Randomized Study

02/15/2016

Ray V. Matthews , MD;

David M. Shavelle , MD, FACC, FSCAI;

William W. O'Neill , MD;

Jeffrey W. Moses , MD;

Ajay J. Kirtane , MD, SM;

Jeffrey J. Popma , MD, FACC, FSCAI;