Chronic Total Occlusion

Chugh Percutaneous Coronary Interventions TN

Original Contribution

Outcomes of Intravascular Ultrasound-Guided Versus Angiography-Guided Percutaneous Coronary Interventions in Chronic Total Occlusions: A Systematic Review and Meta-Analysis

04/01/2022

Yashasvi Chugh, MD¹; Rupinder Buttar, MD²; Tak Kwan, MD³; Evangelia Vemmou, MD¹; Judit Karacsonyi, MD, PhD¹; Ilia Nikolakopoulos, MD¹; Santiago Garcia, MD¹; Mario Goessl, MD, PhD¹; Yale Wang, MD¹; Ivan Chavez, MD¹; Anil Poulose, MD¹; M. Nicholas Burke, MD¹; Emmanouil S. Brilakis, MD, PhD¹

Yashasvi Chugh, MD1; Rupinder Buttar...

Percutaneous coronary interventions (PCI) with intravascular ultrasound (IVUS) guidance have been associated with better long-term outcomes, but adoption remains limited. There are limited data on the impact of IVUS on chronic total...

Percutaneous coronary...

04/01/2022

Journal of Invasive Cardiology

Clinical Images

Vieussens’ Arterial Ring

04/01/2022

Dinkar Bhasin, MD, DM*; Yamasandi Siddegowda Shrimanth, MD*; Yash Paul Sharma, MD, DM; Prashant Panda, MD, DM

Dinkar Bhasin, MD, DM*; Yamasandi Si...

A 63-year-old male patient presented with angina for 6 months with recent aggravation of symptoms. Physical examination was unremarkable. The electrocardiogram was within normal limits, cardiac troponin levels were not elevated, and left...

A 63-year-old male patient...

04/01/2022

Journal of Invasive Cardiology

Clinical Images

Coronary Caverns: Spontaneous Recanalized Chronic Total Occlusion With Multiple Microchannels

04/01/2022

Zaki Akhtar, MBBS; Christos Kontogiannis, MD; Sumeet Sharma, MD

Zaki Akhtar, MBBS; Christos Kontogia...

A 65-year-old man with a prior history of pulmonary embolism was admitted with resting chest pain. High-sensitive troponin level was normal (32 ng/L [0-40]) and physical examination was unremarkable. The 12-lead electrocardiogram revealed...

A 65-year-old man with a prior...

04/01/2022

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...

01/03/2022

Journal of Invasive Cardiology

Original Contribution

Patient-Specific Coronary Artery Bypass Graft 3D Printing: Implications for Procedural Planning in Complex Percutaneous Coronary Interventions

08/01/2021

Sehrish Memon, MD¹; Evan Friend²; Solomon P. Samuel, PhD²; Igor Goykhman DO³; Sean Janzer, MD¹; Sanjog Kalra, MD⁴; Jon C. George, MD¹

Sehrish Memon, MD1; Evan Friend2; S...

3D printing of anatomically complex CABG patients has the potential to assist with preprocedural planning and operator understanding of complex coronary anatomy.

3D printing of anatomically...

08/01/2021

Journal of Invasive Cardiology

Original Contribution

Balloon Pulmonary Angioplasty in Chronic Totally Occluded Pulmonary Arteries: Applying Lessons Learned From the Treatment of Coronary Artery Chronic Total Occlusions

08/01/2021

Zachary L. Steinberg, MD¹; William L. Lombardi, MD¹; Joshua Lee, MD²; Michael S. Mulligan, MD³; Peter J. Leary, MD, PhD²

Zachary L. Steinberg, MD1; William L...

This study is a retrospective case series of all BPAs on CTOs for individuals with CTEPH at a single institution. Procedural approach, complications, and success rate over a 6-month period are described.

This study is a retrospective...

08/01/2021

Journal of Invasive Cardiology

Clinical Images

Treatment of LAD With Investment Procedure in a Patient With Failed CTO Attempt With TIMI 0 Flow

08/01/2021

Hasan Ali Barman, MD¹; Omer Dogan, MD¹; Cuneyt Kocas, MD¹; Irfan Sahin, MD²

Hasan Ali Barman, MD1; Omer Dogan, M...

In this case, we aimed to present a case in which TIMI 0 flow was observed in the LAD after unsuccessful PCI attempt, but was left to recover with the investment procedure and TIMI 3 flow was detected in the control angiogram.

In this case, we aimed to...

08/01/2021

Journal of Invasive Cardiology

Chronic total occlusion of the right coronary artery

Clinical Images

Traveling Wire After Chronic Total Occlusion Percutaneous Coronary Intervention

06/29/2021

Alfonso Jurado-Román, MD, PhD; Santiago Jiménez-Valero, MD;
Guillermo Galeote, MD, PhD; Raúl Moreno, MD, PhD

Alfonso Jurado-Román, MD, PhD; Santi...

Guidewire-related complications are rarely reported, but are significantly associated with mortality and morbidity. Although radial approach is preferred in the majority of cases, femoral approach is needed in some complex procedures;...

Guidewire-related complications...

06/29/2021

Journal of Invasive Cardiology

Original Contribution

Rationale and Design of the IN.PACT BTK Randomized Pilot Study: A Paclitaxel Drug-Coated Balloon vs Standard Percutaneous Transluminal Angioplasty for Infrapopliteal Chronic Total Occlusions

06/08/2021

Antonio Micari, MD, PhD¹; Jeffrey J. Popma, MD²; Francesco Liistro, MD³

Antonio Micari, MD, PhD1; Jeffrey J....

This is a pilot feasibility study and the objective is to evaluate the safety and effectiveness of the investigational device, IN.PACT 014 drug-coated balloon, compared with standard PTA in patients with CLI with CTOs of BTK arteries.

This is a pilot feasibility...

06/08/2021

Cath Lab Digest

Case Report and Brief Review

Transcollateral Intra-Arterial Retrograde Ostial Superficial Femoral Artery Chronic Total Occlusion Recanalization for Critical Limb Ischemia

06/01/2021

Sehrish Memon, MD; Jon C. George, MD; Sanjog Kalra, MD; Sean F. Janzer, MD

Sehrish Memon, MD; Jon C. George, MD...

We present a case of ostial superficial femoral artery CTO in a patient with CLI who underwent successful revascularization via TCIA strategy with a successful outcome.

We present a case of ostial...

06/01/2021