New Technique

Clinical Images

Post-Close Technique for Arteriotomy Hemostasis After Impella Removal

05/28/2019

Mohammad Thawabi, MD; Marc Cohen, MD; Najam Wasty, MD

Mohammad Thawabi, MD; Marc Cohen, MD...

We describe a simple “post-close” technique for large arteriotomies (13-14 Fr) after removal of Impella 2.5 or CP systems (Abiomed) from the common femoral artery, using two Perclose devices.

We describe a simple...

05/28/2019

Journal of Invasive Cardiology

CLINICAL IMAGES

Modified Sleeve Technique for Calcified Coronary Bifurcations

02/24/2019

Zaheed Tai, DO

This modification of the GuideLiner technique is useful for left main and non-left main bifurcations.

This modification of the...

02/24/2019

Journal of Invasive Cardiology

Clinical Images

The Reverse T-Stenting and Small Protrusion Technique: A Novel Technique for Coronary Bifurcation Lesions

11/28/2017

Ioannis Tsiafoutis, MD, PhD¹; Theodoros Zografos, MD, PhD¹; Athanasios Antonakopoulos, MD, MSc¹; Michael Koutouzis, MD, PhD¹; Grigorios Tsigkas, MD, PhD²; Nikolaos Bourboulis, MD, PhD¹; Apostolos Katsivas, MD, PhD¹

Ioannis Tsiafoutis, MD, PhD1; Theodo...

Bifurcation lesions may be encountered in approximately 15%-20% of PCIs. A 2-stent approach is required in up to 30% of these procedures. We describe a novel technique based on a modification of TAP stenting, suitable for procedures where a...

Bifurcation lesions may be...

11/28/2017

Journal of Invasive Cardiology

Rapid Communication

Novel Method for Exchange of Impella Circulatory Assist Catheter: The "Trojan Horse" Technique

05/15/2017

Colin T. Phillips, MD¹; Hector Tamez, MD¹; Thomas M. Tu, MD²; Robert W. Yeh, MD¹; Duane S. Pinto, MD, MPH¹

Colin T. Phillips, MD1; Hector Tamez...

We describe a single-access “Trojan Horse” technique that minimizes bleeding while maintaining arterial access for rapid exchange of the Impella percutaneous ventricular assist device.

We describe a single-access...

05/15/2017

Journal of Invasive Cardiology

Clinical Images

Transcatheter Tricuspid Repair With MitraClip for Severe Primary Tricuspid Regurgitation

12/01/2016

Neil P. Fam, MD, MSc¹; Kim A. Connelly, MD, PhD¹; Christoph Hammerstingl, MD²; Geraldine Ong, MD¹; Anthony W. A. Wassef, MD¹; Heather J. Ross, MD, MHSc³; Subodh Verma, MD, PhD⁴

Neil P. Fam, MD, MSc1; Kim A. Connel...

We describe the first use of MitraClip to treat severe primary tricuspid regurgitation and right heart failure in a patient with previous cardiac transplantation and high surgical risk.

We describe the first use of...

12/01/2016

Journal of Invasive Cardiology

Safety and Feasibility of the Coronary Orbital Atherectomy System via the Transradial Approach

11/01/2015

Michael Ruisi, MD¹; Jips Zachariah, MD¹; Justin Ratcliffe, MD¹; Moinakhtar Lala, MD¹; Phillip Ruisi, DO²; Yili Huang, DO¹; Ravi Diwan, MD¹; Ramesh Daggubati, MD³; Tejas Patel, MD⁴; Tak W. Kwan, MD¹

Michael Ruisi, MD1; Jips Zachariah, ...

The orbital atherectomy system (OAS) is the most recent innovation to facilitate stent placement in heavily calcified lesions. This study shows that OAS use via the radial approach may be a safe and feasible option to assist in the treatment...

The orbital atherectomy system...

11/01/2015

Journal of Invasive Cardiology

TAVR Through Heavily Calcified Aorta Following Atheroma Retrieval With the "Elevator" Technique

10/01/2015

N. Boopathy Senguttuvan, MD; Sharif Ellozy, MD; Furqan Tejani, MD; Jason Kovacic, MD; Annapoorna S. Kini, MD; Samin K. Sharma, MD; George D. Dangas, MD

N. Boopathy Senguttuvan, MD; Sharif ...

An 86-year-old Caucasian female with severe symptomatic, inoperable aortic stenosis was accepted for high-risk transfemoral TAVR due to severe calcification of the aorta. The authors utilized the elevator technique, which allows axial...

An 86-year-old Caucasian female...

10/01/2015

Journal of Invasive Cardiology

The Double-Blind Stick-and-Swap Technique for True Lumen Reentry After Subintimal Crossing of Coronary Chronic Total Occlusions

09/02/2015

Georgios Christopoulos, MD; Anna P. Kotsia, MD; Emmanouil S. Brilakis, MD, PhD

Georgios Christopoulos, MD; Anna P. ...

Subintimal dissection and reentry techniques are widely used in chronic total occlusion (CTO) interventions. We describe 3 CTO cases in which the distal vessel could not be visualized after subintimal crossing, in spite of attempts to...

Subintimal dissection and...

09/02/2015

Journal of Invasive Cardiology

Letters to the Editor

Saphenous Vein Graft Intervention: The "EPD Gap" and How it Can be Approached With a Simple Technique

07/30/2015

Richard R. Heuser, MD

The “suck-u-surge” technique to prevent embolic events with saphenous vein graft percutaneous coronary intervention is described.

The “suck-u-surge” technique to...

07/30/2015

Journal of Invasive Cardiology

"Candy Cane" Guide Catheter Extension for Stent Delivery

07/30/2015

Theodoros I. Repanas, MD; Georgios Christopoulos, MD; Emmanouil S. Brilakis, MD, PhD

Theodoros I. Repanas, MD; Georgios C...

Stent delivery to a native coronary artery lesion located proximal to the anastomosis of a bypass graft can be challenging due to severe tortuosity. Guide catheter extensions such as the GuideLiner can facilitate equipment delivery, as...

Stent delivery to a native...

07/30/2015

Journal of Invasive Cardiology