Rajiv Goswami, DO, Assistant Professor of Medicine, Baylor College of Medicine, Ben Taub Hospital, Houston, Texas
This report describes intervention on a 73-year-old female with significant left main and triple-vessel coronary artery disease. We describe the sequence of multi-vessel intervention on the left main, obtuse marginal, and left anterior descending coronary artery CTO. Success in this case depended on application of the anchor balloon technique to deliver the balloon catheter for initial dilatation after successful crossing of the CTO with the guide wire.
Online Exclusives
4/8/2013 | 9,614 reads
Visualization of the “dot” sign on the left ventricular (LV) angiogram in the RAO view (just posterior and to the left of the posterior aortic margin) is an easy clue to the identification of an anomalously arising circumflex artery with a retroaortic course.
2/7/2013 | 9,584 reads
Two board-certified interventional cardiologists have found the unique model offered by CardioSolution to be a good fit. Dr. Yunus Moosa is an interventionalist practicing in Zachary, Louisiana (close to Baton Rouge) and Dr. Chris Mallavarapu is an interventionalist practicing out of Lafayette, Louisiana. Both are seasoned interventional cardiologists with experience doing no-surgical-backup percutaneous coronary intervention.
2/6/2013 | 10,483 reads
Mzee Ngunga, MD, William Hui, MD, FRCPC, FACC, CK Hui Heart Centre, Royal Alexandra Hospital, Edmonton, Canada
1/2/2013 | 14,503 reads
Harit Desai, DO, Nemalan Selvaraj, DO, Ulrich Luft, MD, and Jon C. George, MD, Division of Interventional Cardiology and Endovascular Medicine, Deborah Heart and Lung Center, Browns Mills, New Jersey
A 62-year-old female with a known history of congenital heart disease, including coarctation of aorta post-angioplasty and a ventricular septal defect (VSD), presented to our facility for a second opinion regarding her persistent dyspnea on exertion, exertional angina, and back discomfort with activity.
12/3/2012 | 7,629 reads
Kintur Sanghvi, MD, David Hsi, MD, Deborah Heart & Lung Institute, Browns Mills, New Jersey
A 69-year-old black female with previous history of coronary artery disease, coronary artery bypass surgery, uncontrolled hypertension and hyperlipidemia was evaluated for repeated episodes of congestive heart failure. She had refractory hypertension with very high systolic blood pressure on each of these admissions. Her medicine regimen included carvedilol 25 mg twice daily, losartan 100 mg daily, furosemide 80 mg daily and clonidine 0.2 mg three times daily. Her echocardiogram showed concentric left ventricular hypertrophy with grade III diastolic dysfunction and normal left ventricular systolic function. A stress Myoview imaging test was negative for inducible ischemia. Her serum creatinine was 1.4 mg/dL. She was investigated with magnetic resonance angiogram for renal artery stenosis, which showed a high-grade stenosis of the right renal artery while the left renal artery was occluded and the left kidney was non-functional.
10/15/2012 | 13,764 reads
Forward: Thomas H. Maloney, RT, RCIS, Richmond, Virginia
Presentation: George W. Vetrovec, MD, FACC, FSCAI, Professor of Medicine, Director of the Adult Cardiac Catheterization Laboratory, Virginia Commonwealth University Pauley Heart Center, Richmond, Virginia
10/1/2012 | 12,487 reads
Joseph P. Carrozza Jr., MD, Steward St. Elizabeth’s Medical Center and Tufts University Medical School, Boston, Massachusetts
"While operating the robotic-assisted system, the interventional cardiologist can elect to wear a protective apron under a sterile gown, and perform functions at the bedside and the interventional cockpit, or he/she may elect not to scrub and manipulate the PCI devices from the control console, thus allowing a fellow or a cath lab technologist to load PCI devices into the cassette."
9/4/2012 | 7,438 reads
Geriatric patients may have diminished physiological reserves that can impact their ability to recover from PCI.
Cath Lab Digest talks with Sarwat I. Chaudhry, MD, Associate Professor of Medicine (General Medicine), Yale School of Medicine, New Haven, Connecticut.
7/31/2012 | 20,051 reads
Registry data regarding patients with fibromuscular dysplasia (FMD) was recently published in Circulation.1 Cath Lab Digest talks with Pam Mace, RN, FMD patient, Executive Director, Fibromuscular Dysplasia Society of America, Rocky River, Ohio, about the registry and her long experience with FMD.