Richard C. Kovach, MD

Case Files by Dr. George

Flaring of Ostial Coronary Stent Using Flash Ostial Balloon for Aorto-Ostial Coronary Disease in a Right Coronary Artery Chronic Total Occlusion Intervention

02/03/2015

Jon C. George , MD, MBA;

Richard C. Kovach , MD;

Thomas E. Waggoner , DO;

The anatomic nature of percutaneous stenting of aorto-ostial lesions remains an angiographic challenge for interventional cardiologists. There are greater than 300,000 aorto-ostial stenting procedures performed worldwide each year.1-2 Herein,...

The anatomic nature of...

02/03/2015

Cath Lab Digest

Case Files by Dr. George

Paraventricular Remodeling for Ischemic Cardiomyopathy

05/28/2015

Jon C. George , MD, MBA;

Thomas E. Waggoner , DO;

Frank Amico , DO;

Jennifer Mazzoni , DO;

Richard C. Kovach , MD;

We present herein a patient with refractory HF and the delivery of the investigational Parachute paraventricular remodeling implant, with significant improvement in symptoms over a short follow-up.

We present herein a patient with...

05/28/2015

Cath Lab Digest

Case Files by Dr. George

Management of Iliac Stent Embolization During Transfemoral Transcatheter Aortic Valve Replacement

12/07/2015

Jon C. George , MD, MBA;

Vincent Varghese , DO;

Richard C. Kovach , MD;

Pranav Doshi , DO;

Here we discuss a case of iliac stent embolization as a complication and its management with the use of percutaneous techniques.

Here we discuss a case of iliac...

12/07/2015

Cath Lab Digest

Vascular Disease

Femoral Artery Chronic Total Occlusion Revascularization (FACTOR) Score and Algorithm: Feasibility and Validation in a Single-Center Study of Femoropopliteal Occlusions

12/01/2020

Vincent Varghese , DO;

Luai Tabaza , MD;

Ebenezer Oni , MD;

Rajiv Marreddy , DO;

Richard C. Kovach , MD;

Sean Janzer , MD;

Jon C. George , MD, MBA;

Hafeez Ul Hassan Virk , MD;

Vladimir Lakhter , DO;

Superfical femoral artery chronic total occlusion represents one of the most challenging subsets of lower-extremity peripheral arterial disease. Depending on lesion characteristics, successful percutaneous crossing of the occluded segment may...

Superfical femoral artery...

12/01/2020

Journal of Invasive Cardiology

Original Contribution

The Medusa Multi-Coil Versus Alternative Vascular Plugs for Iliac Artery Aneurysm Embolization (MVP-EMBO) Study

12/30/2015

Jon C. George , MD, MBA;

Vincent Varghese , DO;

Richard C. Kovach , MD;

A report on the endovascular treatment of internal iliac artery aneurysms using platinum coils vs the Medusa Multi-Coil.

A report on the endovascular...

12/30/2015

Journal of Invasive Cardiology

Complex Coronary Intervention in a Patient With Decompensated Heart Failure and a Mechanical Aortic Valve Using a Percutaneous Left Ventricular Assist Device

09/05/2012

Richard C. Kovach , MD;

Harit Desai , DO;

Jon C. George , MD, MBA;

AbstractPercutaneous devices have been developed to provide hemodynamic support during complex coronary interventions. However, the presence of a mechanical aortic valve excludes the use of the Impella left ventricular assist device.

AbstractPercutaneous devices...

09/05/2012

Cath Lab Digest

Operator Experience: Key in the Outcomes for Complex Coronary and Peripheral Intervention, But Not for Carotid Stenting?

02/09/2017

Richard C. Kovach , MD;

A commentary on a recently published article that explored the relationship between carotid stenting outcomes and operator experience.

A commentary on a recently...

02/09/2017

Vascular Disease Management

Recurrent Stent Thrombosis in a Patient Found to Have Antiphospholipid Syndrome

08/03/2012

Jon C. George , MD, MBA;

Michael N. Hakimi , DO;

Richard C. Kovach , MD;

AbstractA 53-year-old male presented with unstable angina and was found to have severe coronary artery disease. However, despite percutaneous coronary intervention with adequate anticoagulation, the patient had recurrent stent thromboses...

AbstractA 53-year-old male...

08/03/2012

Cath Lab Digest

Optimizing Excimer Laser Atherectomy Technique for Treatment of Femoropopliteal In-Stent Restenosis

12/30/2015

Richard C. Kovach , MD;

Larry E. Miller , PhD;

Jeffrey A. Goldstein , MD;

Hailey Austin ;

Blaine A. Schneider , PhD;

Robert E. Beasley , MD, FSCAI, FSIR;

The authors describe the procedural technique of excimer laser atherectomy within in-stent restenosis and to highlight the clinical utility of this technology in challenging case examples.

The authors describe the...

12/30/2015

Vascular Disease Management

Chest Pain Secondary to Recurrent Coronary-Pulmonary Artery Fistula

03/28/2012

Richard C. Kovach , MD;

Jon C. George , MD, MBA;

Bhavin M. Patel , DO;

CaseA 40-year-old female with history of hypertension, dyslipidemia, and palpitations presented initially for evaluation in 2005. Work up for dyspnea at that time confirmed congenital heart disease with a fistula between the proximal left...

CaseA 40-year-old female with...

03/28/2012

Cath Lab Digest