Pierluigi Merella, MD

Clinical Images

Percutaneous Management of Left Atrial Appendage Perforation: Keep Calm and Think Fast

10/26/2018

Left atrial appendage (LAA) perforation is a possible complication not only after release of the closure device, but also during the diagnostic phase due to sheath positioning in the LAA.

Left atrial appendage...

10/26/2018

Journal of Invasive Cardiology

Video

Stent Dislodgment and Retrieval During PCI

06/30/2022

Giovanni Lorenzoni , MD;

Giuseppe Talanas , MD;

Pierluigi Merella , MD;

Cristiana Denurra , MD;

Gavino Casu , MD;

Video supplement to “Stent Dislodgment and Retrieval During Percutaneous Coronary Intervention,” by Lorenzoni, et al. (July 2022 Clinical Images).

Video supplement to “Stent...

06/30/2022

Journal of Invasive Cardiology

Clinical Images

Stent Dislodgment and Retrieval During Percutaneous Coronary Intervention

06/30/2022

Giovanni Lorenzoni , MD;

Giuseppe Talanas , MD;

Pierluigi Merella , MD;

Cristiana Denurra , MD;

Gavino Casu , MD;

An 80-year-old man was admitted for acute coronary syndrome with ST elevation in the anterior leads. Primary percutaneous coronary intervention (PCI) was performed on the left anterior coronary artery by implanting 3 drug-eluting stents....

An 80-year-old man was admitted...

06/30/2022

Journal of Invasive Cardiology

Clinical Images

Allergic Myocardial Infarction: An Unusual Cause of Stent Thrombosis

09/01/2021

Giovanni Lorenzoni , MD;

Pierluigi Merella , MD;

Gavino Casu , MD;

A 67-year-old man with history of hypertension, type 2 diabetes mellitus, and cigarette smoking was admitted for acute coronary syndrome with ST-segment elevation myocardial infarction (STEMI) in the inferior leads.

A 67-year-old man with history...

09/01/2021

Journal of Invasive Cardiology

Rendered OCT Imaging of an Impressive Stent Malapposition in the Left Main Coronary Artery

08/27/2019

Giovanni Lorenzoni , MD;

Pierluigi Merella , MD;

Paola Berne , MD;

Gavino Casu , MD;

Graziana Viola , MD;

Our case emphasizes the need to use intravascular imaging to optimize stent implantation in the left main coronary artery.

Our case emphasizes the need to...

08/27/2019

Journal of Invasive Cardiology

Clinical Images

Challenging Aorto-Coronary Occlusion: Which Solution?

12/27/2018

Giovanni Lorenzoni , MD;

Pierluigi Merella , MD;

Gavino Casu , MD;

Aorto-coronary occlusion is a particularly difficult lesion to treat, especially in an emergent setting. To our knowledge, this is the first description of the use of a microcatheter not to support the guidewire, but to open an aorto-coronary...

Aorto-coronary occlusion is a...

12/27/2018

Journal of Invasive Cardiology

Anomalous Origin of Right Coronary Artery From Left Sinus of Valsalva

08/27/2019

Giovanni Lorenzoni , MD;

Pierluigi Merella , MD;

Gavino Casu , MD;

Graziana Viola , MD;

Stefano Bandino , MD;

Anomalous origination of coronary artery from the opposite sinus (ACAOS) is an uncommon coronary anomaly that was diagnosed with cardiac computed tomography in the case herein.

Anomalous origination of...

08/27/2019

Journal of Invasive Cardiology

Clinical Images

Conservative Management of Spontaneous Coronary Artery Dissection

08/31/2020

Pierluigi Merella , MD;

Gavino Casu , MD;

Graziana Viola , MD;

Stefano Bandino , MD;

Giovanni Lorenzoni , MD;

Spontaneous coronary artery dissection (SCAD) is caused by separation of the vessel wall and hematoma development. We demonstrate that SCAD often resolves spontaneously, with an average period of 35 days from the event usually sufficient to...

Spontaneous coronary artery...

08/31/2020

Journal of Invasive Cardiology

Clinical Images

An Impressive Case of Honeycomb In-Stent Restenosis

08/28/2018

Giovanni Lorenzoni , MD;

Pierluigi Merella , MD;

Gavino Casu , MD;

Graziana Viola , MD;

Nicola Marziliano , PhD;

This image shows an impressive “honeycomb” pattern of neoatherosclerosis in the context of very late in-stent restenosis. In this case, OCT excluded the most common mechanisms of late in-stent restenosis, underlying the complexity of this...

This image shows an impressive...

08/28/2018

Journal of Invasive Cardiology