Complex PCI

Original Contribution

Complex Percutaneous Coronary Intervention in Patients Unable to Undergo Coronary Artery Bypass Grafting During the COVID-19 Pandemic: Insights From the UK-ReVasc Registry

03/06/2024

Thomas A. Kite, MD, PhD¹; Alexander Chase, MD, PhD²; Colum G. Owens, MD³; Aadil Shaukat, MD⁴; Abdul M. Mozid, MD⁵; Peter O’Kane, MD⁶; Helen Routledge, MD⁷; Divaka Perera MD, PhD⁸; Ajay K. Jain, MD⁹; Nick Palmer, MD¹⁰; Stephen P. Hoole, MD¹¹; Mohaned Egred, MD¹²; Manas K. Sinha, MD¹³; Thomas J. Cahill, MD, PhD¹⁴; Brijesh Anantharam, MD¹⁵; Jonathan Byrne, MD¹⁶; Paul D. Morris,MD, PhD¹⁷; Sharon Kean¹⁸; Ahmed Sabra, MD²; Muhammad Aetesam-ur-Rahman, MD¹; Jonathan Mailey, MD³; Ozan Demir, MD, PhD⁸; Kyriacos Mouyis, MD⁹; Ahmed Abdalwahab, MD¹²; Dimitrios Terentes-Printzios, MD¹⁴; Ritesh Kanyal, MD¹⁶; Nick Curzen, MD, PhD¹⁹; Colin Berry, MD, PhD²⁰; Anthony H. Gershlick, MD¹, Andrew Ladwiniec, MD¹; on behalf of the UK-ReVasc Registry Investigators

Thomas A. Kite, MD, PhD1; Alexander C...

The UK-ReVasc Registry was a prospective, multicenter registry study established to appraise contemporary clinical outcomes following percutaneous coronary intervention in patients with coronary anatomy that would usually mandate coronary...

The UK-ReVasc Registry was a...

03/06/2024

Journal of Invasive Cardiology

Theodoropoulos Stent Damage Associated With a GCE

Clinical Images

Stent Damage Associated With a Guide Catheter Extension During Percutaneous Coronary Intervention

02/01/2023

Konstantinos C. Theodoropoulos, MD, MSc; Antonios Kouparanis, MD; Matthaios Didagelos, MD; George Kassimis, MD, PhD; Antonios Ziakas, MD, PhD

Konstantinos C. Theodoropoulos, MD, M...

Clinical images demonstrating stent damage during the insertion in the distal cylinder of the Telescope GCE.

Clinical images demonstrating...

02/01/2023

Journal of Invasive Cardiology

Suggested Technique

A Novel, Atraumatic Technique of Maintaining Access Site While Removing Impella

03/31/2019

Vijay A. Doraiswamy, MD, Genaro Fernandez, MD, Robert Wilson, MD,

University of Minnesota, Minneapolis, Minnesota

Vijay A. Doraiswamy, MD, Genaro Ferna...

We describe the first atraumatic technique where the use of a micropuncture kit and supportive wire is all that is needed to exchange or upsize the support. Our technique does not damage the Impella catheter and is safer, as it does not...

We describe the first atraumatic...

03/31/2019

Cath Lab Digest

Planning CTO Procedures

03/26/2019

Cath Lab Digest talks with Emmanouil S. Brilakis, MD, PhD, FACC, FAHA, FESC, FSCAI, Director, Center for Complex Coronary Interventions, Minneapolis Heart Institute, Abbott Northwestern Hospital, Minneapolis, Minnesota.

Cath Lab Digest talks with Emmanouil ...

CTA gives us greater confidence in determining the potential course of the occlusion and allows us to advance guidewires in the right direction. Co-registration helps us see, live, if the wire is moving in the intended course, reducing the...

CTA gives us greater confidence...

03/26/2019

Cath Lab Digest

Case Report

CTO PCI: Complexity Begets Complexity

05/06/2018

Hatem Najar^1,2, MD, Peter Tajti^1,3, MD, Iosif Xenogiannis¹, MD, Emmanouil S. Brilakis¹, MD, PhD

Hatem Najar1,2, MD, Peter Tajti1,3, M...

We elected to attempt CTO PCI with dual arterial access, using right common femoral as well as right radial access.

We elected to attempt CTO PCI...

05/06/2018

Cath Lab Digest

Commentary

Commentary to "CTO PCI: Complexity Begets Complexity": If At First You Don’t Succeed… A Tour-de-Force in Complex CTO Intervention

05/06/2018

Tim A. Fischell, MD, FACC, FSCAI

Michigan State University, Western Michigan University School of Medicine, Borgess Heart Institute, Kalamazoo, Michigan

Tim A. Fischell, MD, FACC, FSCAI ...

In this issue, Najar et al have reported a truly heroic effort of grit, skill, and determination in tackling a complex chronic total occlusion (CTO) percutaneous coronary intervention (PCI) of the right coronary artery.

In this issue, Najar et al have...

05/06/2018

Cath Lab Digest

Commentary

Commentary to "CTO PCI: Complexity Begets Complexity": If At First You Don’t Succeed… A Tour-de-Force in Complex CTO Intervention

05/06/2018

Tim A. Fischell, MD, FACC, FSCAI

Michigan State University, Western Michigan University School of Medicine, Borgess Heart Institute, Kalamazoo, Michigan

Tim A. Fischell, MD, FACC, FSCAI ...

In this issue, Najar et al have...

05/06/2018

Cath Lab Digest

Case Report

Percutaneous Treatment of a Patient with Sjogren’s Syndrome Presenting with Simultaneous STEMI and Right Brachial Artery Occlusion

07/31/2017

Krzysztof Pawlowski, MD, Lukasz Lewicki, MD, PhD, Radoslaw Targonski, MD, PhD, Maciej Karwowski, MD, Pomorskie Centra Kardiologiczne, Gdansk, Poland

Krzysztof Pawlowski, MD, Lukasz Lewic...

This is an intriguing case of potential simultaneous plaque destabilization in two vascular beds. There are studies that suggest some patients have more than one unstable plaque in different vascular beds.(9) An embolic event should be...

This is an intriguing case of...

07/31/2017

Cath Lab Digest

Case Files by Dr. George

Percutaneous Left Ventricular Assist Device Supported Aortic Balloon Valvuloplasty and Simultaneous Complex Percutaneous Coronary Intervention

04/29/2017

Thomas E. Waggoner, DO¹, and Jon C. George, MD²
¹Tucson Medical Center, Tucson, Arizona
²Einstein Medical Center, Philadelphia, Pennsylvania

Thomas E. Waggoner, DO1, and Jon C. G...

We report a challenging case of a high-risk patient with complex valvular and coronary anatomy, who underwent successful pLVAD-assisted BAV with modest reduction in hemodynamic gradients, as well as complex PCI with atherectomy, angioplasty,...

We report a challenging case of...

04/29/2017

Cath Lab Digest

Clinical Editor's Corner

For Cardiogenic Shock Patients, Should We Be Thinking of “S2S” (Shock to LV Support) or “DTU” (Door to Unloading) Time Rather Than D2B Time?

04/10/2017

Morton Kern, MD
Clinical Editor; Chief of Medicine,
Long Beach Veterans
Administration Health Care
System, Long Beach, California;
Associate Chief Cardiology,
Professor of Medicine, University of California Irvine, Orange, California
mortonkern2007@gmail.com

Morton Kern, MD Clinical Editor; Chie...

For patients in cardiogenic shock, LV mechanical support, depending on the hemodynamic profile of the device, can restore and support the systemic circulation, an especially beneficial effect if instituted early, an action that may improve...

For patients in cardiogenic...

04/10/2017

Cath Lab Digest