Cardiac Imaging

Clinical Images

Dislodged Coronary Stents: The Presnaring Technique

03/01/2023

Barbara D. Lawson , MD;

Issa Kutkut , MD;

Zachary M. Gertz , MD;

Babar Khan , MD;

Stephen O. Hunley , MD;

When dislodged stents remain on the coronary wire, the wire can be snared outside of the body. These two cases demonstrate the use of the presnaring technique to retrieve dislodged coronary stents when the stent remained on the coronary wire.

When dislodged stents remain on...

03/01/2023

Journal of Invasive Cardiology

Clinical Images

Left Main Coronary Artery Compression in Pulmonary Hypertension: Value of Multimodality Imaging in Diagnosis and Treatment

12/01/2022

Leticia Barrios , MD;

Marion Delcroix , MD, PhD;

Steven Dymarkowski , MD, PhD;

Johan Bennett , MD, PhD;

Tom Adriaenssens , MD, PhD;

A 43-year-old woman with pulmonary arterial hypertension associated with atrial septal defect, surgically repaired 5 years ago, and treated with the endothelin receptor antagonist macitentan monotherapy due to phosphodiesterase-5-inhibitor...

A 43-year-old woman with...

12/01/2022

Journal of Invasive Cardiology

Clinical Images

Failed Manta Closure Device After High-Risk PCI

01/03/2022

Mir Babar Basir , MD, DO;

Hussayn Alrayes , DO;

Loay Kabbani , MD;

Although the collagen-based Manta closure device (Teleflex) is a safe and effective option to close large-bore arterial access sites, complications can occur in at-risk cohorts, as seen in this clinical scenario.

Although the collagen-based...

01/03/2022

Journal of Invasive Cardiology

Clinical Images

One Ostium to Rule Them All: Rare Case of a Single Coronary Artery

11/01/2021

Vladimir Lakhter , DO;

Kiersten Frenchu , MD;

David Lakhter , BS;

Pravin Patil , MD;

This case of a rare single coronary artery demonstrates that cardiac CTA is an essential tool to define artery course and provide further risk stratification.

This case of a rare single...

11/01/2021

Journal of Invasive Cardiology

Clinical Images

Primary Antiphospholipid Antibody Syndrome Presenting as Acute Myocardial Infarction

11/01/2021

Ali Faizal , MD, DM;

Sajid Yoonus , MD, DM;

Shreetal Rajan Nair , MD, DM;

Shajudeen Kayakkal , MD, DM;

Jomy Vadasseril Jose , MD, DM;

A 46-year-old woman with no significant past history presented to the emergency department with symptoms of AMI. Coronary angiography showed occlusion of the distal LAD. Aspiration was performed in the vessel and yielded pinkish friable...

A 46-year-old woman with no...

11/01/2021

Journal of Invasive Cardiology

Clinical Images

Challenging Case of Balloon Mitral Valvuloplasty: Coronary Balloon to the Rescue

09/01/2021

Narendhiran Pandurangan , MD, DM;

Bharath Raj Kidambi , MD, DM;

Aayush K. Singal , MD, DM;

Sriram Veeraraghavan , MD, DM;

A 52-year-old female patient with severe rheumatic non-calcific mitral stenosis presented to the emergency department in New York Heart Association class IV heart failure.

A 52-year-old female patient...

09/01/2021

Journal of Invasive Cardiology

Clinical Images

Differential Diagnosis of Coronary Angiographic Filling Defect

08/01/2021

Rintaro Mukai , MD;

Takashi Kajiya , MD, FESC, FACC;

Nobuhiko Atsuchi , MD, PhD;

Mitsuru Ohishi , MD, PhD;

A correct diagnosis of “filling defect” is necessary because device selection is different for each case. IVUS is useful for differential diagnosis of calcification, thrombus, or air bubble.

A correct diagnosis of “filling...

08/01/2021

Journal of Invasive Cardiology

Clinical Images

Left Atrial Appendage Occlusion With the LAmbre Device: First-in-Human in the United States

07/30/2021

Marvin H. Eng , MD;

William W. O'Neill , MD;

Brian P. O'Neill , MD;

James S. Lee , MD, DO;

Mohammed Qintar , MD, MSc;

Tiberio M. Frisoli , MD;

Dee Dee Wang , MD;

Pedro Villablanca , MD, MSc;

The LAmbre device offers an alternative for patients who may not qualify for conventional LAA occlusion devices. We describe its use in a 79-year-old male patient with non-valvular atrial fibrillation and multiple falls who was considered...

The LAmbre device offers an...

07/30/2021

Journal of Invasive Cardiology

Clinical Images

Unintentional Extraction of a Deployed Coronary Stent Due to Microcatheter Fracture

06/29/2021

J. J. Coughlan , MB, BCh;

Peter Crean , MD;

John V. Cosgrave , MD;

To our knowledge, this is the first reported case of unintentional removal of a deployed stent due to the fracture of a micro-catheter tip.

To our knowledge, this is the...

06/29/2021

Journal of Invasive Cardiology

Aortogram demonstrating large aortic injury distal to left subclavian artery origin with contrast extravasation.

Clinical Images

Aortic Rupture in Transcatheter Aortic Valve Replacement

06/29/2021

David Blusztein , MD;

Harsh Agrawal , MD;

This case demonstrates a rare but catastrophic complication of transcatheter aortic valve replacement (TAVR). In an era where TAVR is now indicated in low-risk patients, serious complication rates are less frequent. It exemplifies the...

This case demonstrates a rare...

06/29/2021

Journal of Invasive Cardiology