Cardiac Imaging

Clinical Images

Delayed Onset of Retinal Embolism After Coronary Angioplasty

06/04/2021

Albeit rare, retinal artery cholesterol emboli (Hollenhorst plaques) post angioplasty can be a severe event that can cause irreversible visual disturbances, usually taking place during or following the procedure; operators should be cognizant...

Albeit rare, retinal artery...

06/04/2021

Journal of Invasive Cardiology

Echocardiography revealed a huge “brass knuckle”-like ectasia

Clinical Images

“Brass Knuckle”-Like Right Coronary Artery

06/01/2021

Christof Burgdorf, MD¹; Monika Januszewski, MD¹; Christian Pusch, MD²; Bjoern Andrew Remppis, MD¹

Christof Burgdorf, MD1; Monika Janus...

Coronary anomalies are common and mostly discovered incidentally. Thus, diagnostic and therapeutic approaches should be guided by the clinical scenario of the patient.

Coronary anomalies are common...

06/01/2021

Journal of Invasive Cardiology

Image of kinked DragonFly Optis catheter.

Clinical Images

Crop Circles in Optical Coherence Tomography

06/01/2021

Giuseppe Femia, BSc, MBBS, PhD^1,2; David Taylor, BMed¹; Rohan Rajaratnam, MBBS¹; Sidney Lo, MBBS¹

Giuseppe Femia, BSc, MBBS, PhD1,2; D...

Although the “crop circles” image is uncommon, as the use of OCT continues to grow and we continue to learn more about this modality, it will be critical to recognize the full OCT image dataset.

Although the “crop circles”...

06/01/2021

Journal of Invasive Cardiology

Characteristics and Outcomes of Patients Ineligible for Transcatheter Mitral Valve Replacement (TMVR): Implications for Future Device Innovation

04/01/2021

Sebastian Ludwig, MD¹; Benedikt Koell, MD¹; Roya Sedighian, MD¹; Jessica Weimann, MD¹; Niklas Schofer, MD¹; Andreas Schäfer, MD²; Lisa Voigtländer, MD¹; Lara Waldschmidt, MD¹; Johannes Schirmer, MD²; Moritz Seiffert, MD¹; Simon Pecha, MD²; Dirk Westermann, MD¹; Hermann Reichenspurner, MD²; Stefan Blankenberg, MD¹; Edith Lubos, MD¹; Lenard Conradi, MD²; Daniel Kalbacher, MD¹

Sebastian Ludwig, MD1; Benedikt Koel...

Due to high rates of transcatheter mitral valve replacement (TMVR) screening failure, a substantial proportion of patients with severe mitral regurgitation (MR) remain on optimal medical treatment only. This study aimed to assess...

Due to high rates of...

04/01/2021

Journal of Invasive Cardiology

Clinical Images

Successful Mechanical Aspiration of Embolized Vessel Fragment During TAVR With Penumbra Indigo Cat Rx Catheter

04/01/2021

Shazib Sagheer, MD¹; Shane Prejean, MD¹; Silvio Litovsky, MD²; Thomas Watts, MD¹;
Gregory Von Mering, MD¹; Kyle Eudailey, MD³; Mustafa Iltimas Ahmed, MD¹

Shazib Sagheer, MD1; Shane Prejean, ...

An 81-year-old female with severe aortic valve stenosis underwent TAVR using the right femoral approach. Her treatment was complicated by embolization, believed to be caused by a broken-off fragment of the femoral artery that migrated on the...

An 81-year-old female with...

04/01/2021

Journal of Invasive Cardiology

Treating Mitral Valve Prolapse in Barlow’s Disease by Creation of a Medial MitraClip Bridge and a “New” Lateral Orifice: Rationale for MitraClip NTR Adoption

03/01/2021

Sebastian Feickert, MD; Giuseppe D’Ancona, MD, PhD; Alla Neuhausen Abramkina, MD; Hüseyin Ince, MD, PhD

Sebastian Feickert, MD; Giuseppe D’A...

We summarize our rationale for using the shorter and smaller MitraClip NTR in patients with Barlow’s disease.

We summarize our rationale for...

03/01/2021

Journal of Invasive Cardiology

Figure 1. (C, D) Contrast-enhanced computed tomography confirmed aneurysmal dilation of the aortic root and proximal part of the ascending aorta. (E) 3D reconstructed computed tomography image.

Giant Aortic Root Aneurysm in Marfan’s Syndrome

03/01/2021

Dinkar Bhasin, MD, DM; Gaurav Kumar Arora, MD, DM; Sourabh Agstam, MD, DM; Anunay Gupta, MD, DM; H.S. Isser, MD, DM;
Sandeep Bansal, MD, DM

Dinkar Bhasin, MD, DM; Gaurav Kumar ...

A 25-year-old man came to our clinic with complaints of exertional palpitations and dyspnea. He had skeletal features suggestive of Marfan’s syndrome.

A 25-year-old man came to our...

03/01/2021

Journal of Invasive Cardiology

Emergency Percutaneous Treatment of Saphenous Vein Graft Perforation After Cardiac Surgery

03/01/2021

Gustavo L. Agostini, MD¹; Denise Pellegrini, MD¹; Eduardo Saadi, MD, PhD²; Ricardo Lasevitch, MD¹; Vitor Gomes, MD, PhD¹; Diego Pinheiro, MD¹; Ricardo Soccol, MD¹; Paulo Caramori, MD, PhD¹

Gustavo L. Agostini, MD1; Denise Pel...

Acute saphenous vein graft perforation following coronary artery bypass graft surgery is rare. To the best of our knowledge, this is the first case report of acute saphenous vein graft perforation after coronary artery bypass graft surgery...

Acute saphenous vein graft...

03/01/2021

Journal of Invasive Cardiology

Cocaine-Associated ST-Elevation Myocardial Infarction: Different Pathophysiological Mechanisms

03/27/2019

M.T. López-Lluva, MD; A. Jurado-Román, PhD; I. Sánchez-Pérez, MD; J. Abellán-Huerta, PhD; Fernando Lozano Ruiz-Poveda, PhD

M.T. López-Lluva, MD; A. Jurado-Romá...

There are many underlying mechanisms for cocaine-associated myocardial infarction, and the culprit must be elucidated for appropriate therapeutic management. Optical coherence tomography provides unique insights when angiography alone has...

There are many underlying...

03/27/2019

Journal of Invasive Cardiology

Percutaneous Closure of an Iatrogenic Perimembranous Ventricular Septal Defect After Mechanical Aortic Valve Replacement Using a Novel Venous-Arteriovenous Loop

03/27/2019

Chak-Yu So, MBChB; Gary Shing-Him Cheung, MBBS; Yat-Yin Lam, MD

Chak-Yu So, MBChB; Gary Shing-Him C...

This image illustrates the feasibility of percutaneous closure of perimembranous ventricular septal defect occluder in a patient with mechanical aortic valve replacement utilizing a novel venous-arteriovenous loop, and emphasizes the...

This image illustrates the...

03/27/2019

Journal of Invasive Cardiology