percutaneous coronary intervention

Invasive Thoughts

Allen`s Test: Does it Have Any Significance in Current Practice?

04/29/2015

Samir B. Pancholy , MD, FACP, FACC, FSCAI;

Despite demonstrating better patient safety, acceptance of TRA as an access site of choice has remained low, with geographical variations. One of the relative contraindications to performing PCI through TRA is an abnormal Allen’s test (AT),...

Despite demonstrating better...

04/29/2015

Journal of Invasive Cardiology

Radial Access Technique

Sheathless Guide Catheter Coronary Intervention Via Radial Artery: Single-Center Experience With 9658 Procedures

04/29/2015

Mitsuru Kahata , MD;

Norio Tada , MD;

Masataka Taguri , PhD;

Tatsushi Ootomo , MD;

Naoto Inoue , MD;

Kaname Takizawa , MD;

We conducted a retrospective investigation of all TRIs performed at Sendai Kousei Hospital from January 2004 to December 2013 to evaluate the efficacy and safety of sheathless TRI in a large population (n=9658).

We conducted a retrospective...

04/29/2015

Journal of Invasive Cardiology

"Tip-In" Technique for Retrograde Chronic Total Occlusion Revascularization

04/29/2015

Amir Ravandi , MD, PhD;

Emmanouil S. Brilakis , MD, PhD, FACC, FAHA, FESC, FSCAI;

Minh N. Vo , MD;

Use of the retrograde approach significantly improves the success rate of chronic total occlusion (CTO) percutaneous coronary intervention. We describe the “tip-in” technique, which involves intubation of the retrograde guidewire with an...

Use of the retrograde approach...

04/29/2015

Journal of Invasive Cardiology

Commentary

De-implementing the Allen`s Test

04/29/2015

Ian C. Gilchrist , MD;

Sunil V. Rao , MD, FACC, FSCAI;

The authors provide their insights on the Allen’s test and its lack of clinical usefulness in transradial interventions, and expound on whether or not a randomized trial is truly necessary to decide the issue.

The authors provide their...

04/29/2015

Journal of Invasive Cardiology

The Clinical Implications of Balloon Rupture During Cardiovascular Interventions

03/31/2015

Michael Luna , MD;

Georgios Christopoulos , MD;

Emmanouil S. Brilakis , MD, PhD, FACC, FAHA, FESC, FSCAI;

Balloon rupture is an infrequent complication of cardiac catheterization that can lead to vessel injury. We report 6 cases that highlight the potential consequences of balloon rupture, including perforation, dissection, balloon entrapment,...

Balloon rupture is an infrequent...

03/31/2015

Journal of Invasive Cardiology

Original Contribution

The Association Between the Extent of Coronary Artery Disease and Major Bleeding Events After Percutaneous Coronary Intervention: From the ACUITY Trial

03/31/2015

Gregg W. Stone , MD, FACC, FSCAI;

Adriano Caixeta , MD, PhD;

Roxana Mehran , MD;

Mahesh V. Madhavan , MD;

Ajay J. Kirtane , MD, SM;

Ke Xu , PhD;

Thomas C. McAndrew , PhD, MS;

Tullio Palmerini , MD;

Dominic P. Francese , MPH;

The relationship between the extent of coronary artery disease (CAD) and bleeding after PCI remains understudied. This study sought to evaluate the relation between the extent of CAD and bleeding risk in patients undergoing PCI for non-ST...

The relationship between the...

03/31/2015

Journal of Invasive Cardiology

Original Contribution

Bioresorbable Vascular Scaffold Thrombosis in an All-Comer Patient Population: Single-Center Experience

02/01/2015

Lorenzo Azzalini , MD, PhD, MSc;

Phillipe L. L'Allier , MD;

Experience with bioresorbable vascular scaffolds (BVSs) outside clinical trials is scarce, and data from “real-world” use are needed. In particular, there are few data on scaffold thrombosis (ST); we report our experience with ST in our...

Experience with bioresorbable...

02/01/2015

Journal of Invasive Cardiology

Original Contribution

Prevalence and Treatment of "Balloon-Uncrossable" Coronary Chronic Total Occlusions

02/01/2015

Rohan V. Menon , BS , MD;

Siddharth M. Patel , MD, BS;

Nagendra R. Pokala , BS;

Vijay Raja , MD;

Bavana V. Rangan , BDS, MPH, MD;

Jerrold M. Grodin , MD;

Anna P. Kotsia , MD, PhD;

Georgios Christopoulos , MD;

Emmanouil S. Brilakis , MD, PhD, FACC, FAHA, FESC, FSCAI;

Tesfaldet T. Michael , MD, MPH;

Daniel P. Sherbet , MD;

Jeffrey L. Hastings , MD, MS;

Vishal G. Patel , MD;

Subhash Banerjee , MD, FSCAI;

Shuaib A. Abdullah , MD;

We retrospectively examined 373 consecutive CTO-PCIs performed at our institution between 2005 and 2013 to determine the frequency and treatment of balloon-uncrossable CTOs. Balloon-uncrossable CTOs are encountered in 6.4% of contemporary...

We retrospectively examined 373...

02/01/2015

Journal of Invasive Cardiology

Radial Access Technique

Transradial Versus Transfemoral Intervention for the Treatment of Left Main Coronary Bifurcations: Results From the COBIS (COronary BIfurcation Stenting) II Registry

01/09/2015

Joo-Yong Hahn , MD;

Jin-Ho Choi , MD;

Jung-Han Yoon , MD;

Ki-Bae Seung , MD;

Yangsoo Jang , MD, PhD;

Seung-Jea Tahk , MD, PhD;

Hyeon-Cheol Gwon , MD;

Sang-Hoon Lee , MD;

Seungmin Chung , MD;

Jeong-Hoon Yang , MD;

Seung-Hyuk Choi , MD;

Young-Bin Song , MD;

We compared clinical outcomes of transradial (TR) and transfemoral (TF) percutaneous coronary interventions (PCI) in patients with left main coronary artery (LMCA) bifurcation lesions. TR-PCI is a safe and effective vascular approach even in...

We compared clinical outcomes of...

01/09/2015

Journal of Invasive Cardiology

Original Research

The Comorbidity of Peripheral Arterial Disease Attenuates Complications During Primary Percutaneous Coronary Intervention in ST-Elevation Myocardial Infarction

07/31/2013

The authors retrospectively studied 75 patients to determine if a history of peripheral arterial disease attenuates complications during primary percutaneous coronary intervention in patents with acute ST-elevation myocardial infarction.

The authors retrospectively...

07/31/2013

Vascular Disease Management