New Technique

Clinical Images

Post-Close Technique for Arteriotomy Hemostasis After Impella Removal

05/28/2019

We describe a simple “post-close” technique for large arteriotomies (13-14 Fr) after removal of Impella 2.5 or CP systems (Abiomed) from the common femoral artery, using two Perclose devices.

We describe a simple...

05/28/2019

Journal of Invasive Cardiology

CLINICAL IMAGES

Modified Sleeve Technique for Calcified Coronary Bifurcations

02/24/2019

Zaheed Tai , MD, DO, FACC, FSCAI;

This modification of the GuideLiner technique is useful for left main and non-left main bifurcations.

This modification of the...

02/24/2019

Journal of Invasive Cardiology

Clinical Images

The Reverse T-Stenting and Small Protrusion Technique: A Novel Technique for Coronary Bifurcation Lesions

11/28/2017

Ioannis Tsiafoutis , MD;

Michalis Koutouzis , MD, PhD;

Theodoros Zografos , MD, PhD;

Grigorios Tsigkas , MD, PhD;

Athanasios Antonakopoulos , MD, MSc;

Nikolaos Bourboulis , MD, PhD;

Apostolos Katsivas , MD, PhD;

Bifurcation lesions may be encountered in approximately 15%-20% of PCIs. A 2-stent approach is required in up to 30% of these procedures. We describe a novel technique based on a modification of TAP stenting, suitable for procedures where a...

Bifurcation lesions may be...

11/28/2017

Journal of Invasive Cardiology

Rapid Communication

Novel Method for Exchange of Impella Circulatory Assist Catheter: The "Trojan Horse" Technique

05/15/2017

Colin T. Phillips , MD;

Robert W. Yeh , MD, MBA, MSc;

Hector Tamez , MD;

Thomas M. Tu , MD;

Duane S. Pinto , MD, MPH;

We describe a single-access “Trojan Horse” technique that minimizes bleeding while maintaining arterial access for rapid exchange of the Impella percutaneous ventricular assist device.

We describe a single-access...

05/15/2017

Journal of Invasive Cardiology

Clinical Images

Transcatheter Tricuspid Repair With MitraClip for Severe Primary Tricuspid Regurgitation

12/01/2016

Anthony W.A. Wassef , MD;

Subodh Verma , MD, PhD;

Neil P. Fam , MD, MSc;

Kim A. Connelly , MD, PhD;

Christoph Hammerstingl , MD;

Geraldine Ong , MD;

Heather J. Ross , MD, MHSc;

We describe the first use of MitraClip to treat severe primary tricuspid regurgitation and right heart failure in a patient with previous cardiac transplantation and high surgical risk.

We describe the first use of...

12/01/2016

Journal of Invasive Cardiology

Safety and Feasibility of the Coronary Orbital Atherectomy System via the Transradial Approach

11/01/2015

Jips Zachariah , MD;

Phillip Ruisi , DO;

Yili Huang , DO, MD;

Ramesh Daggubati , MD, FACC, FSCAI;

Ravi Diwan , MD;

Moinakhtar Lala , MD;

Tejas M. Patel , MD, DM;

Justin A. Ratcliffe , MD;

Tak W. Kwan , MD, FACC;

Michael Ruisi , MD;

The orbital atherectomy system (OAS) is the most recent innovation to facilitate stent placement in heavily calcified lesions. This study shows that OAS use via the radial approach may be a safe and feasible option to assist in the treatment...

The orbital atherectomy system...

11/01/2015

Journal of Invasive Cardiology

TAVR Through Heavily Calcified Aorta Following Atheroma Retrieval With the "Elevator" Technique

10/01/2015

Jason C. Kovacic , MD, PhD;

Nagendra Boopathy Senguttuvan , MD;

Furqan Tejani , MD;

Samin K. Sharma , MD, FACC, FSCAI;

George D. Dangas , MD, PhD;

Sharif Ellozy , MD;

Annapoorna S. Kini , MD, MRCP, FACC;

An 86-year-old Caucasian female with severe symptomatic, inoperable aortic stenosis was accepted for high-risk transfemoral TAVR due to severe calcification of the aorta. The authors utilized the elevator technique, which allows axial...

An 86-year-old Caucasian female...

10/01/2015

Journal of Invasive Cardiology

The Double-Blind Stick-and-Swap Technique for True Lumen Reentry After Subintimal Crossing of Coronary Chronic Total Occlusions

09/02/2015

Anna P. Kotsia , MD, PhD;

Georgios Christopoulos , MD;

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

Subintimal dissection and reentry techniques are widely used in chronic total occlusion (CTO) interventions. We describe 3 CTO cases in which the distal vessel could not be visualized after subintimal crossing, in spite of attempts to...

Subintimal dissection and...

09/02/2015

Journal of Invasive Cardiology

Letters to the Editor

Saphenous Vein Graft Intervention: The "EPD Gap" and How it Can be Approached With a Simple Technique

07/30/2015

Richard R. Heuser , MD, FACC, FACP, FESC, FSCAI;

The “suck-u-surge” technique to prevent embolic events with saphenous vein graft percutaneous coronary intervention is described.

The “suck-u-surge” technique to...

07/30/2015

Journal of Invasive Cardiology

"Candy Cane" Guide Catheter Extension for Stent Delivery

07/30/2015

Theodoros I. Repanas , MD;

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

Georgios Christopoulos , MD;

Stent delivery to a native coronary artery lesion located proximal to the anastomosis of a bypass graft can be challenging due to severe tortuosity. Guide catheter extensions such as the GuideLiner can facilitate equipment delivery, as...

Stent delivery to a native...

07/30/2015

Journal of Invasive Cardiology