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Use of a parallel stiff wire to facilitate percutaneous Impella RP ventricular assist device positioning
We report a case of percutaneous Impella RP implantation, using a parallel stiff wire to reduce anatomical tortuosity by acting as a buddy-wire to facilitate device implantation and reduce the risk of tricuspid ring damage in a patient recently treated with tricuspid ring annuloplasty. (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - March 15, 2017 Category: Cardiology Authors: Francesco Giannini, Matteo Montorfano, Richard J. Jabbour, Azeem Latib, Neil Ruparelia, Lorenzo Azzalini, Valeria Magni, Vittorio Romano, Michele De Bonis, Federico Pappalardo, Antonio Colombo Source Type: research

Outcomes of the retrograde approach through epicardial versus non-epicardial collaterals in chronic total occlusion percutaneous coronary intervention
The retrograde approach through epicardial collaterals (EC) for chronic total occlusion (CTO) percutaneous coronary intervention (PCI) is a challenging procedure. Our study aim was to evaluate the outcomes of patients undergoing CTO PCI using a retrograde approach through epicardial versus non-epicardial collaterals (NEC). (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - March 15, 2017 Category: Cardiology Authors: Susanna Benincasa, Lorenzo Azzalini, Mauro Carlino, Barbara Bellini, Francesco Giannini, Xiaohui Zhao, Antonio Colombo Source Type: research

Percutaneous closure of a giant coronary artery fistula after surgical pericardiectomy. Review of the literature
We report the percutaneous closure of a giant CAF in an adult patient with angina and previous pericardiectomy. (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - March 8, 2017 Category: Cardiology Authors: Leire Unzu é Vallejo, Eulogio García, Belén Díaz-Antón, Javier Fernández-Portales, Rodrigo Teijeiro, Miguel Rodríguez-del-Río Source Type: research

Distal Left Main Trifurcation Disease in a Patient with Porcelain Aorta
Coronary trifurcation lesions are a complex subset of lesions and are substantially more complex than bifurcations when treated with percutaneous coronary intervention (PCI) because of higher rates of acute periprocedural complications (dissection, myocardial infarction, acute vessel closure) and less effective long-term outcomes (stent thrombosis, restenosis) as compared to non-bifurcation lesions. (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - March 7, 2017 Category: Cardiology Authors: Ulises Lopez-Pe ña, Francisco Garcia, Rogelio Robledo, Ernesto Fernandez, Ricardo Borrego, Neisser Morales Source Type: research

A Hybrid Strategy with Bioresorbable Vascular Scaffolds and Drug Eluting Stents for Treating Complex Coronary Lesions
Due to the inherent limitations of current generation BVS, complex coronary artery disease often contains BVS unsuitable segments. Our aim was to assess the feasibility of a hybrid approach using bioresorbable vascular scaffolds (BVS) and drug-eluting stents (DES) for the treatment of complex coronary artery lesions not suitable for a scaffolding only approach. (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - March 7, 2017 Category: Cardiology Authors: Richard J. Jabbour, Alfonso Ielasi, Akihito Tanaka, Massimo Leoncini, Bernado Cortese, Giulietta Grigis, Satoru Mitomo, Damiano Regazzoli, Gaetano Di Palma, Claudio Rapetto, Maurizio Tespili, Antonio Colombo, Azeem Latib Source Type: research

Coronary artery perforation complicated by recurrent cardiac tamponade: a case illustration and review
Coronary artery perforation during percutaneous intervention is a rare but potentially life threatening complication. The treatment of coronary perforation can be challenging in view of potential life threatening consequences such as cardiac tamponade or myocardial infarction.Presented is a clinical course of a 69year-old female who developed cardiac tamponade as a result of presumed wire related perforation of the posterolateral branch of the right coronary artery. Her clinical course was further complicated by recurrent tamponade, atrial fibrillation, stress induced cardiomyopathy, heparin induced thrombocytopenia and ca...
Source: Cardiovascular Revascularization Medicine - March 6, 2017 Category: Cardiology Authors: Michael DePersis, Safi U. Khan, Edo Kaluski, William Lombardi Source Type: research

Coronary Artery Perforation Complicated by Recurrent Cardiac Tamponade- A Case Illustration and Review
Coronary artery perforation during percutaneous intervention is a rare but potentially life threatening complication. The treatment of coronary perforation can be challenging in view of potential life threatening consequences such as cardiac tamponade or myocardial infarction.Presented is a clinical course of a 69year-old female who developed cardiac tamponade as a result of presumed wire related perforation of the posterolateral branch of the right coronary artery. Her clinical course was further complicated by recurrent tamponade, atrial fibrillation, stress induced cardiomyopathy, heparin induced thrombocytopenia and ca...
Source: Cardiovascular Revascularization Medicine - March 6, 2017 Category: Cardiology Authors: Michael DePersis, Safi U. Khan, Edo Kaluski, William Lombardi Source Type: research

Recurrent STEMI caused by multivessel spontaneous coronary dissection
A coronariography was performed to a 52year old female patient who presented a sudden syncope. It revealed a suboclusive distal lesion on posterolateral branch and a slight narrowed lumen of posterior descending artery (PDA). Spontaneous dissection was suspected and an optical coherence tomography (OCT) was performed. A dissection in the proximal part of the PDA (Fig. 1A) and an intramural haematoma until PAD ostium (Fig. 1B-E) were observed. A conservative management was decided as the patient was asymptomatic and stable. (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - March 6, 2017 Category: Cardiology Authors: Bruno Limpo, Juan Manuel Nogales Asensio, Mar ía Reyes González Fernández, Antonio Merchán Herrera, Jose Ramón López-Mínguez Source Type: research

Thrombus or Vegetation: A Mystery Causing ST Elevation Myocardial Infarction with Infective Endocarditis of Mechanical Aortic Valve
Acute myocardial infarction (MI) in the setting of infective endocarditis (IE) of mechanical cardiac valve is a rare phenomenon. The most challenging aspect is the recognition between septic embolus versus thromboembolism from prosthesis in the setting of sub-therapeutic INR especially when the coronary vasculature is normal and etiology is not clear. We are presenting a case of 56years old patient who developed ST elevation MI during treatment of IE of mechanical aortic valve. Cardiac catheterization showed a very subtle blockade at most distal end of LAD therefore percutaneous coronary intervention (PCI) could not be car...
Source: Cardiovascular Revascularization Medicine - March 6, 2017 Category: Cardiology Authors: Safi U Khan, Ahmad N Lone, Charumathi Raghu Subramanian, Michael DePersis, Daniel Sporn Source Type: research

Fenestration of a Papyrus PK covered stent to recover the occluded left main bifurcation after sealing a left main perforation during a CTO procedure
We report the successful sealing of an ostial left main perforation, induced by a guide catheter in the course of a retrograde approach to treat a chronic total occlusion (CTO) of the right coronary artery (RCA) in a 76year old woman with prior CABG. The implanted Papyrus covered stent, however, overlapped the left main bifurcation and occluded the non-grafted circumflex artery (CX) resulting in acute ischemia. (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - March 4, 2017 Category: Cardiology Authors: Gerald S. Werner, Waqar H. Ahmed Source Type: research

Fenestration of a Papyrus covered stent to recover the occluded left main bifurcation after sealing a left main perforation during a CTO procedure
We report the successful sealing of an ostial left main perforation, induced by a guide catheter in the course of a retrograde approach to treat a chronic total occlusion (CTO) of the right coronary artery (RCA) in a 76 year old woman with prior CABG. The implanted Papyrus covered stent, however, overlapped the left main bifurcation and occluded the non-grafted circumflex artery (CX) resulting in acute ischemia. (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - March 4, 2017 Category: Cardiology Authors: Gerald S. Werner, Waqar H. Ahmed Source Type: research

Effects of staged versus adhoc percutaneous coronary interventions on renal function —Is there a benefit to staging?
The purpose of this study is to determine whether adhoc (same session) percutaneous coronary intervention, and staged (multiple session) percutaneous coronary intervention (PCI) have different renal outcomes. (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - February 27, 2017 Category: Cardiology Authors: Mahek Shah, Deepakraj Gajanana, David S. Wheeler, Chitra Punjabi, Obiora Maludum, Kene Mezue, Edgar V. Lerma, Amer Ardati, Abel Romero-Corral, Christian Witzke, Janani Rangaswami Source Type: research

Bivalirudin versus Heparin in Women Undergoing Percutaneous Coronary Intervention: A Systematic Review and Meta-analysis of Randomized Clinical Trials
The anticoagulant of choice during percutaneous coronary intervention (PCI) in women is not well established. (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - February 27, 2017 Category: Cardiology Authors: Marwan Saad, Ramez Nairooz, Ahmed Rashed, Hesham K. Abdelaziz, Amgad Mentias, J. Dawn Abbott Source Type: research

Change in angiogram-derived management strategy of patients with chest pain when some FFR data are available: How consistent is the effect?
The objective of this paper is to describe assess the consistency in the difference in management resulting from an FFR-directed versus and angiogram-directed strategy in appropriate observational and randomised trials. (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - February 25, 2017 Category: Cardiology Authors: Vinayak Nagaraja, Mamas Mamas, Michael Mahmoudi, Campbell Rogers, Nick Curzen Source Type: research

Further validation of the hybrid algorithm for CTO PCI; Difficult lesions, same success
To evaluate the success rates and outcome of the hybrid algorithm for chronic total occlusion (CTO) percutaneous coronary intervention (PCI) by a single operator in two different clinical settings. (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - February 20, 2017 Category: Cardiology Authors: Mir B Basir, Aris Karatasakis, Mohammad Alqarqaz, Barbara Danek, Bavana V Rangan, Emmanouil S. Brilakis, Henry Kim, William W. O'Neill, Khaldoon Alaswad Source Type: research