OBJECTIVES The management of concomitant coronary and carotid artery disease is still in evolution. The surgical options are staged approach--carotid endarterectomy (CEA), followed by coronary artery bypass grafting (CABG) or a reversed-staged approach, or combined approach--CEA and CABG under the same anaesthesia. In view of the percutaneous carotid artery stenting option, we have reviewed our...

Coronary artery dissection is a feared and potentially life-threatening complication of percutaneous coronary intervention (PCI). We examined the clinical, angiographic, procedural characteristics, outcomes at tertiary care institution. Between 2014 2019, unplanned occurred in 141 10,278 PCIs (1.4%). Patient age was 68 (60, 78) years, 68% were men, 83% had hypertension. The prevalence diabetes ...

OBJECTIVES We sought to evaluate whether coronary flow velocity reserve (CFR) (the ratio between hyperemic and baseline peak flow velocity), as measured by transthoracic Doppler echocardiography during adenosine infusion, allows detection of flow changes in the left anterior descending coronary artery (LAD) before and after stenting. BACKGROUND The immediate post-stenting evaluation of CFR by...

https://e-kcj.org An 86-year-old man with a recent myocardial infarction underwent coronary angiography, which revealed total occlusion of the left anterior descending coronary artery (LAD) ostium and intermediate stenosis of the proximal left circumflex artery (LCX) (Figure 1A, Supplementary Figure 1A and 1B). After stenting with a 3.5×38-mm Resolute IntegrityTM (Medtronic, Minneapolis, MN, US...

percutaneous coronary and carotid interventions. Curr Control Trials Cardiovasc Med 2001; 2: 286–291 11. Angelini A, Reimers B et al. Cerebral protection during carotid artery stenting. Stroke 2002; 33: 456–461 12. Webb JG, Carere RGC, Virmani R et al. Retrieval and analysis of particulate debris after saphenous vein graft intervention. J Am Col Cardiol 1999; 34: 468–475 13. Baim DS, Wahr D, Ge...

Although most of the patients presenting with ischemic heart disease have chest pains, there are other rare presenting symptoms like cardiac cephalgia. In this report, we present a case of acute coronary syndrome with an only presentation of exertional headache. It was postulated as acute presentation of coronary artery disease, due to previous history of similar presentation associated with so...

Entrapment of catheter components during cardiac interventions is rare but can cause life-threatening complications and sometimes requires emergency surgical treatment. This case study describes a 52-year-old male who had unstable angina pectoris and underwent stent insertion into the left circumflex artery. Unfortunately, the coronary stent and the balloon catheter were trapped while crossing ...

A 59-year old male, with a history of inferoposterior myocardial infarction and multiple coronary stenting, presented to the out-patient clinic with exercise-related chest discomfort. The electrocardiogram showed sinus rhythm with Q-waves in the inferior leads (Figure 1). Coronary computed tomography angiography (CTA) showed stents in the right coronary artery (RCA), left anterior descending ar...

Percutaneous coronary intervention (PCI) using balloon angioplasty with stenting has become a mainstay in the treatment of patients with coronary artery disease (CAD). Over one million PCI procedures were performed in the U.S. alone in 2000, nearly one-half of which involved placement of a coronary stent (1). This number is expected to increase as more revascularization procedures that were pre...

BACKGROUND The value of angioplasty in occluded coronary arteries is limited by a restenosis/reocclusion rate of 50-70%. In patients with subtotal occlusion, stent implantation has been shown to reduce clinical and angiographic restenosis. Retrospective observational studies have suggested that stenting could reduce restenosis in total occlusions. The value of sustained coronary patency on glob...