INTRODUCTION Although stents have improved the safety and efficacy of percutaneous coronary interventions, coronary stent thrombosis remains a serious complication. CASE PRESENTATION We present the case of a 64-year-old Caucasian man from Greece, with symptoms and electrocardiographic findings suggestive of acute inferior myocardial infarction, who complained of chest pain and rapidly develop...

In this article it will be discussed actual issues and modern problems of the ischemic disease heart, antiplatelet therapy, its effects, hypolipidemic indications, counter potential side effects as well as, successful management strategies after percutaneous coronary intervention following with drug eluted stents.

BACKGROUND Use of intensive anticoagulation and antiplatelet therapy in acute myocardial infarction (AMI) potentially increases the risk of bleeding complications during percutaneous coronary intervention via the transfemoral route. Recently, the transradial access has been intensively employed as an alternative means for diagnostic and interventional procedures. A low incidence of vascular acc...

The era of percutaneous coronary intervention (PCI) has led to substantial changes in the management of patients with acute coronary syndromes and stable coronary heart disease, with an associated range of impacts on the course and outcomes of subsets of patients with these conditions. Interventional cardiology has moved from percutaneous transluminal coronary angioplasty (PTCA), with or withou...

Inappropriate percutaneous transluminal coronary angioplasty of the anterior descending artery was avoided in a 52-year-old woman when the intracoronary administration of glyceryl trinitrate immediately before the angioplasty disclosed the organic component of the supposedly fixed, critical (80%) stenosis to be less than 50% of the lumen diameter. The spastic component of the stenosis had not b...

A 50 year-old man was admitted for elective percutaneous coronary intervention. After rotational atherectomy was performed, perforation of the second diagonal coronary artery occurred, resulting in cardiac tamponade. Emergency pericardiocentesis was performed and intravenous protamine was administered. After tamponading the coronary perforation with prolonged intracoronary balloon inflation, co...

Background: Anatomically myocardial bridging (MB) consists of either superficial myocardial fibers that traverse over the LAD or deep fibers that encircle the coronary artery. In this study, we present a patient with myocardial bridging, who was primarily diagnosed with coronary artery disease which did not properly respond to full-dose medical treatment but benefited from coronary artery bypas...

BACKGROUND Increased experience and improvements in technology seem to have encouraged the use of percutaneous interventions for left main coronary artery (LMCA) occlusions. There is no consensus, however, and the data are inadequate on whether surgery or percutaneous procedures should be the intervention of choice for critical occlusions. METHODS From January 2002 to December 2006, 108 patie...

We report the case of a 51-year-old male with pectus excavatum (PEX) who presented stress-related chest pain as symptom acute non-ST elevation myocardial infarction. Coronary angiography (CAG) revealed suspected single coronary artery (SCA) anatomy diffuse atherosclerotic narrowing, without evidence other ostia in aortic root. The diagnosis was confirmed on cardiac computed tomography (CCTA) SC...

Percutaneous coronary intervention in patients with an anomalous coronary artery is technically challenging. Selective cannulation and coaxial positioning in the anomalous artery and optimum stability during the procedure are pivotal for successful completion of the procedure. Selection of the appropriate guide catheter is of paramount importance in these situations. In patients with congenital...