To determine the genesis of the high incidence of stenotic lesions of the left anterior descending artery (LAD) in the young, we have investigated the anatomical characteristics of coronary arteries in the following 3 groups; young (less than or equal to 40 yr) myocardial infarction (MI) patients with LAD lesions, young (less than or equal to 40 yr) patients without coronary stenosis and aged (...

BACKGROUND Revascularization strategies often hinge on the presence and degree of left anterior descending coronary artery (LAD) stenosis. A decision for bypass surgery is often based on the durability of surgical LAD revascularization compared with percutaneous approaches. By decreasing restenosis, drug-eluting stents may have reduced the "reintervention gap" between surgery and percutaneous i...

Background—Revascularization strategies often hinge on the presence and degree of left anterior descending coronary artery (LAD) stenosis. A decision for bypass surgery is often based on the durability of surgical LAD revascularization compared with percutaneous approaches. By decreasing restenosis, drug-eluting stents may have reduced the “reintervention gap” between surgery and percutaneous i...

INTRODUCTION AND OBJECTIVES Percutaneous coronary intervention for ostial lesions of the left anterior descending coronary artery (LAD) remains a complex procedure. The aim of this study was to evaluate the usefulness of a method of treatment that we have termed the floating-stent approach. METHODS The study involved 71 patients with ostial LAD lesions who underwent implantation of a drug-elu...

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Balloon angioplasty of ostial left anterior descending coronary artery (LAD) lesions has been associated with a high rate of acute complications and late restenosis. Recently, coronary stenting has been proposed as an effective treatment modality for ostial LAD lesions. To evaluate the effects of stent design on the development of late restenosis, we retrospectively analyzed the efficacy of slo...

BackgroundFractional flow reserve (FFR) is an established method for assessing functional myocardial ischemia. Recently, the resting full-cycle ratio (RFR) has been introduced as a non-hyperemic index of coronary stenosis. However, effects clinical characteristics on discordance between RFR and FFR have not fully evaluated. We aimed to identify that influence FFR–RFR concordance.MethodsWe inclu...

We read with great interest the paper by Blazek et al. (1) in this issue of JACC: Cardiovascular Interventions. This is an mportant contribution to the debate on which treatment odality is best for lesions that involve the left anterior escending artery (LAD). Although percutaneous coronary ntervention (PCI) offers a much less invasive treatment ption compared with coronary artery bypass graft ...

Diffuse normolipemic plane xanthoma is a rare disorder often seen as a para-neoplastic manifestation accompanied with gammopathies and hematologic disorders. In this report, a 44-year-old man is presented who was referred to us due to developing erythematous papules on the hands and yellow patches on different parts of the body. Based on cell blood count, peripheral blood smear and positive ant...

Abstract Unprotected left main trifurcations (ULMT) are highly challenging lesions for the interventionalist. There is still no evidence on best revascularization strategy, and risk of short-term procedural complications long-term adverse outcomes remains high. We report case a 62-years-old with multiple factors high bleeding attributable to severe pancytopenia. Due an episode unstable angina, ...