Objective: The number of access routes for endovascular treatment is limited in patients with a history of aorto-femoral bypass surgery. Here, we present a patient with stenosis of the coronary, left carotid, and innominate arteries. We performed simultaneous stenting of each stenotic lesion by direct puncture of a femoral artery graft with surgical exposure and purse string suture ligation. Ca...

OBJECTIVE To compare early complication rates in unselected cases of coronary artery stenting in patients with stable v unstable angina. SETTING Tertiary referral centre. PATIENTS 390 patients with stable angina pectoris (SAP) and 306 with unstable angina (UAP). Patients treated for acute myocardial infarction (primary angioplasty) or cardiogenic shock were excluded. INTERVENTIONS 268 cor...

Acute myocardial infarction is caused by the rupture or erosion of an atherosclerotic plaque, initiating intra-luminal thrombosis resulting in partial complete occlusion a coronary artery. Primary percutaneous intervention (PCI) preferred treatment and effective opening infarct-related These results can be further improved with thrombus aspiration which reduces stent improves blush. In acute pr...

Primary pulmonary hypertension is often associated with angina-like chest pain of uncertain etiology. Left main coronary artery compression by the pulmonary artery is a treatable cause of angina and should be considered in these patients. We describe a patient presenting with primary pulmonary hypertension, clinical angina and extrinsic compression of the left main coronary artery by the pulmon...

BACKGROUND Intravascular ultrasound (IVUS) has become a valuable tool adjunctive to coronary angiography due to its ability to directly image atheroma and the vessel wall. We aimed to evaluate the use of IVUS during diagnostic angiography and coronary interventions in a coronary intervention academic high volume center of northern Greece. PATIENTS AND METHODS IVUS studies have been retrospect...

Guide catheter induced dissection of coronary arteries is an uncommon, but serious complication of coronary angioplasty. Treatment can include emergent coronary artery bypass grafting to the affected vessel or percutaneous intervention including wiring the true lumen and exclusion stenting of the dissection flap to prevent further propagation. Detailed descriptions have been published of techni...

Invasive treatment strategies for coronary artery disease (CAD) are highly scrutinized and constantly evolving. Coronary artery bypass graft (CABG) surgery has long been the gold standard for revascularization in patients with complex CAD; however, advances in the safety and efficacy of percutaneous coronary intervention (PCI) have allowed interventional cardiologists to challenge the status qu...

An atherosclerotic aneurysm of the right coronary artery complicated by a recent myocardial infarction was successfully treated with coronary artery stenting, using a device consisting of 2 stents with a layer of expandable polytetrafluorethylene (PTFE) placed between them. A follow-up angiograph 5 months after the procedure showed sustained initial results.

1695 IntroductIon In patients with coronary artery disease (CAD), the most important factors regarding to both symptoms and outcomes are the presence and extent of inducible ischemia.[1] Alleviation of ischemia with percutaneous coronary intervention (PCI) can improve symptoms and clinical outcomes. Stenting ischemic stenosis result in effective and durable relief of angina pectoris and improve...

OBJECTIVES We evaluated the effect of plaque burden modification (debulking) on the short- and long-term clinical outcomes of patients with a totally occluded native coronary artery undergoing successful stent deployment. BACKGROUND Although the primary success rate of crossing a chronic totally occluded coronary artery has improved with the development of new interventional devices and guide...