background: the optimal strategy in percutaneous coronary intervention (pci) for coronary artery bifurcation lesions has yet to be agreed upon. we compared a strategy for stenting the main vessel to provide a complete perfusion flow in the side branch, namely thrombolysis in myocardial infarction (timi) - iii, with a strategy for intervention in both the main vessel and the side branch (mv + sb...

OBJECTIVE: To compare the advantages and disadvantages of emergency percutaneous coronary intervention through the left radial artery with those of emergency percutaneous coronary intervention through the femoral artery. METHODS: A total of 206 patients with acute myocardial infarction who required emergency percutaneous coronary intervention and were admitted to our hospital between January ...

C hronic total coronary occlusions (CTOs) represent one of the final frontiers in the evolution of revascularization with percutaneous coronary intervention (PCI). Although CTO revascularization relieves symptoms, reduces ischemic burden, improves left ventricular systolic function, and attenuates remodeling, convincing proof of improved survival remains elusive (1–3). Ongoing randomized trials...

OBJECTIVES To describe trends in the use of coronary artery revascularisation procedures (CARPs) and to determine whether or when CARP rates will stabilise. SETTING State of Western Australia. PATIENTS All patients treated by coronary artery bypass grafting (CABG) or percutaneous coronary intervention (PCI) between 1980 and 2001. DESIGN Descriptive study. MAIN OUTCOME MEASURES Age stand...

Percutaneous coronary intervention of grafts vessel is more challenging due to a higher incidence of periprocedural distal micro-emobilization and myocardial infarction. Percutaneous coronary intervention current guidelines advocate usage of distal embolic protection devices, especially in patients with a large thrombus burden, undergoing percutaneous intervention for vein graft disease. We pre...

The transfemoral and the transradial approach are the standard access routes for coronary angiography and percutaneous coronary interventions. A transapical left ventricular access is sometimes used for diagnostic purposes and has been described for structural cardiac interventions, but not for coronary artery interventions.1–4 A significant number of patients who undergo catheter-based aortic ...

OBJECTIVE To explore hsCRP and ET-1 expressions in patients with no-reflow phenomenon after percutaneous coronary intervention (PCI). METHODS A total of 136 patients with single coronary artery disease receiving PCI were divided into a reflow group and a no-reflow group to compare the level use of ET-1 alone with combined level of ET-1 and hs-CRP in PCI regarding sensitivity, specificity, pos...

“Less Anatomy—More Physiology” is the message given by nuclear cardiac imaging. Exercise imaging with radionuclide image is a better predictor of morbid events and of prognosis then coronary angiography and exercise testing. Quantitative approaches of myocardial perfusion imaging are of utmost importance for the speedy assimilation of assessment of infarction, myocardial viability on decision m...

Percutaneous coronary intervention (PCI) in an anomalous right coronary artery arising from the left sinus of valsalva can be technically challenging because of difficulty in selectively cannulating the vessel. We present two cases of successful stent implantation in an anomalous right coronary artery arising from the left sinus of valsalva. In both cases, we used an oversized 6 Fr Judkins left...