A 57 year old man required emergency coronary artery bypass surgery after dissection of the left main coronary artery during percutaneous transluminal coronary angioplasty. His symptoms recurred when the vein grafts became occluded. A dilatation device with the lowest profile was used to reduce the need for firm support from the guiding catheter during repeat percutaneous transluminal coronary ...

We describe a case of dilated cardiomyopathy (DCM) caused by a coronary-pulmonary fistula and myocardial ischemia induced by the coronary steal phenomenon, which was successfully treated with coil embolization. Coronary fistulae and coronary-steal-induced ischemia are rare causes of DCM in adults with normal coronary arteries. Percutaneous treatment represents an alternative to surgery and may ...

BACKGROUND Increasingly studies have identified socioeconomic factors adversely affecting healthcare outcomes for a multitude of diseases. To date, however, there has not been a study correlating socioeconomic details from nationwide databases on the prevalence of advanced coronary artery disease. We seek to identify whether socioeconomic factors contribute to advanced coronary artery disease p...

a 74-year-old male patient was admitted to our emergency department with post-mi angina. on account of the anginal complaint that continued for three days, a coronary artery angiography was undertaken. a percutaneous transluminal coronary angioplasty was performed, followed by the implantation of a coronary stent, and coronary perfusion (timi-3) was achieved in the left anterior descending arte...

Coronary artery perforation (CAP) is a rare (0.43%) but scary complication of percutaneous coronary intervention with its associated morbidity and even mortality at times.It needs to be treated urgently either by percutaneous means or by open heart surgery, as the situation demands. In this report we are discussing a left anterior descending coronary (LAD) artery perforation sealed successfully...

BACKGROUND The radial artery is used for the access of coronary angiography and percutaneous coronary intervention, as well as for coronary artery bypass surgery. Variations of upper limb arteries are common, however, congenital absence of radial artery is scarce, and most cases were unilateral radial artery absence. CASE PRESENTATION During a coronary angiography of a 43-year-old man, we enc...

the important role of reperfusion therapies in the treatment of acute myocardial infarction is well documented. however, reperfusion therapies can initiate inflammatory response and may damage the myocardium. the purpose of current study was to compare the effects of percutaneous coronary intervention and thrombolytic therapy on inflammatory markers in the setting of st elevation myocardial inf...

background: combination antiplatelet therapy is a classic treatment for percutaneous coronary intervention (pci) but this therapy increases gastrointestinal bleeding (gib). this study highlights the incidence of related risk factors of gib and endoscopic findings in patients with gib after pci and combination antiplatelet therapy. materials and methods: a standard check list was used to evaluat...

Gruentzig A: Transluminal dilatation of coronary artery stenosis. Lancet 1: 263, 1978 Kent KM, Bentiusglio LG, Block PC, et al: Percutaneous transluminal coronary angioplasty: report from the NHLBI registry. Am J Cardiol 49: 2011-2020, 1982 Doros G, Cowley MI, Simpson J, et al: Percutaneous transluminal coronary angioplasty report of complications from the National Heart Lung and Blood Institut...

Accurate diagnosis and determination of patient characteristics are crucial for a good prognosis in coronary disease because highly effective techniques such as percutaneous intervention more harmful than beneficial certain patients.