Jacc's Imaging Cases in Cardiovascular Intervention
King, Spencer B., III, M.D.
McDaniel, Michael, M.D.
Elsevier Science Health Science 2020/01
370 p. 28 cm
Here in one cohesive and educational volume are over 275 key cases from the Journal of the American College of Cardiology: Cardiovascular Intervention's popular "Images in Intervention" column.
Here in one cohesive and educational volume are over 275 key cases from the Journal of the American College of Cardiology: Cardiovascular Intervention's popular "Images in Intervention" column. Carefully selected and organized topically with added commentaries, this collection presents cases that are instructional, unusual, and multifaceted, ranging from the most common to very rare. The images and explanations, both in print and online, give a highly visual and informative understanding of some of the most complex interventional cases and their complications. Cases chosen by Dr. Spencer King, former editor of JACC: Cardiovascular Interventions and a leader in the field of interventional cardiology, along with colleague Dr. Michael McDaniel, covering a 10-year period in JACC: Cardiovascular Interventions. Unique coverage spans the full range of cardiovascular interventions, including coronary anomalies, pathologic conditions and complications; structural heart disease conditions and solutions; and technical approaches to unusual clinical situations. Each case includes one or more interventional images and a narrative explanation on best practice guidelines for insertion, placement, tips and pitfalls, and problem solving. Cases are organized topically and indexed by diagnosis, symptoms, and complications for multiple ways of easily accessing content. Videos offer real-time visualization of fourth dimension conditions for an improved understanding of complex and innovative approaches. Images include high-quality angiographic, echocardiographic, optical tomographic, CT, MRI, histologic, and other images. One-of-a-kind, highly instructive coverage of complex cases, originated by an international team of leading experts, ideally suited for interventional cardiologists, interventional radiologists, fellows, and all members of the cardiac cath lab team. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.
Table of Contents
CHAPTER 1: CORONARY ANATOMY AND PATHOPHYSIOLOGY Coronary Anomalies 1. A Rare Case of Anomalous Original Left Circumflex Artery Stenosis after Artificial Mitral Valve Replacement 2. Anomalous origin of common left coronary artery from the right coronary sinus unusual anatomical variation 3. Anomalous Acute Left Main Myocardial Infarction Due to Compression Between Pulmonary Artery and Aorta by Acute Pulmonary Thromboembolism 4. Anomalous origin of left main coronary artery from innominate artery 5. Anomalous Origin of the Left Internal Mammary Artery from the Aortic Arch 6. Anomalous Origin of the 'Non-Culprit' Right Coronary Artery from The Left Anterior Descending Artery in A Patient with Anterolateral Stemi 7. Concomitant anomalous right coronary artery and iatrogenic left circumflex artery entrapment, treated successfully with PCI 8. Dual Anomalous Origins of the Thyrocervical Trunk and Left Internal Mammary Artery 9. multimodality imaging of an anomalous connection of the right coronary artery with aortic intramural course 10. Origin of right and left coronary arteries from the right sinus of Valsalva as a common coronary trunk 11. Primary percutaneous Intervention in a Patient with Anterior and Inferior Wall Myocardial Infarction due to rare Coronary artery anomaly 12. Right Aortic Arch with Left Sided Arteria Lusoria: A Challenge to Radial Interventionalist 13. Right Coronary Artery with Anomalous Origin: The Role of Imaging Techniques Coronary Aneurysms 14. A Giant Coronary Artery Aneurysm Treated with a New-Generation Drug Eluting Stent 15. Acute myocardial infarction caused by left main coronary artery compression due to amycotic aneurysm of the sinus of Valsalva 16. Formation of Infectious Coronary Artery Aneurysms After Percutaneous Coronary Intervention in a Patient with Acute Myocardial Infarction due to Septic Embolism 17. Left Internal Mammary Artery Graft Decompression by Covered Stent Treatment of an Adjacent Saphenous Vein Graft Pseudoaneurysm : 18. Recurrent myocardial infarctions due to thrombosis of a coronary aneurysm in neurofibromatosis type: is antiplatelet treatment enough? 19. Salmonella enteritidis mycotic aneurysm of stented saphenous vein graft to coronary artery 20. Sinus of Valsalva Aneurysm Causing Extrinsic Compression of the Left Main Coronary Artery Unusual Obstructions 21. A beating left main coronary artery 22. A Freestyle Problem 23. Acute coronary syndrome resulting from systolic compression of left main coronary artery secondary to aortic subvalvular aneurysm 24. An Unusual Cause of STEMI 25. Cancer in the LAD 26. Chest Pain Post-Aortic Valve Surgery; Is it Serious? 27. Five-year Follow-up after Stenting for Iatrogenic Coronary Stenosis due to Mitral Annuloplasty: Insights with Multiple Imaging Modalities 28. Left anterior descending coronary artery occlusion during transcatheter pulmonary valve implantation: successful rescue percutaneous revascularization. 29. Left Main Coronary Artery Compression by an Enlarged Pulmonary Artery 30. Left Main Coronary Artery Occlusion Due to Thrombus Embolization from a Prosthetic Mitral Valve 31. Left Main Coronary Embolization after Direct Current Cardioversion for Persistent Atrial Flutter in the Absence of Detectable Intracardiac Thrombi 32. Percutaneous intervention of an acute left main coronary occlusion due to dissection of the aortic root 33. Simultaneous Coronary and Pulmonary Angiography to Diagnose Critical Left Main Coronary Artery Stenosis Secondary to Dilated Pulmonary Artery 34. Spontaneous Aortic Thrombosis Causing Left Main Coronary Occlusion in A Man with Secondary Polycythemia 35. Intravascular Ultrasound-diagnosed Acute Aortic Dissection involving Left Main Closure 36. Native Aortic Valve Thrombosis Leading to ST-Segment Elevation Myocardial Infarction Coronary Spasm 37. Cocaine-induced Coronary Vasospasm Using OCT Imaging to Guide Management 38. Grave's Disease Induced Coronary Vasospasm 39. Severe generalized resistant spasm of Right coronary artery causing hemodynamic collapse after stenting 40. Diffuse Coronary Spasm in a Patient with a Recent Stent Spontaneous Dissection/Hematoma 41. 3D IV-OCT Rendering Assessment of Spontaneous Coronary Artery Dissection Concomitant with Left Main Ostial Critical Stenosis 42. A Rare Case of Spontaneous Dissection in a Left Internal Mammary Artery Bypass Graft in Acute Coronary Syndrome 43. Acute coronary syndrome with clear coronary artery: the case for concealed coronary hematoma 44. Cocaine-induced coronary artery dissection 45. Complete Healing of Spontaneous Coronary Artery Dissection Demonstrated by Optical Coherence Tomography in a Young Postpartum Female Presenting with Acute Coronary Syndrome 46. Endovascular Imaging of Angiographically Invisible Spontaneous Coronary Artery Dissection 47. Fibromuscular Dysplasia Presented with Spontaneous Dissection of the Left Main Artery 48. Is this spontaneous coronary intramural hematoma or fibrotic plaque? An inconsistent finding between optical coherent tomography and intravascular ultrasound 49. Multivessel spontaneous coronary artery dissection mimicking atherosclerosis 50. Spontaneous coronary artery dissection: failure of the conservative strategy due to predominance of the false lumen Coronary Pathology 51. Acute Inferior Myocardial Infarction Complicated by a Very Large Ventricular Septal Rupture and Cardiogenic Shock 52. Plaque Erosion: In Vivo Diagnosis and Treatment Guided by Optical Coherence Tomography 53. Recanalized Thrombus Treated with a Paclitaxel-Coated Balloon Insights from Optical Coherence Tomography 54. Rescue Percutaneous Coronary Intervention Revealing Impending Left Ventricle Rupture 55. Cardiovascular Interventions in the Modern Age: The Million Dollar Man 56. Detection of Angioscopic Yellow Plaque by Intra-coronary Near-Infrared Spectroscopy 57. Distinct Pattern of Constrictive Remodeling in Radiotherapy Induced Coronary Artery Disease 58. Quantitative OCT tissue type imaging for lipid-core plaque detection 599. Stiff Coronary Stenosis in a Young Female with Pseudoxanthoma Elasticum 60. A honeycomb-like structure in the left anterior descending coronary artery: demonstration of recanalized thrombus by optical coherence tomography 61. DVT of the Heart: A Novel Treatment for an Old Problem 62. Thrombocytosis and Coronary Occlusion Stent Pathology 63. In-stent Thin-cap Fibroatheroma After Drug-eluting Stent Implantation: Ex Vivo Evaluation of Optical Coherence Tomography and Intracoronary Angioscopy 64. Biomechanical Assessment of Fully Bioresorbable Devices 65. Coronary Artery Aneurysm after BVS-Everolimus Stent Implantation 66. Extremely Late Catch-up Phenomenon after First-generation Sirolimus-eluting Stent in Left Main Stem: Insights from Optical Coherence Tomography 67. Multiple Interstrut Cavities: A Potential Mechanism for Very Late Stent Thrombosis? Insights from Optical Coherence Tomography 68. Newly onset coronary aneurism and late-acquired incomplete scaffold apposition after full polymer jacket of a chronic total occlusion with bioresorbable scaffolds 69. OCT Findings in Very Late (4 Years) Paclitaxel-Eluting Stent Thrombosis 70. Optical Coherence Tomography Images of a Coronary Artery Aneurysm in an Infarct Related Artery 6 Months Post Bare-Metal Stent Implantation 71. Recurrent Neoatherosclerosis After Bioresorbable Vascular Scaffold Treatment of In-Stent Restenosis. CHAPTER 2: COMPLICATIONS OF CORONARY INTERVENTION Stent Thrombosis 72. Acute Stent Thrombosis: Technical Complication or Inadequate Antithrombotic Therapy? An Optical Coherence Tomography Study 73. An unusual case of Stent in Stent thrombosis 74. Delayed Healing of a Coronary Stent Graft 75. Multivessel Honeycomb-Like Structure Finding in Optical Coherence Tomography 76. Optical Coherence Tomography Assessment of Late Intra-Scaffold Dissection: A New Challenge of Bioresorbable Scaffolds 77. Phantom Stent Thrombosis: Intracoronary Imaging Insights. 78. Two Cases of Coronary Stent Thrombosis Very Late After Bare-Metal Stenting 79. Very Late Stent Thrombosis 5 years After Implantation of a Sirolimus-eluting Stent Observed by Angioscopy and Optical Coherence Tomography 80. Cross-Sectional and Longitudinal Positive remodeling after subintimal stent implantation: Multiple Late Coronary Aneurysms 81. In-Stent Protrusion after implantation of a Drug Eluting Stent in a Honeycomb-like Coronary Artery Structure: Complete Resolution over 6 months and the Role of Optical Coherence Tomography Imaging in the Diagnosis and Follow-up Coronary Dissections and Hematomas 82. Intramural Hematoma Appearing as a New Lesion Following Coronary Stenting 83. Ruptured Neoatherosclerosis Presenting as a Large Intra-Stent Neontimal Dissection 84. Acute Closure Due to Extra-medial Hematoma 3 Hours After Stenting 85. Aortocoronary dissection with extension to the suprarenal abdominal aorta: a rare complication after percutaneous coronary intervention 86. Catheter-Induced Stent Occlusion: Uncommon Complication during Diagnostic Angiography 87. Extraordinary Subintimal Bleeding after Coronary Stenting 88. Index and follow-up OCT imaging demonstrating resolution of post stent intramural hematoma managed conservatively 89. In-stent Dissection Causes No Flow During Percutaneous Coronary Intervention 90. Intimomedial Abrasion Complicating Coronary Thrombus Aspiration 91. Rapid Growth of Giant Coronary Artery Aneurysm following Treatment of Stent Edge Dissection Coronary Perforations 92. Respect the Septal Perforator Septal Artery Perforation during CTO PCI Resulting in Massive Interventricular Septal Hematoma and Biventricular Cardiac Obstructive Shock 93. Right Ventricular Free Wall Hematoma: Contemporary Multimodal Imaging 94. Severe Intramyocardial Hematoma as a Complication of Retrograde Approach in Chronic Total Occlusion 95. When collateral damage does matter - iatrogenic ventricular septal rupture after PCI of the LAD Complications of Diagnostic Catheterization 96. Intracoronary Bubbles: Iatrogenic Air Embolism Assessed with Optical Coherence Tomography 97. Aortic regurgitation after cardiac catheterization Equipment Dislodgement and Fracture 98. A Potential Procedural Complication Two Years After Percutaneous Coronary Intervention to Treat Left Anterior Descending Artery Lesions with the T-stenting and Small Protrusion Technique 99. Accidental extraction of a stent implanted three years ago by a dislodged stent: a rare complication of PCI 100. Frequency-Domain Optical Coherence Tomography Assessment of Stent Constriction 9-Month After Sirolimus-Eluting Stent Implantation in a Highly Calcified Plaque 101. First Experience with Successful Percutaneous Retrieval of Retained Fractured Impella Device. 102. Guidewire Self-extrusion after Entrapment of Distal Protection Device During Saphenous Vein Graft Angioplasty 103. Identification of Fragmented Balloon Materials in Coronary Arteries by Optical Coherence Tomography (OCT) 104. Impella 5.0 Fracture and Transcatheter Retrieval 105. Late Complication: Xience V Stent Fractures with Restenosis Images in Intervention 106. Simple solution for an undeflatable stent balloon in the left main stem 107. Successful Retrieval of Entrapped Balloon with Optical Coherence Tomography Guidance 108. Usefulness of Rotational Atherectomy Preventing Polymer Damage of Everolimus-Eluting Stent in Calcified Coronary Artery Access Site Complications 109. Aberrant right subclavian artery hematoma following radial catheterization 110. Arteriovenous radial fistula: a rare and delayed complication from coronary angiography 111. Digital Gangrene Following Trans-Radial Coronary Angiogram 112. From Radial Artery to Embolus: A Rare Complication of Transradial Coronary Angiography 113. Iatrogenic Subclavian artery pseudoaneurysm complicating a transradial percutaneous coronary intervention 114. Recurrent Vasospastic Myocardial Infarctions and Hand Necrosis CHAPTER 3: CORONARY INTERVENTIONAL TECHNIQUES Coronary Aneurysms 115. A giant coronary artery aneurysm treated using with multiple overlapping covered stents 116. Endovascular coil embolization of Behet disease related giant aneurysm of the right coronary artery after failure of surgical suture 117. Occlusion of a large expanding saphenous vein bypass graft aneurysm with percutaneously injected ethylene-vinyl alcohol copolymer (Onyx) 118. Overlapping Stents Intervention Treatment of a Giant Right Coronary Artery Pseudoaneurysm 119. Percutaneous Closure of a Saphenous Vein Graft Aneurysm Causing Left Internal Mammary Artery Compression and Left Ventricular Systolic Dysfunction 120. Percutaneous Closure of Giant Saphenous Vein Graft Aneurysm 121. Percutaneous Luminal Reconstruction of Giant Saphenous Vein Graft Aneurysm 122. Reconstruction of right coronary artery with two giant aneurysms in series using three overlapped covered stents. Coronary Fistulae 123. Percutaneous coronary intervention for control of postoperative bleeding in patients with cardiac angiosarcoma 124. Anterograde percutaneous coronary-cameral fistula closure employing a guide in guide technique 125. Percutaneous closure of Left Main Coronary artery fistula using AVP II and ADO I 126. Percutaneous Intervention to Large Left Anterior Descending Artery Fistula Post Right Ventricular Biopsy in a Transplant Recipient Chronic Total Occlusions 127. Follow-Up Improvement of Distal Vessel Diameter After Successful Chronic Total Coronary Occlusion Recanalization 128. Subintimal crush of an occluded stent to recanalize a chronic total occlusion due to in-stent restenosis: insights from a multimodality imaging approach Intervention for Spontaneous Coronary Dissections 129. Successful Stenting with Optical Frequency Domain Imaging Guidance for Spontaneous Coronary Artery Dissection 130. Successful Treatment of Spontaneous Coronary Artery Dissection with Cutting Balloon Angioplasty as Evaluated with Optical Coherence Tomography CHAPTER 4: STRUCTURAL HEART DISEASE: COMPLICATIONS AND TECHNIQUES Aortic Valve 131. Acute artery occlusion during transaortic valve implantation in a patient with an anomalous origin of the circunflex artery. 132. Anterior Mitral Leaflet Perforation During Transcatheter Aortic Valve Replacement in a Patient with Mitral Annular Calcification 133. Aortic Root Intussusception during Transcatheter Aortic Valve Replacement 134. Conservative Management and resolution of a Contained Rupture of Aortic Annulus following Transcatheter valve replacement 135. Coronary Ostia Stenosis Following Transcatheter Aortic Valve Implantation 136. Cutaneopericardial Fistula After Transapical Approach for Transcatheter Aortic Valve Replacement 137. Failed valve-in-valve TAVI 138. Gluing of an Aortic Perforation During TAVI: An Alternative Treatment for Annular Rupture? 139. Left Anterior Descending Coronary Artery Obstruction Associated with an Apical Suture after Transcatheter Aortic Valve Implantation 140. Left- to- right interventricular shunt as a late complication of transapical aortic valve implantation 141. Novel Percutaneous Apical Exclusion of a Left Ventricular Pseudoaneurysm After Complicated Transapical Transcatheter Aortic Valve Replacement 142. Percutaneous Management of Mitral perforation during Transaortic Valve Replacement 143. Percutaneous Treatment of Severe Aortic Insufficiency in a Patient with Left Ventricular Assist Device: Friend or Foe 144. Perforation of Anterior Mitral Leaflet due to Mechanical Stimulation late after Transcatheter Aortic Valve Implantation 145. Severe valve deformation following cardiopulmonary resuscitation in a patient with a transcatheter aortic valve 146. STEMI After TAVR: Procedural Challenge and Catastrophic Outcome 147. Stroke with Valve Tissue Embolization during Transcatheter Aortic Valve Replacement Treated with Endovascular Intervention 148. Successful management of annulus rupture in transcatheter aortic valve implantation 149. Valve migration into the left ventricular outflow tract managed by co-axial double-valve 150. Vascular Injury Caused by Retrieval of Ruptured and Detached Balloon Valvuloplasty Catheter During Transcatheter Aortic Valve Implantation 151. Very Late Thrombosis of a Transcatheter Aortic Valve-in-Valve 152. Balloon 'Valvuloplasty' for Prosthetic Valve Dysfunction 153. Bed-side bail-out aortic valvuloplasty 154. First successful management of aortic valve insufficiency associated with HeartMate II LVAD support by transfemoral Corevalve implantation: The Columbus Egg? 155. Hyperacute Valve Thrombosis after Transapical TAVI in a Patient with Polythemia Vera 156. Left ventricular embolization of an aortic balloon-expandable bioprosthesis: balloon capture and reimpaction as an alternative to emergent conversion to open-heart surgery 157. Transcatheter Treatment of Subaortic Stenosis via Transcaval Access 158. Transfemoral Transcatheter Aortic Valve Implantation in the Presence of Mitral and Tricuspid Prostheses Mitral Valve 159. Backwards Migration of MitraClip Through Patent Transeptal Orifice: The Salmon Syndrome 160. Bioprosthetic Leaflet Erosion After Percutaneous Mitral Paravalvular Leak Closure 161. Percutaneous Closure of a Delayed Left Ventricular Pseudoaneurysm after Transseptal Transcatheter Mitral Valve Replacement 162. Percutaneous Transcatheter Closure for Aortic Puncture and Paravalvular Leak closure with the new Amplatzer III Device 163. Bail-Out Alcohol Septal Ablation for Left Ventricular Outflow Tract Obstruction after Transcatheter Mitral Valve Replacement 164. Clipping the Alfieri Stitch 165. First-In-Human of Catheter Delivered Annuloplasty Ring to treat functional mitral regurgitation 166. Leaflet-to-Annuloplasty Ring Clipping for Severe Mitral Regurgitation 167. Low-dose and slow-infusion thrombolysis for prosthetic valve thrombosis after a transcatheter valve in the mitral position 168. Needing A Helping Hand: Left Amplatz Catheter to Facilitate Anterior Leaflet Grasping in Mitraclip Procedure 169. Novel Treatment of Residual Peri-MitraClip Regurgitation with an Amplatzer Vascular Plug II 170. Re-do mitral valve clipping after partial clip detachment. 171. Transjugular Balloon Mitral Valvotomy in a patient with Inferior Vena Caval Interruption 172. Transeptal anchored vascular plug closure of mitral valve perforation Aitra (LAA/ASD/PFO) 173. Thromboembolic risk reduction via transseptal thrombus aspiration in a patient with spontaneous left atrial thrombus and stroke 174. A marble in the heart 175. A Novel Mechanism of Atrioventricular Block Following Transcatheter Closure of an Atrial Septal Defect 176. A Double-Snare Technique for Safe Retrieval of Embolized Left Atrial Appendage Occluders 177. Acute Heart Failure Caused by Dislocation of a Watchman Left Atrial Appendage Occluder 178. Amplatzer Septal Occluder Sealed the Complicating Aortic Root Perforation During Transeptal Procedure 179. Early anterior mitral valve leaflet mechanical erosion following left atrial appendage occluder implantation 180. Embolization of left atrial appendage thrombus during transcatheter aortic valve replacement - a potential mechanism of periprocedural stroke 181. Run with the Hare and Hunt with the Hounds: Watchman Device Surgical Resection in the Setting of Recurrent Device Related Thrombi in a Patient With Bleeding Diathesis 182. A Novel Wire-Assisted Technique for Closing Large Atrial Septal Defects 183. Integrated 3D Echo-X-Ray Navigation Guided Transcatheter Closure of Complex Multiple Atrial Septal Defects 184. Transcatheter closure of the aorta to right atrial fistula caused by Erosion of Amplatzer septal occlude 185. Transcatheter Left Atrial Appendage Closure after Incomplete Surgical Ligation 186. Transseptal Puncture through Amplatzer Atrial Septal Occluder for Left Atrial Appendage Closure Ventricles (LV/RV/VSD) 187. A man with three lives: Long-term follow-up following percutaneous closure of left ventricular pseudoaneurysm neck 188. Complete Percutaneous Obliteration of a Postinfarction Left Ventricle Inferior Wall Pseudoaneurysm 189. Percutaneous Angioplasty of Stenotic Outflow Graft Anastomosis of HeartMate II 190. Percutaneous Closure of Left Ventricular Pseudoaneursym with Septal Occluder Device and Coils: A Multimodality Imaging Approach 191. Transseptal Closure of Left Ventricular Pseudoaneurysm post Transapical Transcatheter Aortic Valve Implantation 192. Transcatheter closure of a post-myocardial infarction ventricular septal rupture using a Parachute device 193. Transapical transcatheter closure of the pseudoaneurysm in the left ventricular outflow tract after aortic valve replacement 194. Alcohol ablation of right ventricular outflow tract obstruction 195. Percutaneous Closure of Right Ventricular Pseudoaneurysm 196. Percutaneous Pulmonary Valve Implantation in a Native Outflow Tract 3D DynaCT Rotational Angiographic Reconstruction and 3D Printed Model 197. Not Your Typical Hole-In-The-Wall: Percutaneous Closure of an Acquired Post-Myocardial Infarction Ventriculoatrial Gerbode Defect 198. Utility of the Gore Septal Occluder in Transcatheter Closure of Post Myocardial Infarct Ventricular Septal Defect - Initial Experience Tricuspid Valve 199. Sustained Reduction of Tricuspid Regurgitation After Percutaneous Repair with the MitraClip System in a Patient with a Dual Chamber Pacemaker 200. TV Replacement: Transfemoral Valve-In-Ring Approach CHAPTER 5: VASCULAR, CONGENITAL, AND OTHER ANATOMY AND PATHOPHYSIOLOGY 201. Hemodynamic Findings of Effusive-Constrictive Pericarditis 202. Hypoxemia Due to Patent Foramen Ovale in the Setting of New Right Hemidiaphragmatic Paralysis 203. Aortoarteritis with chronic total occlusion of all neck vessels: Percutaneous Stenting to Salvage Intractable Syncope 204. Intraluminal Fibrous Webs in Brachial Artery Fibromuscular Dysplasia 205. A Rare Radial Artery Anatomic Variant: Look for the pulse on the dorsum of the wrist! 206. Chronic Total Coronary Occlusion with Bronchocoronary Collateral Circulation Failed to Visualize by Conventional Angiography 207. Corkscrew intravascular channels within chronic common carotid artery occlusions in Takayasu arteritis that disappear after angioplasty 208. Extreme Brachial Loop 209. Internal Thoracic Artery Dissection: A Proposed Mechanistic Explanation 210. Occlusion of Balloon-Expandable Stent in the Common Iliac Artery Due to Compression by a Spinal Spur 211. Radial artery graft string sign due to lumen obliteration by neointima: insight from optical coherence tomography 212. Tension Pneumopericardium Secondary to Gastro-Pericardial Fistula Presenting as Acute Pericarditis with Cardiac Tamponade Physiology 213. The Striking Interplay of Hiccup and Patent Foramen Ovale 214. Spontaneous Giant Ascending Aortic Pseudoaneurysm in a Previously Healthy Man CHAPTER 6: VASCULAR, CONGENITAL, AND OTHER INTERVENTIONAL COMPLICATIONS 215. A Dual Snare Percutaneous Retrieval of Venous Stent Embolization to the Right Heart. Sharma: Venous stent embolization 216. A Unique Case of May-Thurner Syndrome: Extrinsic Compression of the Common Iliac Vein Following Iliac Artery Stenting 217. Acute pseudoaneurysm following carotid artery stenting 218. An Unusual Cause of Iatrogenic Hypertension 219. Bail-out Technique for Pulmonary Artery Rupture with a Covered Stent in Balloon Pulmonary Angioplasty for Chronic Thromboembolic Pulmonary Hypertension 220. Case of Percutaneous Extra-corporeal Femoro-femoral Bypass for Acute Limb Ischemia from Large Bore Access 221. Crushed stent with acute occlusion in superficial femoral artery after enhanced external counter-pulsation 222. Cutaneous Radiation Injury Following Complex Coronary Intervention 223. Delayed Displacement of Aortic Coarctation Stent 224. Delayed Left Main Coronary Artery Obstruction After Radiofrequency-Induced Coronary Dissection and Spasm: Insights from Optical Frequency-Domain Imaging and Intravascular Ultrasound Imaging 225. Downstream Panniculitis Secondary to Drug-Eluting Balloon Angioplasty 226. Left Ventricular Perforation During Ventriculogram Using an Optitorque Tiger Catheter 227. Massive Left Pulmonary Artery Pseudoaneurysm in a Young Child 228. Severe Renal Artery Stenosis after Renal Sympathetic Denervation 229. Successful Coronary Angioplasty via the Radial Approach After Sealing a Radial Perforation 230. Successful Percutaneous Device Closure of Right Ventricular Perforation During Pericardiocentesis 231. Unravelling a Knot in the Heart: Tackling an Unanticipated Complication 232. Thrombus in the aorta: Late complication after percutaneous closure of ruptured sinus of Valsalva aneurysm CHAPTER 7: VASCULAR, CONGENITAL, AND OTHER INTERVENTIONAL TECHNIQUES 233. A Magic Port-A-Cath 234. A New Tool to Manage Side-Branch Occlusion After Covered-stent Implantation for Vascular Complications: the Neocarina Reconstruction Technique 235. Ascending aorta to main pulmonary artery fistula following orthotopic heart transplantation: Successful percutaneous closure employing an Amplatzer Duct Occluder 236. Embolotherapy in giant pulmonary arteriovenous malformations: Blocking the exit reducing the risk of periinterventional stoke? 237. Endovascular Repair of Ruptured Pseudoaneurysm of Left Internal Mammary Graft Following Redo-Aortic Valve Replacement and Coronary Artery Bypass Grafting 238. Endovascular Stenting of Suture Line Supravalvular Pulmonic Stenosis Following Orthotopic Heart Transplant Utilizing Rapid Pacing Stabilization 239. Extravasation from an Accessory Renal Artery: A Critical Complication Associated with Percutaneous Coronary Intervention 240. Iatrogenic aortocoronary arteriovenous fistula: Percutaneous Management of a surgical complication. 241. Percutaneous plugging of an ascending aortic pseudoaneurysm 242. Inferior Vena Cava Filter Thrombosis and Suprarenal Caval Stenosis A Double Whammy 243. Neurovascular Rescue for Thrombus-Related Embolic Stroke During Transcatheter Aortic Valve Implantation 244. Percutaneous closure of a large ascending aorta pseudoaneurysm due to mediastinitis using an Amplatzer occluder device. 245. Percutaneous Closure of a Pulmonary Arteriovenous Malformation in Young Patient with Cryptogenic Stroke 246. Percutaneous palliation of right ventricular outflow tract obstruction caused by metastatic malignancy 247. Percutaneous Recanalization of Occluded Brachiocephalic Vein-Superior Vena Cava Connection After Resection of Mediastinal Mass 248. Percutaneous Transluminal Pulmonary Angioplasty for Central-type Chronic Thromboembolic Pulmonary Hypertension 249. Percutaneous Treatment of Chronic Distal Aortic Occlusion: A Viable Option 250. Short-cut under pressure: stenting the tortuous neonatal duct involves induced spasm 251. Stenting for Juxta-renal Abdominal Aortic Occlusion 252. Successful balloon mitral valvotomy in a case of inferior vena cava obstruction: Where there is will there is a way 253. A New Method for Hemostasis of a Pseudoaneurysm Using Autologous Blood 254. Protruding myocardium as a target for percutaneous transluminal septal myocardial ablation in a case of hypertrophic obstructive cardiomyopathy 255. Angioseal TM Assisted Closure of Iatrogenic Refractory Femoral Arterial Pseudoaneurysm: A Novel Technique 256. Endovascular Repair for Pulmonary Artery and Aortic Dissection Associated with Patent Ductus Arteriosus 257. Mesenteric Ischemia Secondary to Paroxysmal Atrial Fibrillation: Percutaneous Recanalization of Superior Mesenteric Artery via Simultaneous Stenting and Inflated Jailed Balloon for Ileal Branch Protection 258. Mini-Chimney Technique for Subclavian Artery Iatrogenic Bleeding 259. Percutaneous Coronary Intervention for Treatment of Paraganglioma With Coronary Vascularisation 260. Retrograde Approach in Balloon Pulmonary Angioplasty: Useful Novel Strategy for CTO Lesions in Pulmonary Arteries 261. Ultrasound-Assisted Catheter-Directed Thrombolysis in Pulmonary Embolism In-Transit 262. Vertebral Artery Rupture Treated by Transcatheter Arterial Embolization 263. Aorta to Right Atrial Tunnel - Prenatal diagnosis and transcatheter management in a Neonate 264. Closure of Ascending Aorta Pseudoaneurysm to Right Atrium Fistula 265. Percutaneous closure of a fistula between left atrium and aortic root after surgery for infective endocarditis