What kind and size of guiding catheter should you use for radial? I. Al Rashdan and H. Routledge share their insights and experience on selecting the appropriate guiding catheters for interventional procedures and optimising the support.

From a clean puncture to a safe utilization of Impella in high-risk PCI.

At a time when the prevention of the health of health care personnel is at the forefront, as well as that of the patient, innovations in imaging are arousing increasing interest. Similarly, the integration of new technologies, and in particular the use of artificial intelligence and...

An elective right coronary artery PCI was scheduled in an 83-year-old gentleman. Due to the presence of severely diffuse and calcified disease, rotational atherectomy was decided, but the burr got entrapped in the severely calcified and tortuous proximal segment of the artery...

Thanks to this Image in Interventional Cardiology, view an emergency TAVI-in-TAVI for cardiogenic shock secondary to acute valve degeneration complicated by left main stem obstruction treated successfully by chimney stenting.

In the absence of other arterial access, this step-by-step tutorial shows how to perform anterograde angiography of the arterial axis after removal of the large sheath, making it easier to recognise and rapidly manage vascular complications such as arterial lesions and haemostasis failure.

My toolkit: A problem-solving step by step tutorial provided by Christian Dworeck & Tobias Schmidt 

Femoral artery pseudoaneurysm is a known complication following cardiac catheterization. Rarely, expansion of the pseudoaneurysm can occur and is often catastrophic. We describe a unique method employed by our centre to deal with such a complication.

Using a standard syringe is a simple and cost-effective method to facilitate the loading of cath lab equipment onto a small gauge guidewire. This method has a fast learning curve and can be readily done...

Ultrasound can enhance safety and facilitate femoral puncture... Discover the tips and solutions proposed by Won-Keun Kim!

Coronary obstruction is a known procedural complication of aortic valve replacement. However, delayed presentation few months after surgical AVR is a relatively unusual phenomenon.  We describe a 75 year old woman with surgical AVR who presented with acute coronary syndrome and severe RV failure few months...

This case highlights the potential add-on value of reduced-order computational modeling over standard CT scan analysis due to its ability to predict the interaction of different devices or sizes with the patient-specific anatomy.

Learn more about troubleshooting and tailor-made treatment combining 2D and 3D OCT thanks to this image in cardiology!

This image highlights the challenges of managing infective endocarditis (IE) and explores the potential role of transcatheter extraction devices in addressing unmet needs for patients who cannot undergo surgery.

Poor lesion preparation is an important factor contributing to serious complications in PCI of heavily calcified lesions. We present a case of a stent loss in a left main coronary artery followed by its successful retrieval.

The guiding catheter is necessary for guaranteeing the support and deliverability of additional devices. However, it's not always of the perfect length for several reasons, because it is not available at that moment in the cath-lab or it is not designed for the purpose you need....

Crossing the aortic valve can pose significant challenges, particularly in cases involving a horizontal aorta, bulky asymmetric calcifications, or prior prosthesis implantation in valve-in-valve procedures. While some TAVI devices feature deflectable delivery systems to enhance coaxiality, current self-expanding valves lack this capability. When standard techniques like...

The data from this study suggest that, from a SoMe perspective, correct Impella orientation is often overlooked, and that Impella malrotation is a common issue in real-world clinical practice, potentially associated with relevant complications.