Skip to main content

Chronic Total Occlusion Topic Center

Chronic Total Occlusion Topic Center

Original Contribution
07/23/2026
Madjid Boukantar, MD; Oueies Labidi, MD; Patrick Zamora, MD; Romain Gallet, MD, PhD; Tony Truong, MD; Nicolas Lellouche, MD, PhD; Nadia Oubaya, MD; Pierre Andre Natella, MD; Philippe Le Corvoisier, MD; Paul Mathieu Chiaroni, MD; Emmanuel Teiger, MD, PhD
The SXS-CTO trial was designed to compare the incidence of stent malapposition between self-expanding drug-eluting stents (DES) (STENTYS Xposition S [STENTYS S.A]) and balloon-expandable DES in patients undergoing chronic total occlusion...
The SXS-CTO trial was designed to compare the incidence of stent malapposition between self-expanding drug-eluting stents (DES) (STENTYS Xposition S [STENTYS S.A]) and balloon-expandable DES in patients undergoing chronic total occlusion...
The SXS-CTO trial was designed...
07/23/2026
Journal of Invasive Cardiology
Research Letter
07/07/2026
Adham Ramadan, MD; Mohamed Doma, MD; Bryan Cogar, MD; Kambis Mashayekhi, MD; Margaret B. McEntegart, MD, PhD; Khaldoon Alaswad, MD; Gregor Leibundgut, MD; Stéphane Rinfret, MD; Emmanouil S. Brilakis, MD, PhD; Michael Megaly, MD, MS
The authors examined left ventricular ejection fraction (LVEF) recovery, all-cause mortality, and all-cause hospitalization following chronic total occlusion percutaneous coronary intervention across 3 prespecified LVEF strata over...
The authors examined left ventricular ejection fraction (LVEF) recovery, all-cause mortality, and all-cause hospitalization following chronic total occlusion percutaneous coronary intervention across 3 prespecified LVEF strata over...
The authors examined left...
07/07/2026
Journal of Invasive Cardiology
Review
05/12/2026
Semih Ceylan; Deniz Mutlu, MD; Eleni Kladou, MD; Nick Williford, MD; Sandeep Jalli, MD; Ahmed Al-Ogaili, MD; Masahisa Yamane, MD; Khaldoon Alaswad, MD; Allison Hall, MD; Rhian Davies, DO; James W. Choi, MD; Andrea Gagnor, MD; Roberto Garbo, MD; Omer Goktekin, MD; Sevket Gorgulu, MD; Jaikirshan J. Khatri, MD; William Nicholson, MD; Stéphane Rinfret, MD; Wissam Jaber, MD; Mohaned Egred, MD; Anastasios Milkas, MD, PhD; Niccolò Ciardetti, MD; Carlo Di Mario, MD, PhD; Kambis Mashayekhi, MD, PhD; Alexandre Avran, MD; Gregor Leibundgut, MD; Yiannis S. Chatzizisis, MD, PhD; Gerald S. Werner, MD, PhD; Claudiu Ungureanu, MD; Yader Sandoval, MD; Emmanouil S. Brilakis, MD, PhD
This review provides a summary of the published literature in CTO PCI between September 2023 and April 2025, categorized by procedural outcomes, techniques, complications, and ongoing studies.
This review provides a summary of the published literature in CTO PCI between September 2023 and April 2025, categorized by procedural outcomes, techniques, complications, and ongoing studies.
This review provides a summary...
05/12/2026
Journal of Invasive Cardiology
Clinical Images
04/21/2026
Tarek Abdeldayem, MD; Mustafa Tigen, MD; Omer Gogtekin, MD; Mohaned Egred, BSc (Hons), MB, ChB, MD, FRCP, FESC
A 59-year-old man with exertional angina and coronary angiography showing chronic total occlusion of the right coronary artery with collateral filling from the left anterior descending artery. Dual injection revealed an ambiguous proximal...
A 59-year-old man with exertional angina and coronary angiography showing chronic total occlusion of the right coronary artery with collateral filling from the left anterior descending artery. Dual injection revealed an ambiguous proximal...
A 59-year-old man with...
04/21/2026
Journal of Invasive Cardiology
Brilakis Top 10 thumbnail
Author Interview
03/06/2026
Emmanouil S. Brilakis, MD, PhD; Deepak L. Bhatt, MD, MPH, FACC, FAHA, FESC, MSCAI
Dr Deepak L. Bhatt, editor-in-chief of the Journal of Invasive Cardiology, catches up with Dr Emmanouil Brilakis about his Editor’s 2025 Top 10 article, “Can IodixAnol ReducE the Incidence of Adverse Renal or Cardiac Events in Chronic Total...
Dr Deepak L. Bhatt, editor-in-chief of the Journal of Invasive Cardiology, catches up with Dr Emmanouil Brilakis about his Editor’s 2025 Top 10 article, “Can IodixAnol ReducE the Incidence of Adverse Renal or Cardiac Events in Chronic Total...
Dr Deepak L. Bhatt,...
03/06/2026
Journal of Invasive Cardiology
Filippou Figure 3
Clinical Videos
01/26/2026
Konstantinos Filippou, MD; Konstantinos Manousopoulos, MD; Panagiotis Varelas, MD; Dimitrios Karelas, MD; Ioannis Kouloulias, MD; Alexandros Zaraggas, MD; Ioannis Papadopoulos, MD; Ioannis Nenekidis, MD, PhD; Ioannis Tsiafoutis, MD, PhD
Video Supplement to "A Challenging Case of Left Main Chronic Total Occlusion and the Reverse T-Stenting and Small Protrusion (TAP) Technique: Success With the Investment Strategy" (Clinical Image).
Video Supplement to "A Challenging Case of Left Main Chronic Total Occlusion and the Reverse T-Stenting and Small Protrusion (TAP) Technique: Success With the Investment Strategy" (Clinical Image).
Video Supplement to "A...
01/26/2026
Journal of Invasive Cardiology
Clinical Images
01/26/2026
Konstantinos Filippou, MD; Konstantinos Manousopoulos, MD; Panagiotis Varelas, MD; Dimitrios Karelas, MD; Ioannis Kouloulias, MD; Alexandros Zaraggas, MD; Ioannis Papadopoulos, MD; Ioannis Nenekidis, MD, PhD; Ioannis Tsiafoutis, MD, PhD
A 62-year-old man with a history of coronary artery bypass graft was referred because of worsening anginal symptoms despite being on optimal antianginal medical therapy. Physical examination, electrocardiogram, echocardiogram, and routine...
A 62-year-old man with a history of coronary artery bypass graft was referred because of worsening anginal symptoms despite being on optimal antianginal medical therapy. Physical examination, electrocardiogram, echocardiogram, and routine...
A 62-year-old man with a history...
01/26/2026
Journal of Invasive Cardiology
Gasparini Figure 2
Clinical Videos
11/19/2025
Gabriele L. Gasparini, MD; Laura Novelli, MD; Jacopo A. Oreglia, MD; Yoshihisa Kinoshita, MD; Jorge Sanz-Sanchez, MD, PhD
Video Supplement to "Catch the Branch: The New Miracle Neo 3 Guidewire for Complex Bifurcation Rewiring" (Clinical Image).
Video Supplement to "Catch the Branch: The New Miracle Neo 3 Guidewire for Complex Bifurcation Rewiring" (Clinical Image).
Video Supplement to "Catch the...
11/19/2025
Journal of Invasive Cardiology
Clinical Images
11/19/2025
Gabriele L. Gasparini, MD; Laura Novelli, MD; Jacopo A. Oreglia, MD; Yoshihisa Kinoshita, MD; Jorge Sanz-Sanchez, MD, PhD
A 63-year-old man with a chronic total occlusion of the right coronary artery underwent successful recanalization using a retrograde approach. After stenting, a subocclusion of the ostial posterolateral branch occurred because of plaque...
A 63-year-old man with a chronic total occlusion of the right coronary artery underwent successful recanalization using a retrograde approach. After stenting, a subocclusion of the ostial posterolateral branch occurred because of plaque...
A 63-year-old man with a chronic...
11/19/2025
Journal of Invasive Cardiology
Karelas Figure
Clinical Videos
08/28/2025
Dimitris Karelas, MD, MSc; Konstantinos Filippou, MD, MSc; Panagiotis Varelas, MD, MSc; Konstantinos Manousopoulos, MD, PhD; Ioannis Papadopoulos, MD; Ioannis Tsiafoutis, MD, PhD
Video Supplement to "Collateral Clarity: Balloon Occlusion of an Epicardial Right Coronary Artery Branch to Map Left Anterior Descending Artery Perfusion" (Clinical Image).
Video Supplement to "Collateral Clarity: Balloon Occlusion of an Epicardial Right Coronary Artery Branch to Map Left Anterior Descending Artery Perfusion" (Clinical Image).
Video Supplement to "Collateral...
08/28/2025
Journal of Invasive Cardiology
Clinical Images
08/28/2025
Dimitris Karelas, MD, MSc; Konstantinos Filippou, MD, MSc; Panagiotis Varelas, MD, MSc; Konstantinos Manousopoulos, MD, PhD; Ioannis Papadopoulos, MD; Ioannis Tsiafoutis, MD, PhD
The authors present a technically informative case of a 65-year-old man referred for coronary angiography because of new onset presented angina during exercise.
The authors present a technically informative case of a 65-year-old man referred for coronary angiography because of new onset presented angina during exercise.
The authors present a...
08/28/2025
Journal of Invasive Cardiology

Videos

Brilakis Top 10 thumbnail
Author Interview
03/06/2026
Emmanouil S. Brilakis, MD, PhD; Deepak L. Bhatt, MD, MPH, FACC, FAHA, FESC, MSCAI
Dr Deepak L. Bhatt, editor-in-chief of the Journal of Invasive Cardiology, catches up with Dr Emmanouil Brilakis about his Editor’s 2025 Top 10 article, “Can IodixAnol ReducE the Incidence of Adverse Renal or Cardiac Events in Chronic Total...
Dr Deepak L. Bhatt, editor-in-chief of the Journal of Invasive Cardiology, catches up with Dr Emmanouil Brilakis about his Editor’s 2025 Top 10 article, “Can IodixAnol ReducE the Incidence of Adverse Renal or Cardiac Events in Chronic Total...
Dr Deepak L. Bhatt,...
03/06/2026
Journal of Invasive Cardiology
Filippou Figure 3
Clinical Videos
01/26/2026
Konstantinos Filippou, MD; Konstantinos Manousopoulos, MD; Panagiotis Varelas, MD; Dimitrios Karelas, MD; Ioannis Kouloulias, MD; Alexandros Zaraggas, MD; Ioannis Papadopoulos, MD; Ioannis Nenekidis, MD, PhD; Ioannis Tsiafoutis, MD, PhD
Video Supplement to "A Challenging Case of Left Main Chronic Total Occlusion and the Reverse T-Stenting and Small Protrusion (TAP) Technique: Success With the Investment Strategy" (Clinical Image).
Video Supplement to "A Challenging Case of Left Main Chronic Total Occlusion and the Reverse T-Stenting and Small Protrusion (TAP) Technique: Success With the Investment Strategy" (Clinical Image).
Video Supplement to "A...
01/26/2026
Journal of Invasive Cardiology
Gasparini Figure 2
Clinical Videos
11/19/2025
Gabriele L. Gasparini, MD; Laura Novelli, MD; Jacopo A. Oreglia, MD; Yoshihisa Kinoshita, MD; Jorge Sanz-Sanchez, MD, PhD
Video Supplement to "Catch the Branch: The New Miracle Neo 3 Guidewire for Complex Bifurcation Rewiring" (Clinical Image).
Video Supplement to "Catch the Branch: The New Miracle Neo 3 Guidewire for Complex Bifurcation Rewiring" (Clinical Image).
Video Supplement to "Catch the...
11/19/2025
Journal of Invasive Cardiology
Karelas Figure
Clinical Videos
08/28/2025
Dimitris Karelas, MD, MSc; Konstantinos Filippou, MD, MSc; Panagiotis Varelas, MD, MSc; Konstantinos Manousopoulos, MD, PhD; Ioannis Papadopoulos, MD; Ioannis Tsiafoutis, MD, PhD
Video Supplement to "Collateral Clarity: Balloon Occlusion of an Epicardial Right Coronary Artery Branch to Map Left Anterior Descending Artery Perfusion" (Clinical Image).
Video Supplement to "Collateral Clarity: Balloon Occlusion of an Epicardial Right Coronary Artery Branch to Map Left Anterior Descending Artery Perfusion" (Clinical Image).
Video Supplement to "Collateral...
08/28/2025
Journal of Invasive Cardiology
Varelas Figure 2
Clinical Videos
08/14/2025
Panagiotis Varelas, MD, MSc; Konstantinos Manousopoulos, MD, PhD; Konstantinos Filippou, MD, MSc; Dimitrios Karelas, MD, MSc; Ioannis Papadopoulos, MD; Ioannis Tsiafoutis, MD, PhD
Video Supplement to "Endovascular Management of the Radial Artery: Success Through Minimal Invasion."
Video Supplement to "Endovascular Management of the Radial Artery: Success Through Minimal Invasion."
Video Supplement to...
08/14/2025
Journal of Invasive Cardiology
Varelas Figure 1
Clinical Videos
07/11/2025
Panagiotis Varelas, MD, MSc; Konstantinos Manousopoulos, MD, PhD; Konstantinos Filippou, MD, MSc; Dimitrios Karelas, MD, MSc; Ioannis Papadopoulos, MD; Alexandre Avran, MD; Ioannis Tsiafoutis, MD, PhD
Video Supplement to "Thrombotic Complication After a Double-Barrel Configuration Percutaneous Coronary Intervention in a Chronic Total Occlusion."
Video Supplement to "Thrombotic Complication After a Double-Barrel Configuration Percutaneous Coronary Intervention in a Chronic Total Occlusion."
Video Supplement to "Thrombotic...
07/11/2025
Journal of Invasive Cardiology
EB Top 10
Author Interview
02/03/2025
Emmanouil S. Brilakis, MD, PhD; Deepak L. Bhatt, MD, MPH, FACC, FAHA, FESC, MSCAI
Dr Deepak L. Bhatt, editor-in-chief of the Journal of Invasive Cardiology, catches up with Dr Emmanouil S. Brilakis about his Editor’s 2024 Top 10 article, “Update on Chronic Total Occlusion Percutaneous Coronary Intervention”.
Dr Deepak L. Bhatt, editor-in-chief of the Journal of Invasive Cardiology, catches up with Dr Emmanouil S. Brilakis about his Editor’s 2024 Top 10 article, “Update on Chronic Total Occlusion Percutaneous Coronary Intervention”.
Dr Deepak L. Bhatt,...
02/03/2025
Journal of Invasive Cardiology
Aquino-Bruno Figure 2
Clinical Videos
01/14/2025
Marco A. Alcántara-Meléndez, MD; Antonio Vargas-Cruz, MD; César L. González-Aguilar, MD; Faustino J. Silva-Centeno, MD; Jesus González-Jasso, MD; Leonel Avendaño-Perez, MD; Rafael Esparza-Corona, MD; Heberto Aquino-Bruno, MD
Video Supplement to "Parallel Wire Technique as a Bailout for Chronic Total Occlusion Recanalization Due to Microcatheter Over-Torquing and Entrapment" (Clinical Image).
Video Supplement to "Parallel Wire Technique as a Bailout for Chronic Total Occlusion Recanalization Due to Microcatheter Over-Torquing and Entrapment" (Clinical Image).
Video Supplement to "Parallel...
01/14/2025
Journal of Invasive Cardiology
Brilakis preview
Author Interview
04/04/2024

Emmanouil S. Brilakis, MD, PhD

Emmanouil S. Brilakis, MD, PhD ...
Dr. Deepak L. Bhatt catches up with Dr. Emmanouil S. Brilakis about his Editor’s 2023 Top 10 article, “Equipment Utilization in Chronic Total Occlusion Percutaneous Coronary Interventions: Update From the PROGRESS-CTO Registry.”
Dr. Deepak L. Bhatt catches up with Dr. Emmanouil S. Brilakis about his Editor’s 2023 Top 10 article, “Equipment Utilization in Chronic Total Occlusion Percutaneous Coronary Interventions: Update From the PROGRESS-CTO Registry.”
Dr. Deepak L. Bhatt catches up...
04/04/2024
Journal of Invasive Cardiology
Brilakis preview
Author Interview
04/02/2024

Emmanouil S. Brilakis, MD, PhD

Emmanouil S. Brilakis, MD, PhD ...
Dr Deepak L. Bhatt and Dr Emmanouil S. Brilakis discuss the latest updates on chronic total occlusion percutaneous coronary intervention.
Dr Deepak L. Bhatt and Dr Emmanouil S. Brilakis discuss the latest updates on chronic total occlusion percutaneous coronary intervention.
Dr Deepak L. Bhatt and Dr...
04/02/2024
Journal of Invasive Cardiology
Yau_Figure 1_severe-calcified-stenosis
Clinical Videos
09/22/2026
Kwok-Ho Yau, MBBS; Justin Ka-Ho Wong, MBBS; John Cheong-Hin Chan, MBBS
Video Supplement to "Halfway Rotablation to Improve Wire Bias in a Severely Calcified and Angulated Proximal Left Anterior Descending Artery Lesion" (Clinical Image).
Video Supplement to "Halfway Rotablation to Improve Wire Bias in a Severely Calcified and Angulated Proximal Left Anterior Descending Artery Lesion" (Clinical Image).
Video Supplement to "Halfway...
09/22/2026
Journal of Invasive Cardiology
Shah_Figure_Pulmonary-artery-branch-rupture
Clinical Videos
09/16/2026
Neeraj Shah, MD, MPH; Fouad Jabbour, MD; Michael Akinyemi, MD
Video Supplement to "Pulmonary Artery Rupture: Swan-Ganz Is Your Friend and Foe" (Clinical Image).
Video Supplement to "Pulmonary Artery Rupture: Swan-Ganz Is Your Friend and Foe" (Clinical Image).
Video Supplement to "Pulmonary...
09/16/2026
Journal of Invasive Cardiology
Jaffe_Figure 1_CT_angiography_3D_reconstruction
Clinical Videos
09/14/2026
Hussein Sliman, MD; Amnon Eitan, MD; Hashem Hayeq, MD; Avinoam Shiran, MD; Keren Zissman, MD; Ronen Jaffe, MD
Video Supplement to "Totally Percutaneous Transfemoral Transcatheter Aortic Valve Replacement Via Synthetic Vascular Grafts: A Single-Center Case Series" (Original Article).
Video Supplement to "Totally Percutaneous Transfemoral Transcatheter Aortic Valve Replacement Via Synthetic Vascular Grafts: A Single-Center Case Series" (Original Article).
Video Supplement to "Totally...
09/14/2026
Journal of Invasive Cardiology
Narita_Figure_Transthoracic_echocardiography _LV_enlargement
Clinical Videos
09/11/2026
Tomoki Nakatsu, MD; Ryota Usui, MD; Masahiko Narita, MD; Hana Fukuta, MD; Yuya Tamaru, MD; Yusuke Okazaki, MD
Video Supplement to "Impella Entrapment in the Mitral Subvalvular Apparatus in a Patient With Dilated Cardiomyopathy: Snare-Assisted Retrieval" (Clinical Image).
Video Supplement to "Impella Entrapment in the Mitral Subvalvular Apparatus in a Patient With Dilated Cardiomyopathy: Snare-Assisted Retrieval" (Clinical Image).
Video Supplement to "Impella...
09/11/2026
Journal of Invasive Cardiology
Kumar_Figure_coarctation-segment
Clinical Videos
08/31/2026
Devesh Kumar, MD, MRCP, DM; Anwar Hussan Ansari, MD, DM; Archana Malik, MD; Surbhit Bhaduria, MD, DM; Pahul Ahuja, MD, DM; Puneet Gupta, MD, DM; Anunay Gupta, MD, DM; Ranjith Nath, MD, DM
Video Supplement to "Transcatheter Stenting for Severe Native Aortic Coarctation" (Clinical Image).
Video Supplement to "Transcatheter Stenting for Severe Native Aortic Coarctation" (Clinical Image).
Video Supplement to...
08/31/2026
Journal of Invasive Cardiology
Shah_Figure 1_TEE -secundum-atrial-septal-defect-severe-mitral-regurgitation
Clinical Videos
08/28/2026
Neeraj Shah, MD, MPH; Raveen Bazaz, MD; Bassel Sayegh, MD; Mitsugu Ogawa, MD; Dennis Phillips, MD; Benjamin Kristobak, MD
Video Supplement to "Floating Atrial Septal Defect Occluder in the Left Atrium" (Clinical Image).
Video Supplement to "Floating Atrial Septal Defect Occluder in the Left Atrium" (Clinical Image).
Video Supplement to "Floating...
08/28/2026
Journal of Invasive Cardiology
Ferreira_Figure 1_hepatic_artery_aneurysm
Clinical Videos
08/21/2026
Ricardo de Souza Alves Ferreira, MD, MSc; Guilherme Evangelista Rezende, MD; Raphael França Lacerda de Andrade, MD; José Luís Attab dos Santos, MD
Video Supplement to "Giant Hepatic Artery Aneurysm Presenting With a Hyperattenuating Crescent Sign: Successful Single-Plug Endovascular Exclusion" (Clinical Image).
Video Supplement to "Giant Hepatic Artery Aneurysm Presenting With a Hyperattenuating Crescent Sign: Successful Single-Plug Endovascular Exclusion" (Clinical Image).
Video Supplement to "Giant...
08/21/2026
Journal of Invasive Cardiology
Lerakis_Figure 1_echocardiographic changes
Clinical Videos
08/13/2026
Sirisha Vuppalapati; Nicole Zhang; Angelos Tsekos; Muhammad Ali; Sooyun Caroline Tavolacci, MD; Marcos Ferrandez-Escarabajal, MD; Stamatios Lerakis, MD, PhD
Video Supplement to "Recurrent Acute Pericarditis in a Patient With History of Acute Rheumatic Fever: The Role of Cardiac Magnetic Resonance in Diagnosis and Management" (Clinical Image).
Video Supplement to "Recurrent Acute Pericarditis in a Patient With History of Acute Rheumatic Fever: The Role of Cardiac Magnetic Resonance in Diagnosis and Management" (Clinical Image).
Video Supplement to "Recurrent...
08/13/2026
Journal of Invasive Cardiology
Sahu_Figure_eccentric (hole) type double orifice mitral valve
Clinical Videos
08/11/2026
Ankit Kumar Sahu, DM; Aditya Srivastava, DM; Arpita Katheria, DM
Video Supplement to "Congenital Double Orifice Mitral Valve" (Clinical Image).
Video Supplement to "Congenital Double Orifice Mitral Valve" (Clinical Image).
Video Supplement to "Congenital...
08/11/2026
Journal of Invasive Cardiology
Kakderis_Figure_Melody valve_pulmonary_artery.png
Clinical Videos
08/05/2026
Charalampos Kakderis, MD, MSc; Matthaios Didagelos, MD, PhD; Antonios Kouparanis, MD; Stylianos Daios, MD, PhD; Konstantinos C. Theodoropoulos, MD, PhD; Antonios Ziakas, MD, PhD
Video Supplement to "Melody Valve Embolization During Transcatheter Pulmonary Valve Replacement" (Clinical Image).
Video Supplement to "Melody Valve Embolization During Transcatheter Pulmonary Valve Replacement" (Clinical Image).
Video Supplement to "Melody...
08/05/2026
Journal of Invasive Cardiology

Clinical Images

Clinical Images
04/21/2026
Tarek Abdeldayem, MD; Mustafa Tigen, MD; Omer Gogtekin, MD; Mohaned Egred, BSc (Hons), MB, ChB, MD, FRCP, FESC
A 59-year-old man with exertional angina and coronary angiography showing chronic total occlusion of the right coronary artery with collateral filling from the left anterior descending artery. Dual injection revealed an ambiguous proximal...
A 59-year-old man with exertional angina and coronary angiography showing chronic total occlusion of the right coronary artery with collateral filling from the left anterior descending artery. Dual injection revealed an ambiguous proximal...
A 59-year-old man with...
04/21/2026
Journal of Invasive Cardiology
Clinical Images
01/26/2026
Konstantinos Filippou, MD; Konstantinos Manousopoulos, MD; Panagiotis Varelas, MD; Dimitrios Karelas, MD; Ioannis Kouloulias, MD; Alexandros Zaraggas, MD; Ioannis Papadopoulos, MD; Ioannis Nenekidis, MD, PhD; Ioannis Tsiafoutis, MD, PhD
A 62-year-old man with a history of coronary artery bypass graft was referred because of worsening anginal symptoms despite being on optimal antianginal medical therapy. Physical examination, electrocardiogram, echocardiogram, and routine...
A 62-year-old man with a history of coronary artery bypass graft was referred because of worsening anginal symptoms despite being on optimal antianginal medical therapy. Physical examination, electrocardiogram, echocardiogram, and routine...
A 62-year-old man with a history...
01/26/2026
Journal of Invasive Cardiology
Clinical Images
11/19/2025
Gabriele L. Gasparini, MD; Laura Novelli, MD; Jacopo A. Oreglia, MD; Yoshihisa Kinoshita, MD; Jorge Sanz-Sanchez, MD, PhD
A 63-year-old man with a chronic total occlusion of the right coronary artery underwent successful recanalization using a retrograde approach. After stenting, a subocclusion of the ostial posterolateral branch occurred because of plaque...
A 63-year-old man with a chronic total occlusion of the right coronary artery underwent successful recanalization using a retrograde approach. After stenting, a subocclusion of the ostial posterolateral branch occurred because of plaque...
A 63-year-old man with a chronic...
11/19/2025
Journal of Invasive Cardiology
Clinical Images
08/28/2025
Dimitris Karelas, MD, MSc; Konstantinos Filippou, MD, MSc; Panagiotis Varelas, MD, MSc; Konstantinos Manousopoulos, MD, PhD; Ioannis Papadopoulos, MD; Ioannis Tsiafoutis, MD, PhD
The authors present a technically informative case of a 65-year-old man referred for coronary angiography because of new onset presented angina during exercise.
The authors present a technically informative case of a 65-year-old man referred for coronary angiography because of new onset presented angina during exercise.
The authors present a...
08/28/2025
Journal of Invasive Cardiology
Clinical Images
08/14/2025
Panagiotis Varelas, MD, MSc; Konstantinos Manousopoulos, MD, PhD; Konstantinos Filippou, MD, MSc; Dimitrios Karelas, MD, MSc; Ioannis Papadopoulos, MD; Ioannis Tsiafoutis, MD, PhD
An 84-year-old man with a history of dyslipidemia and hypertension underwent invasive coronary angiography via his right radial artery because of acute coronary syndrome. After the procedure, a palpable pulse was noted in his right forearm,...
An 84-year-old man with a history of dyslipidemia and hypertension underwent invasive coronary angiography via his right radial artery because of acute coronary syndrome. After the procedure, a palpable pulse was noted in his right forearm,...
An 84-year-old man with a...
08/14/2025
Journal of Invasive Cardiology
Clinical Images
07/11/2025
Panagiotis Varelas, MD, MSc; Konstantinos Manousopoulos, MD, PhD; Konstantinos Filippou, MD, MSc; Dimitrios Karelas, MD, MSc; Ioannis Papadopoulos, MD; Alexandre Avran, MD; Ioannis Tsiafoutis, MD, PhD
A 63-year-old man with stable angina was scheduled for elective percutaneous coronary intervention of a chronic total coronary occlusion of the right coronary artery (RCA) with epicardial bridging collaterals from the left circumflex artery...
A 63-year-old man with stable angina was scheduled for elective percutaneous coronary intervention of a chronic total coronary occlusion of the right coronary artery (RCA) with epicardial bridging collaterals from the left circumflex artery...
A 63-year-old man with stable...
07/11/2025
Journal of Invasive Cardiology
Clinical Images
01/13/2025
Marco A. Alcántara-Meléndez, MD; Antonio Vargas-Cruz, MD; César L. González-Aguilar, MD; Faustino J. Silva-Centeno, MD; Jesus González-Jasso, MD; Leonel Avendaño-Perez, MD; Rafael Esparza-Corona, MD; Heberto Aquino-Bruno, MD
The authors show an example of microcatheter over-torquing, causing entrapment of the guidewire during recanalization of a chronic total occlusion,.
The authors show an example of microcatheter over-torquing, causing entrapment of the guidewire during recanalization of a chronic total occlusion,.
The authors show an example of...
01/13/2025
Journal of Invasive Cardiology
Clinical Images
03/04/2024

Yoshinobu Murasato, MD, PhD; Kyohei Meno, MD; Takahiro Mori, MD, PhD

Yoshinobu Murasato, MD, PhD; Kyohei M...
An 83-year-old man who had undergone coronary aorta bypass graft surgery 25 years ago required treatment for new-onset worsening angina.
An 83-year-old man who had undergone coronary aorta bypass graft surgery 25 years ago required treatment for new-onset worsening angina.
An 83-year-old man who had...
03/04/2024
Journal of Invasive Cardiology
Clinical Images
02/13/2024
Tak-Shun Chung, MD, MBBS; Sui-Fung Wong, MBChB; Hiu-Cheong Chow, MBBS
A 75-year-old man was admitted for non-ST-segment elevation myocardial infarction. Coronary angiography showed focal severe disease at obtuse marginal artery and severe medina 1,1,1 bifurcation disease involving proximal to middle left...
A 75-year-old man was admitted for non-ST-segment elevation myocardial infarction. Coronary angiography showed focal severe disease at obtuse marginal artery and severe medina 1,1,1 bifurcation disease involving proximal to middle left...
A 75-year-old man was admitted...
02/13/2024
Journal of Invasive Cardiology
Clinical Images
11/17/2023
Michalis Koutouzis, MD, PhD; Theodoros Zografos, MD, PhD; Konstantina Katsanou, MD; Emmanouil S. Brilakis, MD, PhD, FACC, FAHA, FESC, FSCAI; Ioannis Tsiafoutis, MD
A 60-year-old man was referred for percutaneous coronary intervention of a proximal left circumflex chronic total occlusion with distal filling via epicardial collaterals from the left anterior descending artery. The 30-mm lesion had a...
A 60-year-old man was referred for percutaneous coronary intervention of a proximal left circumflex chronic total occlusion with distal filling via epicardial collaterals from the left anterior descending artery. The 30-mm lesion had a...
A 60-year-old man was referred...
11/17/2023
Journal of Invasive Cardiology
Clinical Images
09/22/2026
Kwok-Ho Yau, MBBS; Justin Ka-Ho Wong, MBBS; John Cheong-Hin Chan, MBBS
A 78-year-old man was admitted with non-ST-segment elevation myocardial infarction. He had a history of ischemic heart disease with prior percutaneous coronary intervention to the right coronary artery and mid-left anterior descending artery.
A 78-year-old man was admitted with non-ST-segment elevation myocardial infarction. He had a history of ischemic heart disease with prior percutaneous coronary intervention to the right coronary artery and mid-left anterior descending artery.
A 78-year-old man was admitted...
09/22/2026
Journal of Invasive Cardiology
Clinical Images
09/16/2026
Neeraj Shah, MD, MPH; Fouad Jabbour, MD; Michael Akinyemi, MD
The authors present 2 cases of Swan-Ganz catheter-induced pulmonary artery rupture that were managed successfully with favorable patient outcomes.
The authors present 2 cases of Swan-Ganz catheter-induced pulmonary artery rupture that were managed successfully with favorable patient outcomes.
The authors present 2 cases of...
09/16/2026
Journal of Invasive Cardiology
Clinical Images
09/11/2026
Tomoki Nakatsu, MD; Ryota Usui, MD; Masahiko Narita, MD; Hana Fukuta, MD; Yuya Tamaru, MD; Yusuke Okazaki, MD
A 74-year-old woman with dilated cardiomyopathy, marked left ventricular enlargement, and severe functional mitral regurgitation remained in decompensated heart failure despite dobutamine therapy. Coronary angiography showed no significant...
A 74-year-old woman with dilated cardiomyopathy, marked left ventricular enlargement, and severe functional mitral regurgitation remained in decompensated heart failure despite dobutamine therapy. Coronary angiography showed no significant...
A 74-year-old woman with dilated...
09/11/2026
Journal of Invasive Cardiology
Clinical Images
08/31/2026
Devesh Kumar, MD, MRCP, DM; Anwar Hussan Ansari, MD, DM; Archana Malik, MD; Surbhit Bhaduria, MD, DM; Pahul Ahuja, MD, DM; Puneet Gupta, MD, DM; Anunay Gupta, MD, DM; Ranjith Nath, MD, DM
A 20-year-old woman presented with resistant hypertension despite taking 3 antihypertensives. On examination, she had a blood pressure of 180/100 mm Hg and a systolic murmur heard under the left scapula.
A 20-year-old woman presented with resistant hypertension despite taking 3 antihypertensives. On examination, she had a blood pressure of 180/100 mm Hg and a systolic murmur heard under the left scapula.
A 20-year-old woman presented...
08/31/2026
Journal of Invasive Cardiology
Clinical Images
08/28/2026
Neeraj Shah, MD, MPH; Raveen Bazaz, MD; Bassel Sayegh, MD; Mitsugu Ogawa, MD; Dennis Phillips, MD; Benjamin Kristobak, MD
An 83-year-old man with diastolic heart failure, chronic atrial fibrillation on warfarin, severe atrial-functional mitral regurgitation, and a secundum atrial septal defect in an anterior/superior location underwent transcatheter edge-to-edge...
An 83-year-old man with diastolic heart failure, chronic atrial fibrillation on warfarin, severe atrial-functional mitral regurgitation, and a secundum atrial septal defect in an anterior/superior location underwent transcatheter edge-to-edge...
An 83-year-old man with...
08/28/2026
Journal of Invasive Cardiology
Clinical Images
08/21/2026
Ricardo de Souza Alves Ferreira, MD, MSc; Guilherme Evangelista Rezende, MD; Raphael França Lacerda de Andrade, MD; José Luís Attab dos Santos, MD
A 65-year-old woman with a history of smoking presented with a 30-day history of epigastric pain, nausea, and asthenia, with acute worsening on the day of admission. Contrast-enhanced computed tomography demonstrated a giant, fusiform...
A 65-year-old woman with a history of smoking presented with a 30-day history of epigastric pain, nausea, and asthenia, with acute worsening on the day of admission. Contrast-enhanced computed tomography demonstrated a giant, fusiform...
A 65-year-old woman with a...
08/21/2026
Journal of Invasive Cardiology
Clinical Images
08/13/2026
Sirisha Vuppalapati; Nicole Zhang; Angelos Tsekos; Muhammad Ali; Sooyun Caroline Tavolacci, MD; Marcos Ferrandez-Escarabajal, MD; Stamatios Lerakis, MD, PhD
A 23-year-old man with a medical history of acetaldehyde dehydrogenase deficiency, recurrent streptococcal infections, and recent acute rheumatic fever was evaluated by the cardiology team for recurrent chest pain.
A 23-year-old man with a medical history of acetaldehyde dehydrogenase deficiency, recurrent streptococcal infections, and recent acute rheumatic fever was evaluated by the cardiology team for recurrent chest pain.
A 23-year-old man with a medical...
08/13/2026
Journal of Invasive Cardiology
Clinical Images
08/11/2026
Ankit Kumar Sahu, DM; Aditya Srivastava, DM; Arpita Katheria, DM
A 1-year-old boy presented to a pediatric cardiology outpatient clinic with failure to thrive, feeding difficulty, and 2 episodes of pneumonia-related hospitalizations in the year prior, suggestive of increased pulmonary blood flow.
A 1-year-old boy presented to a pediatric cardiology outpatient clinic with failure to thrive, feeding difficulty, and 2 episodes of pneumonia-related hospitalizations in the year prior, suggestive of increased pulmonary blood flow.
A 1-year-old boy presented to a...
08/11/2026
Journal of Invasive Cardiology
Clinical Images
08/05/2026
Charalampos Kakderis, MD, MSc; Matthaios Didagelos, MD, PhD; Antonios Kouparanis, MD; Stylianos Daios, MD, PhD; Konstantinos C. Theodoropoulos, MD, PhD; Antonios Ziakas, MD, PhD
A 26-year-old man with a history of tetralogy of Fallot repair and biological pulmonary valve replacement 8 years prior was admitted for a transcatheter pulmonary valve implantation because of severe stenosis of the pulmonary valve conduit.
A 26-year-old man with a history of tetralogy of Fallot repair and biological pulmonary valve replacement 8 years prior was admitted for a transcatheter pulmonary valve implantation because of severe stenosis of the pulmonary valve conduit.
A 26-year-old man with a history...
08/05/2026
Journal of Invasive Cardiology
Clinical Images
07/28/2026
Katherine Rand, MD; Roberto Valdovinos, MD; Cynthia Herrington, MD; Neil D. Patel, MD
A 12-year-old boy underwent a chest computed tomography scan for evaluation of hemoptysis and weight loss, which identified multiple pulmonary artery aneurysms (PAAs) including a large left lower-lobe PAA. Infectious workup was negative, and...
A 12-year-old boy underwent a chest computed tomography scan for evaluation of hemoptysis and weight loss, which identified multiple pulmonary artery aneurysms (PAAs) including a large left lower-lobe PAA. Infectious workup was negative, and...
A 12-year-old boy underwent a...
07/28/2026
Journal of Invasive Cardiology