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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
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
Murugiah_title_slide
Author Interview
07/31/2026
Karthik Murugiah, MBBS, MHS
Dr Karthik Murugiah shares background and insights on his article, “Adoption of Intravascular Imaging Use Among Intermediate to High-Volume Operators in the United States From 2019 to 2023: A Medicare Data Analysis.”
Dr Karthik Murugiah shares background and insights on his article, “Adoption of Intravascular Imaging Use Among Intermediate to High-Volume Operators in the United States From 2019 to 2023: A Medicare Data Analysis.”
Dr Karthik Murugiah shares...
07/31/2026
Journal of Invasive Cardiology
Patel_Figure 1_axial_coronary_images
Clinical Videos
07/28/2026
Katherine Rand, MD; Roberto Valdovinos, MD; Cynthia Herrington, MD; Neil D. Patel, MD
Video Supplement to "Device Occlusion of Giant Pulmonary Artery Aneurysm in a 12-Year-Old With Behçet's Disease" (Clinical Image).
Video Supplement to "Device Occlusion of Giant Pulmonary Artery Aneurysm in a 12-Year-Old With Behçet's Disease" (Clinical Image).
Video Supplement to "Device...
07/28/2026
Journal of Invasive Cardiology
Labarta_Figure 1_complex_LMCA_trifurcation_disease
Clinical Videos
07/16/2026
Carmen Labarta-Bello, MD; Mattia Basile, MD; Gonzalo Acedo, MD; Miguel A. Martín-Arena, MD; Adrián Martínez-Roca, MD; Javier Gómez-Herrero, MD; Borja Rivero-Santana, MD, PhD; Daniel Tébar-Márquez, MD; Santiago Jiménez-Valero, MD; Guillermo Galeote, MD, PhD; Benjamin Faurie, MD; Elvin Kedhi, MD, PhD; Raúl Moreno, MD, PhD; Alfonso Jurado-Román, MD, PhD
Video Supplement to "Novel Intravascular Lithotripsy Balloon for Complex Coronary Calcification: Two Cases Demonstrating Feasibility and Safety" (Clinical Image).
Video Supplement to "Novel Intravascular Lithotripsy Balloon for Complex Coronary Calcification: Two Cases Demonstrating Feasibility and Safety" (Clinical Image).
Video Supplement to "Novel...
07/16/2026
Journal of Invasive Cardiology
Chaudhary_Figure 1. Computed tomography coronary angiography 3-dimensional reconstruction images
Clinical Videos
07/15/2026
Aarim Dutta, MBBS; FNU Maitri, MBBS; Devinderpal Singh Dhanota, MD; Amitoj Singh Sodhi, MD; Akash Batta, MD, DM; Ruhani Bali, MD, DM; Bishav Mohan, MD, DM; Sarju Ralhan, MS, MCh; Shitij Chaudhary, MD, DM
Video Supplement to: "Double Jeopardy: Interarterial Malignant Course of the Left Main Coronary Artery in a Patient With Kawasaki Disease With Coronary Aneurysms" (Clinical Image).
Video Supplement to: "Double Jeopardy: Interarterial Malignant Course of the Left Main Coronary Artery in a Patient With Kawasaki Disease With Coronary Aneurysms" (Clinical Image).
Video Supplement to: "Double...
07/15/2026
Journal of Invasive Cardiology
Fabris_Figure.left ventricular aneurysm
Clinical Videos
07/08/2026
Enrico Fabris, MD, PhD; Gloria Lorenzon, MD; Giancarlo Vitrella, MD; Andrea Perkan, MD; Gianfranco Sinagra, MD
Video Supplement to "Left Ventricular Contrast Staining During Venoarterial Extracorporeal Membrane Oxygenation" (Clinical Image).
Video Supplement to "Left Ventricular Contrast Staining During Venoarterial Extracorporeal Membrane Oxygenation" (Clinical Image).
Video Supplement to "Left...
07/08/2026
Journal of Invasive Cardiology
Anderson Figure_Contegra testing
Clinical Videos
07/07/2026
Pradyumna Agasthi, MD; Kaitlyn Krebushevski, MD; Allison K. Cabalka, MD; Jason H. Anderson, MD
Video Supplement to "Endograft-Facilitated Overexpansion of a Calcified Right Ventricle-to-Right Pulmonary Artery Contegra Conduit for Transcatheter Pulmonary Valve Replacement" (Clinical Image).
Video Supplement to "Endograft-Facilitated Overexpansion of a Calcified Right Ventricle-to-Right Pulmonary Artery Contegra Conduit for Transcatheter Pulmonary Valve Replacement" (Clinical Image).
Video Supplement to...
07/07/2026
Journal of Invasive Cardiology
Figure 3_Postdeployment angiographic result
Clinical Videos
07/06/2026
Muzamil Yousuf Lone, MD; Sumanyu Suresh, MD; Bijulal Sasidharan, MD, DM
Video Supplement to "Transapical Device Closure of a Submitral Left Ventricular Pseudoaneurysm After Mitral Valve Replacement" (Clinical Image).
Video Supplement to "Transapical Device Closure of a Submitral Left Ventricular Pseudoaneurysm After Mitral Valve Replacement" (Clinical Image).
Video Supplement to "Transapical...
07/06/2026
Journal of Invasive Cardiology
Contorni Figure
Clinical Videos
07/01/2026
Caterina Cavazza, MD; Francesco Contorni, MD; Carolina Moretti, MD; Manfredi Arioti, MD; Andrea Casadei, MD; Annamaria Di Cesare, MD; Samuela Carigi, MD; Filippo Ottani, MD
Video Supplement to "Percutaneous Management of Delayed Aortic Annular Rupture After Transcatheter Aortic Valve Implantation Complicated by Severe Aortic Regurgitation" (Clinical Image).
Video Supplement to "Percutaneous Management of Delayed Aortic Annular Rupture After Transcatheter Aortic Valve Implantation Complicated by Severe Aortic Regurgitation" (Clinical Image).
Video Supplement to...
07/01/2026
Journal of Invasive Cardiology
Kodal_Figure_IVUS
Clinical Videos
06/30/2026
Burcu Kodal, MD; Ali Nail Kaya, MD; Aziz Inan Celik, MD
Video Supplement to " Long-Segment Honeycomb-Like Structure of the Right Coronary Artery Presenting With Acute Coronary Syndrome" (Clinical Image).
Video Supplement to " Long-Segment Honeycomb-Like Structure of the Right Coronary Artery Presenting With Acute Coronary Syndrome" (Clinical Image).
Video Supplement to "...
06/30/2026
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
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
Clinical Images
07/16/2026
Carmen Labarta-Bello, MD; Mattia Basile, MD; Gonzalo Acedo, MD; Miguel A. Martín-Arena, MD; Adrián Martínez-Roca, MD; Javier Gómez-Herrero, MD; Borja Rivero-Santana, MD, PhD; Daniel Tébar-Márquez, MD; Santiago Jiménez-Valero, MD; Guillermo Galeote, MD, PhD; Benjamin Faurie, MD; Elvin Kedhi, MD, PhD; Raúl Moreno, MD, PhD; Alfonso Jurado-Román, MD, PhD
The authors report the first successful use of the novel ShockFast intravascular lithotripsy system in Spain, and one of the first uses in Europe.
The authors report the first successful use of the novel ShockFast intravascular lithotripsy system in Spain, and one of the first uses in Europe.
The authors report the first...
07/16/2026
Journal of Invasive Cardiology
Clinical Images
07/15/2026
Aarim Dutta, MBBS; FNU Maitri, MBBS; Devinderpal Singh Dhanota, MD; Amitoj Singh Sodhi, MD; Akash Batta, MD, DM; Ruhani Bali, MD, DM; Bishav Mohan, MD, DM; Sarju Ralhan, MS, MCh; Shitij Chaudhary, MD, DM
A 14-year-old boy with a history of Kawasaki disease diagnosed when he was 4 years old presented for a routine cardiovascular follow-up. He had received intravenous immunoglobulin on the seventh day of his illness and remained on aspirin,...
A 14-year-old boy with a history of Kawasaki disease diagnosed when he was 4 years old presented for a routine cardiovascular follow-up. He had received intravenous immunoglobulin on the seventh day of his illness and remained on aspirin,...
A 14-year-old boy with a history...
07/15/2026
Journal of Invasive Cardiology
Clinical Images
07/08/2026
Enrico Fabris, MD, PhD; Gloria Lorenzon, MD; Giancarlo Vitrella, MD; Andrea Perkan, MD; Gianfranco Sinagra, MD
A 72-year-old woman with a recent history of stent implantation in the left anterior descending and circumflex arteries, as well as a known inferior left ventricular aneurysm secondary to previous myocardial infarction, presented with...
A 72-year-old woman with a recent history of stent implantation in the left anterior descending and circumflex arteries, as well as a known inferior left ventricular aneurysm secondary to previous myocardial infarction, presented with...
A 72-year-old woman with a...
07/08/2026
Journal of Invasive Cardiology
Clinical Images
07/07/2026
Pradyumna Agasthi, MD; Kaitlyn Krebushevski, MD; Allison K. Cabalka, MD; Jason H. Anderson, MD
A 34-year-old woman with truncus arteriosus type A3 status post 4 prior sternotomies and failed unifocalization presented with severe stenosis of a heavily calcified 22-mm Contegra right ventricle-to-right pulmonary artery conduit...
A 34-year-old woman with truncus arteriosus type A3 status post 4 prior sternotomies and failed unifocalization presented with severe stenosis of a heavily calcified 22-mm Contegra right ventricle-to-right pulmonary artery conduit...
A 34-year-old woman with truncus...
07/07/2026
Journal of Invasive Cardiology
Clinical Images
07/06/2026
Muzamil Yousuf Lone, MD; Sumanyu Suresh, MD; Bijulal Sasidharan, MD, DM
A 69-year-old woman with rheumatic severe mitral stenosis, treated 14 months earlier by minimally invasive bioprosthetic mitral valve replacement, presented with exertional dyspnea. Transthoracic echocardiography showed a submitral left...
A 69-year-old woman with rheumatic severe mitral stenosis, treated 14 months earlier by minimally invasive bioprosthetic mitral valve replacement, presented with exertional dyspnea. Transthoracic echocardiography showed a submitral left...
A 69-year-old woman with...
07/06/2026
Journal of Invasive Cardiology
Clinical Images
07/01/2026
Caterina Cavazza, MD; Francesco Contorni, MD; Carolina Moretti, MD; Manfredi Arioti, MD; Andrea Casadei, MD; Annamaria Di Cesare, MD; Samuela Carigi, MD; Filippo Ottani, MD
An 86-year-old woman with severe aortic stenosis and high surgical risk was referred for transcatheter aortic valve implantation. Preprocedural computed tomography confirmed transfemoral feasibility and showed severe, symmetrically...
An 86-year-old woman with severe aortic stenosis and high surgical risk was referred for transcatheter aortic valve implantation. Preprocedural computed tomography confirmed transfemoral feasibility and showed severe, symmetrically...
An 86-year-old woman with severe...
07/01/2026
Journal of Invasive Cardiology
Clinical Images
06/30/2026
Burcu Kodal, MD; Ali Nail Kaya, MD; Aziz Inan Celik, MD
A 60-year-old man presented with typical anginal chest pain. High-sensitivity troponin T levels were elevated. Transthoracic echocardiography demonstrated inferior wall hypokinesia. The patient was admitted with a diagnosis of non-ST-segment...
A 60-year-old man presented with typical anginal chest pain. High-sensitivity troponin T levels were elevated. Transthoracic echocardiography demonstrated inferior wall hypokinesia. The patient was admitted with a diagnosis of non-ST-segment...
A 60-year-old man presented with...
06/30/2026
Journal of Invasive Cardiology
Clinical Images
06/01/2026
Kit Yee Chu, DO, PhD; Zain Abidi, DO; Ghassan Dalloul, MD, FACC
A 54-year-old man with coronary artery disease with multiple prior percutaneous coronary interventions, hypertension, paroxysmal atrial fibrillation on apixaban, hyperlipidemia, prior cerebrovascular accident with residual right-sided...
A 54-year-old man with coronary artery disease with multiple prior percutaneous coronary interventions, hypertension, paroxysmal atrial fibrillation on apixaban, hyperlipidemia, prior cerebrovascular accident with residual right-sided...
A 54-year-old man with coronary...
06/01/2026
Journal of Invasive Cardiology