Cath Lab Digest

Abstract

We report an unusual presentation of vasculitis associated with simvastatin. A 69-year-old female patient presented with a 1-day history of acute abdominal pain. However, she had recently been placed on a statin and had started to complain of abdominal pain 2 weeks after starting the medication. Initial investigation of her abdominal pain was negative. An exploratory laparotomy revealed necrotic bowel, which was resected. A pathology report noted acute and chronic vasculitis. A computed tomographic angiogram prior to her exploratory laparotomy showed no arterial

Introduction
The natural history of undetected abdominal aortic aneurysms (AAA) includes ischemic complications that may affect peripheral limb or organ circulation. Distal embolization or thrombosis is the usual pathological process related to either migration of cholesterolic particles, or extension of wall thrombosis from the aneurysm sac. In that circumstance, ischemic colitis remains an uncommon primary mode of revelation for aneurysm occurring when patency of the inferior mesenteric artery (IMA) is suddenly affected.1 We report a successful endovascular treatme

Case Report. A 44-year-old, normotensive woman with a 28-pack year history of smoking and a congenital solitary kidney was referred for a right renal artery aneurysm (RAA) seen on magnetic resonance imaging (MRI). The MRI was done as part of a work up for back pain 2 years previously. The patient subsequently had a computed tomography (CT) angiogram where a 2-cm aneurysm was seen in the right renal artery at the hilum of the kidney, with 5 of 7 branches of the renal artery arising from the aneurysm, excluding endovascular repair. The patient initially opted for watchful observation.

Introduction
Iliac stenting for occlusive atherosclerotic disease is an accepted therapeutic modality. Completely occluded iliac arteries can be wire recanalized with a high degree of success¹ and acceptable long-term results. The technical aspects of crossing an iliac chronic total occlusion (CTO) can however remain challenging. We describe a novel technical modality to facilitate wire recanalization in difficult cases.

Case Report
A 60-year-old Hispanic male presented with right-sided buttock and thigh claudication after walking one block. Risk factors for pe

Introduction
Advantages of various direct thrombin inhibitors, a modified dosing schedule for bivalrudin, and experience with monitoring parameters are described. These advantages may form the basis for consideration when alternative anticoagulation to heparin is desired during peripheral vascular procedures.

Case Report
An 82-year-old, 65 kg, white male underwent evaluation for progressive fatigue and shortness of breath. He had undergone a Hancock porcine mitral valve replacement in conjunction with a one-vessel coronary artery bypass 12 years previously. He also had a