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By Martin T Rothman

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Final angiography showed successful sealing of the coronary artery perforation (Fig. 1f). Pericardial effusion was no longer visible under 2D-echocardiographic control (Fig. 2b). 2. Apical four-chamber 2D echocardiogram. (a) Large pericardial effusion with cardiac tamponade (*). (b) After pericardiocentesis, pericardial effusion is no longer present. 3. (a) Percutaneous insertion of the arterial and venous CPS cannulae. The arterial cannula (1) was advanced to the proximal common iliac artery, while the venous cannula (2) was placed above the junction between the right atrium and the inferior vena cava.

References 1. Prati F, Di Mario C, Moussa I et al. In-stent neointimal proliferation correlates with the amount of residual plaque burden outside the stent: an intravascular ultrasound study. Circulation 1999; 99:1011–14. 2. Moussa I, Moses J, Mario CD et al. Stenting after optimal lesion debulking (SOLD) registry. Angiographic and clinical outcome. Circulation 1998; 98:1604–9. 1 He was admitted to the hospital complaining of substernal pain accompanied by nausea and vomiting, starting 1 hour before admission.

2. Rodriguez A, Bernardi V, Fernandez M et al. In-hospital and late results of coronary stents versus conventional balloon angioplasty in acute myocardial infarction (GRAMI trial). Am J Cardiol 1998; 81;1286–91. 3. Suryapranata H, van’t Hof AWJ, Hoorntje JCA et al. Randomized comparison of coronary stenting with balloon angioplasty in selected patients with acute myocardial infarction. Circulation 1998; 97:2502–5. 4. Saito S, Hosokawa G, Tanaka S, Nakamura S. Primary stent implantation is superior to balloon angioplasty in acute myocardial infarction: final results of the Primary Angioplasty versus Stent Implantation in Acute Myocardial Infarction (PASTA) trial.

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