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Articles by Jesse Kane
January/February 2025 Issue - Cardiac Interventions Today
AI for Lesion Assessment and Multivessel PCI Strategy Leveraging AI to refine lesion assessment and enhance decision-making in coronary interventions. By Ahmed Elamin, MBBS, MRCP; Hany Eissa, MBBCh, MRCP; Mohammed O A. Abubakr, MBBS, FRCP; Ryan Moran, MBBS, MRCP; Gabor G. Toth, MD, PhD, FESC; and Sadeek S. Kanoun Schnur, MBBCh, MRCP
Fierce Loyalty to the Neighborhood: How a German Church Found Its Place in Edmonton
When I moved to Edmonton, Alberta, to work at the Evangelical Fellowship Church (EFC), it was quite a culture shock. Not only was the city a whole other pace from the countryside I grew up in, but EFC had a strong German cultural heritage that had defined them for decades. However, things had been changing; they had joined the Evangelical Covenant Church of Canada around the time COVID-19 hit.
Contemporary Strategies for In-Stent Restenosis Management
More than 2 million people worldwide undergo percutaneous coronary intervention (PCI) for the treatment of coronary artery disease each year.1 One in seven of those patients will return to the cardiac catheterization lab for a stent-related event, and up to 12% of PCI procedures performed each year specifically treat in-stent restenosis (ISR).2,3 Thus, the management of ISR or stent thrombosis is an important entity for the modern-day operator.
Challenging PCI - Cardiac Interventions Today
The field of percutaneous coronary intervention (PCI) is always evolving, with the constant introduction of novel technologies and techniques entering the space. Thus, it is our great challenge as interventional cardiologists to continue to develop with the field; shed old tools, techniques, and practice patterns; and pick up new ones to better serve our patients.
Management of No Reflow and Thrombus
No reflow is defined as no distal flow following treatment of an occlusion. The etiology is multifactorial and includes functional and structural changes in the microvascular. This begins with the initial insult caused by coronary occlusion leading to tissue edema, endothelial damage, and platelet/fibrin activation. With treatment, atheroembolism contributes to microvascular plugging. With reperfusion, microvascular damage is again facilitated by oxygen free radicals and leukocytes.
A Step-by-Step Approach to Antegrade Dissection and Reentry
Successful chronic total occlusion (CTO) recanalization requires operators to be facile with all crossing strategies, including antegrade and retrograde wire and dissection-based techniques.
Contrast-Enhanced Echocardiography for Evaluating Coronary Artery Perforations
Coronary artery perforations occur in approximately 0.3% to 0.5% of all percutaneous coronary interventions (PCIs) with higher rates in chronic total occlusion (CTO) PCI (4%).
PCI for Flush Occluded Right Coronary Artery: Challenges and Techniques for Success
History of Presentation A 74-year-old man presented with stable angina to our complex percutaneous coronary intervention (PCI) clinic in November 2022. He endorsed angina and dyspnea on exertion walking up a flight of stairs and >2 blocks on level ground, consistent with Canadian Cardiovascular Society class II angina, despite maximally tolerated medical therapy with metoprolol, isosorbide mononitrate, and amlodipine. • To recognize the role of native PCI in the setting of vein graft failure.
Electrocautery‐assisted re‐entry to resolve bilateral aorto‐ostial chronic total occlusions due to leaflet obstruction following transcatheter aortic valve replacement
Abstract Coronary artery obstruction is a rare but life-threatening complication of transcatheter aortic valve replacement (TAVR). While urgent percutaneous coronary intervention has been described in cases of acute occlusion, little is known about the interventional management of obstruction once it has occurred in the chronic setting.
Neighbouring - Love Is Moving
Edmonton community initiatives are bridging gaps Written by Jesse Kane Moving into a city has been the most isolating, alienating experience of my life. I grew up in the countryside where people lived far away, but when you did see them there was always hot coffee and warm conversation. Since moving to Edmonton, I feel like I’ve exchanged the yellow canola fields that used to separate people with psychological distance.
To my younger, incel self
Written by Jesse Kane That shame you feel from being blacklisted by a whole women’s dorm at college—it’s haunting you. It’s nakedness without a fig leaf. It’s humiliation on a high place. Granted, asking several of your ex’s friends out directly after your breakup wasn’t the best choice. But belabouring your responsibility is just salt in the wound. It’s much easier to toss the salt behind your back and claim you’re a victim than it is to own your own poor choices.
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