Percutaneous coronary intervention versus medical therapy in stable angina: a matched cohort study
Conclusions
PCI plus OMT was associated with higher rate of primary endpoint of MI, stroke, cardiac death as compared with OMT alone in patients with pure stable angina at 9.3-year follow-up in large population. (Source: Heart)
Source: Heart - April 25, 2024 Category: Cardiology Authors: Jo, S.-H., Kim, H., Kim, H.-J., Lee, M.-H., Seo, W.-W., Kim, M., Kim, H.-L. Tags: Coronary artery disease Source Type: research
Real-World Experience and Outcomes with Percutaneous Coronary Intervention for Protected versus Unprotected Left Main Coronary Artery Disease: Insights from the VA CART Program
Practice patterns and outcomes of protected left main (PLM) and unprotected left main (ULM) percutaneous coronary intervention (PCI) are not well defined in contemporary US clinical practice. Data collected from all Veteran Affairs (VA) catheterization laboratories participating in the Clinical Assessment Reporting and Tracking Program between 2009 and 2019. The analysis included 4,351 patients undergoing left main PCI, of which 1,306 pairs of PLM and ULM PCI were included in a propensity matched cohort. (Source: The American Journal of Cardiology)
Source: The American Journal of Cardiology - April 25, 2024 Category: Cardiology Authors: Pedro Engel Gonzalez, Annika Hebbe, Yasin Hussain, Rohan Khera, Subhash Banerjee, Mary E Plomondon, Stephen W. Waldo, Steven E. Pfau, Jeptha P. Curtis, Samit M. Shah Source Type: research
Impact of periprocedural myocardial injury on long-term outcomes after percutaneous coronary intervention requiring atherectomy
Percutaneous coronary intervention (PCI) is the most frequent type of coronary revascularization, and is performed with the aim of relieving anginal symptoms, reducing the need for urgent revascularization, and lowering the risk of spontaneous myocardial infarction (1,2). Conversely, patients undergoing PCI are at risk of procedure-related myocardial injury, which may offset these benefits or even worsen the clinical course. Myocardial injury following PCI is assessed by the rise in cardiac biomarkers, commonly cardiac troponin. (Source: The American Journal of Cardiology)
Source: The American Journal of Cardiology - April 25, 2024 Category: Cardiology Authors: Hiroki Emori, Yasutsugu Shiono, Nehiro Kuriyama, Yasuhiro Honda, Kosuke Kadooka, Takeaki Kudo, Kenji Ogata, Toshiyuki Kimura, Kensaku Nishihira, Atsushi Tanaka, Yoshisato Shibata Source Type: research
Inflammation modifies the platelet reactivity among thrombocytopenia patients undergoing percutaneous coronary intervention
Platelets. 2024 Dec;35(1):2327835. doi: 10.1080/09537104.2024.2327835. Epub 2024 Apr 24.ABSTRACTPercutaneous coronary intervention (PCI) patients combined with thrombocytopenia (TP) are usually considered to be at low ischemic risk, receiving less proper antiplatelet therapy. However, recent studies reported a paradoxical phenomenon that PCI patients with TP were prone to experience thrombotic events, while the mechanisms and future treatment remain unclear. We aim to investigate whether inflammation modifies platelet reactivity among these patients. Consecutive 10 724 patients undergoing PCI in Fuwai Hospital were enrolle...
Source: Platelets - April 24, 2024 Category: Hematology Authors: Kailun Yan Jiawen Li Yulong Li Pei Zhu Xiaofang Tang Deshan Yuan Yuejin Yang Runlin Gao Jinqing Yuan Xueyan Zhao Source Type: research
Association between lipoprotein(a) and cardiovascular disease in patients undergoing coronary angiography
CONCLUSION: The findings indicated that elevated lipoprotein(a) had no obvious relationship with hypertension and obesity. Elevated lipoprotein(a) increases the risk of high total cholesterol, high LDL‑c, and premature CAD, and increases the occurrence and severity of coronary heart disease.PMID:38658408 | DOI:10.1007/s00059-024-05247-0 (Source: Herz)
Source: Herz - April 24, 2024 Category: Cardiology Authors: Azhi ShaMa Chunmei Xu Yingying Huang Chunlan Ma Jingyue Hu Zhuxin Li Chunyu Zeng Source Type: research
Long-term outcomes following double kissing crush or mini-culotte stenting for complex coronary bifurcation lesions: the EVOLUTE-CRUSH IV study
CONCLUSION: At long-term follow-up, the rates of TLF and MACCE were 17.4% and 20%, respectively. However, long-term TLF was significantly higher in patients treated with MCT than those treated with the DKC technique, primarily due to a more frequent occurrence of clinically driven TLR.PMID:38656396 | DOI:10.1007/s00059-024-05244-3 (Source: Herz)
Source: Herz - April 24, 2024 Category: Cardiology Authors: Mustafa Y ıldız Ahmet G üner G ökhan Demirci Ahmet Ya şar Çizgeci Serkan Kahraman Hasan Ali Barman Fatih Uzun Cemalettin Akman Emre Ayd ın Abdullah Do ğan İrem Türkmen Muhammed Mustafa Y ıldız Mehmet Ert ürk Source Type: research
The Association of CHADS-P2A2RC Risk Score With Clinical Outcomes in Patients Taking P2Y12 Inhibitor Monotherapy After 3 Months of Dual Antiplatelet Therapy Following Percutaneous Coronary Intervention
CONCLUSIONS: The CHADS-P2A2RC risk score is valuable in discriminating high-ischemic-risk patients. Even in such patients with a high risk of ischemic events, P2Y12 inhibitor monotherapy was associated with a lower incidence of bleeding without increased risk of ischemic events compared with prolonged DAPT.TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT02079194.PMID:38654565 | DOI:10.4070/kcj.2023.0268 (Source: Korean Circulation Journal)
Source: Korean Circulation Journal - April 24, 2024 Category: Cardiology Authors: Pil Sang Song Seok-Woo Seong Ji-Yeon Kim Soo Yeon An Mi Joo Kim Kye Taek Ahn Seon-Ah Jin Jin-Ok Jeong Jeong Hoon Yang Joo-Yong Hahn Hyeon-Cheol Gwon Woo Jin Jang Hyuck Jun Yoon Jang-Whan Bae Woong Gil Choi Young Bin Song Source Type: research
Tongue patch angioplasty for small-caliber vein segments directly connected to juxta-anastomotic stenosis
This study introduces a surgical method to increase the size of small vessels in patients with juxta-anastomosis stenosis (JAS) requiring full-length dissection. The small-caliber segment that is adjacent to JAS is usually expanded using balloon angioplasty or surgically resected. After resection, if the cannulation site is sufficient, only the arterial anastomosis is moved proximally; otherwise, it is replaced with a prosthetic graft. Herein, we describe the cases of two 60- and 34-year-old men with left brachio-basilar and left radiocephalic fistulas, respectively. The first and second patients needed transposition and s...
Source: The Journal of Vascular Access - April 24, 2024 Category: Surgery Authors: Miju Bae Jongwon Kim Source Type: research
Microvascular resistance reserve before and after PCI: a serial FFR and [15O] H2O PET study
Microvascular Resistance Reserve (MRR) has recently been introduced as a microvasculature-specific index and hypothesized to be independent of coronary stenosis. The aim of this study was to investigate the change of MRR after percutaneous coronary intervention (PCI). (Source: Atherosclerosis)
Source: Atherosclerosis - April 24, 2024 Category: Cardiology Authors: Masahiro Hoshino, Ruurt.A. Jukema, Nico Pijls, Roel Hoek, Pieter Raijmakers, Roel Driessen, Pepijn van Diemen, Jos Twisk, Tim van der Hoef, Ibrahim Danad, Tsunekazu Kakuta, Paul Knaapen Source Type: research
The resolute Onyx in TIA management (ROTIA)
CONCLUSION: ROTIA demonstrates the feasibility of using the Resolute Onyx drug-eluting stent for the management of TIAs due to refractory ICAD, with high technical success and low peri-procedural complications. Limitations include the retrospective and single-center nature of this study. Future prospective, multi-center, randomized trials with extended observation periods are needed.PMID:38651294 | DOI:10.1177/15910199241249211 (Source: Interventional Neuroradiology)
Source: Interventional Neuroradiology - April 23, 2024 Category: Radiology Authors: Ameer E Hassan Ahmed M Shoman Samantha Miller Abdulrahman Ibrahim Hagrass Sohum Desai Hamzah Saei Wondwossen G Tekle Source Type: research
FRED X flow diverter for the treatment of intracranial aneurysms: Two-center experience and mini-review of the literature
CONCLUSIONS: The results demonstrate a high feasibility and procedural safety of the FRED X with adequate mid-term occlusion rates. Long-term and comparative studies are needed to evaluate the full potential of the FRED X.PMID:38651292 | DOI:10.1177/15910199241246018 (Source: Interventional Neuroradiology)
Source: Interventional Neuroradiology - April 23, 2024 Category: Radiology Authors: Lukas Goertz Hanna Styczen Eberhard Siebert Yan Li Marc Schlamann Michael Forsting Georg Bohner Cornelius Deuschl Christoph Kabbasch Source Type: research
An audit of patient radiation doses during interventional cardiology procedures in Uttarakhand, India, and establishment of local diagnostic reference levels
The objective of this study was to investigate patient radiation doses by a dose audit of three common interventional cardiology (IC) procedures: coronary angiography (CA), percutaneous transluminal coronary angioplasty (PTCA) and CA –PTCA procedures performed in IC centres in the Uttarakhand state of India, for the establishment of local diagnostic reference levels (DRLs) and the estimation of average effective dose (Eav) for these procedures. For each procedure, the values of kerma-area product (PKA), reference air kerma (Ka,r), fluoroscopy time (FT) and the number of cine images were recorded from 1233 CA, 458 PTCA an...
Source: Radiological Physics and Technology - April 23, 2024 Category: Physics Source Type: research
Intracranial atherosclerosis update for neurointerventionalists
The management of intracranial atherosclerotic disease (ICAD) has been evolving with advanced imaging, refinements of best medical treatment, and the development of endovascular options. There has been a significant increase in the use of endovascular therapy for symptomatic ICAD in the USA over the past 6 years. The rationale for this review is to update neurointerventionalists in these areas so that evidence-based decisions can be considered when counseling potential patients regarding their risks, benefits, and potential complications. The landmark SAMMPRIS trial demonstrated superiority of aggressive medical management...
Source: Journal of NeuroInterventional Surgery - April 23, 2024 Category: Neurosurgery Authors: Alexander, M. J., Yu, W. Tags: Vascular neurology Source Type: research
Stent retriever for Tandem Acute Revascularization Technique (START): a novel technique for the endovascular management of tandem occlusions
We describe a variation of this technique: the stent retriever for tandem acute revascularization technique (START), which consists of simultaneously treating the intracranial lesion with stent retriever and contact aspiration, and the extracranial lesion with balloon angioplasty. We present a technical video explaining all the steps of START.(video 1)
Video 1
Description and example of the START. (Source: Journal of NeuroInterventional Surgery)
Source: Journal of NeuroInterventional Surgery - April 23, 2024 Category: Neurosurgery Authors: Fageeh, A., Zur, G., Diouf, A., La Russa, D., Drake, B., P dos Santos, M., Caron, K., Birch, N., Karwaski, S., Trussler, L., Miller, E., Fantaneanu, T., Varghaei, P., Walker, G., Lesiuk, H., Fahed, R. Tags: Technical video Source Type: research
Response to stent retriever for tandem acute revascularization technique (START): a novel technique for endovascular management of tandem occlusions
We read with great interest the videographic depiction of the stent retriever for tandem acute revascularization technique (START) technique, and applaud the authors for their use of a stent retriever wire to facilitate treatment of the cervical occlusion in tandem large vessel occlusion (LVO) stroke cases.1 We published a similar technique in 2020,2 in which we described this as the "one cross" technique, since the presumptive culprit lesion is crossed only one time, mitigating the risk of losing access or potentially exacerbating a dissection flap by repetitively crossing a previously occluded lesion. This technique of u...
Source: Journal of NeuroInterventional Surgery - April 23, 2024 Category: Neurosurgery Authors: Newman, C. B., Given, C. A., Ramsey, C. N. Tags: Ischemic stroke Source Type: research
