Antiplatelet therapy after percutaneous coronary intervention: current status and future perspectives
AbstractAntiplatelet therapy after percutaneous coronary intervention  (PCI) has been changing in parallel with the development of drug-eluting stents (DES) and antiplatelet agents. The recommendation of dual antiplatelet therapy duration is getting shorter due to the decreased risk of stent thrombosis in new-generation DES, the use of a P2Y12 inhibitor as a monotherapy, and the increasing prevalence of high bleeding risk patients. Antithrombotic therapy after PCI has also changed due to the introduction of direct oral anticoagulants. Aspirin-free P2Y12 inhibitor monotherapy is now being evaluated in several prospective s...
Source: Cardiovascular Intervention and Therapeutics - March 3, 2022 Category: Cardiology Source Type: research

External iliac artery access for transcatheter aortic valve replacement
(Source: Cardiovascular Intervention and Therapeutics)
Source: Cardiovascular Intervention and Therapeutics - February 21, 2022 Category: Cardiology Source Type: research

Avoidance strategy for coronary obstruction in patient with anomalous origin of the left circumflex undergoing transcatheter aortic valve implantation
(Source: Cardiovascular Intervention and Therapeutics)
Source: Cardiovascular Intervention and Therapeutics - February 21, 2022 Category: Cardiology Source Type: research

Possibility of AnteOwl IVUS –based antegrade dissection and reentry using the tip detection method for CTO-PCI
(Source: Cardiovascular Intervention and Therapeutics)
Source: Cardiovascular Intervention and Therapeutics - February 15, 2022 Category: Cardiology Source Type: research

Expert consensus statement for quantitative measurement and morphological assessment of optical coherence tomography: update 2022
AbstractIn this updated expert consensus document, the methods for the quantitative measurement and morphological assessment of optical coherence tomography (OCT)/optical frequency domain imaging images (OFDI) are briefly summarized. The focus is on the clinical application and the clinical evidence of OCT/OFDI to guide percutaneous coronary interventions. (Source: Cardiovascular Intervention and Therapeutics)
Source: Cardiovascular Intervention and Therapeutics - February 15, 2022 Category: Cardiology Source Type: research

Duration and clinical outcome of dual antiplatelet therapy after percutaneous coronary intervention: a retrospective cohort study using a medical information database from Japanese hospitals
In conclusion, early DAPT discontinuation is more likely in patients at high bleeding risk, but may influence the occurrence of ischemic events in these patients. Determination of DAPT duration should take into account potential ischemic risk, even in patients at high bleeding risk. (Source: Cardiovascular Intervention and Therapeutics)
Source: Cardiovascular Intervention and Therapeutics - February 9, 2022 Category: Cardiology Source Type: research

Late expansion of mechanically expanding transcatheter aortic valves
In conclusion, this study demonstrated the greater late-phase expansion and better valve performance of mechanically expanding valves. (Source: Cardiovascular Intervention and Therapeutics)
Source: Cardiovascular Intervention and Therapeutics - February 7, 2022 Category: Cardiology Source Type: research

Preferable vascular healing of ultrathin strut biodegradable-polymer sirolimus-eluting stents in patients with acute coronary syndrome
This study aimed to compare the strut coverage between Orsiro ultrathin struts biodegradable polymer sirolimus-eluting stents (O-SES) and Xience thin struts durable polymer everolimus-eluting stents (X-EES) in acute coronary syndrome (ACS) patients using optical coherence tomography (OCT). In BIOSTEMI trial, O-SESs were superior to X-EESs with respect to target lesion failure in ACS patients. However, there were few reports comparing intravascular imaging between the two stents in ACS. Between August 2016 and February 2020, 49 lesions from 49 ACS patients who underwent OCT-guided percutaneous coronary intervention were enr...
Source: Cardiovascular Intervention and Therapeutics - February 3, 2022 Category: Cardiology Source Type: research

Locked dual-lumen catheter technique in percutaneous coronary intervention of chronic total occlusion
(Source: Cardiovascular Intervention and Therapeutics)
Source: Cardiovascular Intervention and Therapeutics - February 3, 2022 Category: Cardiology Source Type: research

Operator experience and clinical outcomes of percutaneous coronary intervention for chronic total occlusion: insights from a pooled analysis of the Japanese CTO PCI Expert Registry and the Retrograde Summit General Registry
AbstractThere have not been enough studies to examine the association between difference in operator experience and technical success rate in contemporary percutaneous coronary intervention for chronic total occlusion (CTO-PCI). The present study sought to provide insights into the impact of operator experience on clinical outcomes of CTO-PCI through a comparison of two largest Japanese CTO-PCI registries consisting of operators with different CTO-PCI experience. After combining clinical data from the Japanese CTO-PCI Expert Registry (ER) 2014 –2016 (N = 4316) including CTO-PCI performed by highly experienced operators a...
Source: Cardiovascular Intervention and Therapeutics - February 2, 2022 Category: Cardiology Source Type: research

Long-term outcomes of the modest stent expansion strategy for the culprit lesion of acute myocardial infarction
In conclusion, the modest stent expansion strategy was not associated with long-term MACE. Therefore, the modest stent expansion strategy may be a good choice for the culprit lesion of AMI. (Source: Cardiovascular Intervention and Therapeutics)
Source: Cardiovascular Intervention and Therapeutics - February 1, 2022 Category: Cardiology Source Type: research

Successful bailout from the entrapment of self-expanding transcatheter aortic valve system caused by the under-expanded deployed valve
(Source: Cardiovascular Intervention and Therapeutics)
Source: Cardiovascular Intervention and Therapeutics - February 1, 2022 Category: Cardiology Source Type: research

Latest outcomes of transcatheter left atrial appendage closure devices and direct oral anticoagulant therapy in patients with atrial fibrillation over the past 5  years: a systematic review and meta-analysis
AbstractLeft atrial appendage closure (LAAC) are emerging treatment for patients with atrial fibrillation (AF). However, data on the safety, efficacy, and medications for LAAC devices in patients with AF are lacking. We aimed to investigate the incidence of all-cause mortality, stroke, and major bleeding in AF patients with LAAC devices and DOACs. Moreover, we aimed to investigate the incidence rate of device-related thrombus (DRT) and the medications used in the management of AF patients with LAAC devices to gain insights into achieving better outcome. Based on a literature search using PubMed, EMBASE, Cochrane Library, a...
Source: Cardiovascular Intervention and Therapeutics - January 30, 2022 Category: Cardiology Source Type: research

Comparison of medical resource use and total admission cost in patients with acute myocardial infarction between on-hours visit versus off-hours visit
In conclusion, total admission cost was higher in AMI patients with off-hours visit than in those with on-hours visit. However, multivariat e logistic regression analysis revealed that the off-hours visit itself was not associated with the highest total admission cost. Off-hours visit itself did not result in higher cost, but severer conditions in AMI patients with off-hours visit resulted in higher cost. (Source: Cardiovascular Intervention and Therapeutics)
Source: Cardiovascular Intervention and Therapeutics - January 25, 2022 Category: Cardiology Source Type: research

Spontaneous resolution of residual leakage after covered stent implantation for coronary artery aneurysm with dual-guiding catheter technique
(Source: Cardiovascular Intervention and Therapeutics)
Source: Cardiovascular Intervention and Therapeutics - January 21, 2022 Category: Cardiology Source Type: research