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Safety and efficacy of cerebral embolic protection devices in patients undergoing transcatheter aortic valve replacement: a meta-analysis of in-hospital outcomes
The objective of this study was to evaluate in-hospital outcomes with the use of cerebral EPDs in TAVR. We performed a comprehensive EMBASE and PUBMED search to investigate randomized control studies or propensity score-matched retrospective studies which assessed patients undergoing TAVR with or without EPD up to April 2021. Endpoints of interest were in-hospital mortality, stroke, acute kidney injury, pacemaker implantation, major bleeding, vascular complication, length of stay. Ten studies involving 173,002 patients with EPD (n = 16,898, 9.8%) and those without (n = 156,104, 90.2%) fulfilled the inclusion criter...
Source: Cardiovascular Intervention and Therapeutics - November 13, 2021 Category: Cardiology Source Type: research

Clinical expert consensus document on intravascular ultrasound from the Japanese Association of Cardiovascular Intervention and Therapeutics (2021)
AbstractIntravascular ultrasound (IVUS) provides precise anatomic information in coronary arteries including quantitative measurements and morphological assessment. To standardize the IVUS analysis in the current era, this updated expert consensus document summarizes the methods of measurements and assessment of IVUS images and the clinical evidence of IVUS use in percutaneous coronary intervention. (Source: Cardiovascular Intervention and Therapeutics)
Source: Cardiovascular Intervention and Therapeutics - November 12, 2021 Category: Cardiology Source Type: research

Correction to: Safety and feasibility of retrograde INOUE ‑BALLOON for balloon aortic valvuloplasty without rapid ventricular pacing during transcatheter aortic valve replacement
(Source: Cardiovascular Intervention and Therapeutics)
Source: Cardiovascular Intervention and Therapeutics - November 12, 2021 Category: Cardiology Source Type: research

Percutaneous removal of a knotted Swan –Ganz catheter
(Source: Cardiovascular Intervention and Therapeutics)
Source: Cardiovascular Intervention and Therapeutics - November 8, 2021 Category: Cardiology Source Type: research

Milking-like effect of the left anterior descending coronary artery as the first sign of mechanical complication after myocardial infarction
(Source: Cardiovascular Intervention and Therapeutics)
Source: Cardiovascular Intervention and Therapeutics - November 1, 2021 Category: Cardiology Source Type: research

Outcomes of successful vs. failed contemporary chronic total occlusion percutaneous coronary intervention
ConclusionIn contemporary practice, successful CTO PCI was associated with a lower incidence of MACE driven by lower all-cause mortality compared with failed CTO PCI at a median follow-up of 1  year. (Source: Cardiovascular Intervention and Therapeutics)
Source: Cardiovascular Intervention and Therapeutics - October 30, 2021 Category: Cardiology Source Type: research

Directional coronary atherectomy using dual catheter system via bilateral transradial approach
(Source: Cardiovascular Intervention and Therapeutics)
Source: Cardiovascular Intervention and Therapeutics - October 29, 2021 Category: Cardiology Source Type: research

Percutaneous closure of an iatrogenic atrial septal defect with bidirectional shunt for hemodynamic collapse following percutaneous transvenous mitral commissurotomy
(Source: Cardiovascular Intervention and Therapeutics)
Source: Cardiovascular Intervention and Therapeutics - October 20, 2021 Category: Cardiology Source Type: research

Clinical outcome of the patients with femoropopliteal artery disease after endovascular therapy: focused on drug-coated-balloon-related distal embolism detected by laser doppler flowmetry
This study aimed to investigate the clinical outcomes of DCB-induced distal embolism in patients with femoropopliteal artery disease. Between February 2018 and April 2019, consecutive patients (n = 32) who presented with de novo femoropopliteal artery disease and underwent endovascular therapy using DCB were retrospectively reviewed in a single-center study. Patients were divided into two groups based on whether distal embolism was detected using laser doppler flowmetry (DEL group) or n ot (non-DEL group). Baseline characteristics and 1-year clinical outcomes were compared between the groups. DEL was found in 44% of li...
Source: Cardiovascular Intervention and Therapeutics - October 19, 2021 Category: Cardiology Source Type: research

Trans-dorsalis pedis artery approach for patients with chronic total occlusion of superficial femoral artery after Y-graft surgery
(Source: Cardiovascular Intervention and Therapeutics)
Source: Cardiovascular Intervention and Therapeutics - October 18, 2021 Category: Cardiology Source Type: research

Images of angioscopy and intravascular ultrasound for dislodged Angio-Seal ® VIP vascular closure device
(Source: Cardiovascular Intervention and Therapeutics)
Source: Cardiovascular Intervention and Therapeutics - October 8, 2021 Category: Cardiology Source Type: research

Effectiveness of a radiation protective device for anesthesiologists and transesophageal echocardiography operators in structural heart disease interventions
This study was conducted to test our new radiation protective device (RPD) for anesthesiologists and TEE operators in SHD interventions. The RPD, which consists of a head side shield and a cradle shield, was mounted on a 0.25 mm Pb-equivalent unleaded radiation protection sheet on a self-made J-shaped acrylic table, and it was placed on the head side and cradle on the operating table. A CT human body phantom was placed on the operating table, and the C-arm was set in five directions: posteroanterior, right anterior oblique 30 °, left anterior oblique 30°, caudal 30°, and cranial 30°. The ambient dose equivalent rate at...
Source: Cardiovascular Intervention and Therapeutics - September 14, 2021 Category: Cardiology Source Type: research

Incidence, diagnosis and treatment of popliteal artery entrapment syndrome in current vascular practice in Japan
In this study, we investigated incidence, diagnosis and treatment of PAES in current vascular practice. A retrospective analysis of all patients with PAES visiting 31 participating institutes between 2003 and 2015 was conducted. Thirty-five limbs (28 patients) were identified during the 13-year study period, and the incidence of PAES was 0.12% of all peripheral artery disease cases revascularized.  Mean age was 32.0 ± 16.9 years old, and 60 and more years old was 10.7%. Also, 92.9% were male and 39.3% were athletes. Most frequent initial symptoms were intermittent claudication in 23 limbs (65.7%); 4 limbs (11.4%) ha...
Source: Cardiovascular Intervention and Therapeutics - September 14, 2021 Category: Cardiology Source Type: research

Successful stent implantation with the use of non contrast whole-heart coronary magnetic resonance angiography and intravascular ultrasound in patient with allergy to iodinated contrast media
(Source: Cardiovascular Intervention and Therapeutics)
Source: Cardiovascular Intervention and Therapeutics - September 14, 2021 Category: Cardiology Source Type: research

Intramyocardial and epicardial hemorrhage due to left-ventricular wire during transcatheter aortic valve implantation: an autopsy case
(Source: Cardiovascular Intervention and Therapeutics)
Source: Cardiovascular Intervention and Therapeutics - September 14, 2021 Category: Cardiology Source Type: research