Initial report of percutaneous left atrial appendage closure in hemodialysis patients with atrial fibrillation and high risk of bleeding in Japan
AbstractIn the countries like Japan where anticoagulation is not recommended in hemodialysis patients, the feasibility of percutaneous left atrial appendage closure (LAAC) in hemodialysis patients with non-valvular atrial fibrillation (NVAF) accompanying high risks of thromboembolic stroke and bleeding remains unknown. Peri-procedural and 45-day clinical outcomes following LAAC using WATCHMAN system, which were performed in our institute between Jun 2020 and April 2022 according to the Japanese Circulation Society guidelines, were retrospectively compared between those with and without hemodialysis. 118 patients (median 79...
Source: Cardiovascular Intervention and Therapeutics - December 23, 2022 Category: Cardiology Source Type: research

A case of upper extremity edema associated with axillary vein compression caused by teres major muscle
(Source: Cardiovascular Intervention and Therapeutics)
Source: Cardiovascular Intervention and Therapeutics - December 8, 2022 Category: Cardiology Source Type: research

Impact of radial compression protocols on radial artery occlusion and hemostasis time in coronary angiography
This study aimed to investigate the clinical implications of radial compression protocols. Consecutive patients who underwent outpatient invasive catheter angiography before and after April 2018 were treated with traditional and new protocols, respectively. Using the same hemostasis band, in the conventional protocol, fixed amount of air was removed soon after the procedure, 2  h later, and 3 h later, whereas the air was removed as much as possible every 30 min in the new protocol. A total of 1842 patients (71 ± 10 years old, 77% male) were included. Compared with the traditional protocol group (n = 1001), the...
Source: Cardiovascular Intervention and Therapeutics - December 7, 2022 Category: Cardiology Source Type: research

MitraClip: a review of its current status and future perspectives
AbstractMitral regurgitation (MR), among the most common valvular heart diseases, is closely associated with heart failure and worse clinical outcomes. Surgical repair or replacement as an intervention for MR is deemed too high risk in patients who are elderly or have multiple comorbidities; thus, nearly half of all patients with severe symptomatic MR are not referred for surgical therapy. MitraClip, a transcatheter mitral valve repair system for MR that mimics the Alfieri surgical edge-to-edge technique for mitral valve repair, was developed in the late 1990s. After clinical trials demonstrated its safety and efficacy, it...
Source: Cardiovascular Intervention and Therapeutics - December 5, 2022 Category: Cardiology Source Type: research

Endoscopic assessment of WATCHMAN 17  months after implantation
(Source: Cardiovascular Intervention and Therapeutics)
Source: Cardiovascular Intervention and Therapeutics - December 1, 2022 Category: Cardiology Source Type: research

Vascular management during transcatheter aortic valve replacement
AbstractTranscatheter aortic valve replacement (TAVR), as an alternative to open heart surgery, has been established as the standard therapy for patients with severe aortic valve stenosis. Vascular access management, the first step in a TAVR procedure, should be managed properly. Moreover, the transfemoral and alternatives such as the transaxillary/subclavian, transcarotid, transapical, and transcaval approaches are considered access routes during TAVR. More than 90% of cases can be treated via the transfemoral approach in the current TAVR era, whereas other approaches should be considered in patients in whom the transfemo...
Source: Cardiovascular Intervention and Therapeutics - November 29, 2022 Category: Cardiology Source Type: research

Bioprosthetic or native aortic scallop intentional laceration to prevent coronary artery obstruction using available devices in Japan
(Source: Cardiovascular Intervention and Therapeutics)
Source: Cardiovascular Intervention and Therapeutics - November 24, 2022 Category: Cardiology Source Type: research

Which is more useful for predicting no-reflow phenomenon? Insights from optical coherence tomography and coronary computed tomography
(Source: Cardiovascular Intervention and Therapeutics)
Source: Cardiovascular Intervention and Therapeutics - November 20, 2022 Category: Cardiology Source Type: research

Utilizing the en face view for unfavorable coronary access after transcatheter aortic valve replacement
(Source: Cardiovascular Intervention and Therapeutics)
Source: Cardiovascular Intervention and Therapeutics - October 27, 2022 Category: Cardiology Source Type: research

Heterogeneous vascular response after implantation of bare nitinol self-expanding stents in the swine femoropopliteal artery
ConclusionsIn the context of bare nitinol SES platform with less progressive mechanical stress and inflammatory reaction, the advantage of less NIH outweighed the disadvantage of less vessel enlargement, leading to net lumen preservation. (Source: Cardiovascular Intervention and Therapeutics)
Source: Cardiovascular Intervention and Therapeutics - October 18, 2022 Category: Cardiology Source Type: research

Correction to: Current clinical use of intravascular ultrasound imaging to guide percutaneous coronary interventions (update)
(Source: Cardiovascular Intervention and Therapeutics)
Source: Cardiovascular Intervention and Therapeutics - October 12, 2022 Category: Cardiology Source Type: research

Transcatheter pulmonary valve replacement in failed surgical valve in patient with Tetralogy of Fallot: first experience in Japan
(Source: Cardiovascular Intervention and Therapeutics)
Source: Cardiovascular Intervention and Therapeutics - September 15, 2022 Category: Cardiology Source Type: research

Correction to: Discrepancy between plaque vulnerability and functional severity of angiographically intermediate coronary artery lesions
(Source: Cardiovascular Intervention and Therapeutics)
Source: Cardiovascular Intervention and Therapeutics - September 15, 2022 Category: Cardiology Source Type: research

In Vivo Assessment of In-Stent Restenosis After Resolute Zotarolimus-Eluting Stent Implantation: Multimodality Imaging with Directional Coronary Atherectomy
(Source: Cardiovascular Intervention and Therapeutics)
Source: Cardiovascular Intervention and Therapeutics - September 12, 2022 Category: Cardiology Source Type: research

Five-year clinical outcomes of a 2.25  mm sirolimus-eluting stent in Japanese patients with very small coronary artery disease: final results of the CENTURY JSV study
AbstractThe aim of this study is to evaluate the long-term safety and efficacy of the 2.25  mm bioresorbable-polymer sirolimus-eluting Ultimaster stent in a Japanese patient population. Treatment of coronary artery disease in very small vessels is associated with an increased risk for cardiac events. The CENTURY JSV study is a prospective, multicenter, single-arm study. Seventy patients with stable and unstable coronary artery disease with a coronary lesion eligible for implantation with a 2.25 mm stent were enrolled in this study. Patients underwent clinical follow-up through 5-year after the PCI procedure. The mean age...
Source: Cardiovascular Intervention and Therapeutics - September 2, 2022 Category: Cardiology Source Type: research