A percutaneous treatment of giant right coronary fistula causing heart failure: a safe and effective procedure
(Source: Cardiovascular Intervention and Therapeutics)
Source: Cardiovascular Intervention and Therapeutics - August 26, 2022 Category: Cardiology Source Type: research

Early experience with coronary debulking devices in a newcomer facility after introducing revised facility criteria in Japan
AbstractCoronary debulking devices are essential in obtaining optimal results in percutaneous coronary intervention (PCI) for severely calcified lesions. However, since the introduction of these devices in Japan, the presence of full-time cardiovascular surgeons in their own facilities has been an essential condition (on-site surgical back-up) as the facility criteria for their use. The criteria were revised in April 2020, making their implementation possible at our hospital. Between May 2020 and January 2022, we administered PCIs using rotational atherectomy (RA) for 33 lesions in 28 patients and orbital atherectomy syste...
Source: Cardiovascular Intervention and Therapeutics - August 17, 2022 Category: Cardiology Source Type: research

ST-segment elevation myocardial infarction originating from the preceding spontaneous coronary artery dissection: a case report
(Source: Cardiovascular Intervention and Therapeutics)
Source: Cardiovascular Intervention and Therapeutics - August 17, 2022 Category: Cardiology Source Type: research

Correction to: Clinical expert consensus document on standards for lower extremity artery disease of imaging modality from the Japan Endovascular Treatment Conference
(Source: Cardiovascular Intervention and Therapeutics)
Source: Cardiovascular Intervention and Therapeutics - August 11, 2022 Category: Cardiology Source Type: research

Safety of clinical engineer-assisted percutaneous coronary intervention
AbstractPercutaneous coronary intervention (PCI) requires multiple staff members, including interventional cardiologists, with the physical burden of heavy protective measures to minimize radiation exposure. Here, we aimed to investigate the safety of task sharing with clinical engineers (CEs) working as 1st assistant during ad hoc PCI. We retrospectively included 286 patients who underwent ad hoc PCI following diagnostic catheterization for coronary artery disease between April 2019 and March 2021. Procedural complications including coronary perforation or rupture, myocardial infarction, cerebral embolism, cardiovascular ...
Source: Cardiovascular Intervention and Therapeutics - August 9, 2022 Category: Cardiology Source Type: research

Hemodynamic evaluation of lower limbs in patients with chronic limb-threatening ischemia
This article reviews each method, clarifying features and limitations. (Source: Cardiovascular Intervention and Therapeutics)
Source: Cardiovascular Intervention and Therapeutics - August 8, 2022 Category: Cardiology Source Type: research

Delayed rupture of superficial femoral arterial aneurysm at the fluoropolymer-based paclitaxel-eluting stent implanted site
(Source: Cardiovascular Intervention and Therapeutics)
Source: Cardiovascular Intervention and Therapeutics - August 8, 2022 Category: Cardiology Source Type: research

Vascular healing in high-bleeding-risk patients at 3-month after everolimus-eluting stent versus biolimus A9-coated stent implantation: insights from analysis of optical coherence tomography and coronary angioscopy
This study sought to assess vascular healing in HBR patients by coronary angioscopy (CAS) and optical coherence tomography (OCT). We prospectively analyzed 38 HBR patients with coronary artery disease who successfully underwent everolimus-eluting stent (EES) implantation (20 patients, 23 les ions) or drug-coated stent (DCS) implantation (18 patients, 18 lesions). Follow-up coronary angiography, CAS, and OCT were planned at 3 months after the procedure. The clinical characteristics and inclusion criteria of HBR were comparable between groups. CAS analysis showed that mean yellow color g rade was significantly higher with E...
Source: Cardiovascular Intervention and Therapeutics - August 2, 2022 Category: Cardiology Source Type: research

Identification of post-procedural optical coherence tomography findings associated with the 1-year vascular response evaluated by coronary angioscopy
AbstractOptical coherence tomography (OCT) provides higher resolution intravascular imaging and allows detailed evaluations of stent implantation sites post-percutaneous coronary intervention (PCI). Coronary angioscopy (CAS) can evaluate the vascular response after drug-eluting stent (DES) implantation. The post-PCI OCT findings that are associated with the CAS 1-year vascular response have not been known. We enrolled 168 lesions from 119 patients who underwent OCT-guided PCI using DES and follow-up CAS observation at 1  ± 0.5 year from August 2012 to December 2019. Outcome measures were sufficient neointimal coverag...
Source: Cardiovascular Intervention and Therapeutics - August 2, 2022 Category: Cardiology Source Type: research

Two-year results of endovascular therapy for femoropopliteal artery disease in Japan during the introduction of drug-eluting devices
AbstractAlthough various devices and strategies were introduced into endovascular therapy, factors associated with chronic outcomes remain unclear. Therefore, this study aimed to build preliminary data of Japanese femoropopliteal lesions in a period of transition from non-drug to drug technology. This research was a multicenter, prospective, and observational study. A total of 1003 consecutive patients with a mean age of 73.6  ± 8.3 years from 67 institutes were registered from February 2017 to June 2018 in Japan. In addition to the baseline data, angiographic findings affecting primary patency were studied. Lesion l...
Source: Cardiovascular Intervention and Therapeutics - August 2, 2022 Category: Cardiology Source Type: research

Transcatheter aortic valve implantation and frailty
AbstractOver the last decade, transcatheter aortic valve implantation (TAVI) has emerged as a treatment option for patients with severe aortic stenosis. With exponential increase in the number of TAVI procedures, frailty assessments have been considered important for patients undergoing TAVI, and a number of studies have indicated a relationship between the frailty and post-TAVI outcomes. In this review, using studies searched systematically in the PubMed database, we review important frailty assessment tools that can be used as prognostic factors for patients before TAVI. The assessment tools were categorized as quantitat...
Source: Cardiovascular Intervention and Therapeutics - July 29, 2022 Category: Cardiology Source Type: research

Comparison of MECHANISM of early and late vascular responses following treatment of ST-elevation acute myocardial infarction with two different everolimus-eluting stents: a randomized controlled trial of biodegradable versus durable polymer stents
This study aimed to compare early- and mid-term arterial healing between durable polymer-coated everolimus-eluting stents (DP-EES) and BP-EES in STEMI patients. In a prospective, multicenter, non-inferiority trial, STEMI patients were randomized to receive BP-EES (n = 60) or DP-EES (n = 60). The primary endpoint of this study was the mean percentage of covered struts (%covered struts) on FD-OCT 2 weeks post-PCI. Key secondary endpoints included the percentage of uncovered struts, frequency of abnormal intra-stent tissue, and percentage of malapposed struts by FD-OCT 2 week s and 12 months post-PCI. They underwen...
Source: Cardiovascular Intervention and Therapeutics - July 27, 2022 Category: Cardiology Source Type: research

Pathological findings of honeycomb-like structure resected by directional coronary atherectomy
(Source: Cardiovascular Intervention and Therapeutics)
Source: Cardiovascular Intervention and Therapeutics - July 23, 2022 Category: Cardiology Source Type: research

Clinical expert consensus document on standards for lower extremity artery disease of imaging modality from the Japan Endovascular Treatment Conference
AbstractImaging modalities have developed to provide precise information in the assessment of lower extremity artery disease (LEAD), including both quantitative measurements and morphological assessment. However, a lack of standardization for the evaluation methods introduces inconsistency and potential risk. This consensus document  from Japan Endovascular Treatment Conference (JET) summarizes the methods of measurement and assessment of intravascular ultrasound (IVUS), optical frequency domain imaging (OFDI), and angioscopy. We propose standardized approaches for the evaluation of these modalities in endovascular therap...
Source: Cardiovascular Intervention and Therapeutics - July 19, 2022 Category: Cardiology Source Type: research

Aortic saddle embolism just after Impella CP removal in a patient with  alcoholic cardiomyopathy
(Source: Cardiovascular Intervention and Therapeutics)
Source: Cardiovascular Intervention and Therapeutics - July 19, 2022 Category: Cardiology Source Type: research