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Edwards Sapien 3 transcatheter aortic valve implantation for management of severe aortic regurgitation in a teenage patient with corrected atrioventricular septal defect and progressive left ventricular dysfunction
We report a case of a teenage patient presenting with progressive aortic regurgitation and deterioration of left ventricular function after multiple surgical procedures for an atrioventricular septal defect (AVSD). As “bridge‐to‐transplant,” we performed a transcatheter aortic valve implantation using a balloon‐expandable Sapien 3 prosthesis. At 6 month follow‐up, the patient remained clinically stable with no rehospitalization due to heart failure. (Source: Catheterization and Cardiovascular Interventions)
Source: Catheterization and Cardiovascular Interventions - November 20, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Anja Lehner, Florian E. Herrmann, Julinda Mehilli, Nikolaus A. Haas Tags: PEDIATRIC AND CONGENITAL HEART DISEASE Source Type: research

Insight on patient specific computer modeling of transcatheter aortic valve implantation in patients with bicuspid aortic valve disease
ConclusionThe patient specific computer modeling adequately predicts feasibility and outcome of TAVI in patients with BAV disease and may extend the applicability of TAVI. Moreover, it improves decision ‐making and therefore individual procedural outcomes in this difficult patient population. (Source: Catheterization and Cardiovascular Interventions)
Source: Catheterization and Cardiovascular Interventions - November 20, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Jorn Brouwer, Livia Gheorghe, Vincent J. Nijenhuis, Jurrien M. ten Berg, Benno J. W. M. Rensing, Jan A. S. van der Heyden, Martin J. Swaans Tags: VALVULAR AND STRUCTURAL HEART DISEASES Source Type: research

Long ‐term outcomes of melody valve‐in‐valve implantation for bioprosthetic mitral valve dysfunction
ConclusionsMelody valve ‐in‐valve therapy was effective with 1‐year symptomatic improvement. Prosthesis deterioration requiring repeat intervention was observed in one patient. Larger cohorts with multicenter registries are needed to determine the role of this percutaneous valve‐in‐valve therapy as valve technolo gy and procedural techniques improve. (Source: Catheterization and Cardiovascular Interventions)
Source: Catheterization and Cardiovascular Interventions - November 20, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Timothy A. Joseph, Mackram F. Eleid, Allison K. Cabalka, Joseph F. Maalouf, Charanjit S. Rihal Tags: VALVULAR AND STRUCTURAL HEART DISEASES Source Type: research

Complex robotic compared to manual coronary interventions: 6 ‐ and 12‐month outcomes
ConclusionsAt the 6 ‐ and 12‐month time points following R‐PCI, no difference in clinical outcomes or safety measures was observed as compared to M‐PCI. (Source: Catheterization and Cardiovascular Interventions)
Source: Catheterization and Cardiovascular Interventions - November 19, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Daniel Walters, Ryan R. Reeves, Mitul Patel, Jesse Naghi, Lawrence Ang, Ehtisham Mahmud Tags: CORONARY ARTERY DISEASE Source Type: research

Contemporary transradial access practices: Results of the second international survey
ConclusionsThere is wide variation in how TRA procedures are performed including relatively low rates of adherence to practices that are known to improve outcomes. Further education aimed at increasing use of best practices will impact patient outcomes. (Source: Catheterization and Cardiovascular Interventions)
Source: Catheterization and Cardiovascular Interventions - November 19, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Adhir R. Shroff, Christopher Fernandez, Mladen I. Vidovich, Sunil V. Rao, Michael Cowley, Olivier F. Bertrand, Tejas M. Patel, Samir B. Pancholy Tags: CORONARY ARTERY DISEASE Source Type: research

Issue Information ‐ TOC
Catheterization and Cardiovascular Interventions, Volume 92, Issue 5, Page v-viii, November 1, 2018. (Source: Catheterization and Cardiovascular Interventions)
Source: Catheterization and Cardiovascular Interventions - November 19, 2018 Category: Cardiovascular & Thoracic Surgery Tags: Issue Information ‐ TOC Source Type: research

Issue Information ‐ Copyright
Catheterization and Cardiovascular Interventions, Volume 92, Issue 5, Page i-i, November 1, 2018. (Source: Catheterization and Cardiovascular Interventions)
Source: Catheterization and Cardiovascular Interventions - November 19, 2018 Category: Cardiovascular & Thoracic Surgery Tags: Issue Information ‐ Copyright Source Type: research

Issue Information ‐ Editorial Board
Catheterization and Cardiovascular Interventions, Volume 92, Issue 5, Page iii-iii, November 1, 2018. (Source: Catheterization and Cardiovascular Interventions)
Source: Catheterization and Cardiovascular Interventions - November 19, 2018 Category: Cardiovascular & Thoracic Surgery Tags: Issue Information ‐ Editorial Board Source Type: research

Sheath size, radial occlusion, and ethnicity: Real or confounded?
Key Points Japanese participants experienced higher incidence of radial artery occlusion when compared to non ‐Japanese participants. The use of 6Fr Slender sheath was inferior for radial artery occlusion than 5Fr sheath in Japanese, but no different in non‐Japanese participants. Is not clear if this apparent ethnical interaction is real versus confounded, warranting more research in the area. (Source: Catheterization and Cardiovascular Interventions)
Source: Catheterization and Cardiovascular Interventions - November 19, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Jorge Belardi, Pablo Lamelas Tags: Coronary Artery Disease Source Type: research

Paravalvular leak after transcatheter aortic valve replacement: Avoid it or treat it if you can!
Key Points Paravalvular leaks (PVL) were more severe and frequent with medtronic core valves (MCV) when compared with Edward Sapien valves (ESV) immediately after transcatheter aortic valve replacement (TAVR). Severity and frequency of PVL improved in MCV overtime, but not in ESV. The decrease in frequency of PVL in MCV valves was earlier and more robust in the area surrounding the commissure between noncoronary cusp (NCC) to right coronary cusp (RCC) compared with other areas. Such preferential reduction of PVL was not seen in ESV. (Source: Catheterization and Cardiovascular Interventions)
Source: Catheterization and Cardiovascular Interventions - November 19, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Arnav Kumar, Peter C. Block Tags: Valvular and Structural Heart Diseases Source Type: research

A new simple tool to manage the no reflow phenomenon
Key Points The management of no reflow post PCI remains a challenge. A novel modification of a standard balloon catheter allows the distal delivery of pharmacology. A variety of intracoronary drugs may be effective in restoring flow. (Source: Catheterization and Cardiovascular Interventions)
Source: Catheterization and Cardiovascular Interventions - November 19, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Lowell Satler Tags: Coronary Artery Disease Source Type: research

Plug vs. suture: Who wins in large bore access closure?
Key Points Large Bore Access in increasingly common and surgical closure used to be the gold standard for closure. Novel less invasive closure devices such as the suture based vascular devices offer a safe alternative to surgery. Recent developments provide us with MANTA (Essential Medical Inc., Malvern, Pennsylvania) a vascular closure device that seems to be as safe and associated with less bleeding. Certain genetic polymorphisms might account for HoTPR. (Source: Catheterization and Cardiovascular Interventions)
Source: Catheterization and Cardiovascular Interventions - November 19, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Wassim Shatila, Zvonimir Krajcer Tags: Valvular and Structural Heart Diseases Source Type: research

Residual damage in previously instrumented radial arteries
Key Points Pre ‐procedural radial artery ultrasound may reduce both vascular access time and total procedure time in patients who previously had radial artery procedures. Many radial arteries that were previously instrumented appear to have chronic changes that may make them unfavorable for future use. Attention to best practice for radial artery catheterization and measurements of long‐term radial artery damage may be important metrics for sustainable, long‐term use of transradial access. (Source: Catheterization and Cardiovascular Interventions)
Source: Catheterization and Cardiovascular Interventions - November 19, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Matylda M. Mazur, Ian C. Gilchrist Tags: Coronary Artery Disease Source Type: research

Transfemoral PCI skill: Use it or lose it. ….But #RadialFirst
Key Points Despite, earlier concerns, is the article by Badri et al., there was no apparent increase in the rate of vascular complications with transfemoral percutaneous coronary intervention (PCI) associated with increasing levels of adoption of transradial PCI by individuals initially identified as primarily femoral operators (> 90% of PCI's via the femoral artery). Compared with the 2010 –2011 period, patients undergoing PCI in the United States in 2014–2015 tended to be generally sicker. This fact, coupled with a liberalization in bleeding definition, likely led to an overall increase in the observed rate of va...
Source: Catheterization and Cardiovascular Interventions - November 19, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Nitin Barman, George D. Dangas Tags: Coronary Artery Disease Source Type: research

Heparin for diagnostic trans ‐radial catheterization: Can we have some randomized data?
Key Points Marked heterogeneity exists regarding the dose, time and route of administration of unfractionated heparin for diagnostic trans ‐radial procedures. In an era of smaller caliber hydrophilic radial sheaths, patent hemostasis technique, and shorter compression times, the utility of heparin to prevent radial artery occlusion remains a question. A randomized clinical trial assessing the utility, timing, dose, and route of admin istration of unfractionated heparin for diagnostic radial catheterization with an aim to prevent radial artery occlusion is needed. (Source: Catheterization and Cardiovascular Interventions)
Source: Catheterization and Cardiovascular Interventions - November 19, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Harsh Golwala, Joaquin E. Cigarroa Tags: Coronary Artery Disease Source Type: research