Outcomes With Drug-Coated Balloons for Treating the Side Branch of Coronary Bifurcation Lesions.
CONCLUSION: Assessment of DCB for SB treatment of coronary bifurcations is limited by low power due to the small number of patients studied. Use of DCB was associated with lower SB late lumen loss, but this did not translate into improved clinical outcomes. PMID: 30218555 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - September 16, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Validation of STS/ACC TVT-TAVR Score in Veterans Undergoing Transcatheter Aortic Valve Replacement.
CONCLUSIONS: Developed and validated in commercial United States cases, the TAVR risk score has a similar performance in the veteran population for predicting short-term outcomes. In addition, the TAVR score predicts long-term mortality. Our results have implications for optimal patient selection. PMID: 30218556 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - September 16, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

In-Hospital Outcomes of Chronic Total Occlusion Percutaneous Coronary Intervention in Patients With Chronic Kidney Disease.
Authors: Tajti P, Karatasakis A, Danek BA, Alaswad K, Karmpaliotis D, Jaffer FA, Choi JW, Yeh RW, Patel M, Mahmud E, Burke MN, Krestyaninov O, Khelimskii D, Toma C, Doing AH, Uretsky B, Koutouzis M, Tsiafoutis I, Wyman RM, Garcia S, Holper E, Xenogiannis I, Rangan BV, Banerjee S, Ungi I, Brilakis ES Abstract OBJECTIVES: The effect of chronic kidney disease (CKD) on in-hospital outcomes of chronic total occlusion (CTO) percutaneous coronary intervention (PCI) has received limited study. METHODS: We evaluated the prevalence of CKD and its impact on CTO-PCI outcomes in 1979 patients who underwent 2040 procedures b...
Source: The Journal of Invasive Cardiology - September 16, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Transradial Intervention in Patients With Non-ST Elevation Acute Coronary Syndrome Using One 4.0 Fr Sheath and One Sheathless Guide Catheter Via a Single Puncture Site: The 1-1-1 Strategy.
Authors: Horie K, Tada N, Isawa T, Matsumoto T, Taguri M, Kato S, Honda T, Ootomo T, Inoue N Abstract OBJECTIVES: The optimal primary transradial intervention (TRI) technique has not been established in non-ST segment elevation acute coronary syndrome (NSTEACS) patients, because they often, but not always, undergo immediate revascularization after coronary angiography (CAG). Moreover, TRI failure has been reported in 5%-10% of cases. We investigated whether a newly designed strategy of immediate TRI using one sheathless hydrophilic-coated guiding catheter (SH-GC) after diagnostic CAG with one 4.0 Fr sheath via a si...
Source: The Journal of Invasive Cardiology - September 1, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Retrograde Tibio-Pedal Access for Revascularization of Lower-Extremity Peripheral Artery Disease Using a 6 Fr Slender Sheath: The "Pedal-First" Pilot Project.
CONCLUSION: The pedal-first approach of using TPA with a 6 Fr thin-walled sheath as a primary access and as the only access for diagnosis and intervention of PAD is safe and highly successful in carefully selected patients. PMID: 30158324 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - September 1, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

14th Annual Complex Cardiovascular Catheter Therapeutics (C3): Advanced Endovascular and Coronary Intervention Global Summit.
Authors: PMID: 30158325 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - September 1, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Coronary Angiography in Patients With Perioperative Myocardial Injury After Non-Cardiac Surgery.
Authors: Ujueta F, Berger JS, Smilowitz N Abstract Each year, more than 300 million patients worldwide undergo non-cardiac surgery. Perioperative myocardial infarction (MI) is a common cardiovascular complication of surgery; thus, we sought to determine coronary artery anatomy in patients referred for coronary angiography for the evaluation of perioperative MI after non-cardiac surgery. PMID: 30158326 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - September 1, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Single Leaflet Device Attachment Complicating Percutaneous Edge-to-Edge Repair of the Tricuspid Valve Using the MitraClip.
Authors: So CY, Tam KC, Lam YY, Lee AP Abstract A 72-year-old woman with severe mitral and tricuspid regurgitation secondary to chronic atrial fibrillation presented with refractory heart failure despite optimal medical treatment. She was considered inoperable, and thus underwent transcatheter edge-to-edge repair of both valves using the MitraClip system as a compassionate use. PMID: 30158327 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - September 1, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Three Cases of Rare Retroaortic Coronary Anomalies Diagnosed With Angiography and Cardiac CTA.
We present two exceedingly rare cases, as well as the first reported case of anomalous retro-aortic coronary arteries diagnosed with cardiac CTA and angiography. PMID: 30158328 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - September 1, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Understanding the Musical Dance of the Engaged Coronary Catheter: Insights From Advanced Myocardial Mechanics.
Authors: Ammar KA, Bajwa T, Allaqaband SQ, DeFranco A Abstract A case of a 56-year-old woman with normal coronaries displays the side-to-side motion of the unengaged catheter followed by the rhythmic up-and-down, piston-like movements of the catheter tip after engagement. PMID: 30158329 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - September 1, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

An Impressive Case of "Honeycomb" In-Stent Restenosis.
An Impressive Case of "Honeycomb" In-Stent Restenosis. J Invasive Cardiol. 2018 Sep;30(9):E99 Authors: Lorenzoni G, Merella P, Viola G, Marziliano N, Casu G Abstract Our image shows an impressive "honeycomb" pattern of neoatherosclerosis in the context of very late in-stent restenosis. In this case, OCT excluded the most common mechanisms of late in-stent restenosis, underlying the complexity of this unpredictable disease. PMID: 30158330 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - September 1, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

A Comparison of Image Quality Using Radial vs Femoral Approaches in Patients Undergoing Diagnostic Coronary Angiography.
This study aims to compare image quality and diagnostic value in radial vs femoral access in patients undergoing invasive CAG. METHODS: This is a retrospective study of 200 patients (100 radial and 100 femoral) undergoing CAG at an experienced center from 2014 to 2015. The primary endpoint was angiographic image quality, and secondary endpoints were proportion of non-diagnostic images and patient radiation dose. Image quality was assessed by four experienced angiographers using a quantitative scale. Mean differences in scores were compared as well as proportion of non-diagnostic images produced. RESULTS: Radial acc...
Source: The Journal of Invasive Cardiology - August 17, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Treatment of Drug-Eluting Stent In-Stent Restenosis With Drug-Eluting Balloons: A Systematic Review and Meta-Analysis.
CONCLUSIONS: DEB was associated with a lower TLR rate than BA alone, but associated with a higher TLR rate than implantation of another DES. However, additional DES use was associated with an increase in mortality, a finding that requires further investigation. PMID: 30108189 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - August 17, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Feasibility of Transradial Access for Coronary Interventions Via Percutaneous Angioplasty of the Radial Artery in Cases of Functional Radial Occlusion.
CONCLUSIONS: With increased application of TRA, the incidence of RAO is also rising. Some patients with RAO require repeat cardiac catheterization. Given the risk of damaging the contralateral radial artery in subsequent procedures, using the same access site is desirable. We demonstrate that it is feasible to get access to an occluded radial artery by percutaneous transluminal angioplasty. PMID: 30108190 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - August 17, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Long-Term Outcomes of Different Two-Stent Techniques With Second-Generation Drug-Eluting Stents for Unprotected Left Main Bifurcation Disease: Insights From the FAILS-2 Study.
CONCLUSION: T-stenting, mini-crush, and culotte techniques using 2G-DES for ULMCA bifurcation disease showed similar clinical outcomes at long-term follow-up. MACE rates were mainly driven by in-stent restenosis at the circumflex ostium. PMID: 30068784 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - August 3, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

State of Transcatheter Aortic Valve Implantation in Spain Versus Europe and Non-European Countries.
The objective of this study was to analyze the state of TAVI in Spain vs other European and non-European countries. METHODS: Using an online questionnaire, we analyzed the routine practice of 250 TAVI centers worldwide. The questionnaire included 59 questions on patient selection, technical aspects of the procedure, and postprocedural management. The centers were divided into Spain (n = 41), rest of Europe (n = 105), and rest of the world (n = 104). RESULTS: The cumulative number of procedures (74; range, 40-122) and those performed in the last year (16.5; range, 15-29.5) in Spain, were significantly lower than the rest of Europe (P
Source: The Journal of Invasive Cardiology - August 3, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Outcomes of Orbital Atherectomy in Severely Calcified Small (2.5 mm) Coronary Artery Vessels.
CONCLUSIONS: Orbital atherectomy followed by stenting of small-diameter vessels appears to be feasible and safe. Further studies are needed to determine the ideal revascularization strategy for these patients. PMID: 30068786 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - August 3, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Management of a Balloon Shaft Fracture During Subintimal Retrograde Chronic Total Occlusion Percutaneous Coronary Intervention Due to In-stent Restenosis.
Authors: Karacsonyi J, Sasi V, Ungi I, Brilakis ES Abstract Balloon shaft fracture can be challenging to treat in the setting of retrograde CTO-PCI with guidewire externalization; withdrawal of the guide catheter may allow successful removal of the balloon shaft fragment. PMID: 30068787 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - August 3, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Percutaneous Closure of a Femoral Arteriovenous Fistula During Transfemoral TAVI.
Authors: Unzue L, García E, Teijeiro R, Rubio-Alonso B Abstract Percutaneous AVF closure was performed post TAVI in a patient with severe aortic stenosis and an AVF between the right SFA and femoral vein. PMID: 30068788 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - August 3, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Unusual Implantation of a Coronary Sinus Reducer in the Middle Cardiac Vein.
Authors: Gorla R, Giannini F, Bedogni F, De Marco F Abstract In patients with small or unfavorable coronary sinus (CS) anatomies, implantation of a CS reducer in atypical sites might be considered, if the target vein is of appropriate size and provides appropriate venous drainage. PMID: 30068789 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - August 3, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Mother-and-Child Telescopic Guide-Catheter Extension to Identify Severe Left Main Stem Disease in a Patient With a Severely Dilated Aortic Root.
Authors: Williams R, Shouls G, Firoozi S Abstract The importance of selective coronary angiography in patients with severely dilated aortas awaiting surgery is discussed. PMID: 30068790 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - August 3, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Preprocedural Utility of the Echocardiographic Retroaortic Anomalous Coronary Sign.
Authors: Slostad BD, Witt CM, El Sabbagh A, Foley TA Abstract Imaging series highlighting echocardiographic findings associated with the retroaortic anomalous coronary sign and its utility as a non-invasive modality to recognize technically complex and high-risk retroaortic coronary anomalies prior to intervention. PMID: 30068791 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - August 3, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Should Technical and Anatomical Difficulties Discourage Operators From Embarking on Transradial Access for Percutaneous Coronary Intervention?
Authors: Basavarajaiah S, Brown A, Naganuma T, Gajendragadkar P, McCormick L, West N Abstract BACKGROUND: Use of the radial approach for PCI procedures is increasing due to lower rates of access-site complications/bleeding, and patient preference. However, femoral operators switching may be discouraged by the learning curve and by anatomical issues that may complicate the procedure. We aimed to define the frequency of anatomic variants and success rates during transradial access for PCI. METHODS: We retrospectively analyzed 2588 cases of PCI attempted by the radial route; radial/brachial and subclavian angiogra...
Source: The Journal of Invasive Cardiology - July 18, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Safety of Percutaneous Coronary Intervention Without P2Y12 Inhibitor Pretreatment From a Cohort of Unselected Patients.
CONCLUSIONS: In an unselected population admitted for elective PCI or NSTEMI in real-world clinical practice, administration of a P2Y12 inhibitor only after coronary angiography is associated with a low rate of ischemic and bleeding events at 30 days. PMID: 30012889 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 18, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Transfemoral Implantation of the Acurate neo for the Treatment of Aortic Regurgitation.
We report an international experience of transfemoral transcatheter aortic valve replacement (TAVR) using the self-expanding Acurate neo valve (Boston Scientific) in aortic regurgitation. METHODS: This series comprises 20 patients with pure aortic regurgitation undergoing transfemoral TAVR with the Acurate neo prosthesis at nine centers in Europe and Israel. RESULTS: Mean age was 79 ± 8 years and mean STS score was 8.3 ± 9.3%. Leaflet calcification was none/minimal in 19 patients (95%). Prosthesis size selection was based on perimeter-derived annular diameter, with a tendency to over-size in cases of ...
Source: The Journal of Invasive Cardiology - July 18, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Intravascular Ultrasound Assessment and Correlation With Angiographic Findings Demonstrating Femoropopliteal Arterial Dissections Post Atherectomy: Results From the iDissection Study.
Authors: Shammas NW, Torey JT, Shammas WJ, Jones-Miller S, Shammas GA Abstract BACKGROUND: Dissections occur post atherectomy of the infrainguinal arteries. We hypothesized that angiography under-estimates their presence significantly. METHODS: In this prospective pilot study, a total of 15 patients were evaluated by intravascular ultrasound (IVUS) following treatment of femoropopliteal de novo or non-stent restenosis using atherectomy. Eagle Eye Platinum ST IVUS catheters (Philips) were used in this study. Thirteen Jetstream XC atherectomy devices (Boston Scientific) and 2 investigational B-laser atherectomy d...
Source: The Journal of Invasive Cardiology - July 1, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Radial Versus Femoral Approach for Percutaneous Coronary Intervention: MACE Outcomes at Long-Term Follow-up.
Authors: Campelo-Parada F, Carrié D, Bartorelli AL, Namiki A, Hovasse T, Kimura T, Serra-Peñaranda A, Varenne O, Lalmand J, Kadota K, Ikari Y, Tobaru T, Fujii K, Nakamura S, Saito S, Wijns W, CENTURY II Investigators Abstract OBJECTIVE: To compare the main outcomes of radial versus femoral access at long-term follow-up. BACKGROUND: Little is known about the long-term major cardiovascular events and bleeding complications of patients undergoing percutaneous coronary intervention (PCI) with radial vs femoral approach. METHODS: A total of 1107 patients from the CENTURY II trial were included. To ...
Source: The Journal of Invasive Cardiology - July 1, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Orbital Atherectomy of Severely Calcified Unprotected Left Main Coronary Artery Disease: One-Year Outcomes.
CONCLUSION: Orbital atherectomy is an acceptable treatment option for patients with severely calcified ULMCA disease, especially if patients are deemed too high risk for surgical revascularization. PMID: 29958177 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 1, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Difficult Retrieval of a Broken Catheter From a Total Implantable Venous Access Device.
Authors: Chen JJ, Teng JY, Shetty SV Abstract A broken TIVAD catheter segment was discovered lodged within the right ventricle of a man presenting with chest pain. The catheter removal is detailed. PMID: 29958178 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 1, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Mother-and-Child Catheter-Induced Retrograde Dissection of the Left Main Coronary Artery During Optical Coherence Tomography Examination.
Authors: Chi WK, Yan BP, Chan CY Abstract Optimal GuideLiner positioning for OCT acquisition in tortuous vessels requires special attention to avoid iatrogenic dissection. PMID: 29958179 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 1, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Optical Coherence Tomography for Guiding Plaque Stabilization in a Patient With Myocardial Infarction and Massive Coronary Thrombosis.
Authors: Opolski MP, Jaguszewski MJ, Spiewak M, Witkowski A Abstract An OCT-guided watchful-waiting strategy is used to avoid the invasive treatment of the LMCA in a very young patient with massive coronary thrombosis. PMID: 29958180 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 1, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Chest Pain During Chemotherapy: A Case of Severe Myocardial Bridging.
Authors: Mukhopadhyay A, Faridi KF, Asnani A, Osborn EA, Yang JX, Phillips CT, York M Abstract A cancer patient presented with acute chest pain at rest 40 hours after IV fluorouracil infusion. Angiography showed evidence of myocardial bridging. PMID: 29958181 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 1, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Successful Transcatheter Aortic Valve Replacement Using Balloon-Expandable Valve for Pure Native Aortic Valve Regurgitation in the Presence of Ascending Aortic Dissection.
Authors: Abdelaziz HK, Wiper A, More RS, Bittar MN, Roberts DH Abstract The use of balloon-expandable prosthesis in the treatment of native aortic valve regurgitation in the presence of ascending aortic dissection is described. PMID: 29958182 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 1, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Hand Hematoma After Cardiac Catheterization Via Distal Radial Artery.
Authors: Koutouzis M, Kontopodis E, Tassopoulos A, Tsiafoutis I, Lazaris E Abstract This is the first reported case of severe hand hematoma after cardiac catheterization through the distal radial artery, with the hematoma extending distally to the sheath insertion site. The distribution of the hematoma in our case is completely different compared to the hematomas observed after traditional radial catheterization, which used to extend to the forearm. Therefore, the traditional EASY classification may not apply to hematomas after catheterization through the distal radial artery. PMID: 29921745 [PubMed - as suppli...
Source: The Journal of Invasive Cardiology - June 23, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

The SYNTAX II Score Predicts Mortality at 4 Years in Patients Undergoing Percutaneous Coronary Intervention.
Authors: Brener SJ, Alapati V, Chan D, Da-Wariboko A, Kaid Y, Latyshev Y, Moussa A, Narayanan CA, O'Laughlin JP, Raizada A, Verma G, Sacchi TJ Abstract BACKGROUND: Short-term outcome after percutaneous coronary intervention (PCI) has improved dramatically, but the association between clinical or angiographic characteristics and long-term outcome remains less well described. The SYNTAX (Synergy Between PCI With TAXUS and Cardiac Surgery) II score has been designed to overcome the limitations of the purely angiographic SYNTAX I score by including clinical parameters and comorbidities. It has not been tested extensive...
Source: The Journal of Invasive Cardiology - June 17, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Transcatheter Mitral Valve-in-Valve and Valve-in-Ring Replacement in High-Risk Surgical Patients: Feasibility, Safety, and Longitudinal Outcomes in a Single-Center Experience.
This study included 24 patients with severe MV disease and medical comorbidities who were considered too high risk for conventional MV replacement. All patients underwent TMVIV or TMVIR with Edwards Sapien XT or S3 transcatheter valves (Edwards Lifesciences). A secure database of patient demographics, preoperative risk assessment, and procedural data was created and included technical success rates, blood loss, operative time, and intraoperative and immediate postoperative complications. Subsequent follow-up of patient outcomes reported here include those collected at 30 days, 180 days, and 1 year. RESULTS: Of the 24 p...
Source: The Journal of Invasive Cardiology - June 17, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Radiation Safety in the Catheterization Laboratory: Current Perspectives and Practices.
Authors: Menon R, Karatasakis A, Patel S, Danek BA, Karacsonyi J, Rangan BV, Addo T, Kumbhani D, Kapadia S, Luna M, Mahmud E, Chambers C, Banerjee S, Brilakis ES Abstract BACKGROUND: There is great variability in radiation safety practices in cardiac catheterization laboratories around the world. METHODS: We performed an international online survey on radiation safety including interventional cardiologists, electrophysiologists, interventional radiologists, and vascular surgeons. RESULTS: A total of 570 responses were received from various geographic locations, including the United States (77.9%), Asia (7.9...
Source: The Journal of Invasive Cardiology - June 17, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Transcatheter Aortic Valve Replacement Improves Health Status in Elderly Veterans.
CONCLUSION: Among elderly veterans with severe aortic stenosis, TAVR is associated with significant improvements in short-term health status. PMID: 29799425 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 29, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

One-Year Outcomes of Orbital Atherectomy of Long, Diffusely Calcified Coronary Artery Lesions.
CONCLUSIONS: Despite the higher angiographic complication rates, orbital atherectomy of long, diffusely calcified lesions was associated with acceptable rates of ischemic complications in this challenging lesion subset at 1-year follow-up. PMID: 29799426 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 29, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Coronary Vasospasm Abutting the Stent: A Rare Though Important Cause of Recurrent Angina.
Authors: Singh B, Goyal A, Mohan B, Chhabra ST, Aslam N, Wander GS Abstract Angiogram of the right coronary artery was used to reveal a subtotal occlusion abutting the proximal end of the stent with TIMI I flow that responded quickly to intracoronary nitrates. The patient was diagnosed with vasospastic angina. PMID: 29799427 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 29, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Bilateral Slender Transradial Aortic Balloon Valvuloplasty.
Authors: Vassileva A, Valsecchi O, Guagliumi G, Fiocca L, Canova PA, Cereda AF Abstract Percutaneous aortic balloon valvuloplasty as a bridge-to-decision strategy was performed in an 89-year-old woman with multiple comorbidities and cachexia. The patient did well; after 2 weeks, she was discharged home and referred for possible TAVR. PMID: 29799428 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 29, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Veno-arterial Loop Aiding Mitral Valve Crossing for Balloon Mitral Valvuloplasty in a Patient With a Huge Left Atrium.
Authors: Samaan A, Nagy M, Wagdy K, Amin A, El Guindy A Abstract Veno-arterial loop is a feasible and safe technique to facilitate mitral valve crossing for balloon mitral valvuloplasty in mitral stenosis patients. PMID: 29799429 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 29, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Diastolic Compression of the Left Anterior Descending Artery.
Authors: Varghese V, Sanghvi K Abstract The patient underwent mitral valve replacement with a bioprosthetic porcine valve, tricuspid valve annuloplasty, and left atrial appendage ligation with good result and an uncomplicated postoperative course. PMID: 29799430 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 29, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Double Trouble: Transapical Transcatheter Replacement of the Aortic and Mitral Valves in a Single Operation.
Authors: Lazkani M, Waggoner J, Morris M, Gellert G, Fang K, Pershad A Abstract This case represents the first reported simultaneous TAVR and TMVR for native aortic and mitral stenosis performed via the transapical approach. PMID: 29799431 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 29, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Unprotected Left Main Coronary Artery Disease: Outcomes of Treatment With Second-Generation Drug-Eluting Stents - Insight From the FAILS-2 Study.
CONCLUSION: The safety profile of the stents used was comparable over the follow-up period. However, EES patients had lower restenosis rates, with a reduced need for repeat PCI. PMID: 29760284 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 17, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Occurrence of Incomplete Endothelialization Causing Residual Permeability After Left Atrial Appendage Closure.
CONCLUSION: We found that incomplete endothelialization, defined as residual permeability on cardiac computed tomography without peridevice leak on transesophageal echocardiography, occurred in 61% of the patients after 10 ± 6 months of percutaneous LAA closure. Predisposing factors and appropriate monitoring of LAA patients remain to be determined in larger cohorts. PMID: 29760285 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 17, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Comparison of the FemoSeal Vascular Closure Device With Manual Compression After Femoral Artery Puncture - Post-hoc Analysis of a Large-Scale, Randomized Clinical Trial.
Authors: Mankerious N, Mayer K, Gewalt SM, Helde SM, Ibrahim T, Bott-Flügel L, Laugwitz KL, Schunkert H, Kastrati A, Schüpke S, Instrumental Sealing of ARterial puncture site – CLOSURE device versus manual compression (ISAR-CLOSURE) Trial Investigators Abstract OBJECTIVES: To assess the safety and efficacy of arteriotomy closure with the intravascular FemoSeal vascular closure device (VCD; St. Jude Medical) compared to manual compression in patients undergoing diagnostic cardiac catheterization via the common femoral artery. BACKGROUND: There is limited evidence on the performance of individual ...
Source: The Journal of Invasive Cardiology - May 17, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Early Versus Delayed Use of Ultrasound-Assisted Catheter-Directed Thrombolysis in Patients With Acute Submassive Pulmonary Embolism.
Authors: Edla S, Rosman H, Neupane S, Boshara A, Szpunar S, Daher E, Rodriguez D, LaLonde T, Yamasaki H, Mehta RH, Attallah A Abstract OBJECTIVES: The effect of early vs delayed use of ultrasound-assisted catheter-directed thrombolysis (USAT) on invasive hemodynamics and in-hospital outcomes in patients with acute submassive pulmonary embolism (PE) is not well known. METHODS: We evaluated 41 patients with submassive PE to study the association of early USAT (≤24 hours; n = 21) vs delayed USAT (>24 hours; n = 20) with change in invasive hemodynamic measures from pre USAT to post USAT. RESULTS: Signific...
Source: The Journal of Invasive Cardiology - May 2, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Implementation of a Low Frame-Rate Protocol and Noise-Reduction Technology to Minimize Radiation Dose in Transcatheter Aortic Valve Replacement.
This study evaluates the impact of a radiological low frame-rate protocol in a standard angiographic system and the implementation of a noise-reduction technology (NRT) on patient radiation exposure during transcatheter aortic valve replacement (TAVR). METHODS: Transfemoral TAVR procedures performed between February 2016 and February 2017 were analyzed according to two angiographic systems, Standard and NRT, and further divided in four subgroups: (1) Standard 15 frames per second (fps) with 15 fps for both fluoroscopy and cine acquisitions; (2) Standard 7.5 fps with 7.5 fps for both fluoroscopy and cine acquisitions; (...
Source: The Journal of Invasive Cardiology - May 2, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

A Comprehensive Evidence-Based Decision Algorithm for Assisting Clinicians and Patients With Stable Ischemic Heart Disease in Selecting Revascularization Strategy in Multivessel Disease.
Authors: Klein LW, Weintraub WS Abstract We propose an evidenced-based algorithm for the selection of revascularization strategy (coronary artery bypass surgery, percutaneous coronary intervention, or optimal medical therapy) to be applied in multivessel, non-acute coronary syndrome presentations. This algorithm provides a highly effective tool that is comprehensible to both physicians and patients. PMID: 29715166 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 2, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research