Hard Events AfteR Orsiro Sirolimus-Eluting Stent (HEROES) in STEMI: A Multicenter Registry.
CONCLUSIONS: Our findings support the real-world safety and efficacy of the Orsiro stent for pPCI. PMID: 33221731 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - November 24, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Impact of Rapid Ventricular Pacing During Transcatheter Implantation of Self-Expanding Aortic Valve Prostheses in Patients at Highest Risk.
CONCLUSIONS: One-year mortality is not influenced by RVP, but is influenced by the individual patient's risk. The final implantation results in patients with 2+ RVP episodes suggest that RVP during implantation of self-expandable TAVI prostheses should not be withheld in an attempt to achieve optimal results, even in LFLG-AS patients. PMID: 33221732 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - November 24, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Impact of Sex on Outcomes Among Patients With Cardiac Allograft Vasculopathy Who Undergo Percutaneous Coronary Intervention.
Authors: Lee MS, Wadia SK, Shlofmitz R Abstract BACKGROUND: Orthotopic heart transplantation (OHT) is a reasonable treatment strategy for patients with endstage heart failure. Percutaneous coronary intervention (PCI) can be performed to treat cardiac allograft vasculopathy (CAV). We sought to examine sex-based differences and outcomes in patients undergoing PCI for CAV. METHODS: This was a single- center, retrospective study of consecutive patients undergoing PCI for CAV from July 1993 to July 2017. The primary outcome was a composite of death, myocardial infarction (MI), target-vessel revascularization (TVR), ...
Source: The Journal of Invasive Cardiology - November 24, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Selective Coronary Artery Angiography in Hypoplastic Left Heart Syndrome.
Authors: Rao S, Challapudi G, Chellu N, Bhimani S, Prieto L, Komarlu R Abstract Coronary artery disease in palliated hypoplastic left heart syndrome is uncommon. Myocardial infarction from a coronary thrombus, serving as a substrate for ventricular arrhythmia in Fontan physiology, is under-reported despite known hypercoagulopathic state. Traditional risk factors for coronary artery occlusion include intracardiac thrombi, hyperlipidemia, and hypertension. Baffle leaks and abnormal ventriculocoronary fistulae found in these patients are contributing factors. We sought to assess and describe coronary artery involvemen...
Source: The Journal of Invasive Cardiology - November 11, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

The Safety and Feasibility of Transitioning From Transfemoral to Transradial Access Left Ventricular Endomyocardial Biopsy.
Authors: Tyler Z, Guttmann OP, Dhinoja M, Oro R, Savvatis K, Mohiddin S, Sekhri N, Lopes L, Patel V, Jones DA, Bourantas CV, Mathur A, Elliott PM, O'Mahony C Abstract BACKGROUND: Left ventricular endomyocardial biopsy (LVEMB) is commonly performed via the transfemoral route. Radial access may help reduce vascular access complications, but there are few data on the safety and feasibility of transradial LVEMB. OBJECTIVE: Describe the safety and feasibility of transitioning from transfemoral to transradial access LVEMB. METHODS: This is a single-center, prospective, observational cohort study. Fifty procedures...
Source: The Journal of Invasive Cardiology - November 11, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Safety and Outcome of Rheolytic Thrombectomy for the Treatment of Acute Massive Pulmonary Embolism.
Authors: Pelliccia F, De Luca A, Pasceri V, Tanzilli G, Speciale G, Gaudio C Abstract BACKGROUND: Percutaneous rheolytic thrombectomy is an attractive alternative to thrombolytic therapy in patients with acute pulmonary embolism (PE), but its use is currently discouraged due to safety concerns. METHODS: We studied 33 consecutive patients (age, 43 ± 13 years; 20 men and 13 women) with acute PE and contraindications to thrombolytic therapy who had rheolytic thrombectomy with the AngioJet catheter (Boston Scientific). Acute massive PE was initially diagnosed by computed tomography and then confirmed by pulm...
Source: The Journal of Invasive Cardiology - November 4, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Percutaneous Balloon Mitral Valvuloplasty During Antenatal Care and Apgar Score: The ANC-Valve Study.
Authors: Patil VB, Patted S Abstract OBJECTIVES: The present study aimed to evaluate maternal and fetal outcomes in patients who underwent percutaneous balloon mitral valvuloplasty (PBMV) during antenatal care. METHODS: Analysis of 117 pregnant women who underwent PBMV for rheumatic mitral stenosis. Demographic, clinical, echocardiographic, hemodynamic, and Doppler examinations were performed. The pregnant women were stratified according to New York Heart Association classification. Apgar scores were recorded at 1, 5, and 10 minutes to assess the neonatal outcomes. RESULTS: In our study cohort, 74.36% under...
Source: The Journal of Invasive Cardiology - November 4, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Clinical and Echocardiographic Features Associated With Improved Survival in Patients With Severe Aortic Stenosis Undergoing Balloon Aortic Valvuloplasty (BAV).
Authors: Husaini M, Soyama Y, Kagiyama N, Thakker P, Thangam M, Haque N, Deych E, Sintek M, Lasala J, Gorcsan J, Zajarias A Abstract BACKGROUND: Balloon aortic valvuloplasty (BAV) is used in high-risk patients with severe aortic stenosis (AS) when the benefit of transcatheter aortic valve replacement (TAVR) or surgical aortic valve replacement (SAVR) is unclear. Our objective was to identify clinical or echocardiographic features that identify patients likely to benefit from BAV. METHODS: We studied 141 consecutive patients who underwent BAV from July, 2011 to October, 2017. Clinical characteristics, routine ec...
Source: The Journal of Invasive Cardiology - November 4, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Serial Dilation of Low-Profile Stents Delivered in the Aorta and Pulmonary Arteries in Pediatric Patients Leads to Spontaneous Fractures but Not to Adverse Events.
CONCLUSION: One-third of stents undergoing serial dilation for patient growth fractured spontaneously. Patients with fractured stents were free from significant adverse events in this cohort. PMID: 33130595 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - November 4, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Iatrogenic Atrial Septal Defect After Percutaneous Mitral Valve Repair With MitraClip: Should We Consider Closing Them Routinely?
We describe our experience with 2 patients who required iASD closure after MitraClip procedure due to right-to-left shunt resulting from increase in right heart pressures. PMID: 33130596 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - November 4, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Dose-Tracking System as a Tool to Manage Radiation Exposure.
We describe the use of a radiation dose-tracking system (Canon Medical Systems) that can help physicians provide patients with better care after higher radiation exposure dose following lengthy procedures. PMID: 33130597 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - November 4, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Iatrogenic Pneumopericardium During Pericardiocentesis.
Authors: Agstam S, Gupta A, Gupta P, Agarwal T Abstract Iatrogenic pneumopericardium after pericardiocentesis due to accidental leakage from the side port of the sheath has been reported in the literature. In the present case, it occurred during passage of the guidewire. Every step needs to be done meticulously. The patient should be advised not to take a deep breath during the puncture. PMID: 33130598 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - November 4, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Successful Percutaneous Closure of Periprosthetic Mitral Pseudoaneurysm Using a Duct Occluder Device.
Authors: Pérez Guerrero A, Osuna GG, Fuertes Ferre G, Moreno Esteban E, Diarte De Miguel JA PMID: 33130599 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - November 4, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Everolimus-Eluting Stent Causing Coronary Artery Aneurysm in 7 Days: 3D-OCT Findings and Management.
Authors: Gupta A, Chhikara S, Datta R, Vijayvergiya R PMID: 33130600 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - November 4, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Spontaneously Sealed Forearm Radial Artery Perforation During a Left Distal Transradial Coronary Intervention.
Authors: Oliveira MDP, Barros TR, Caixeta A PMID: 33130601 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - November 4, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Music Can Reduce the Need for Pharmacologic Conscious Sedation During Invasive Coronary Angiography.
CONCLUSIONS: Listening to patient-selected music during the peri-ICA period may reduce the need for pharmacologic conscious sedation without adversely affecting pain and anxiety levels. PMID: 33087584 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - October 24, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Caval Valve Implantation for Tricuspid Regurgitation: Insights From the United States Caval Valve Registry.
CONCLUSION: CAVI may be performed safely in a high surgical risk population with severe tricuspid regurgitation. Dedicated studies with longer-term follow-up are needed. PMID: 33087585 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - October 24, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Feasibility and Safety of Performing Complex Coronary Interventions by Distal Radial Artery Using the Railway Sheathless Vascular System.
CONCLUSION: Distal radial access with the 7 Fr Railway sheathless access system was a feasible and safe access option for complex PCI in our very high-risk study population. This approach could be a valuable option for decreasing the risk of a major bleeding event or vascular complication in cases that require a large guide catheter. PMID: 33035178 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - October 11, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Mid-Term Clinical Outcomes Following Percutaneous Mitral Valve Edge-to-Edge Repair.
Authors: Demir OM, Ruffo MM, Godino C, Ancona M, Ancona F, Stella S, Munafó AR, Sisinni A, Agricola E, Colombo A, Chieffo A, Montorfano M Abstract BACKGROUND: Approximately 50% of patients with severe mitral regurgitation (MR) referred for surgery have prohibitive surgical risk. MitraClip (Abbott Vascular) is an alternative therapy option in these patients. The aim of this study is to evaluate mid-term outcome in patients who underwent MitraClip implantation. METHODS: All consecutive patients with ≥2+ MR and high risk for conventional surgical therapy who underwent MitraClip implantation at our unit w...
Source: The Journal of Invasive Cardiology - October 11, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Vascular Closure Devices Attenuate Femoral Access Complications of Primary Percutaneous Coronary Intervention.
CONCLUSIONS: Compliance with femoral artery puncture techniques and routine use of a vascular closure device promoted low severe complication rates. PMID: 32999089 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - October 2, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Cardiogenic Shock Management: International Survey of Contemporary Practices.
CONCLUSION: Wide variation exists in the care delivered and/or resources available for patients with CS. Our survey suggests opportunities for standardization of care. PMID: 32999090 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - October 2, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Quality of Life Outcomes After Transcatheter Aortic Valve Replacement in Nonagenarians.
This study explores these outcomes in this patient population that has been underrepresented in landmark clinical trials. METHODS: All patients who underwent TAVR between January 1, 2015 and December 31, 2018 at Delray Medical Center were included. The 12-item Kansas City Cardiomyopathy Questionnaire Overall Summary (KCCQ-OS) score was used to assess QoL prior to and 30 days following TAVR in two patient groups: the nonagenarian group (patients ≥90 years old) and the younger group (patients
Source: The Journal of Invasive Cardiology - October 2, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Robotic Peripheral Vascular Intervention With Drug-Coated Balloons is Feasible and Reduces Operator Radiation Exposure: Results of the Robotic-Assisted Peripheral Intervention for Peripheral Artery Disease (RAPID) Study II.
This study was designed to determine the feasibility and safety of robotic PVI for treating femoropopliteal lesions with drug-coated balloon (DCB), and to evaluate the effect of robotic PVI on operator radiation exposure during robotic PVI. METHODS: This prospective, single-arm trial enrolled patients with symptomatic peripheral arterial disease affecting the femoropopliteal artery. The primary outcome measure was clinical success, defined as
Source: The Journal of Invasive Cardiology - October 2, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Left Atrial Appendage Closure in Patients With Atrial Fibrillation at Very High Bleeding Risk Without Postimplantation Antithrombotic Therapy.
CONCLUSIONS: In highly selected patients at very HBR, discontinuation of any antithrombotic therapy after LAAC appears safe and feasible. PMID: 32999093 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - October 2, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Comparison in Clinical Outcomes Between Leadless and Conventional Transvenous Pacemaker Following Transcatheter Aortic Valve Implantation.
CONCLUSIONS: Patients with leadless PM following TAVI may have shorter hospital stays, and clinical outcomes can be comparable with DDD-PMs. Leadless PMs may therefore be a reasonable option for frail TAVI patients. PMID: 32999094 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - October 2, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Worsening Back and Lower Leg Pain Post Stenting of the Common Iliac Vein: Is There Evidence it is Related to Stent Size?
We present the first Venovo venous stent (BD/Bard) that was explanted because of worsening of back and leg pain post treatment and analyze data from the first 50 consecutive Venovo venous stents from our center. Stent size was obtained with intravascular ultrasound of the ipsilateral common iliac vein. The data indicate that there is no statistical relationship between the stent size and worsening or emergence of low back and leg pain. Patient-specific factors may be contributing to this extremely rare and persistent pain beyond the 30-day follow-up. PMID: 32999095 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - October 2, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Improvement in Pulmonary Vascular Resistance After Relief of Fontan Circuit Obstruction.
CONCLUSIONS: This case series provides novel data quantifying the decrease in PVR after relief of Fontan circuit obstruction, suggesting a mechanism for symptomatic improvement after intervention. These data are a compelling addition to the longterm management of this complex patient population. PMID: 32999096 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - October 2, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Transvalvular Gradients for Balloon-Expandable and Self-Expanding Valves.
Authors: Bavry AA, Aalaei-Andabili SH, Okuno T, Kumbhani DJ, Stortecky S, Asami M, Lanz J, Windecker S, Pilgrim T Abstract Self-expanding valves have been associated with superior hemodynamics versus balloon-expandable valves. Our aim was to compare invasive gradients between valve types for similarly sized valves. Patients who underwent transcatheter aortic valve replacement (TAVR) at the Malcom Randall Veterans Affairs Medical Center and the Bern University Hospital were considered for this analysis. From 1623 subjects who underwent TAVR, a total of 566 had available invasive hemodynamic data. After applying excl...
Source: The Journal of Invasive Cardiology - October 2, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Virtual Histology Optical Coherence Tomography Imaging of Orbital Rotational Atherectomy for Calcified Peripheral Arterial Disease.
Authors: Cilingiroglu M, Hoyt T, Milner T, Ates I, Feldman M Abstract In order to assess the vascular effects of rotational orbital atherectomy, we performed intravascular imaging with virtual histology intravascular optical coherence tomography in a 72-year-old man with critical limb ischemia of the right lower extremity. PMID: 32999098 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - October 2, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Sheath-Induced Sterile Abscesses.
Authors: Agarwal R, Sinha DP Abstract Sterile inflammatory reactions at vascular access sites have rarely been reported in the literature. Simple conservative treatment, as in this case, can lead to resolution of even extensive sterile abscesses. PMID: 32999099 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - October 2, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Endovascular Embolization of Intrapulmonary Sequestration.
Authors: Agarwal R, Sinha DP Abstract Traditionally, management of lung sequestrations has been surgical. This is one of the few reports where a percutaneous management has resulted in resolution of symptoms and offers a novel approach for management. PMID: 32999100 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - October 2, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Which is the Best Option in Calcified Leaflets? MitraClip NTR or XTR?
Authors: Lin SI, Taramasso M, Miura M, Maisano F Abstract In the current era of transcatheter edge-to-edge repair, deciding clip size in each case is still a challenge. We demonstrate that the XTR clip can achieve a better outcome than the NTR clip in a calcified leaflet. PMID: 32999101 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - October 2, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Coronary Thrombosis From Superficial Calcific Sheet.
We present a case in which optical coherence tomography was useful to characterize in vivo superficial calcific sheet and exclude other causes of acute coronary syndromes. PMID: 32999102 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - October 2, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Complete Revascularization of Simultaneous Acute Occlusion of Three Major Coronary Arteries.
Authors: Suga T, Suga Y, Oyama K, Yoshida M, Hatori T Abstract Our case demonstrates that rapid and complete revascularization by PCI can save a patient with acute myocardial infarction caused by simultaneous acute occlusion of the three major coronary arteries. PMID: 32999103 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - October 2, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

A Randomized Controlled Trial of Prasugrel for Prevention of Early Saphenous Vein Graft Thrombosis.
CONCLUSION: Early SVG failure occurred in approximately one-third of patients. Prasugrel did not decrease prevalence of SVG thrombus 12 months after CABG. PMID: 32961528 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - September 24, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Randomized COmparison of Isolated Radial Artery ComPrEssioN Versus Radial and Ipsilateral Ulnar Artery Compression in Achieving Radial Artery Patency: The OPEN-Radial Trial.
Authors: Patel G, Shah S, Patel BA, Patel TM Abstract BACKGROUND: Radial artery occlusion (RAO) occurs after transradial access (TRA), limiting future ipsilateral access. Pragmatic RAO-lowering strategies need to be developed. METHODS: Patients undergoing transradial cardiac catheterization were randomized to receive postprocedural hemostasis with either a single-bladder radial compression band (group 1) or a double-balloon band capable of simultaneous ipsilateral ulnar artery compression (group 2). Hemostatic compression was performed for 120 minutes. Patients in group 2 received ipsilateral ulnar artery compr...
Source: The Journal of Invasive Cardiology - September 24, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

On-Site Computed Tomography Versus Angiography Alone to Guide Coronary Stent Implantation: A Prospective Randomized Study.
Authors: Opolski MP, Schumacher SP, Verouden NJW, van Diemen PA, Borucki BA, Sprengers R, Everaars H, de Winter RW, van Rossum AC, Nap A, Bom MJ, Knaapen P Abstract OBJECTIVES: The effect of intraprocedural coronary computed tomography angiography (coronary CTA) guidance on percutaneous coronary intervention (PCI) is unknown. We sought to determine the influence of CTA guidance on procedural strategies and immediate angiographic outcomes of PCI. METHODS: Sixty patients were randomized to CTA-guided PCI (29 patients, 36 lesions) or angiography-guided PCI (31 patients, 39 lesions). To enable hands-free manipulati...
Source: The Journal of Invasive Cardiology - September 12, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Comparative Intermediate-Term Outcomes of Subclavian and Transcaval Access for Transcatheter Aortic Valve Replacement.
Authors: Long A, Mahoney P Abstract BACKGROUND: Multiple alternative access routes have been employed for patients with contraindications to standard transfemoral transcatheter aortic valve replacement (TAVR); however, the optimal route for alternative access approaches is not established. In order to better understand possible differences in alternative access routes, we compared the procedural efficacy and outcomes at 30 days and 1 year in patients who underwent TAVR via subclavian (SC) or transcaval (TC) access route at a single, tertiary-care center. METHODS: This retrospective analysis included all TAVR pr...
Source: The Journal of Invasive Cardiology - September 12, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Outcomes of Percutaneous Coronary Intervention in Cardiac Transplant Patients: A Binational Analysis Derived From the United Kingdom and United States.
Authors: Nagaraja V, Rashid M, Fischmann DL, Anderson HV, Kinnaird T, Ludman P, Kapadia SR, Starling RC, Alraies C, Kwok CS, Mohamed MO, Curzen N, Mamas MA Abstract AIMS: To compare and contrast the indications, clinical and procedural characteristics, and periprocedural outcomes of patients with cardiac transplant undergoing percutaneous coronary intervention (PCI) in the United States and United Kingdom. METHODS AND RESULTS: The British Cardiovascular Intervention Society Registry (BCIS) (2007-2014) and the United States National Inpatient Sample (NIS) (2004-2014) data were utilized for this analysis. There w...
Source: The Journal of Invasive Cardiology - September 2, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Use of MitraClip to Target Obstructive SAM in Severe Diffuse-Type Hypertrophic Cardiomyopathy: Case Report and Review of Literature.
We describe here the successful non-surgical catheter-based management of a 72-year-old woman at high surgical risk, debilitating symptoms refractory to maximal medical management, and severe, diffuse-type HCM. Edge-to-edge repair with MitraClip (Abbott Vascular) was used to target SAM causing dynamic LVOT obstruction, with resulting significant reduction in LVOT gradient and dramatic clinical improvement. Her postprocedure outcomes to 2 years are reported herein. Additionally, we review the current management strategies for HCM management, and include a discussion of minimally invasive options. PMID: 32865508 [PubMed ...
Source: The Journal of Invasive Cardiology - September 2, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Right Heart Catheterization: Right From the Anatomical Snuffbox.
We present two cases where a right heart catheterization was performed from the anatomical snuffbox through the distal cephalic vein along with a left heart catheterization from the distal radial artery. PMID: 32865509 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - September 2, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Distal Transradial Access (dTRA) for Coronary Angiography and Interventions: A Quality Improvement Step Forward?
Authors: Oliveira MDP, Caixeta A Abstract Distal TRA is a novel access site in the interventional cardiology field, with current data demonstrating high success and infrequent complication rates - global procedural metrics that are comparable with historical proximal TRA. Distal TRA may conversely provide important advantages over proximal TRA, including patient comfort, shorter hemostasis time, and lower radial artery occlusion rates. PMID: 32865510 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - September 2, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Prinzmetal Angina Mimicking Severe Three-Vessel Coronary Artery Disease.
Authors: Dahdouh Z, Mohamed T Abstract Coronary artery vasospasm, or Prinzmetal angina, remains a challenging diagnosis. Prinzmetal angina usually affects only one coronary vessel; however, in this case, it occurred simultaneously in three coronary arteries, and was totally relieved after nitrate administration. PMID: 32865511 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - September 2, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Percutaneous Closure of a "Doughnut Leak" Around an Atrial Septal Occluder Device in a Patient With Recurrent Migraines.
Percutaneous Closure of a "Doughnut Leak" Around an Atrial Septal Occluder Device in a Patient With Recurrent Migraines. J Invasive Cardiol. 2020 Sep;32(9):E242-E243 Authors: Agasthi P, Graziano JN, Pophal SG Abstract A 10-year-old girl with pulmonary atresia status post transannular patch repair and secundum atrial septal defect (ASD) underwent percutaneous ASD closure 5 years earlier. There was improvement in arterial saturation from 86% to 98% with minimal residual right-to-left shunt. Despite subsequent medical therapy, she developed recurrent migraines, which led us to pursue percutaneou...
Source: The Journal of Invasive Cardiology - September 2, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

An Ace Angiographic Diagnosis.
Authors: Morgan H, Cullen J, Turpie D Abstract Interventional cardiologists should maintain awareness of extracardiac structures when undertaking cardiac catheterization, as pathology outside of the coronary arteries may be identified. PMID: 32865513 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - September 2, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Challenging Case of Percutaneous Closure of Right Coronary Artery to Right Atrial Fistula.
Authors: Agasthi P, Graziano JN Abstract We demonstrate the percutaneous closure of a coronary fistula and subsequent utilization of a vascular plug in a patient with challenging anatomy. PMID: 32865514 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - September 2, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Endothelialization of a Venous Stent at 1 Month Post Implantation: First-in-Human Angioscopic Assessment.
Authors: Tanabe Y, Mitarai T, Ishibashi Y, Higuma T, Akashi YJ Abstract This is the first report to evaluate endothelialization in vivo; the evidence of endothelialization on the venous stent in the early phase suggests that antithrombotic therapy could be stopped in some patients with high risk of bleeding in the chronic phase. PMID: 32865515 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - September 2, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Conservative Management of Spontaneous Coronary Artery Dissection.
Authors: Lorenzoni G, Merella P, Bandino S, Viola G, Casu G Abstract Spontaneous coronary artery dissection (SCAD) is caused by separation of the vessel wall and hematoma development. We demonstrate that SCAD often resolves spontaneously, with an average period of 35 days from the event usually sufficient to demonstrate angiographic healing. PMID: 32865516 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - September 2, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Resource Utilization During Elective Robotic-Assisted Percutaneous Coronary Intervention.
The objective of this study is to evaluate the cost and resource utilization of R-PCI compared with manual PCI. METHODS: Consecutive patients with CAD undergoing elective R-PCI or manual PCI over an 18-month period by a single operator were included. Procedure-related costs and resource utilization were analyzed and propensity adjusted to account for differences in baseline demographic and lesion characteristics. RESULTS: A total of 164 patients (mean age, 68.9 ± 10.8 years; 81% men) underwent R-PCI (n = 56) or manual PCI (n = 108). The R-PCI group demonstrated higher Syntax scores (17.8 ± 12.9% vs 11.8 ± 7.7%; P
Source: The Journal of Invasive Cardiology - August 25, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Femoral Artery Chronic Total Occlusion Revascularization (FACTOR) Score and Algorithm: Feasibility and Validation in a Single-Center Study of Femoropopliteal Occlusions.
CONCLUSIONS: The results of our study show that utilization of the FACTOR score and algorithm can result in high rates of successful SFA-CTO revascularization. PMID: 32829310 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - August 25, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research