Radial Versus Femoral Approach in Women Undergoing Coronary Angiography: A Meta-Analysis of Randomized Controlled Trials.
Authors: Al Halabi S, Burke L, Hussain F, Lopez J, Mathew V, Bernat I, Shroff A Abstract OBJECTIVES: We sought to compare outcomes with radial vs femoral approach in female patients undergoing coronary angiography. BACKGROUND: Women undergoing cardiac procedures have increased risk of bleeding and vascular complications, but are under-represented in randomized clinical trials (RCTs) involving coronary angiography. METHODS: We performed a meta-analysis of RCTs comparing outcomes in women undergoing angiography with radial vs femoral approaches. The primary outcome was non-coronary artery bypass graft (CABG) ...
Source: The Journal of Invasive Cardiology - August 17, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Feasibility of Transfemoral Aortic Valve Implantation in Patients With Aortic Disease and Simultaneous or Sequential Endovascular Aortic Repair.
CONCLUSION: TF-TAVI can be performed successfully in patients with aortic disease or previous endovascular aortoiliac intervention. Simultaneous and sequential (T)EVAR is feasible. PMID: 31416046 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - August 17, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Impact of Repositioning During Transcatheter Aortic Valve Replacement on Embolized Debris.
Authors: Seeger J, Romero M, Schuh C, Virmani R, Wöhrle J Abstract BACKGROUND: Use of the dual-filter cerebral embolic protection (CEP) device has been linked to a lower stroke rate in patients undergoing transfemoral transcatheter aortic valve replacement (TAVR). Captured debris is found in almost every filter. The impact of repositioning on number and area of captured debris has not been studied. METHODS: Consecutive patients (n = 200) undergoing transfemoral TAVR with double-filter CEP device were included. A total of 400 filters were analyzed. Histopathologic assessment and histomorphometric analyses o...
Source: The Journal of Invasive Cardiology - August 17, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Drug-Coated vs Uncoated Percutaneous Transluminal Angioplasty in Infrapopliteal Arteries: Six-Month Results of the Lutonix BTK Trial.
Authors: Mustapha JA, Brodmann M, Geraghty PJ, Saab F, Settlage RA, Jaff MR, Lutonix BTK Study Investigators Abstract OBJECTIVES: We hypothesized that a drug-coated balloon (DCB) could improve treatment efficacy while maintaining safety when compared with percutaneous transluminal angioplasty (PTA) for the treatment of atherosclerotic infrapopliteal arterial lesions. METHODS: A total of 442 patients with angiographically significant lesions were randomized (2:1) to DCB or PTA. The primary safety and efficacy endpoints were freedom from major adverse limb events and perioperative death (MALE-POD) at 30 days, an...
Source: The Journal of Invasive Cardiology - August 3, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Progression of the Ascending Aortic Diameter After Transcatheter Aortic Valve Implantation: Based on Computed Tomography Images.
CONCLUSIONS: TAVI could prevent a further progression of aortic diameter for both BAV or TAV patients by correcting hemodynamic derangements, especially for patients with TAV, mild aortic dilation, and small annulus angles. Aortic events appeared rarely during long-term follow-up after TAVI. However, our results need further confirmation with future investigations in a larger population with longer-term follow-up. PMID: 31368894 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - August 3, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Long-Term Outcome After Percutaneous Closure of Patent Foramen Ovale for Cryptogenic Ischemic Events.
Authors: Seeger J, Uber A, Wöhrle J Abstract BACKGROUND: Randomized trials for percutaneous closure of patent foramen ovale (PFO) have demonstrated a lower rate of recurrent ischemic events compared with medical therapy. The aim of this long-term follow-up analysis was to validate the impact of PFO closure on recurrent ischemic events. METHODS AND RESULTS: A total of 570 patients were enrolled. Patients were followed for recurrent ischemic events for a median of 7.2 years. Mean age at the time of procedure was 49.3 ± 13.1 years. PFO closure was performed with the Amplatzer occluder in 44.9% of patie...
Source: The Journal of Invasive Cardiology - August 3, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Comparison of Side-Branch Dilation Techniques After Resorbable Magnesium Scaffold Implantation: A Bench Study.
Authors: de Pommereau A, Mogi S, de Hemptinne Q, Adjedj J, Varenne O, Picard F Abstract BACKGROUND: The resorbable magnesium scaffold (RMS) has demonstrated a good safety profile to treat de novo lesions. Nevertheless, bifurcation lesions involving a side branch (SB)>2.0 mm in diameter were excluded from these studies, and such lesions remain technically challenging due to concerns of scaffold deformation or fracture. We sought to evaluate different SB dilation strategies after provisional T-stenting strategy with RMS using silicon bifurcation phantoms. METHODS AND RESULTS: Three different strategies were co...
Source: The Journal of Invasive Cardiology - August 3, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Vascular Perforation Occurring During Transradial Cardiac Catheterization is More Common Than Thought and Could Be Fatal.
Authors: Movahed MR PMID: 31368897 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - August 3, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Pseudoaneurysm Formation After Cardiac Catheterization Using the Distal Transradial Approach.
Authors: Mizuguchi Y, Yamada T, Taniguchi N, Nakajima S, Hata T, Takahashi A Abstract This is the first case report of pseudoaneurysm formation after cardiac catheterization through the distal radial artery, which was easily treated by external compression. PMID: 31368898 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - August 3, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Snare Technique for Transcatheter Aortic Valve Implantation in a Difficult Anatomy With Calcified Aortic Valve.
Authors: Kolyviras A, Oikonomou D, Georgiopoulos G, Tzifos V Abstract Crossing the aortic annulus with a prosthetic valve was impossible due to severe calcification. A snare catheter technique was used to centralize the entire system with the aortic orifice. PMID: 31368899 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - August 3, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Percutaneous Closure of Mitral Paravalvular Leaks Generating Refractory Heart Failure in the Immediate Postoperative Period.
We present two patients with refractory heart failure due to mitral paravalvular leak (PVL) in whom percutaneous PVL closure was performed in the immediate postoperative period. PMID: 31368900 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - August 3, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

A Case of Very Late Stent Thrombosis 11 Years After Drug-Eluting Stent Implantation.
Authors: Vijayvergiya R, Kumar B, Kasinadhuni G, Mohanty S Abstract Eleven years after DES implantation, a patient presented with AMI despite continued dual-antiplatelet therapy. Coronary angiography revealed total occlusion of the proximal LAD. PMID: 31368901 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - August 3, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Complicated Hematoma After Transradial Catheterization.
Authors: Sánchez-Fernández G, López-Pérez M Abstract This case, which almost ended in a compartment syndrome, is an extremely uncommon complication of transradial catheterization, with a described incidence around 0.125%. PMID: 31368902 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - August 3, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Coronary Artery Air Embolism.
Authors: Agarwal R, Sinha DP Abstract Coronary artery air embolism can be fatal if not proficiently managed. Vasospasm is said to be protective in that it breaks the larger air bubbles, as occurred in the present case. PMID: 31368903 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - August 3, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Revascularization Strategies in Patients With STEMI: Culprit-Only vs Multivessel Revascularization Using Percutaneous Coronary Intervention.
Authors: Alsadat N, Hyun K, D'Souza M, Chew D, Weaver J, Juergens C, Kritharides L, Hammett C, Brieger D Abstract BACKGROUND: Approximately 50% of patients undergoing primary percutaneous coronary intervention (PCI) for ST-elevation myocardial infarction (STEMI) have multivessel coronary disease (MVD). Evidence on the best PCI approach for these patients is conflicting. The aim of this study is to examine Australian data from the CONCORDANCE registry to describe the practice and outcomes of patients receiving multivessel vs culprit-only PCI. METHODS: Two cohorts were constructed from MVD-STEMI patients undergoi...
Source: The Journal of Invasive Cardiology - July 17, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Ticagrelor vs Clopidogrel in Patients With Acute Coronary Syndromes Undergoing Percutaneous Coronary Intervention: Insights From a Single Institution Registry.
Authors: Brener SJ, Alapati V, Benson MM, Chan D, Cunn G, Khan S, Kutkut I, Narayanan CA, O'Laughlin JP, Sacchi TJ Abstract Dual-antiplatelet therapy is recommended for all patients with acute coronary syndromes (ACS), regardless of performance of revascularization. Ticagrelor (T) was shown to be superior to clopidogrel (C) in a large, randomized clinical trial, but data from real-world practice are lacking. We identified ACS patients from our institutional registry who underwent percutaneous coronary intervention and received one of the two drugs at hospital discharge based on physician preference. Among 1439 pati...
Source: The Journal of Invasive Cardiology - July 17, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Orbital Atherectomy Via Transradial Access: A Multicenter Propensity-Matched Analysis.
CONCLUSIONS: In this real-world, multicenter, observational study, OA via transradial access was both safe and feasible. Furthermore, transradial access was associated with reduced bleeding complications and associated blood transfusion when compared with femoral access. PMID: 31303604 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 17, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Outcomes and Characteristics of Myocardial Infarction in Patients With Cirrhosis.
Authors: Hillerson D, Ogunbayo GO, Salih M, Misumida N, Abdel-Latif A, Smyth SS, Messerli AW Abstract OBJECTIVES: Patients with cirrhosis have increased bleeding risk due to coagulopathy and platelet sequestration, as well as inherent cardiovascular risk. We aim to assess the impact of cirrhosis on the revascularization rates and in-hospital outcomes in patients with acute myocardial infarction (AMI). METHODS: We queried the National Inpatient Sample Database from 2010 to 2014 and identified hospitalizations with a primary diagnosis of AMI (n = 612,547); of these, a total of 3135 patients had a concomitant diag...
Source: The Journal of Invasive Cardiology - July 3, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Real-Time Ultrasound-Guided Venous Access of the Arm for Right Heart Catheterization.
CONCLUSIONS: UGVAA is a highly efficacious and safe technique, with a success rate of 98% for RHC in our consecutive series of 253 patients. UGVAA may allow for near-universal use of arm veins for RHC. PMID: 31257210 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 3, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Detection of Atrial Fibrillation and Atrial Flutter by Pacemaker Device Interrogation After Transcatheter Aortic Valve Replacement (TAVR): Implications for Management.
CONCLUSION: Subclinical NOAF is common after TAVR, usually occurs months after hospital discharge, and is associated with lack of anticoagulation therapy and increased risk of stroke. Prolonged surveillance of subclinical NOAF may be warranted after TAVR. PMID: 31257211 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 3, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Trends and Outcomes of Alternative-Access Transcatheter Aortic Valve Replacement.
Authors: Pineda AM, Rymer J, Wang A, Koweek LH, Williams A, Kiefer T, Wang A, Gaca J, Hughes GC, Harrison JK Abstract BACKGROUND: Alternative access (AA) is still required for a significant proportion of patients undergoing transcatheter aortic valve replacement (TAVR). We sought to compare the clinical outcomes of patients undergoing AA vs transfemoral (TF) access. METHODS: We retrospectively evaluated the outcomes of patients undergoing AA-TAVR between April 2011 and November 2016, and compared them with those who had TF-TAVR. Chi-square and Mann-Whitney U-tests were used to compare the groups and Kaplan-Meie...
Source: The Journal of Invasive Cardiology - July 3, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Ultrasound Guidance in Femoral Artery Catheterization: A Systematic Review and a Meta-Analysis of Randomized Controlled Trials.
Authors: Rashid MK, Sahami N, Singh K, Winter J, Sheth T, Jolly SS Abstract BACKGROUND: During percutaneous cardiac procedures, the use of radial access is growing, but femoral access remains needed for large-bore, high-risk procedures. Methods are needed to make femoral access safer. In this systematic review and meta-analysis of randomized-controlled trials (RCTs), we assess whether ultrasound guidance is associated with a decreased risk of vascular complications during femoral artery catheterization. METHODS: Medline, Embase, and Cochrane Central were searched from inception to April 2018. RCTs assessing the...
Source: The Journal of Invasive Cardiology - July 3, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

A Direct Comparison of Self-Expandable Portico Versus Balloon-Expandable Sapien 3 Devices for Transcatheter Aortic Valve Replacement: A Case-Matched Cohort Study.
Authors: Mas-Peiro S, Seppelt PC, Weiler H, Mohr GL, Papadopoulos N, Walther T, Zeiher AM, Fichtlscherer S, Vasa-Nicotera M Abstract OBJECTIVES: Pairwise comparisons of clinical and hemodynamic outcomes with new transcatheter aortic valve replacement (TAVR) prostheses are needed to help interventionists select the most appropriate device. The self-expandable Portico valve (Abbott Vascular) was compared with the balloon-expandable Sapien 3 valve (Edwards Lifesciences) at a high-volume center in a real-world setting. METHODS: All patients undergoing TAVR with a new-generation device from March 2015 to September 2...
Source: The Journal of Invasive Cardiology - July 3, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Orbital Atherectomy for Calcific Coronary Artery Disease in Patients With Severe Aortic Stenosis: A Safety and Feasibility Study.
CONCLUSION: OA-facilitated PCI can be safely performed in patients with severe AS and severely calcified CAD with low risk of complications. There was no significant change in blood pressure and heart rate during OA, with minimal need for temporary pacing. PMID: 31257215 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 3, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Optimal Technique for Performing Invasive Pulmonary Angiography for Chronic Thromboembolic Pulmonary Disease.
Authors: Ang L, McDivit Mizzell A, Daniels LB, Ben-Yehuda O, Mahmud E Abstract High-quality invasive pulmonary angiography is invaluable for the evaluation of chronic pulmonary thromboembolic disease. Optimization of multiple technical factors enables optimal angiography, crucial for identifying both high-grade pulmonary thromboembolic disease warranting surgical resection, and surgically inaccessible disease for interventional and/or targeted medical therapy. Appropriate strategies to address the pitfalls encountered during angiography are highlighted. This manuscript provides detailed guidance in performing hemod...
Source: The Journal of Invasive Cardiology - July 3, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Left Main Chronic Total Occlusion Percutaneous Coronary Intervention: A Case Series.
CONCLUSIONS: LMCA-CTO-PCI is infrequent, is performed mostly in patients with prior coronary artery bypass graft surgery, and is associated with good procedural outcomes. PMID: 31257217 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 3, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Magmaris Resorbable Magnesium Scaffold Implantation Assisted by Optical Coherence Tomography to Treat an Acute Coronary Dissection After a Blunt Chest Trauma.
Authors: Abellán-Huerta J, Jurado-Román A, Lozano-Ruiz-Poveda F, López Lluva MT, Sánchez-Pérez I Abstract The treatment of coronary lesions caused by blunt chest trauma is controversial. To our knowledge, this is the first report of a coronary dissection related to blunt chest trauma evaluated with OCT and treated with a magnesium resorbable scaffold. PMID: 31257218 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 3, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Multimodality Imaging and Percutaneous Closure of Right Sinus of Valsalva to Right Ventricular Outflow Tract Fistula After Transcatheter Aortic Valve Replacement.
We present the diagnosis and treatment of a 90-year-old male with critical aortic stenosis and multiple medical comorbidities who underwent TAVR that was complicated by annular rupture. PMID: 31257219 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 3, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Iliac Artery Rupture During Transfemoral Transcatheter Aortic Valve Implantation.
Authors: Aker A, Nader K, Jaffe R Abstract An 82-year-old male with severe symptomatic aortic stenosis underwent elective TAVR complicated by rupture of the proximal iliac artery. This case illustrates the feasibility of percutaneous vascular repair following severe vascular injury during TAVR. PMID: 31257220 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 3, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Location of Dissections Post Balloon Angioplasty in Patients With Femoropopliteal Arterial Disease as Seen on Intravascular Ultrasound.
Authors: Shammas NW, Shammas WJ, Torey JT, Shammas AN Abstract We reviewed images from our intravascular ultrasound core lab to define the various locations of dissections in femoropopliteal arteries post balloon angioplasty in relation to plaque morphology. PMID: 31257221 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 3, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Aim For the Bubbles: Agitated Saline Injection as an Adjunct Technique to Ultrasound-Guided Subclavian Vein Cannulation.
Authors: Araj FG, Pena J, Cox J Abstract Agitated saline during central line placement is described for the purpose of identifying the subclavian vein during ultrasound-guided procedures. PMID: 31257222 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 3, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Chronic Dissection of Left Sinus of Valsalva Obscuring Left Main Coronary Artery.
Authors: Towashiraporn K, Chaithiraphan V Abstract Coronary angiography in a 44-year-old woman shows chronic dissection of the left sinus of Valsalva, totally obscuring the LMCA, with good collaterals supplying the left coronary system from the right coronary artery. PMID: 31257223 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 3, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Impact of Post-Percutaneous Coronary Intervention Fractional Flow Reserve Measurement on Procedural Management and Clinical Outcomes: The REPEAT-FFR Study.
Authors: Azzalini L, Poletti E, Demir OM, Ancona MB, Mangieri A, Giannini F, Carlino M, Chieffo A, Montorfano M, Colombo A, Latib A Abstract OBJECTIVE: We evaluated the impact of post-percutaneous coronary intervention (PCI) fractional flow reserve (FFR) in a prospective study. METHODS: This was a single-center, prospective registry of patients undergoing PCI following a baseline FFR ≤0.80. Patients were divided according to the post-PCI FFR value (
Source: The Journal of Invasive Cardiology - June 15, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Intact and Isolated Human Cadaveric Coronary Artery Perfusion Models to Facilitate Research and Education Regarding Coronary Anatomy and Pathology.
Authors: Petersen JL, Levin DB, Hou VW, Hagen CV, Anderson G, Block J, Reisman M Abstract Cadaveric tissue-perfusion models are well established in the fields of structural heart and peripheral vascular disease; however, less consideration has been given toward coronary artery disease despite comparable prevalence and morbidity. Two tissue-perfusion models were developed to address this need. The first, an intact heart model, allows simulation of percutaneous coronary interventional procedures. The second focuses upon isolated arteries, allowing quantification of simulated procedures. Both models were applied for c...
Source: The Journal of Invasive Cardiology - June 15, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Percutaneous Transapical Left Ventricular Access to Treat Paravalvular Leak and Ventricular Septal Defect.
CONCLUSION: Percutaneous TA access can be achieved safely in most cases to provide access for transcatheter procedures with short procedure times. Device closure of the TA access site is reliable, with a low complication rate and no procedure-related mortality. PMID: 31199350 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - June 15, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Small-Size vs Large-Size Burr for Rotational Atherectomy.
Authors: Levi Y, Lavi S, Solomonica A, Israeli Z, Bagur R Abstract BACKGROUND: Rotational atherectomy (RA) has been traditionally performed via the transfemoral approach, mostly utilizing large guide catheters (≥7 Fr), which can accommodate the passage of large burrs (≥1.75 mm). However, contemporary data show that using smaller sheath and catheter sizes reduces the risk of procedural access-site related complications. Therefore, the aim of this study was to assess the feasibility of performing RA using smaller burrs and subsequently smaller-sized sheath catheters. METHODS: A total of 220 patients underwe...
Source: The Journal of Invasive Cardiology - June 5, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Clinical Conference Proceedings: 15th Biennial International Andreas Gruentzig Society Meeting.
Authors: Anderson HV, Bersin RM, Abbott JD, Aronow HD, Bass TA, Brilakis ES, Cavaye DM, Cohen MG, Dean LS, Dippel EJ, Garratt KN, Greenbaum AB, Hanzel GS, Helmy T, Lerman A, Magd AA, Marshall JJ, Medigo A, Mooney MR, Naidu SS, O'Neill B, Pichard AD, Rinaldi MJ, Sorajja P, Szerlip MA, Wood DA, Zidar JP, IAGS Writing Group Abstract The International Andreas Gruentzig Society is an educational society of physicians and scientists interested in cardiovascular and related fields. Members cooperate in the advancement of knowledge and education through research, publication, study, and teaching in the fields of cardiovasc...
Source: The Journal of Invasive Cardiology - June 5, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Outcomes Following Balloon Aortic Valvuloplasty Versus Surgical Valvotomy in Congenital Aortic Valve Stenosis: A Meta-Analysis.
CONCLUSIONS: The rate of reintervention following BAV is higher than following SAV. However, survival rates, AVR, and development of late AI following BAV and SAV are equivalent. The costs associated with the two therapies in terms of hospital days and other morbidities should be considered in future comparative studies. PMID: 31158809 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - June 5, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Treatment of Heavily Calcified Unprotected Left Main Disease With Lithotripsy: The First Case Series.
We present the first case series using Shockwave Intravascular Lithotripsy (S-IVL; Shockwave Medical), a novel coronary calcium modification device, in patients with heavily calcified unprotected left main (LM) coronary artery disease (CAD). Decisions regarding surgical vs percutaneous revascularization in LM-CAD patients are based on anatomical complexity and perceived surgical risk. In this series, we present the use of S-IVL in a patient with LM-CAD with multivessel disease who declined surgery, a patient with an isolated LM-CAD and severe cardiomyopathy, and a late nonagenarian patient where surgical revascularization ...
Source: The Journal of Invasive Cardiology - June 5, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

An Unusual Acute Coronary Syndrome Due to a Septic Embolism: A Case Presentation and Review of Revascularization Strategies.
Authors: Panagides V, Laine M, Paganelli F, Bonello L Abstract Treatment of acute coronary syndromes secondary to septic coronary valvular embolism in endocarditis patients remains unclear. Several revascularization strategies have been described, including thromboaspiration, stent implantation, balloon angioplasty, and surgical intervention. We herein present an illustration of an atypical case of an acute coronary syndrome related to a coronary bifurcation occlusion due to a septic embolism in a patient presenting with infective endocarditis. We also summarized previous similar cases and their management. PMI...
Source: The Journal of Invasive Cardiology - June 5, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Percutaneous Closure of a Poorly Tolerated Ventricular Septal Defect After Triple Valvular Prosthesis Surgery.
We describe the case of an 81-year-old woman with three biological prostheses at the aortic valve, mitral valve, and tricuspid valve with recurrent hospitalizations due to heart failure. To the best of our knowledge, this is the first percutaneous closure of ventricular septal defect in the presence of three valvular prostheses. PMID: 31158812 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - June 5, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

A Dangerous Miss - Angioplasty of Chronic Total Occlusion of Entire Length of Inferior Vena Cava and Bilateral Iliac Veins.
We present a 48-year-old male patient with extensive lower-limb swelling and chronic kidney disease. Angiography revealed evidence of thrombus in the iliacs and the inferior vena cava was not visualized. Angioplasty of the entire length of the inferior vena cava is a challenging procedure. Surgery is rarely an option. Extensive skill and patience are needed and stenting is usually advised. In many cases, plain angioplasty may be done with favorable results. PMID: 31158813 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - June 5, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Ambidextrous Angiography: Mother-and-Child Telescopic Catheter Technique to Evaluate LIMA and RIMA Grafts From the Radial Approach.
Authors: Akhtar Z, Shah N, Bogle R Abstract Left heart catheterization graft study is commonly performed via the femoral approach to allow selective angiography of internal mammary grafts, which originate from either subclavian artery. A straightforward mother-and-child catheter-extension technique allows this procedure to be performed successfully via radial approach, which improves patient comfort and offers less likelihood of vascular complications. PMID: 31158814 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - June 5, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Emergency Venous Angioplasty of a Complete Superior Vena Cava Thrombosis.
Authors: Petzold T, Thienel M, Lüsebrink E, Massberg S Abstract A patient with a history of colon cancer was admitted to our emergency department due to progressive dyspnea, chest pain, and swelling of the upper limbs and face. A central venous port device had been implanted into the right subclavian vein for administration of systemic chemotherapy several months prior. Thoracic computed tomography scan revealed a 2.8 cm-long thrombus arising from the tip of the venous catheter, which completely occluded the superior vena cava in close proximity to the right atrium. PMID: 31158815 [PubMed - in process] (So...
Source: The Journal of Invasive Cardiology - June 5, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Post-Close Technique for Arteriotomy Hemostasis After Impella Removal.
We describe a simple "postclose" technique for large arteriotomies (13-14 Fr) after removal of Impella 2.5 or CP systems (Abiomed) from the common femoral artery, using two Perclose devices. PMID: 31158816 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - June 5, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Adventitial Cystic Disease of the Popliteal Artery Contributing to Supera Stent Fracture.
Authors: Patel NJ, Gordon G, Mhatre AU, Verma DR, Pershad A, Heuser RR Abstract A 60-year-old male presented with complaints of a non-healing wound on his right shin. Initial angiography showed a 100% occlusion of the right superficial femoral artery thought to be thrombotic in nature; he was treated with percutaneous transluminal angioplasty and stenting. Three weeks later, he presented with continuing symptoms of claudication. Angiography revealed stent fracture. Careful review of his prior angiogram was consistent with adventitial cystic disease of the popliteal artery as the cause of the popliteal artery occlus...
Source: The Journal of Invasive Cardiology - June 5, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Outcomes of Robotically Assisted Versus Manual Percutaneous Coronary Intervention: A Systematic Review and Meta-Analysis.
CONCLUSIONS: In carefully selected patients, RA-PCI was associated with reduced operator radiation exposure compared with M-PCI, but there were no significant differences in procedural success rate, patient radiation exposure, contrast dose, or procedure time. PMID: 31088991 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 16, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Left Atrial Appendage Occlusion as Adjunctive Therapy to Anticoagulation for Stroke Recurrence.
Authors: Freixa X, Cruz-González I, Regueiro A, Nombela-Franco L, Estévez-Loureiro R, Ruiz-Salmerón R, Bethencourt A, Gutiérrez-García H, Fernández-Díaz JA, Moreno-Samos JC, Jiménez-Quevedo P, Martin-Yuste V, Arnold R, Millan X, Asmarats L, Ronquillo M, Agudelo-Montañez VH, López-Mínguez JR, Goicolea J, Pérez de Prado A, Arzamendi D Abstract BACKGROUND: Stroke recurrence despite optimal oral anticoagulation (OAC) might represent a novel indication for left atrial appendage occlusion (LAAO). The heterogeneity of these patients is gen...
Source: The Journal of Invasive Cardiology - May 16, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Veterans Affairs Heart Team Experience With Transcatheter Aortic Valve Replacement and Minimally Invasive Surgical Aortic Valve Replacement.
This study examined retrospective data from 228 consecutive patients who underwent treatment for isolated aortic valve disease with MIAVR or TAVR via intent-to-treat at a VAMC between January 2011 and July 2017. Perioperative outcomes were analyzed using Stata version 15. RESULTS: Operative mortality was 1.1% for MIAVR and 0.7% for TAVR (Χ² P=.79). Median length of hospital stay was 10 days (interquartile range [IQR], 7-14 days) for MIAVR and 4 days for TAVR (IQR, 3-6 days; Mann-Whitney P
Source: The Journal of Invasive Cardiology - May 16, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Femoropopliteal Arterial Dissections Post Flex Vessel Prep and Adjunctive Angioplasty: Results of the Flex iDissection Study.
Authors: Shammas NW, Shammas WJ, Jones-Miller S, Radaideh Q, Shammas GA Abstract BACKGROUND: Luminal gain post balloon angioplasty (PTA) is in part due to the occurrence of dissections. The depth and extent of dissections, however, can influence the short- and long-term outcomes of a procedure. Focal force and scoring balloons have been used to reduce angiographic dissections post PTA. The role of the Flex Vessel Prep (VP) system (VentureMed Group), a dynamic, microincision, non-balloon based system, prior to PTA in reducing and/or limiting severe dissections has not been fully characterized. METHODS: In this p...
Source: The Journal of Invasive Cardiology - May 1, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research