Balloon Valvuloplasty Followed by Transcatheter Aortic Valve Implantation as a Staged Procedure in Patients With Low-Flow Low-Gradient Aortic Stenosis.
Authors: Piayda K, Wimmer AC, Veulemans V, Afzal S, Sievert H, Gafoor S, Erkens R, Polzin A, Quast C, Jung C, Westenfeld R, Kelm M, Hellhammer K, Zeus T Abstract OBJECTIVE: Balloon aortic valvuloplasty (BAV) as a bridge to transcatheter aortic valve implantation (TAVI) is a well-established treatment option in patients who are in a critical state or who suffer from underlying comorbidities that disguise the severity of aortic stenosis (AS). If convalescence is achieved, TAVI can be performed with good results in high-gradient aortic stenosis (HG-AS) patients. Whether this approach is safe and effective in low-flow ...
Source: The Journal of Invasive Cardiology - December 8, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Clinical and Angiographic Outcomes Comparison of Patients With Left Main Vs Non-Left Main Bifurcation Lesions Treated With Percutaneous Coronary Intervention With Second-Generation Drug-Eluting Stents.
Authors: Vergara R, Valenti R, Migliorini A, Ciabatti M, Grazia De Gregorio M, Taborchi G, Morini S, Rondine R, Martone R, Antoniucci D Abstract INTRODUCTION: It is not clear if differences exist about treating left main bifurcation (LMB) and non-left main bifurcation (non-LMB) lesions by means of percutaneous coronary intervention (PCI). METHODS: We prospectively analyzed all consecutive patients treated at our center for bifurcation lesions from January 1, 2011 to December 31, 2015, including acute myocardial infarction (MI) and cardiogenic shock, and compared the angiographic and clinical outcomes of patient...
Source: The Journal of Invasive Cardiology - December 8, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Predicting Iliac Vein Compression With Computed Tomography Angiography and Venography: Correlation With Intravascular Ultrasound.
Authors: Shammas NW, Shammas GA, Jones-Miller S, Radaideh Q, Winter AR, Shammas AN, Kovach IZ, Bou Dargham B, Daher GE, Rachwan RJ, Shammas WJ, Omar W, Manazir A, Kasula S Abstract BACKGROUND: Intravascular ultrasound (IVUS) is considered the gold standard in diagnosing common iliac vein (CIV) compression. The presence of>50% surface area reduction by IVUS is considered significant compression by most operators. Thus, we evaluated the role of computed tomography angiography (CTA) and venography in diagnosing CIV compression when compared to IVUS. METHODS: All patients who underwent CTA of the pelvis with ven...
Source: The Journal of Invasive Cardiology - December 8, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Outcomes of Extracorporeal Membrane Oxygenation Support for Complex High-Risk Elective Percutaneous Coronary Interventions: A Single-Center Experience and Review of the Literature.
We examined the in-hospital and mid-term clinical outcomes in patients undergoing complex, high-risk PCI with VA-ECMO support. METHODS: . We conducted a retrospective review of ECMO-supported elective high-risk PCIs performed at our institution between May 2012 and May 2017. The electronic medical records and angiograms were individually reviewed. We assessed the in-hospital and mid-term major adverse cardiovascular and cerebrovascular event (MACCE) rates, and reviewed bleeding and vascular complications. RESULTS: Five patients underwent elective high-risk PCI with ECMO support. Mean age was 66.8 ± 8.6 years...
Source: The Journal of Invasive Cardiology - December 8, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Different Spasmolytic Regimens (Nitroglycerin vs Verapamil) and the Incidence of Radial Artery Occlusion After Transradial Catheterization.
This study evaluated whether use of different spasmolytic regimens (nitroglycerin or verapamil) administered soon after sheath insertion affects postprocedure radial artery occlusion (RAO) in patients who underwent transradial catheterization. METHODS AND RESULTS: We performed a post hoc analysis of a randomized trial evaluating the use of 500 μg intra-arterial nitroglycerin just before sheath removal in 1706 patients undergoing transradial catheterization. Patients who received 200 μg or 300 μg nitroglycerin after sheath placement (group A; n = 688) were compared with patients who received 5 mg verapamil afte...
Source: The Journal of Invasive Cardiology - December 8, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Hybrid Coronary Revascularization vs Complete Coronary Artery Bypass Grafting for Multivessel Coronary Artery Disease: A Systematic Review and Meta-Analysis.
CONCLUSIONS: Our results suggest that compared to CABG, HCR is associated with a lower risk of postoperative blood transfusion and infection, as well as a shorter ICU stay and hospital stay. HCR was also associated with a higher risk of long-term TVR. PMID: 30504516 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - December 8, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Suggesting a New Primary Access Site for Treating Chronic Total Occlusions: Bilateral Distal Transradial Intervention (bdTRI).
Authors: Hadžibegović I, Starčević B Abstract Bilateral distal transradial intervention is a new primary access strategy for chronic total occlusion interventions. We provide a brief review of recent studies and offer the rationale behind this promising approach. PMID: 30504517 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - December 8, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Recanalization of Left Subclavian Vein Total Occlusion Jailed by Superior Vena Cava Stent Using Culotte Stenting Technique With a Dedicated Venous Stent.
Authors: Chi WK, Tam GM, Yan BP Abstract This case demonstrates that the high radial strength of a dedicated nitinol venous stent is able to achieve good acute angiographic results and clinical efficacy. PMID: 30504518 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - December 8, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Thrombolysis-Guided Primary Percutaneous Coronary Intervention.
Authors: Tzanis G, Giannini F, Latib A, Colombo A Abstract A 77-year-old STEMI patient became hemodynamically unstable during attempted PCI, and operators were unable to visualize the right coronary artery ostium despite multiple attempts. Systemic thrombolysis resolved these issues and allowed PCI to proceed. This case highlights that fibrinolysis might still play a key role for some challenging cases in the era of modern PCI. PMID: 30504519 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - December 8, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Snow and Reindeer: Large Tricuspid Valve Mobile Vegetation.
Authors: Olson PC, Agarwal V, Royzman R Abstract A 20-year-old female with history of polysubstance abuse presented with fevers and lightheadness. Blood cultures grew out Streptococcus constellatus, which is known to form purulent infections when introduced in the body. Evaluation with transesophageal echocardiogram showed a definite large, irregular, loosely organized, highly mobile vegetation. PMID: 30504520 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - December 8, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Traumatic Fracture of Pacemaker Lead by Suture Transfixation to Pectoral Muscle.
We report acute lead fracture during pacemaker implantation. Suturing the lead without the sleeve might damage the lead. To avoid this result, we suggest tying knots tightly, but not too vigorously. PMID: 30504521 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - December 8, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

OCT Analysis of Very Early Strut Coverage of the Synergy Stent in Non-ST Segment Elevation Acute Coronary Syndrome Patients.
CONCLUSIONS: In NSTE-ACS patients undergoing culprit percutaneous coronary intervention with the Synergy stent, the rate of covered struts at 1 month was 78.5%. This rapid coverage is in line with the results of clinical trials demonstrating the safety of short-duration DAPT in selected patients who are at high bleeding risk and treated with new-generation DES options. PMID: 30418164 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - November 14, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Immediate Improvement in Left Atrial Function After Transcatheter Aortic Valve Replacement on Doppler Echocardiography.
Authors: Phan D, Chalian A, Makkar R, Siegel RJ, Rader F Abstract BACKGROUND: More than 50% of embolic strokes occur>24 hours after transcatheter aortic valve replacement (TAVR) and are therefore not directly procedure related. We aimed to determine immediate changes in left atrial (LA) function after TAVR, that may alter short-term and long-term stroke risk after TAVR. METHODS: Transesophageal and transthoracic echocardiography were performed before and immediately after TAVR to evaluate left atrial appendage (LAA) velocities and Doppler echocardiographic markers of LA function. RESULTS: Eighty-five pat...
Source: The Journal of Invasive Cardiology - November 14, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Comparison Between Traditional and Guide-Catheter Extension Reverse Controlled Antegrade Dissection and Retrograde Tracking: Insights From the PROGRESS-CTO Registry.
Authors: Xenogiannis I, Karmpaliotis D, Alaswad K, Jaffer FA, Yeh RW, Patel M, Mahmud E, Choi JW, Burke MN, Doing AH, Dattilo P, Toma C, Smith AJC, Uretsky B, Krestyaninov O, Khelimskii D, Holper E, Potluri S, Wyman RM, Kandzari DE, Garcia S, Koutouzis M, Tsiafoutis I, Jaber W, Samady H, Moses JW, Lembo NJ, Parikh M, Kirtane AJ, Ali ZA, Doshi D, Tajti P, Rangan BV, Abdullah S, Banerjee S, Brilakis ES Abstract OBJECTIVES: The most common re-entry technique during retrograde chronic total occlusion (CTO) percutaneous coronary intervention (PCI) is reverse controlled antegrade and retrograde tracking (rCART). The use ...
Source: The Journal of Invasive Cardiology - November 14, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

High-Sensitivity Troponin in Patients With Coronary Artery Endothelial Dysfunction.
CONCLUSION: Our findings suggest that endothelial dysfunction may be associated with higher baseline hscTnI levels, suggesting increased myocardial injury in this population of patients. Additional studies are necessary to further define the role of hscTnI in risk stratification in this population. PMID: 30373950 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - November 1, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Bacterial Contamination of Lead Aprons in a High-Volume Cardiac Catheterization Laboratory and Disinfection Using an Automated Ultraviolet-C Radiation System.
Authors: Ang L, Almasoud A, Palakodeti S, Mahmud E Abstract OBJECTIVES: Quantify and characterize bacterial contamination of lead aprons in a high-volume catheterization laboratory and evaluate the efficacy of decontamination using an ultraviolet-C (UV-C) radiation system. BACKGROUND: Bacterial contamination and ineffective disinfection of personal protective equipment in medical centers pose potential health risks to patients and medical staff. The contamination burden of lead aprons and a reliable disinfection strategy are unknown. METHODS: Ten routinely used, unsterilized lead aprons from a high-volume c...
Source: The Journal of Invasive Cardiology - November 1, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Early Clinical Outcomes of Transcatheter Aortic Valve Replacement in Left Ventricular Outflow Tract Calcification: New-Generation Device vs Early-Generation Device.
CONCLUSION: In the setting of LVOT-CA, patients with new-generation devices compared to those with early-generation devices had acceptable clinical outcomes except for cardiac conduction disturbances, especially in new-onset LBBB. PMID: 30373952 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - November 1, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Hematomas, Compartment Syndrome, and Boney Infarcts: Potential Melancholy for Dorsal Radial Access?
Authors: Gilchrist IC Abstract An editorial addressing the concerns related to the unique technical and anatomical components of the hand. PMID: 30373953 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - November 1, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Rescue Implantation of Covered Stent in Pulmonary Artery Rupture During Balloon Pulmonary Angioplasty.
We present a 62-year-old female with residual pulmonary hypertension after pulmonary endarterectomy for CTEPH who underwent balloon pulmonary angioplasty (BPA). Implantation of a covered stent not only protects the ruptured vessel, but also keeps perfusion in the future. PMID: 30373954 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - November 1, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Superficial Femoral Artery Aneurysm as a Cause of Deep Vein Thrombosis Treated With a Covered Stent.
We present a 57-year-old female patient who had recently undergone a left superficial femoral artery (SFA) intervention at an outside institution due to significant peripheral artery disease. Imaging revealed a 3.2 cm SFA aneurysm with secondary mass effect on the left mid superficial femoral vein. She underwent successful exclusion of the aneurysm with a 6.0 x 10 cm Viabahn covered stent. PMID: 30373955 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - November 1, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Percutaneous Management of Left Atrial Appendage Perforation: Keep Calm and Think Fast.
We present an 83-year-old woman with permanent atrial fibrillation and high thromboembolic and bleeding risk who was admitted for elective percutaneous LAA closure. During angiographic study, she suddenly became hypotensive. Heart perforation with leakage of contrast in the pericardial space was evident and imaging confirmed cardiac tamponade. Rapid release of the closure device and pericardial evacuation allowed the operators to successfully manage the cardiac tamponade and avoid a surgical option. PMID: 30373956 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - November 1, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Interatrial Septal Dissection Complicating a MitraClip Procedure.
We report the first case of interatrial dissection and hematoma in association with the MitraClip procedure. Hemodynamically stable patients can be managed conservatively, with echocardiographic imaging, often with resolution of the dissection over the course of weeks. Our patient remained hemodynamically stable and asymptomatic post operation; at 1-month follow-up, echocardiogram showed resolution of the interatrial septal dissection. PMID: 30373957 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - November 1, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Novel Cerebral Protection Technique During Right Transcarotid TAVR in Bicuspid Aortic Stenosis and Porcelain Aorta.
We report a case using cerebral embolic protection during a right transcarotid TAVR. PMID: 30373958 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - November 1, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Atrial Myxoma With Feeding Vessels From Both the Right and Left Coronary Arteries: A Rare Finding During Coronary Angiography.
Authors: Frederiks P, Vandekerckhove H, Hermans K Abstract A 73-year-old woman presented with exertional chest pain and mild dyspnea for several months. In this case, preoperative coronary angiography showed neovascularization originating from the right coronary artery (RCA) and left circumflex (LCX). Vascular supply in left atrial myxomas usually originates from the LCX and sometimes from the RCA, but vascular supply from both the right and left coronary arteries is rarely seen. PMID: 30373959 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - November 1, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Clinical Outcomes of Atherectomy Prior to Percutaneous Coronary Intervention: A Comparative Assessment of Atherectomy in Patients With Obesity (COAP-PCI Subanalysis).
CONCLUSION: In this study assessing atherectomy in obese patients, OA and RA demonstrated comparable outcomes with complication rates within an acceptable range. It demonstrates that OA and RA can be safely performed in this high-risk patient subset with CAC. PMID: 30318482 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - October 16, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Safety of the Atlas Gold Balloon in Treating Iliofemoral Veins: Experience From a Single Center.
CONCLUSION: All patients postdilated with the Atlas Gold balloon exceeded the 95% safety benchmark set in this study. No balloon perforation, vessel laceration, or balloon-related intravascular events occurred. PMID: 30318483 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - October 16, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Prehospital Prasugrel Versus Ticagrelor in Real-World Patients With ST-Elevation Myocardial Infarction Referred for Primary PCI: Procedural and 30-Day Outcomes.
CONCLUSIONS: Prehospital administration of both prasugrel and ticagrelor in STEMI patients is safe, without differences in preprocedural and postprocedural reperfusion and short-term clinical outcomes. PMID: 30318484 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - October 16, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Use of the STEMI Team for Treatment of Patients With Pulmonary Embolism: A Pilot Study.
CONCLUSIONS: Use of an existing STEMI team and activation protocol is a feasible method to care for patients with massive and submassive PE. This pilot study demonstrated rapid treatment times with low in-hospital mortality. PMID: 30279292 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - October 5, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Comparative Effectiveness Study of Drug-Eluting and Bare-Metal Peripheral Artery Stents in Endovascular Femoropopliteal Artery Revascularization.
CONCLUSIONS: Patients treated with DES had higher lesion and vessel patency than BMS after adjusting for confounding, which included complexity of lesion characteristics and operators' clinical decision-making regarding selection of treatment modalities, in femoropopliteal endovascular interventions in a real-world registry. PMID: 30279293 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - October 5, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Outcome of Patients Undergoing Transcatheter Aortic Valve Implantation After Prior Balloon Aortic Valvuloplasty.
CONCLUSION: BAV continues to offer a palliative solution to patients with unclear or poor prognosis and deemed at too high risk for emergent TAVI or surgery. Subjects undergoing BAV and surviving the post-BAV period can undergo TAVI without a significantly increased risk of in-hospital adverse events in comparison with non-BAV patients. PMID: 30279294 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - October 5, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Use of Ultrasound-Accelerated, Catheter-Directed Local Thrombolysis for Venous and Arterial Occlusions in a Pediatric Hospital.
CONCLUSIONS: The use of ultrasound-assisted catheter-directed thrombolysis in a pediatric center is a valuable modality for treating acute thrombosis with an acceptable safety profile. PMID: 30279295 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - October 5, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Identification of Coronary Vasospasm as a Cause of Recurrent Acute Coronary Syndrome.
Authors: Majunke N, von Roeder M, Schürer S, Erbs S Abstract A case highlighting the importance of nitrate administration, as routinely performed during coronary arteriography. PMID: 30279296 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - October 5, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Thrombotic Occlusion of Ectatic Coronary Arteries in a Young Patient.
Authors: Dar T, Tul Llah S, Sharif S, Naik H Abstract Multiple rounds of aspiration thrombectomy followed by balloon angioplasty of the left anterior descending (LAD) failed to completely restore the flow into the distal LAD secondary to re-occlusion from thrombus formation. PMID: 30279297 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - October 5, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Aortic Pseudoaneurysm Causing Compression of the Left Main Coronary Artery.
Authors: Gannon MP, Boutis LS, Brinster DR, Esposito RA, Saba SG, Makaryus JN Abstract A 75-year-old man with a history of mechanical aortic valve replacement with aortic conduit for severe aortic insufficiency underwent routine screening computed tomography evaluation revealing right coronary anastomosis endoleak and proximal aortic root pseudoaneurysm. PMID: 30279298 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - October 5, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Recannulation of Distal Radial Artery for Staged Procedure After Successful Primary Percutaneous Coronary Intervention.
Authors: Kim Y, Jeong MH, Berezhnoi K, Lee SY, Kim MC, Sim DS, Hong YJ, Kim JH, Ahn Y Abstract There are limited data regarding the snuffbox approach. Our experience highlights the feasibility of snuffbox approach as the access route for primary PCI and recannulation of distal radial artery for staged PCI. PMID: 30279299 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - October 5, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Layered Neointimal Pattern Secondary to Intraluminal Clot Organization in an Optical Coherence Tomography Longitudinal Study.
We present a patient with non-obstructive intraluminal clot protrusion treated with medical therapy. Follow-up OCT scan showed layered neointimal changes similar to images observed in stent failure. PMID: 30279300 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - October 5, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Four-Layer Stent Sandwich for Recurrent In-Stent Occlusion of the Right Coronary Artery: "The Four Musketeers" Fighting for Coronary Flow.
Four-Layer Stent Sandwich for Recurrent In-Stent Occlusion of the Right Coronary Artery: "The Four Musketeers" Fighting for Coronary Flow. J Invasive Cardiol. 2018 Oct;30(10):E109-E110 Authors: Grodecki K, Debski A, Witkowski A, Opolski MP Abstract A 70-year-old man with a history of two successfully treated in-stent chronic total occlusions of the ostial right coronary artery using drug-eluting stents presented with typical angina. PMID: 30279301 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - October 5, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Compartment Syndrome: A Rare and Frightening Complication of Transradial Catheterization.
Authors: Tsiafoutis I, Katsanou K, Koutouzis M, Zografos T Abstract The compartment syndrome is a severe complication of transradial approach and can be prevented by prompt treatment of forearm hematoma; otherwise, fasciotomies are urgent. PMID: 30279302 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - October 5, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

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