Total IN.PACT All-Subjects One-Year Analysis and Standard vs Broader Implications.
Authors: Kobe DS, Jaff MR, Zeller T, Schneider PA, Shishehbor MH Abstract Drug-coated balloons (DCBs) have been shown to be superior to percutaneous transluminal angioplasty (PTA) for symptomatic femoropopliteal disease in randomized clinical trials; however, their clinical effectiveness and safety in more complex disease is less defined. The study sought to conduct a patient-level pooled analysis of all prospective randomized and single-arm studies evaluating the safety and efficacy of IN.PACT Admiral DCB (Medtronic) worldwide and in patients with complex disease. Subjects were treated with either IN.PACT Admiral ...
Source: The Journal of Invasive Cardiology - July 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Insights From Modern Imaging and Catheter Wire Measurements in Patients Undergoing Transcatheter Aortic Valve Replacement.
This study aimed to fill that gap. METHODS: Time to cross the valve (TTCV) was measured prospectively in 35 consecutive patients undergoing transcatheter AV replacement and used to define two groups (≤60 seconds or>60 seconds). TTCV was analyzed as a function of 20 imaging variables. The AV was crossed systematically with a pigtail catheter parked in the non-coronary cusp, AL-1 catheter above the AV, and a straight wire for crossing, in 20° left anterior oblique view, as the operator adjusted catheter-to-catheter (CTC; AL-1 to pigtail) and catheter-to-wire (CTW; pigtail to wire) with each failed pass. RES...
Source: The Journal of Invasive Cardiology - July 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Urologic Complications in Patients Receiving Indwelling Urinary Catheters During Transcatheter Aortic Valve Replacement.
Authors: Lampert J, Finn MT, Kantor A, Akkoc D, Chen S, Brandwein R, Fidlow K, Liao M, Khalique O, Hahn RT, Vahl TP, George I, Kirtane A, Leon MB, Kodali SK, Nazif TM Abstract OBJECTIVES: The minimalist approach to transcatheter aortic valve replacement (TAVR) focuses on avoiding extraneous invasive measures. Data describing the clinical impact of routine indwelling urinary catheter (IUC) in TAVR patients is limited. We sought to examine outcomes after IUC placement in patients undergoing TAVR. METHODS: We performed a retrospective analysis of 773 consecutive patients undergoing TAVR between 2011 and 2015. Pati...
Source: The Journal of Invasive Cardiology - July 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

An Overview of Contrast-Associated Acute Kidney Injury Following Lower-Extremity Percutaneous Peripheral Interventions.
This article aims to review what we currently know about contrast-associated acute kidney injury and available prevention strategies, specifically following percutaneous peripheral interventions. PMID: 32610269 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Non-Elective Pediatric Cardiac Catheterization During COVID-19 Pandemic: A New York Center Experience.
CONCLUSIONS: Adjusting to the COVID-19 pandemic in a high-volume pediatric cardiac catheterization laboratory can be safely and effectively managed by prioritizing emergent and urgent cases and modifying workflow operations. The experience of this center may assist other pediatric cardiac catheterization laboratories in adapting to similar practice changes as the pandemic continues to evolve. PMID: 32610270 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Bioprosthetic Valve Fracture for Early Severe Prosthesis Mismatch After SAVR.
We present a case of a 41-year-old male (body surface area, 2.3 m²) who presented 4 months after SAVR with a 21 mm surgical valve (Magna Ease, true inner diameter, 19 mm) with severe PPM (mean gradient, 43 mm Hg) despite normal functioning valvular prosthetic leaflets, associated with debilitating symptoms. This patient was deemed high risk by the heart team, and was successfully treated with TAV in SAV (26 mm Evolut R) and concomitant high-pressure bioprosthetic valve fracture (BVF) with a 22 mm high-pressure balloon. The patient tolerated the procedure well; mean gradient was 5 mm Hg post BVF and prompt resolution o...
Source: The Journal of Invasive Cardiology - July 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

The Original Coronary "Full Metal Jacket": A 30-Year Journey.
This report provides a 30-year follow-up on a noteworthy case first described by Fischman et al in the September/ October 1989 issue of the Journal of Invasive Cardiology. The original article provided the first-known report of extensive intracoronary stenting, deployed in tandem, now colloquially referred to as a "full metal jacket" (FMJ). This case was especially notable at the time of publication for demonstrating that the FMJ stenting technique could provide substantial angiographic improvement following suboptimal result with balloon angioplasty. PMID: 32610272 [PubMed - in process] (Source: The Journal ...
Source: The Journal of Invasive Cardiology - July 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

May-Thurner Syndrome Results in Life-Threatening Condition: Phlegmasia Cerulea Dolens and Rhabdomyolysis.
Authors: Chi WK, Tan GM, Yan BP Abstract Venography alone may underestimate the extent of common iliac vein compression in May-Thurner syndrome. Peripheral intravascular ultrasound is mandatory to better assess common iliac vein compression. PMID: 32610273 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Post Heart Transplantation Coronary Artery Fistula and Coronary Artery Aneurysm Successfully Managed With the Implantation of Covered Stents.
Authors: Valle FH, Matte BS, Brum J, Clausell N, Goldraich LA Abstract Coronary-to-cardiac chamber fistulae and coronary aneurysms are potential complications after heart transplantation. In the setting of exercise intolerance and large fistulae at major coronary vessels, covered stents may provide an effective interventional strategy. PMID: 32610274 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

"Avulsion Injury" of the Artery by a Suture-Mediated Closure System During Transcatheter Aortic Valve Implantation.
We describe a cut-down method that is useful in cases with calcification restricted to the region surrounding the puncture site in transcatheter aortic valve implantation patients with severe aortic stenosis. PMID: 32610275 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Optical Coherence Tomography Imaging in Acute Myocardial Infarction: Calcified Nodule as a Culprit Lesion.
Authors: Vijayvergiya R, Kumar B, Sahoo S, Budhakoty S, Kasinadhuni G Abstract A calcified nodule is an infrequent pathological substrate in acute coronary syndrome patients. This case demonstrates the technical challenges of intervening an eccentric, severely calcified, balloon-uncrossable coronary lesion. PMID: 32610276 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Complex Plug-Prosthesis Interaction During Percutaneous Closure of Mitral Paravalvular Leak: The Butterfly Effect.
Authors: Melillo F, Cocco D, Stella S, Ingallina G, Pannone L, Bellini B, Romano V, Ferri L, Montorfano M, Agricola E Abstract This case shows how interaction between imaging experts and interventionists allowed us to overcome the challenge of plug-prosthesis interaction in a complex procedure. PMID: 32610277 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Distal Radial Access for Percutaneous Endovascular Repair of a Radial Artery Pseudoaneurysm.
Authors: Tsiafoutis I, Zografos T, Koutouzis M, Katsivas A Abstract Percutaneous pseudoaneurysm repair through the ipsilateral ulnar artery is an alternative to surgical repair; however, distal radial access, as described in this case, may offer increased safety. PMID: 32610278 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

TAVR in a 65-Year-Old Man With a Bicuspid Aortic Valve With Extremely Large Annulus and Severe Left Ventricular Dysfunction.
Authors: Parikh PB, Bloom MW, Pyo R, Patel N, Scott B, Stergiopoulos K, Tannous H Abstract This case illustrates that transfemoral transcatheter aortic valve replacement is safe and feasible in patients with bicuspid aortic stenosis with extremely large annulus and concomitant severe left ventricular dysfunction. PMID: 32610279 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Calcified Coronary Lesions Treated With Intravascular Lithotripsy: One-Year Outcomes.
We report the 1-year outcomes of patients treated with S-IVL during their PCI. PMID: 32610280 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Adversity as a Catalyst for Change.
Authors: Dalakoti M, Yang KC, Rastogi S, Kojodjojo P PMID: 32610281 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

The ISCHEMIA Algorithm or the FAME-2 Algorithm to Detect Ischemia?
Authors: San Roman JA PMID: 32610282 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Rebuttal to "The ISCHEMIA Algorithm or the FAME-2 Algorithm to Detect Ischemia?"
Rebuttal to "The ISCHEMIA Algorithm or the FAME-2 Algorithm to Detect Ischemia?" J Invasive Cardiol. 2020 Jul;32(7):E203 Authors: Dahal S, Budoff MJ PMID: 32610283 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

LAA Closure With Thrombus: There is More To It Than Meets the Eye!
Authors: Yadav A, Agstam S PMID: 32610284 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Rebuttal to "LAA Closure With Thrombus: There is More To It Than Meets the Eye!"
Rebuttal to "LAA Closure With Thrombus: There is More To It Than Meets the Eye!" J Invasive Cardiol. 2020 Jul;32(7):E204-E205 Authors: Sahiner L, Coteli C, Kaya EB, Ates A, Kilic GS, Yorgun H, Aytemir K PMID: 32610285 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Impact of Successful Chronic Total Occlusion Percutaneous Coronary Interventions on Subsequent Clinical Outcomes.
Authors: Xenogiannis I, Nikolakopoulos I, Krestyaninov O, Khelimskii D, Khatri JJ, Doing AH, Dattilo P, Alaswad K, Toma C, Sheikh AM, Jaffer FA, Jefferson BK, Patel T, Chandwaney RH, Jaber W, Samady H, Patel M, Mahmud E, Choi J, Koutouzis M, Tsiafoutis I, Megaly M, Omer M, Vemmou E, Rangan BV, Garcia S, Abdullah S, Banerjee S, Burke N, Brilakis ES, Karmpaliotis D Abstract BACKGROUND: The impact of chronic total occlusion (CTO) percutaneous coronary intervention (PCI) on angina and subsequent incidence of major adverse cardiovascular event (MACE) rate remains controversial. METHODS: We compared patient- reported...
Source: The Journal of Invasive Cardiology - June 25, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Effect of Preloading With High Dose of Rosuvastatin on Serum Levels of Inflammatory Markers After Percutaneous Coronary Intervention.
Authors: Slhessarenko JR, Hirata M, Sousa A, Bastos GM, Higa EMS, Mouro MG, Sobrera GC, Slhessarenko RD, Viana R, Abizaid A, Costa JR Abstract OBJECTIVES: We sought to assess the effects of a high loading dose of rosuvastatin (40 mg) on acute inflammatory response after coronary stenting. METHODS: Patients with stable coronary disease without statin use (≥7 days) and undergoing elective percutaneous coronary intervention (PCI) in a native coronary artery were randomized to receive a loading dose of rosuvastatin (n = 64) or not (n = 61). Blood samples were obtained before statin intake (time point A), 3 hours...
Source: The Journal of Invasive Cardiology - June 25, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

A Sex-Based Analysis From the RAIN-CARDIOGROUP VII Study (VeRy Thin Stents for Patients With Left MAIn or BifurcatioN in Real Life) on Left Main Stenting.
Authors: Trabattoni D, Gili S, Teruzzi G, Omedè P, Cerrato E, Templin C, Capodanno D, Lüscher T, Ryan N, Venuti G, Montabone A, Wojakowski W, Rognoni A, Helft G, Gallo D, Biolè CA, Parma R, De Luca L, Figini F, Mitomo S, Mattesini A, Boccuzzi G, Quadri G, Wańha W, Smolka G, Huczek Z, Chieffo A, Nuñez-Gil I, Morbiducci U, Iannaccone M, di Mario C, Moretti C, D'Amico M, Sheiban I, Escaned J, D'Ascenzo F Abstract INTRODUCTION: There is a lack of data on clinical outcomes of percutaneous coronary intervention (PCI) with ultrathin stents on unprotected left main (ULM) coronary artery comparing...
Source: The Journal of Invasive Cardiology - June 25, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Evaluation of Effectiveness and Safety of Left Atrial Appendage Closure Under Moderate Conscious Sedation.
CONCLUSIONS: LAAC is safe and effective when performed under MCS. Thus, applying MCS may simplify the LAAC procedure, as well as reduce procedural time and procedural costs, while increasing overall patient satisfaction. PMID: 32507752 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - June 10, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

First-in-Human Study of the Saranas Early Bird Bleed Monitoring System for the Detection of Endovascular Procedure-Related Bleeding Events.
CONCLUSIONS: The EBBMS was safe across a variety of endovascular procedures and detected bleeding events with a high level of agreement with postprocedural computed tomography scan. PMID: 32507753 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - June 10, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Safety and Accuracy of a Novel Bioimpedance System for Real-Time Detection and Monitoring of Endovascular Procedure-Related Bleeding in a Porcine Model.
This study was a prospective, self-controlled, acute animal study including 20 Yorkshire cross swine undergoing endovascular procedures involving cannulation of both femoral artery and vein. Extravascular bleeding was simulated by a continuous and controlled subcutaneous injection of a blood solution proximal to the access site. The capacity of the EBBMS to detect bleed occurrence and to characterize its progression in three levels of severity (level 1, level 2, level 3) was assessed. Sensitivity and specificity in bleed detection were determined. RESULTS: Forty EBBMS devices were inserted in 20 animals. During these 4...
Source: The Journal of Invasive Cardiology - June 10, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Evaluation of Effectiveness and Safety of Transcatheter Mitral Valve Repair Under Moderate Conscious Sedation.
CONCLUSIONS: TMVR can be performed safely and effectively under moderate conscious sedation. Applying moderate conscious sedation may simplify the TMVR procedure and reduce procedural time and costs, while increasing overall patient satisfaction. PMID: 32479415 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - June 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Differential Longitudinal Outcomes Following Percutaneous Coronary Intervention to the Left Internal Mammary Artery and Other Bypass Grafts of the LAD: Findings From the NCDR.
Authors: Yeo KK, Azarbal F, Zakroysky P, Dai D, Roe M, Wojdyla D, Low R, Shunk K Abstract OBJECTIVES: Limited studies of percutaneous coronary intervention (PCI) of the left internal mammary artery (LIMA) graft exist. We compared outcomes of different bypass grafts to the left anterior descending (LAD) coronary artery. METHODS: Participants ≥65 years old in the CathPCI Registry who underwent PCI of a bypass graft to the LAD between 2009 and 2014 were included. Individuals were divided by graft type: LIMA; saphenous vein graft (SVG); or other. Clinical characteristics and outcomes using Medicare claims data f...
Source: The Journal of Invasive Cardiology - June 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Characteristics and Outcomes of Patients Who Are Denied From a Percutaneous Edge-to-Edge Mitral Valve Repair After Being Referred to a Transcatheter Mitral Valve Program: Impact of a Dedicated Multidisciplinary Mitral Heart Team Approach.
Authors: Poulin A, Beaupré F, Gravel C, Hadjadj S, Bernier M, Beaudoin J, O'Connor K, Ferreira-Neto AN, Wintzer J, Dumont E, Dagenais F, Rodés-Cabau J, Paradis JM Abstract BACKGROUND: Many patients referred for a MitraClip intervention are finally refused for this intervention, and data are very scarce on their outcomes. Our study sought to determine the characteristics and outcomes of patients who are referred to a mitral valve clinic and are finally denied from a percutaneous mitral edge-to-edge repair. METHODS: A total of 210 patients referred to our clinic for severe mitral regurgitation were ...
Source: The Journal of Invasive Cardiology - June 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

The Efficacy of Percutaneous Transluminal Angioplasty on the Limb Salvage and Recovery of Symptoms in Patients With Buerger's Disease With Critical Limb Ischemia.
In this study, we sought to investigate the efficacy of the percutaneous transluminal angioplasty method for the treatment of critical limb ischemia (CLI) in patients with Buerger's disease in our modest cohort. METHODS: Patients diagnosed with CLI secondary to Buerger's disease who underwent percutaneous transluminal angioplasty between May 2014 and June 2017 were retrospectively investigated. Patient demographics, presentations, procedural details, responses to percutaneous treatment, complications, limb salvage, wound healing, reinterventions, and early follow-up data were recorded. RESULTS: The cohort included ...
Source: The Journal of Invasive Cardiology - June 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Endovascular Treatment of a Migrated Superior Vena Cava Stent in the Right Atrium.
Authors: Vijayvergiya R, Kanabar K, Kaushal S, Lal A, Krishnan S Abstract A 42-year-old female with end-stage chronic kidney disease, who was on maintenance hemodialysis for the last 3 years, presented with facial and upper-limb swelling of 2-month duration. A computed tomography (CT) scan confirmed significant stenosis of the superior vena cava (SVC). Following discussion in a multidisciplinary meeting, it was proposed to perform a repeat endovascular intervention to relieve the SVC obstruction and manage the migrated stent. PMID: 32479419 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - June 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Critical Left Main Coronary Stenosis After Sutureless Aortic Valve Replacement.
Authors: Chi WK, So CY, Chui KL, Chan JYS, Chan CY Abstract Our case illustrates the feasibility of high-risk PCI to salvage LMCA stenosis, possibly caused by coronary injury during direct coronary cardioplegia for a recent triple-valve operation. PMID: 32479420 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - June 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Triple-Access Retrograde Chronic Total Occlusion Intervention Through Vein Graft and Epicardial Collaterals.
Authors: Tsiafoutis I, Liontou C, Antonakopoulos A, Katsanou K, Koutouzis M, Katsivas A Abstract Based on the patient's symptoms and examination, a decision was made to recanalize his totally occluded RCA via retrograde approach through the SVG to the OM. Due to inadequate visualization of the epicardial collaterals and distal RCA via SVG, triple-access was used and injection via left main. In selected CTO cases, triple access may facilitate the retrograde approach, allowing optimal collateral visualization. PMID: 32479421 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - June 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Technical Considerations for TAVR in the Treatment of Stentless Bioprosthetic Aortic Valve Insufficiency in LVAD Patients.
Authors: Yap J, Stripe BR, Wong GB, Smith TW, Southard JA Abstract An 80-year-old man with a history of bicuspid AV complicated by severe AI presented with progressive NYHA class III symptoms and severe bioprosthetic AV insufficiency. Transcatheter aortic valve replacement was planned via transfemoral approach. We encountered several technical challenges and describe them herein. PMID: 32479422 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - June 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Rotatripsy: A Hybrid "Drill and Disrupt" Approach for Treating Heavily Calcified Coronary Lesions.
Rotatripsy: A Hybrid "Drill and Disrupt" Approach for Treating Heavily Calcified Coronary Lesions. J Invasive Cardiol. 2020 Jun;32(6):E175 Authors: Aznaouridis K, Bonou M, Masoura C, Kapelios C, Tousoulis D, Barbetseas J Abstract In balloon-uncrossable calcified lesions, rotational atherectomy (RA) is the first-line modality to enable operators to advance balloons and stents over the stenosis. If the lesion is undilatable after RA, a hybrid approach with additional intracoronary lithotripsy (rotatripsy) can be an effective approach that further modifies the calcified plaque and enables stent ...
Source: The Journal of Invasive Cardiology - June 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Acute Anterior STEMI in Multivessel Spontaneous Coronary Dissections.
Authors: Trabattoni D, Santagostino Baldi G, Teruzzi G, Conte E, Bartorelli A Abstract Spontaneous coronary artery dissection (SCAD) has a prevalence between 0.2%-4% of all acute coronary syndromes. Multivessel SCAD is unusual. Coronary revascularization remains appropriate for unstable patients or with compromised coronary blood flow. Additionally, IVUS probe advancement and its retrieval could precipitate a dramatic progression of SCAD both distally and proximally to its original site. PMID: 32479424 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - June 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Spontaneous Device Detachment After its Partial Deployment During Left Atrial Appendage Occlusion: A Nightmare in the Cath Lab.
Authors: Talanas G, Moccia E, Sanna GD, Parodi G Abstract To date, this is the first description of a spontaneous unscrewing of an Amplatzer Amulet device from its delivery cable while its lobe was partially deployed within the left atrial appendage. In such cases, the device should be pushed forward to complete the deployment and to rescrew the device to the DC in order to prevent an unavoidable cardiac surgery. PMID: 32479425 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - June 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Interaction Between Balloon-Expandable Valves and Coronary Ostia: Angiographic Analysis and Impact on Coronary Access.
Authors: Faroux L, Couture T, Guimaraes C, Junquera L, Del Val D, Muntané-Carol G, Wintzer-Wehekind J, Mohammadi S, Paradis JM, Delarochellière R, Kalavrouziotis D, Dumont E, Pasian S, Rodés-Cabau J Abstract OBJECTIVES: We sought to evaluate the position of balloon-expandable valves in relation to the coronary ostia using an angiographic- and computed tomography (CT)-based analysis, and to determine the impact of valve position on coronary angiography (CA)/percutaneous coronary intervention (PCI) feasibility and results. METHODS: A total of 533 patients who received a Sapien XT or Sapien 3 ...
Source: The Journal of Invasive Cardiology - May 21, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Follow-up Outcomes After Chronic Total Occlusion Percutaneous Coronary Intervention in Patients With and Without Prior Coronary Artery Bypass Graft Surgery: Insights From the PROGRESS-CTO Registry.
Authors: Nikolakopoulos I, Choi JW, Khatri JJ, Alaswad K, Doing AH, Dattilo P, Abi Rafeh N, Maalouf A, Abou Jaoudeh F, Tamez H, Shah A, Gkargkoulas F, Lembo NJ, Parikh M, Kirtane AJ, Ali ZA, Vemmou E, Xenogiannis I, Rangan BV, Abdullah S, Banerjee S, Garcia S, Burke MN, Brilakis ES, Karmpaliotis D Abstract BACKGROUND: Long-term outcomes of patients with prior coronary artery bypass graft (CABG) surgery undergoing chronic total occlusion (CTO) percutaneous coronary intervention (PCI) have received limited study. METHODS: We compared the clinical and angiographic characteristics and procedural and follow-up outco...
Source: The Journal of Invasive Cardiology - May 21, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Transcatheter Aortic Valve Replacement Without the Use of Contrast Medium: An Alternative Safe Implantation Technique.
Authors: Owais T, El Garhy M, Fuchs J, Schreiber M, Girdauskas E, Kuntze T Abstract BACKGROUND: New transcatheter equipment and accumulated experience have stimulated further refinements in implantation techniques. We aimed to compare the outcomes of transfemoral transcatheter aortic valve replacement (TF-TAVR) with and without the use of contrast medium (CM) in patients with glomerular filtration rate (GFR)
Source: The Journal of Invasive Cardiology - May 21, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Percutaneous Mitral Valve Repair With MitraClip in Inoperable Patients With Severe Mitral Regurgitation Complicated by Cardiogenic Shock.
CONCLUSIONS: Among inoperable patients with severe MR and cardiogenic shock, percutaneous leaflet repair with MitraClip is associated with acceptable short-term effectiveness. PMID: 32385191 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 11, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Utility of Radiopaque Bypass Graft Markers During Coronary Angiography Following Coronary Artery Bypass Graft Surgery.
Authors: Oman Z, Feghaly J, Gu L, Nasir A, Forsberg M Abstract BACKGROUND: Radiopaque bypass graft markers allow easy visualization of the location of the graft and can minimize contrast use and radiation exposure during follow-up coronary angiography. METHODS: This retrospective study analyzed coronary artery bypass graft patients who underwent subsequent coronary angiography in the John Cochrane Veterans Affairs Medical Center from January 2009 until September 2017. RESULTS: Patients who underwent diagnostic coronary angiography with proximal graft markers required less contrast use (P
Source: The Journal of Invasive Cardiology - May 11, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

The Impact of Novel X-Ray Systems and X-Ray System Optimization on Patient Radiation Dose Administered During Cardiac Catheterization.
Authors: Vemmou E, Nikolakopoulos I, Xenogiannis I, Megaly M, Omer MA, Stanberry L, Garberich R, Rangan BV, Baran KW, Gössl M, Sorajja P, Chavez I, Mooney M, Traverse J, Wang Y, Garcia S, Poulose A, Burke MN, Brilakis ES Abstract INTRODUCTION: The effect of x-ray system optimization on patient radiation dose has received limited study. METHODS: We analyzed patient radiation dose in 1786 cardiac catheterization procedures (diagnostic coronary angiography and/or percutaneous coronary intervention [PCI]) performed at a single tertiary-care center before and after x-ray system optimization. RESULTS: After ...
Source: The Journal of Invasive Cardiology - May 11, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Use of Polymer-Jacketed, Tapered-Tip, Low-Force Guidewires With Composite-Core, Dual-Coil Design as Part of the Antegrade Approach to Coronary Chronic Total Occlusions.
CONCLUSIONS: Use of Fielder XTRA wires as part of an AWE strategy in CTO percutaneous coronary interventions may facilitate more efficient antegrade lesion crossing and overall procedural success in lesions that have been traditionally challenging to treat using an antegrade-first approach. PMID: 32357129 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Instantaneous Wave-Free Ratio (iFR) Correlates With Fractional Flow Reserve (FFR) Assessment of Coronary Artery Stenoses and Myocardial Bridges in Children.
Authors: Doan TT, Wilkinson JC, Agrawal H, Molossi S, Alam M, Mery CM, Qureshi AM Abstract OBJECTIVES: Instantaneous wave-free ratio (iFR) has been proven to correlate with coronary flow reserve better than fractional flow reserve (FFR) and is non-inferior to FFR in guiding coronary revascularization in ischemic heart disease. There has been no study validating the utility of iFR in children. METHODS: We performed a retrospective review of clinically indicated cases in which both FFR and iFR were obtained at Texas Children's Hospital from July, 2016 to March, 2019. FFR and iFR were obtained at baseline. Adenosi...
Source: The Journal of Invasive Cardiology - May 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Safety and Long-Term Patency of Endovascular Therapy for Infrarenal Aortic Disease: Single-Center Experience and Review of the Literature.
CONCLUSION: EVT is highly effective and safe, and was associated with excellent patency rates at long-term follow-up. PMID: 32357131 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Temporal Trends and Outcomes of Percutaneous Coronary Atherectomy in the United States.
Authors: Elbadawi A, Elzeneini M, Elgendy IY, Mahmoud K, Omer MA, Ogunbayo GO, Kayani W, Denktas A, Paniagua D, Jneid H Abstract BACKGROUND: There is paucity of data regarding the temporal trends and outcomes of coronary atherectomy in the United States. METHODS: We queried the National Inpatient Sample database (2011-2016) for hospitalizations of patients undergoing coronary atherectomy procedures. We also compared outcomes of non-orbital vs orbital coronary atherectomy in a more contemporary cohort. RESULTS: Our analysis included 2,990,223 hospitalizations with PCI, of which 114,462 (3.8%) included an ath...
Source: The Journal of Invasive Cardiology - May 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Machine Learning on High-Dimensional Data to Predict Bleeding Post Percutaneous Coronary Intervention.
CONCLUSION: The AI-BR model accurately predicts bleeding post PCI and outperforms the ACC-BR model in predicting the risk of bleeding in patients undergoing PCI. PMID: 32357133 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Down the Memory Lane of Tamponade During Balloon Mitral Valvotomy.
Authors: Agstam S, Panneerselvam A, Manjunath SC, Ananthakrishna R PMID: 32357134 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Digital Hand Embolization as a Complication of Substance Abuse.
Authors: Kiernan F, Abdelaziz A, Hiendlmayr B, Gowani SA Abstract Intra-arterial injection of recreational substances and drugs is less well described in the literature. It carries a risk for hand ischemia and embolization to the hand digits and ultimately amputation. PMID: 32357135 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research