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

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

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

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

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

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

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

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

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

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

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

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

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

Spiral Pseudodissection of a Tortuous Internal Mammary Artery Graft.
Authors: Aznaouridis K, Bonou M, Vlachopoulos C, Tousoulis D Abstract Images and videos help describe a high-risk coronary intervention of an elongated and extremely tortuous LIMA graft to the LAD. LIMA had a complete 360° loop at the mid segment, followed by severe tortuosity and a subtotal occlusion at the anastomosis. PMID: 29715167 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 2, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Persistent Left Superior Vena Cava: Imaging Correlation.
Authors: Pineda AM, Gowani SA, Mihos CG, Beohar N, Santana O Abstract In this heart failure patient, TEE images confirm the presence of the persistent left SVC with a dilated coronary sinus, severe mitral regurgitation, and aortic stenosis. Computed tomography reveals an isolated persistent left SVC and rules out anomalous pulmonary vein drainage or additional congenital disease. PMID: 29715168 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 2, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Coronary Bypass Graft Pseudoaneurysm Successfully Treated by PTFE-Covered Jostent GraftMaster.
Authors: Gowani SA, Hiendlmayr B, Abdelaziz A, Gallagher R, Sadiq I, Hirst J Abstract A 60-year-old male presented 12 months after CABG surgery with a large pulsatile sternal mass. CT scan of the chest demonstrated a pseudoaneurysm originating from the mid saphenous vein graft to the PDA measuring 7.7 x 7.2 x 6.0 cm. After a multidisciplinary consultation, a decision was made to place a Jostent GraftMaster to completely seal the communication of the extravasation. PMID: 29715169 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 2, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Treatment of Diffuse Right Coronary Aneurysmal Disease With Standard Drug-Eluting Stent Scaffolding of Polytetrafluoroethylene-Covered Stents.
Authors: Rossi J, Hill T, Khatri J Abstract Demonstration of a novel technique to safely exclude long aneurysmal segments that require multiple covered stents in a single segment. In addition, these images and video series demonstrate the usefulness of balloon-assisted GuideLiner tracking to pass bulky equipment to the distal segments of heavily diseased vessels. PMID: 29715170 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 2, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Bleeding Heart and Coronary Cameral Fistulae.
Authors: Vijayvergiya R, Sihag BK Abstract This letter addresses an article regarding coronary-cameral fistula after septal myomectomy published in the December 2017 issue of the Journal of Invasive Cardiology and authored by Walters D, et al. PMID: 29715171 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 2, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Drug-Eluting Resorbable Magnesium Scaffold Implantation in ST-Segment Elevation Myocardial Infarction: A Pilot Study.
CONCLUSIONS: This pilot study is the first to assess feasibility and clinical outcomes associated with RMS implantation in selected STEMI patients. The results seem reassuring, with favorable short-term clinical outcomes and absence of definite/probable scaffold thrombosis, and should prompt further research including randomized controlled trials evaluating RMS implantation in the setting of STEMI. PMID: 29656279 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - April 17, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Real-World Bioresorbable Vascular Scaffold Experience Compared With Second-Generation Metallic Drug-Eluting Stents in Complex Coronary Lesions.
CONCLUSION: BVS implantation in a real-world patient population with optimal implantation technique resulted in similar stent expansion and better strut apposition compared to DES implantation. PMID: 29656280 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - April 17, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Treatment of Very Small De Novo Coronary Artery Disease With 2.0 mm Drug-Coated Balloons Showed 1-Year Clinical Outcome Comparable With 2.0 mm Drug-Eluting Stents.
CONCLUSIONS: In this first report, treatment of very small vessel CAD with 2.0 mm DCB vs 2.0 mm DES was associated with similar 1-year TLF rates. PMID: 29656281 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - April 17, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Multicenter Registry of Real-World Patients With Severely Calcified Coronary Lesions Undergoing Orbital Atherectomy: 1-Year Outcomes.
CONCLUSION: Orbital atherectomy is a valuable option for the treatment of severely calcified coronary arteries, including patients with very complex coronary anatomy and severe underlying comorbid conditions. Orbital atherectomy provided acceptable outcomes at 1 year and compared favorably to historical controls. A randomized trial with longer follow-up is needed to determine the optimal treatment strategy for patients with severely calcified coronary lesions. PMID: 29610442 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - April 5, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

One-Year Clinical Outcomes of Forty-Eight Millimeter Everolimus-Eluting Stent Implanted in Very Long Lesions: A Propensity-Matched Comparison (The FREIUS Study).
CONCLUSION: The use of 48 mm EES offers a safe and effective strategy for the treatment of very long coronary lesions. PMID: 29610443 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - April 5, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Hemodynamic Effects of Valve Asymmetry in Sapien 3 Transcatheter Aortic Valves.
CONCLUSIONS: Asymmetric deployment of Sapien 3 valves is common, particularly among 26 mm and 29 mm prostheses. Overall, we detected a small increase in gradients in smaller prostheses, which could reflect early subclinical SVD. Longer follow-up will be necessary to determine the extent to which eccentricity is associated with clinically significant SVD. PMID: 29610444 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - April 5, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Dissections in Peripheral Vascular Interventions: A Proposed Classification Using Intravascular Ultrasound.
Authors: Shammas NW, Torey JT, Shammas WJ Abstract Dissections following interventions in the infrainguinal arteries occur very frequently and are mostly under-appreciated on angiographic imaging. Media and external elastic lamina injury can contribute to loss of patency, and intravascular ultrasound (IVUS) can identify this type of injury. The circumference of injury also has been proposed to be a predictor of outcome. We therefore propose a classification combining depth of injury from intima to adventitia with circumference of dissection. This classification exhibits six dissection grades (A1, A2, B1, B2, C1, an...
Source: The Journal of Invasive Cardiology - April 5, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Mechanisms of Lead Failure by Recall Status and Manufacturer: Results From the Pacemaker and Implantable Defibrillator Leads Survival Study ("PAIDLESS").
Mechanisms of Lead Failure by Recall Status and Manufacturer: Results From the Pacemaker and Implantable Defibrillator Leads Survival Study ("PAIDLESS"). J Invasive Cardiol. 2018 Apr;30(4):147-151 Authors: Schwarzwald SN, Kersten DJ, Shaikh ZA, Needelman BS, Feldman AM, Germano J, Islam S, Cohen TJ Abstract OBJECTIVES: The aim of this study was to determine the differences in lead failure mechanisms across the major United States implantable defibrillator lead manufacturers (Boston Scientific, Medtronic, and St. Jude Medical), between all non-recalled and recalled leads, and between two recal...
Source: The Journal of Invasive Cardiology - April 5, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Very Late Migration of Balloon-Expandable Transcatheter Aortic Valve.
Authors: Kalra A, Avenatti E, Chinnadurai P, Reardon MJ, Kleiman NS, Little SH, Barker CM Abstract Color-flow Doppler transesophageal echocardiography during valve-in-valve TAVR illustrates the placement of a 23 mm Edwards Sapien 3 valve carefully positioned within a displaced 23 mm Edwards Sapien XT valve. PMID: 29610447 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - April 5, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Rotational Atherectomy and Simultaneous Temporary Transvenous Pacing Through a Forearm Approach.
Authors: Tsiafoutis I, Zografos T, Bourboulis N, Katsivas A Abstract This is the first reported rotational atherectomy procedure with transvenous pacing utilizing a complete forearm approach. An imaging series illustrates the feasibility of this procedure and its advantages for the patient. PMID: 29610448 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - April 5, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Rupture of a Non-Obstructive Plaque.
Authors: Alaiti MA, Fares A, Bezerra HG Abstract An invasive and non-invasive imaging series representing a classic rupture of a non-obstructive plaque with thin-cap fibroatheroma. PMID: 29610449 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - April 5, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Atherosclerosis of the Internal Mammary Artery: Intravascular Ultrasound and Virtual Histology Imaging.
Authors: Mehta SS, Shah FB, Connor A Abstract Atherosclerotic disease of the shaft of the internal mammary artery (IMA) is rare. This imaging series demonstrates that angiography or arterial duplex ultrasound before bypass surgery of the IMA should be performed even when considering the patient for an emergent bypass surgery. PMID: 29610450 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - April 5, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Contemporary Use of Laser During Percutaneous Coronary Interventions: Insights from the Laser Veterans Affairs (LAVA) Multicenter Registry.
CONCLUSION: In a contemporary multicenter United States registry, ELCA was commonly used in highly complex lesions and was associated with high technical and procedural success rates and low incidence of MACE. PMID: 29543185 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - March 21, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Online Angiography Image-Based FFR Assessment During Coronary Catheterization: A Single-Center Study.
We present the online application of the system where FFRangio was successfully used in the catheterization laboratory during routine coronary angiography and compared to invasive FFR. Fifty-three patients (79% men) and 60 coronary lesions were analyzed. RESULTS: Values derived using FFRangio ranged from 0.58-0.96 and correlated closely (Pearson's correlation coefficient, r=0.91; P
Source: The Journal of Invasive Cardiology - March 21, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Early Clinical Experience With Right and Left Distal Transradial Access in the Anatomical Snuffbox in 52 Consecutive Patients.
CONCLUSION: Distal transradial access in the anatomical snuffbox is an appealing and feasible option for both patients and operators. Further studies are needed to evaluate the clinical benefits conferred by this approach. PMID: 29543187 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - March 21, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Mechanical Circulatory Support in Chronic Total Occlusion Percutaneous Coronary Intervention: Insights From a Multicenter U.S. Registry.
We examined characteristics and outcomes of 1598 CTO-PCIs performed from 2012-2017 at 12 high-volume centers. RESULTS: Patient age was 66 ± 10 years; 86% were men. An MCS device was used electively in 69 procedures (4%) and urgently in 22 procedures (1%). The most commonly used elective MCS device was Impella 2.5 or CP (62%). Compared to patients without elective MCS, patients with elective MCS had higher prevalence of prior heart failure (55% vs 29%; P
Source: The Journal of Invasive Cardiology - March 2, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Short-Term Outcome After Left Main Interventions in Patients Presenting With Acute Coronary Syndrome.
Authors: Obeid S, Yousif N, Schelldorfer A, Shahin M, Räber L, Gencer B, Mach F, Roffi M, Matter CM, Windecker S, Lüscher TF Abstract OBJECTIVE: To assess the efficacy and safety of coronary left main (LM) disease interventions in patients with acute coronary syndromes (ACS) as compared to those without LM coronary artery disease. METHODS: A total of 2899 patients with ACS, enrolled in the prospective Swiss Program University Medicine ACS (SPUM-ACS) cohort, were included. The primary endpoints of independently adjudicated major adverse cardiovascular and cerebrovascular event (MACCE) and net adverse c...
Source: The Journal of Invasive Cardiology - March 2, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Favorable Short-Term and Long-Term Outcomes Among Patients With Prior History of Malignancy Undergoing Transcatheter Aortic Valve Implantation.
CONCLUSIONS: Malignancy is a common comorbidity among TAVR candidates. Mere history of malignancy among elderly patients does not adversely affect short-term or long-term outcomes after TAVR; however, history of recent (
Source: The Journal of Invasive Cardiology - March 2, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Forearm Versus Femoral Approach for Cardiac Catheterization in End-Stage Renal Disease Patients.
Authors: Koutouzis M, Sfyroeras GS, Maniotis C, Kintis K, Patsilinakos S, Tsiverdis P, Giannikouris G, Tsiafoutis I, Lazaris E, Hamilos M Abstract BACKGROUND: End-stage renal disease (ESRD) is considered a relative contraindication for forearm (radial or ulnar) cardiac catheterization. However, in everyday practice, many ESRD patients are catheterized from the forearm. The aim of this study was to compare femoral and forearm approach for cardiac catheterization in ESRD patients. METHODS: All cardiac catheterization procedures performed in ESRD patients in three Greek hospitals in a 2-year period (2014-2015) wer...
Source: The Journal of Invasive Cardiology - March 2, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Suggested Bony Landmarks for Safe Axillary Artery Access.
CONCLUSIONS: With the arm abducted, the origin of the subscapular artery correlates well with the inferior-most aspect of the glenoid cavity of the scapula under fluoroscopy. Axillary artery cannulation medial to this bony landmark typically lands the sheath in the second part or proximal end of the third part of the artery, thereby theoretically sparing injury to the brachial plexus and the subscapular artery. PMID: 29493513 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - March 2, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

The Apophenia of Interventional Cardiology.
Authors: Klein LW PMID: 29493514 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - March 2, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Role of Diastology in Transcatheter Aortic Valve Implantation.
Authors: Sivasubramonian S, Gopalakrishnan A, Sasidharan B, Valaparambil A Abstract Transient elevation of LV diastolic pressure above LA pressure can occur in severe aortic regurgitation in the diastasis phase. Mitral E wave reversal in such a situation could serve as non-invasive evidence of elevated left ventricular diastolic pressures, thereby guiding therapeutic decision making. PMID: 29493515 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - March 2, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Kinking of Right Coronary Artery as a Complication in Pulmonary and Tricuspid Valve Replacement.
Authors: Samara O, Davies S Abstract A 47-year-old patient with severe tricuspid and pulmonary regurgitation was electively admitted for surgical replacement of both valves. Post-op ECG changes suggested acute myocardial ischemia. Angiography revealed kinking in the distal RCA causing significant stenosis, which was treated by stenting. PMID: 29493516 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - March 2, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

High-Risk Atherosclerotic Plaque in Aberrant Circumflex Coronary Artery.
Authors: Obaid DR, Calvert PA, Bennett MR, West NEJ Abstract A 45-year-old man presented after an episode of central chest pain. Catheter angiography revealed an aberrant circumflex artery and high-grade stenosis in the mid RCA and proximal CX arteries. Previous case series have suggested that the retroaortic portion of aberrant circumflex arteries may be particularly prone to the development of atherosclerosis. PMID: 29493517 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - March 2, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Quadricuspid Aortic Valve Stenosis: Expanding Our Experience in Transcatheter Aortic Valve Implantation.
Authors: Ibrahim M, Wattanakit K, Barzallo M, Mungee S Abstract To our knowledge, this is the first documented case of successful TAVI for severe quadricuspid aortic valve (QAV) stenosis performed in the U.S. and the first documented Sapien 3 valve implantation in a severely stenotic QAV. PMID: 29493518 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - March 2, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Bleeding Complications Related to Right Heart Catheterization in the Setting of Elevated INR.
This study was undertaken to determine bleeding complications during RHC with an elevated international normalized ratio (INR) value. METHODS: A total of 312 patients who underwent RHC were retrospectively studied. Patients were divided into two groups: INR
Source: The Journal of Invasive Cardiology - February 16, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Aminophylline for Preventing Bradyarrhythmias During Orbital or Rotational Atherectomy of the Right Coronary Artery.
CONCLUSIONS: Intravenous aminophylline represents a simple, safe, widely available, and low-cost intervention for preventing bradyarrhythmias during atherectomy of the right coronary artery or a dominant circumflex artery. PMID: 29440624 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - February 16, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Safety and Feasibility of a Novel Active Fixation Temporary Pacing Lead.
CONCLUSION: This first-in-human study demonstrates the safety and technical feasibility of the Tempo lead, providing stable periprocedural temporary pacing support. PMID: 29440625 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - February 16, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Impact of the Use of Intravascular Imaging on Patients Who Underwent Orbital Atherectomy.
CONCLUSION: Orbital atherectomy guided by intravascular imaging is feasible and safe. A large prospective randomized trial is needed to determine the clinical benefit of IVUS/OCT during PCI with orbital atherectomy. PMID: 29378972 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - January 31, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Multimodality Imaging and Percutaneous Closure of a Large Left Main Coronary Artery to Superior Vena Cava Fistula.
Authors: Mehta SS, Shah AP Abstract Images illustrate 3D reconstruction CT showing fistula arising from the left main coronary artery draining into the superior vena cava. Additional angiographic images show the fistula before and after percutaneous closure with Amplatzer Vascular plugs. PMID: 29378973 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - January 31, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Coronary Artery Straightening Causing Acute Severe Mitral Regurgitation.
Authors: Forouzandeh F, Douglas JS Abstract A 79-year-old woman had an atretic LIMA to LAD but without significant LAD stenosis, patent SVG to OM1, patent SVG to RCA, and severe tandem lesions in a very tortuous LCX for which she underwent PCI. Placement of a BMW coronary guidewire into the LCX resulted in the straightening of the vessel. PMID: 29378974 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - January 31, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Unusual Case of Three Total Occlusions.
Authors: Abdelaty AMSEK, Singh A, McCann GP Abstract This case highlights the value of extensive coronary collaterals in maintaining myocardial viability in severe coronary artery disease, and the role of cardiac MRI in guiding revascularization decisions. PMID: 29378975 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - January 31, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research