Orbital Atherectomy of the Iliofemoral Arteries Facilitates Large-Bore Access Prior to Transfemoral Transcatheter Aortic Valve Replacement
J Invasive Cardiol. 2021 Jul 14:JIC20210714-1. Online ahead of print.ABSTRACTOBJECTIVES: To describe the use of orbital atherectomy to prepare iliofemoral vessels for large-bore access prior to transcatheter aortic valve replacement (TAVR).BACKGROUND: Transfemoral (TF)-TAVR has been shown to be at least equivalent to surgery. Nevertheless, many patients do not qualify for the TF approach due to severe iliofemoral occlusive disease. The use of an atherectomy device in order to facilitate TF-TAVR has only been reported in case reports.METHODS: We performed 1000 TAVR procedures from June 2017 to October 2019. Patient demograp...
Source: The Journal of Invasive Cardiology - July 19, 2021 Category: Cardiology Authors: Cezar Staniloae Homam Ibrahim Jorge Fuentes Carlos Gonzales Anna Kapitman Samantha Vidal Sonja Paschke Kazuhiro Hisamoto Hasan Jilaihawi Mathew Williams Source Type: research

Association of Iso-Osmolar vs Low-Osmolar Contrast Media With Major Adverse Renal or Cardiovascular Events in Patients at High Risk for Acute Kidney Injury Undergoing Endovascular Abdominal Aortic Aneurysm Repair
CONCLUSIONS: Use of IOCM vs LOCM in patients at high risk of AKI undergoing EVAR procedures was associated with a lower risk of MARCE. As prevention of AKI or cardiovascular events after EVAR procedures may lead to reduced morbidity and mortality, this finding may have important clinical implications and should be confirmed through randomized controlled clinical studies.PMID:34280892 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 19, 2021 Category: Cardiology Authors: Amit P Amin Anand Prasad Michael P Ryan Candace Gunnarsson Emmanouil S Brilakis Source Type: research

Orbital Atherectomy of the Iliofemoral Arteries Facilitates Large-Bore Access Prior to Transfemoral Transcatheter Aortic Valve Replacement
J Invasive Cardiol. 2021 Jul 14:JIC20210714-1. Online ahead of print.ABSTRACTOBJECTIVES: To describe the use of orbital atherectomy to prepare iliofemoral vessels for large-bore access prior to transcatheter aortic valve replacement (TAVR).BACKGROUND: Transfemoral (TF)-TAVR has been shown to be at least equivalent to surgery. Nevertheless, many patients do not qualify for the TF approach due to severe iliofemoral occlusive disease. The use of an atherectomy device in order to facilitate TF-TAVR has only been reported in case reports.METHODS: We performed 1000 TAVR procedures from June 2017 to October 2019. Patient demograp...
Source: The Journal of Invasive Cardiology - July 19, 2021 Category: Cardiology Authors: Cezar Staniloae Homam Ibrahim Jorge Fuentes Carlos Gonzales Anna Kapitman Samantha Vidal Sonja Paschke Kazuhiro Hisamoto Hasan Jilaihawi Mathew Williams Source Type: research

Association of Iso-Osmolar vs Low-Osmolar Contrast Media With Major Adverse Renal or Cardiovascular Events in Patients at High Risk for Acute Kidney Injury Undergoing Endovascular Abdominal Aortic Aneurysm Repair
CONCLUSIONS: Use of IOCM vs LOCM in patients at high risk of AKI undergoing EVAR procedures was associated with a lower risk of MARCE. As prevention of AKI or cardiovascular events after EVAR procedures may lead to reduced morbidity and mortality, this finding may have important clinical implications and should be confirmed through randomized controlled clinical studies.PMID:34280892 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 19, 2021 Category: Cardiology Authors: Amit P Amin Anand Prasad Michael P Ryan Candace Gunnarsson Emmanouil S Brilakis Source Type: research

Orbital Atherectomy of the Iliofemoral Arteries Facilitates Large-Bore Access Prior to Transfemoral Transcatheter Aortic Valve Replacement
J Invasive Cardiol. 2021 Jul 14:JIC20210714-1. Online ahead of print.ABSTRACTOBJECTIVES: To describe the use of orbital atherectomy to prepare iliofemoral vessels for large-bore access prior to transcatheter aortic valve replacement (TAVR).BACKGROUND: Transfemoral (TF)-TAVR has been shown to be at least equivalent to surgery. Nevertheless, many patients do not qualify for the TF approach due to severe iliofemoral occlusive disease. The use of an atherectomy device in order to facilitate TF-TAVR has only been reported in case reports.METHODS: We performed 1000 TAVR procedures from June 2017 to October 2019. Patient demograp...
Source: The Journal of Invasive Cardiology - July 19, 2021 Category: Cardiology Authors: Cezar Staniloae Homam Ibrahim Jorge Fuentes Carlos Gonzales Anna Kapitman Samantha Vidal Sonja Paschke Kazuhiro Hisamoto Hasan Jilaihawi Mathew Williams Source Type: research

Association of Iso-Osmolar vs Low-Osmolar Contrast Media With Major Adverse Renal or Cardiovascular Events in Patients at High Risk for Acute Kidney Injury Undergoing Endovascular Abdominal Aortic Aneurysm Repair
CONCLUSIONS: Use of IOCM vs LOCM in patients at high risk of AKI undergoing EVAR procedures was associated with a lower risk of MARCE. As prevention of AKI or cardiovascular events after EVAR procedures may lead to reduced morbidity and mortality, this finding may have important clinical implications and should be confirmed through randomized controlled clinical studies.PMID:34280892 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 19, 2021 Category: Cardiology Authors: Amit P Amin Anand Prasad Michael P Ryan Candace Gunnarsson Emmanouil S Brilakis Source Type: research

Orbital Atherectomy of the Iliofemoral Arteries Facilitates Large-Bore Access Prior to Transfemoral Transcatheter Aortic Valve Replacement
J Invasive Cardiol. 2021 Jul 14:JIC20210714-1. Online ahead of print.ABSTRACTOBJECTIVES: To describe the use of orbital atherectomy to prepare iliofemoral vessels for large-bore access prior to transcatheter aortic valve replacement (TAVR).BACKGROUND: Transfemoral (TF)-TAVR has been shown to be at least equivalent to surgery. Nevertheless, many patients do not qualify for the TF approach due to severe iliofemoral occlusive disease. The use of an atherectomy device in order to facilitate TF-TAVR has only been reported in case reports.METHODS: We performed 1000 TAVR procedures from June 2017 to October 2019. Patient demograp...
Source: The Journal of Invasive Cardiology - July 19, 2021 Category: Cardiology Authors: Cezar Staniloae Homam Ibrahim Jorge Fuentes Carlos Gonzales Anna Kapitman Samantha Vidal Sonja Paschke Kazuhiro Hisamoto Hasan Jilaihawi Mathew Williams Source Type: research

Association of Iso-Osmolar vs Low-Osmolar Contrast Media With Major Adverse Renal or Cardiovascular Events in Patients at High Risk for Acute Kidney Injury Undergoing Endovascular Abdominal Aortic Aneurysm Repair
CONCLUSIONS: Use of IOCM vs LOCM in patients at high risk of AKI undergoing EVAR procedures was associated with a lower risk of MARCE. As prevention of AKI or cardiovascular events after EVAR procedures may lead to reduced morbidity and mortality, this finding may have important clinical implications and should be confirmed through randomized controlled clinical studies.PMID:34280892 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 19, 2021 Category: Cardiology Authors: Amit P Amin Anand Prasad Michael P Ryan Candace Gunnarsson Emmanouil S Brilakis Source Type: research

Early and Mid-Term Outcomes of Femoro-Ilio-Caval Vein Stent Implantation
J Invasive Cardiol. 2021 Jul;33(7):E497-E505.ABSTRACTOBJECTIVE: We sought to investigate mid-term clinical outcomes and identify risk factors in one of the largest comprehensive series reported of femoro-ilio-caval (FIC) vein stent placement.BACKGROUND: Endovascular intervention with balloon angioplasty and stenting of the iliac and common femoral veins has become first-line treatment for symptomatic deep venous outflow obstruction.METHODS: We conducted a single-center, retrospective analysis of 180 patients who underwent FIC stent implantation between May 2017 and May 2019; 327 procedures were performed. Our primary objec...
Source: The Journal of Invasive Cardiology - July 5, 2021 Category: Cardiology Authors: Robert Sogomonian Carlos A Gonzalez-Lengua Balaram K Hanumanthu Mikko A Tesalona Pouya Mohajer Kevin Liu Nima Taghipour Ramesh M Gowda Deepika Misra Source Type: research

Dry Field Closure of Large-Bore Access With Iliac Artery Angioplasty Through the Ipsilateral Sheath: The Single-Access Dry-Closure Technique
J Invasive Cardiol. 2021 Jul;33(7):E516-E521.ABSTRACTThe use of large-bore sheaths has risen exponentially in the last decade partly due to the growth of structural heart interventions and various mechanical circulatory support options. Meanwhile, the interventional community has gradually shifted from an open surgical to endovascular closure. However, vascular access complications and bleeding still remain a significant risk. Various techniques involving an additional access site have been described to allow for endovascular bailout of potential complications. However, these by themselves create an additional burden to pr...
Source: The Journal of Invasive Cardiology - July 5, 2021 Category: Cardiology Authors: Hady Lichaa Jason Wollmuth Rajiv Tayal Source Type: research

Impact of Cryoballoon Ablation on Electrophysiology Lab Efficiency During the Treatment of Patients With Persistent Atrial Fibrillation: A Subanalysis of the STOP Persistent AF Study
CONCLUSIONS: Cryoballoon ablation for the treatment of patients with PsAF confers EP lab efficiencies that can support 3 PVI cases in a lab day.PMID:34224381 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 5, 2021 Category: Cardiology Authors: Marcin Kowalski Wilber W Su Reece Holbrook Alicia Sale Kendra M Braegelmann Hugh Calkins STOP Persistent AF Investigators Source Type: research

A New Method to Optimize Stent Deployment by High-Definition Intravascular Ultrasound
J Invasive Cardiol. 2021 Jul;33(7):E532-E539.ABSTRACTOBJECTIVES: Optimal stent deployment by intravascular ultrasound (IVUS) improves outcome, but it can only be achieved in 50% of patients. We investigated the feasibility and effect of a new method of stent optimization on optimal stent deployment.METHODS: IVUS analyses of 168 coronary segments were performed after angiography-guided stenting (AGS) and stent optimization in 29 patients (30 lesions). Minimum stent area (MSA), stent volume index (SVI), lumen area, external elastic membrane (EEM), and plaque burden (PB) were measured. Stent optimization included post-stent d...
Source: The Journal of Invasive Cardiology - July 5, 2021 Category: Cardiology Authors: Massoud A Leesar Ibrahim Saif Kelli L Hagood Leigh C Powell William B Hillegass Brigitta C Brott Source Type: research

Comparison of a Single Versus Double Perclose Technique for Percutaneous Transfemoral Transcatheter Aortic Valve Replacement
J Invasive Cardiol. 2021 Jul;33(7):E540-E548.ABSTRACTBACKGROUND: The optimal strategy for arterial closure in percutaneous transfemoral transcatheter aortic valve replacement (TF-TAVR) remains under debate.METHODS: Single-center, prospective, observational study of consecutive patients undergoing TF-TAVR between March 2018 and December 2019 who underwent closure with an upfront single vs double Perclose device. Device success, access-site vascular, and bleeding complications were defined according to the Valvular Academic Research Consortium (VARC)-2 criteria. Inverse-probability of treatment weighting (IPTW) was used to b...
Source: The Journal of Invasive Cardiology - July 5, 2021 Category: Cardiology Authors: Derek Q Phan Marwan Qattan Ming-Sum Lee Ray Zadegan Prakash Mansukhani Somjot S Brar Vicken Aharonian Naing Moore Source Type: research

Implementation of a High-Sensitivity Troponin-I Assay in an Academic Medical Center: A Qualitative and Quantitative Assessment
CONCLUSIONS: A comprehensive educational campaign, based on multidisciplinary collaboration can effectively prepare clinicians for implementation of hsTn. New hsTn assays may not have any substantial effect on acute management of patients with cardiac complaints.PMID:34224384 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 5, 2021 Category: Cardiology Authors: David E Winchester Omkar Betageri Patrick Perche Brandon Allen Ryan Theis Source Type: research

Percutaneous Coronary Intervention for Very Small Vessels With the Use of a Newer-Generation 2.0 mm Drug-Eluting Stent
J Invasive Cardiol. 2021 Jul;33(7):E565-E574.ABSTRACTOBJECTIVES: The outcomes of treating coronary artery disease (CAD) in very small vessels
Source: The Journal of Invasive Cardiology - July 5, 2021 Category: Cardiology Authors: Hsu-Lung Jen Yao-Chang Wang Tien-Ping Tsao Wei-Hsian Yin Source Type: research

Aortic Rupture in Transcatheter Aortic Valve Replacement
J Invasive Cardiol. 2021 Jul;33(7):E575.ABSTRACTThis case demonstrates a rare but catastrophic complication of transcatheter aortic valve replacement (TAVR). In an era where TAVR is now indicated in low-risk patients, serious complication rates are less frequent. It exemplifies the importance of preparedness for vascular injury, with readiness for vascular covered stenting and potential bail-out strategies.PMID:34224386 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 5, 2021 Category: Cardiology Authors: David Blusztein Harsh Agrawal Source Type: research

Complete Coronary Stent Removal After Optical Coherence Tomography Performance 8 Months Later for Device Entrapment: A Scary Challenge
We describe an uncommon and potentially life-threatening complication during stent assessment by optical coherence tomography (OCT) with entrapment and complete stent removal. Possible mechanisms for OCT-catheter entrapment include malapposed stent struts, catheter deformation, and loss of guidewire position. In this case, the OCT catheter was advanced over the guidewire, which was probably passed through a proximal malapposed stent strut. Tips to avoid potential complications during OCT performance are provided.PMID:34224387 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 5, 2021 Category: Cardiology Authors: Hector Cubero-Gallego Beatriz Vaquerizo Source Type: research

Traveling Wire After Chronic Total Occlusion Percutaneous Coronary Intervention
J Invasive Cardiol. 2021 Jul;33(7):E578-E579.ABSTRACTGuidewire-related complications are rarely reported, but are significantly associated with mortality and morbidity. Although radial approach is preferred in the majority of cases, femoral approach is needed in some complex procedures; ultrasound guidance decreases complications in transfemoral cases. This case also serves as a warning that the use of plastic wires with metallic needles can produce wire rupture.PMID:34224388 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 5, 2021 Category: Cardiology Authors: Alfonso Jurado-Rom án Santiago Jim énez-Valero Guillermo Galeote Ra úl Moreno Source Type: research

Unintentional Extraction of a Deployed Coronary Stent Due to Microcatheter Fracture
J Invasive Cardiol. 2021 Jul;33(7):E580.ABSTRACTTo our knowledge, this is the first reported case of unintentional removal of a deployed stent due to the fracture of a microcatheter tip.PMID:34224389 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 5, 2021 Category: Cardiology Authors: J J Coughlan Peter Crean John V Cosgrave Source Type: research

Ascites and Edema After Bicaval Orthotopic Heart Transplant
J Invasive Cardiol. 2021 Jul;33(7):E581-E583.ABSTRACTIVC stenosis is a rare complication of bicaval orthotopic heart transplant. IVC stenosis can occur at either the cavo-atrial anastomosis, or the caval cannulation site, with presentations ranging from acute shock early post transplant to a more indolent course. Causes include extensive hemostatic suturing, fibrous contraction, and donor-recipient size mismatch. Treatment strategies include percutaneous balloon angioplasty, stenting, and surgical revision. Evaluating for IVC stenosis is recommended for unexplained lower-extremity edema, new-onset ascites, or liver abnorma...
Source: The Journal of Invasive Cardiology - July 5, 2021 Category: Cardiology Authors: Faris G Araj Jyoti P Balani Alpesh A Amin Pradeep P A Mammen Sonia Garg Michael Luna Source Type: research

Transdermal Nitroglycerin Patch as a Potential Pretreatment to Prevent Radial Artery Spasm During Transradial Cardiac Catheterization
J Invasive Cardiol. 2021 Jul;33(7):E584.ABSTRACTA recent guideline has recommended the radial artery as the access site for coronary catheterization due to lower risk of bleeding and vascular complications. However, the transradial approach is not necessarily easy for interventionalists due to the smaller vessel diameter and more frequent occurrence of vasospasm induced by the procedure. By using the measurement in ultrasound, a previous study demonstrated that subcutaneous nitroglycerin injection at the radial artery puncture site dilated the radial artery, and that a patch was also easier and less invasive. The current c...
Source: The Journal of Invasive Cardiology - July 5, 2021 Category: Cardiology Authors: Kota Murai Masashi Fujino Yu Kataoka Teruo Noguchi Source Type: research

Early and Mid-Term Outcomes of Femoro-Ilio-Caval Vein Stent Implantation
J Invasive Cardiol. 2021 Jul;33(7):E497-E505.ABSTRACTOBJECTIVE: We sought to investigate mid-term clinical outcomes and identify risk factors in one of the largest comprehensive series reported of femoro-ilio-caval (FIC) vein stent placement.BACKGROUND: Endovascular intervention with balloon angioplasty and stenting of the iliac and common femoral veins has become first-line treatment for symptomatic deep venous outflow obstruction.METHODS: We conducted a single-center, retrospective analysis of 180 patients who underwent FIC stent implantation between May 2017 and May 2019; 327 procedures were performed. Our primary objec...
Source: The Journal of Invasive Cardiology - July 5, 2021 Category: Cardiology Authors: Robert Sogomonian Carlos A Gonzalez-Lengua Balaram K Hanumanthu Mikko A Tesalona Pouya Mohajer Kevin Liu Nima Taghipour Ramesh M Gowda Deepika Misra Source Type: research

Dry Field Closure of Large-Bore Access With Iliac Artery Angioplasty Through the Ipsilateral Sheath: The Single-Access Dry-Closure Technique
J Invasive Cardiol. 2021 Jul;33(7):E516-E521.ABSTRACTThe use of large-bore sheaths has risen exponentially in the last decade partly due to the growth of structural heart interventions and various mechanical circulatory support options. Meanwhile, the interventional community has gradually shifted from an open surgical to endovascular closure. However, vascular access complications and bleeding still remain a significant risk. Various techniques involving an additional access site have been described to allow for endovascular bailout of potential complications. However, these by themselves create an additional burden to pr...
Source: The Journal of Invasive Cardiology - July 5, 2021 Category: Cardiology Authors: Hady Lichaa Jason Wollmuth Rajiv Tayal Source Type: research

Impact of Cryoballoon Ablation on Electrophysiology Lab Efficiency During the Treatment of Patients With Persistent Atrial Fibrillation: A Subanalysis of the STOP Persistent AF Study
CONCLUSIONS: Cryoballoon ablation for the treatment of patients with PsAF confers EP lab efficiencies that can support 3 PVI cases in a lab day.PMID:34224381 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 5, 2021 Category: Cardiology Authors: Marcin Kowalski Wilber W Su Reece Holbrook Alicia Sale Kendra M Braegelmann Hugh Calkins STOP Persistent AF Investigators Source Type: research

A New Method to Optimize Stent Deployment by High-Definition Intravascular Ultrasound
J Invasive Cardiol. 2021 Jul;33(7):E532-E539.ABSTRACTOBJECTIVES: Optimal stent deployment by intravascular ultrasound (IVUS) improves outcome, but it can only be achieved in 50% of patients. We investigated the feasibility and effect of a new method of stent optimization on optimal stent deployment.METHODS: IVUS analyses of 168 coronary segments were performed after angiography-guided stenting (AGS) and stent optimization in 29 patients (30 lesions). Minimum stent area (MSA), stent volume index (SVI), lumen area, external elastic membrane (EEM), and plaque burden (PB) were measured. Stent optimization included post-stent d...
Source: The Journal of Invasive Cardiology - July 5, 2021 Category: Cardiology Authors: Massoud A Leesar Ibrahim Saif Kelli L Hagood Leigh C Powell William B Hillegass Brigitta C Brott Source Type: research

Comparison of a Single Versus Double Perclose Technique for Percutaneous Transfemoral Transcatheter Aortic Valve Replacement
J Invasive Cardiol. 2021 Jul;33(7):E540-E548.ABSTRACTBACKGROUND: The optimal strategy for arterial closure in percutaneous transfemoral transcatheter aortic valve replacement (TF-TAVR) remains under debate.METHODS: Single-center, prospective, observational study of consecutive patients undergoing TF-TAVR between March 2018 and December 2019 who underwent closure with an upfront single vs double Perclose device. Device success, access-site vascular, and bleeding complications were defined according to the Valvular Academic Research Consortium (VARC)-2 criteria. Inverse-probability of treatment weighting (IPTW) was used to b...
Source: The Journal of Invasive Cardiology - July 5, 2021 Category: Cardiology Authors: Derek Q Phan Marwan Qattan Ming-Sum Lee Ray Zadegan Prakash Mansukhani Somjot S Brar Vicken Aharonian Naing Moore Source Type: research

Implementation of a High-Sensitivity Troponin-I Assay in an Academic Medical Center: A Qualitative and Quantitative Assessment
CONCLUSIONS: A comprehensive educational campaign, based on multidisciplinary collaboration can effectively prepare clinicians for implementation of hsTn. New hsTn assays may not have any substantial effect on acute management of patients with cardiac complaints.PMID:34224384 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 5, 2021 Category: Cardiology Authors: David E Winchester Omkar Betageri Patrick Perche Brandon Allen Ryan Theis Source Type: research

Percutaneous Coronary Intervention for Very Small Vessels With the Use of a Newer-Generation 2.0 mm Drug-Eluting Stent
J Invasive Cardiol. 2021 Jul;33(7):E565-E574.ABSTRACTOBJECTIVES: The outcomes of treating coronary artery disease (CAD) in very small vessels
Source: The Journal of Invasive Cardiology - July 5, 2021 Category: Cardiology Authors: Hsu-Lung Jen Yao-Chang Wang Tien-Ping Tsao Wei-Hsian Yin Source Type: research

Aortic Rupture in Transcatheter Aortic Valve Replacement
J Invasive Cardiol. 2021 Jul;33(7):E575.ABSTRACTThis case demonstrates a rare but catastrophic complication of transcatheter aortic valve replacement (TAVR). In an era where TAVR is now indicated in low-risk patients, serious complication rates are less frequent. It exemplifies the importance of preparedness for vascular injury, with readiness for vascular covered stenting and potential bail-out strategies.PMID:34224386 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 5, 2021 Category: Cardiology Authors: David Blusztein Harsh Agrawal Source Type: research

Complete Coronary Stent Removal After Optical Coherence Tomography Performance 8 Months Later for Device Entrapment: A Scary Challenge
We describe an uncommon and potentially life-threatening complication during stent assessment by optical coherence tomography (OCT) with entrapment and complete stent removal. Possible mechanisms for OCT-catheter entrapment include malapposed stent struts, catheter deformation, and loss of guidewire position. In this case, the OCT catheter was advanced over the guidewire, which was probably passed through a proximal malapposed stent strut. Tips to avoid potential complications during OCT performance are provided.PMID:34224387 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 5, 2021 Category: Cardiology Authors: Hector Cubero-Gallego Beatriz Vaquerizo Source Type: research

Traveling Wire After Chronic Total Occlusion Percutaneous Coronary Intervention
J Invasive Cardiol. 2021 Jul;33(7):E578-E579.ABSTRACTGuidewire-related complications are rarely reported, but are significantly associated with mortality and morbidity. Although radial approach is preferred in the majority of cases, femoral approach is needed in some complex procedures; ultrasound guidance decreases complications in transfemoral cases. This case also serves as a warning that the use of plastic wires with metallic needles can produce wire rupture.PMID:34224388 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 5, 2021 Category: Cardiology Authors: Alfonso Jurado-Rom án Santiago Jim énez-Valero Guillermo Galeote Ra úl Moreno Source Type: research

Unintentional Extraction of a Deployed Coronary Stent Due to Microcatheter Fracture
J Invasive Cardiol. 2021 Jul;33(7):E580.ABSTRACTTo our knowledge, this is the first reported case of unintentional removal of a deployed stent due to the fracture of a microcatheter tip.PMID:34224389 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 5, 2021 Category: Cardiology Authors: J J Coughlan Peter Crean John V Cosgrave Source Type: research

Ascites and Edema After Bicaval Orthotopic Heart Transplant
J Invasive Cardiol. 2021 Jul;33(7):E581-E583.ABSTRACTIVC stenosis is a rare complication of bicaval orthotopic heart transplant. IVC stenosis can occur at either the cavo-atrial anastomosis, or the caval cannulation site, with presentations ranging from acute shock early post transplant to a more indolent course. Causes include extensive hemostatic suturing, fibrous contraction, and donor-recipient size mismatch. Treatment strategies include percutaneous balloon angioplasty, stenting, and surgical revision. Evaluating for IVC stenosis is recommended for unexplained lower-extremity edema, new-onset ascites, or liver abnorma...
Source: The Journal of Invasive Cardiology - July 5, 2021 Category: Cardiology Authors: Faris G Araj Jyoti P Balani Alpesh A Amin Pradeep P A Mammen Sonia Garg Michael Luna Source Type: research

Transdermal Nitroglycerin Patch as a Potential Pretreatment to Prevent Radial Artery Spasm During Transradial Cardiac Catheterization
J Invasive Cardiol. 2021 Jul;33(7):E584.ABSTRACTA recent guideline has recommended the radial artery as the access site for coronary catheterization due to lower risk of bleeding and vascular complications. However, the transradial approach is not necessarily easy for interventionalists due to the smaller vessel diameter and more frequent occurrence of vasospasm induced by the procedure. By using the measurement in ultrasound, a previous study demonstrated that subcutaneous nitroglycerin injection at the radial artery puncture site dilated the radial artery, and that a patch was also easier and less invasive. The current c...
Source: The Journal of Invasive Cardiology - July 5, 2021 Category: Cardiology Authors: Kota Murai Masashi Fujino Yu Kataoka Teruo Noguchi Source Type: research

Early and Mid-Term Outcomes of Femoro-Ilio-Caval Vein Stent Implantation
J Invasive Cardiol. 2021 Jul;33(7):E497-E505.ABSTRACTOBJECTIVE: We sought to investigate mid-term clinical outcomes and identify risk factors in one of the largest comprehensive series reported of femoro-ilio-caval (FIC) vein stent placement.BACKGROUND: Endovascular intervention with balloon angioplasty and stenting of the iliac and common femoral veins has become first-line treatment for symptomatic deep venous outflow obstruction.METHODS: We conducted a single-center, retrospective analysis of 180 patients who underwent FIC stent implantation between May 2017 and May 2019; 327 procedures were performed. Our primary objec...
Source: The Journal of Invasive Cardiology - July 5, 2021 Category: Cardiology Authors: Robert Sogomonian Carlos A Gonzalez-Lengua Balaram K Hanumanthu Mikko A Tesalona Pouya Mohajer Kevin Liu Nima Taghipour Ramesh M Gowda Deepika Misra Source Type: research

Dry Field Closure of Large-Bore Access With Iliac Artery Angioplasty Through the Ipsilateral Sheath: The Single-Access Dry-Closure Technique
J Invasive Cardiol. 2021 Jul;33(7):E516-E521.ABSTRACTThe use of large-bore sheaths has risen exponentially in the last decade partly due to the growth of structural heart interventions and various mechanical circulatory support options. Meanwhile, the interventional community has gradually shifted from an open surgical to endovascular closure. However, vascular access complications and bleeding still remain a significant risk. Various techniques involving an additional access site have been described to allow for endovascular bailout of potential complications. However, these by themselves create an additional burden to pr...
Source: The Journal of Invasive Cardiology - July 5, 2021 Category: Cardiology Authors: Hady Lichaa Jason Wollmuth Rajiv Tayal Source Type: research

Impact of Cryoballoon Ablation on Electrophysiology Lab Efficiency During the Treatment of Patients With Persistent Atrial Fibrillation: A Subanalysis of the STOP Persistent AF Study
CONCLUSIONS: Cryoballoon ablation for the treatment of patients with PsAF confers EP lab efficiencies that can support 3 PVI cases in a lab day.PMID:34224381 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 5, 2021 Category: Cardiology Authors: Marcin Kowalski Wilber W Su Reece Holbrook Alicia Sale Kendra M Braegelmann Hugh Calkins STOP Persistent AF Investigators Source Type: research

A New Method to Optimize Stent Deployment by High-Definition Intravascular Ultrasound
J Invasive Cardiol. 2021 Jul;33(7):E532-E539.ABSTRACTOBJECTIVES: Optimal stent deployment by intravascular ultrasound (IVUS) improves outcome, but it can only be achieved in 50% of patients. We investigated the feasibility and effect of a new method of stent optimization on optimal stent deployment.METHODS: IVUS analyses of 168 coronary segments were performed after angiography-guided stenting (AGS) and stent optimization in 29 patients (30 lesions). Minimum stent area (MSA), stent volume index (SVI), lumen area, external elastic membrane (EEM), and plaque burden (PB) were measured. Stent optimization included post-stent d...
Source: The Journal of Invasive Cardiology - July 5, 2021 Category: Cardiology Authors: Massoud A Leesar Ibrahim Saif Kelli L Hagood Leigh C Powell William B Hillegass Brigitta C Brott Source Type: research

Comparison of a Single Versus Double Perclose Technique for Percutaneous Transfemoral Transcatheter Aortic Valve Replacement
J Invasive Cardiol. 2021 Jul;33(7):E540-E548.ABSTRACTBACKGROUND: The optimal strategy for arterial closure in percutaneous transfemoral transcatheter aortic valve replacement (TF-TAVR) remains under debate.METHODS: Single-center, prospective, observational study of consecutive patients undergoing TF-TAVR between March 2018 and December 2019 who underwent closure with an upfront single vs double Perclose device. Device success, access-site vascular, and bleeding complications were defined according to the Valvular Academic Research Consortium (VARC)-2 criteria. Inverse-probability of treatment weighting (IPTW) was used to b...
Source: The Journal of Invasive Cardiology - July 5, 2021 Category: Cardiology Authors: Derek Q Phan Marwan Qattan Ming-Sum Lee Ray Zadegan Prakash Mansukhani Somjot S Brar Vicken Aharonian Naing Moore Source Type: research

Implementation of a High-Sensitivity Troponin-I Assay in an Academic Medical Center: A Qualitative and Quantitative Assessment
CONCLUSIONS: A comprehensive educational campaign, based on multidisciplinary collaboration can effectively prepare clinicians for implementation of hsTn. New hsTn assays may not have any substantial effect on acute management of patients with cardiac complaints.PMID:34224384 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 5, 2021 Category: Cardiology Authors: David E Winchester Omkar Betageri Patrick Perche Brandon Allen Ryan Theis Source Type: research

Percutaneous Coronary Intervention for Very Small Vessels With the Use of a Newer-Generation 2.0 mm Drug-Eluting Stent
J Invasive Cardiol. 2021 Jul;33(7):E565-E574.ABSTRACTOBJECTIVES: The outcomes of treating coronary artery disease (CAD) in very small vessels
Source: The Journal of Invasive Cardiology - July 5, 2021 Category: Cardiology Authors: Hsu-Lung Jen Yao-Chang Wang Tien-Ping Tsao Wei-Hsian Yin Source Type: research

Aortic Rupture in Transcatheter Aortic Valve Replacement
J Invasive Cardiol. 2021 Jul;33(7):E575.ABSTRACTThis case demonstrates a rare but catastrophic complication of transcatheter aortic valve replacement (TAVR). In an era where TAVR is now indicated in low-risk patients, serious complication rates are less frequent. It exemplifies the importance of preparedness for vascular injury, with readiness for vascular covered stenting and potential bail-out strategies.PMID:34224386 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 5, 2021 Category: Cardiology Authors: David Blusztein Harsh Agrawal Source Type: research

Complete Coronary Stent Removal After Optical Coherence Tomography Performance 8 Months Later for Device Entrapment: A Scary Challenge
We describe an uncommon and potentially life-threatening complication during stent assessment by optical coherence tomography (OCT) with entrapment and complete stent removal. Possible mechanisms for OCT-catheter entrapment include malapposed stent struts, catheter deformation, and loss of guidewire position. In this case, the OCT catheter was advanced over the guidewire, which was probably passed through a proximal malapposed stent strut. Tips to avoid potential complications during OCT performance are provided.PMID:34224387 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 5, 2021 Category: Cardiology Authors: Hector Cubero-Gallego Beatriz Vaquerizo Source Type: research

Traveling Wire After Chronic Total Occlusion Percutaneous Coronary Intervention
J Invasive Cardiol. 2021 Jul;33(7):E578-E579.ABSTRACTGuidewire-related complications are rarely reported, but are significantly associated with mortality and morbidity. Although radial approach is preferred in the majority of cases, femoral approach is needed in some complex procedures; ultrasound guidance decreases complications in transfemoral cases. This case also serves as a warning that the use of plastic wires with metallic needles can produce wire rupture.PMID:34224388 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 5, 2021 Category: Cardiology Authors: Alfonso Jurado-Rom án Santiago Jim énez-Valero Guillermo Galeote Ra úl Moreno Source Type: research

Unintentional Extraction of a Deployed Coronary Stent Due to Microcatheter Fracture
J Invasive Cardiol. 2021 Jul;33(7):E580.ABSTRACTTo our knowledge, this is the first reported case of unintentional removal of a deployed stent due to the fracture of a microcatheter tip.PMID:34224389 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 5, 2021 Category: Cardiology Authors: J J Coughlan Peter Crean John V Cosgrave Source Type: research

Ascites and Edema After Bicaval Orthotopic Heart Transplant
J Invasive Cardiol. 2021 Jul;33(7):E581-E583.ABSTRACTIVC stenosis is a rare complication of bicaval orthotopic heart transplant. IVC stenosis can occur at either the cavo-atrial anastomosis, or the caval cannulation site, with presentations ranging from acute shock early post transplant to a more indolent course. Causes include extensive hemostatic suturing, fibrous contraction, and donor-recipient size mismatch. Treatment strategies include percutaneous balloon angioplasty, stenting, and surgical revision. Evaluating for IVC stenosis is recommended for unexplained lower-extremity edema, new-onset ascites, or liver abnorma...
Source: The Journal of Invasive Cardiology - July 5, 2021 Category: Cardiology Authors: Faris G Araj Jyoti P Balani Alpesh A Amin Pradeep P A Mammen Sonia Garg Michael Luna Source Type: research

Transdermal Nitroglycerin Patch as a Potential Pretreatment to Prevent Radial Artery Spasm During Transradial Cardiac Catheterization
J Invasive Cardiol. 2021 Jul;33(7):E584.ABSTRACTA recent guideline has recommended the radial artery as the access site for coronary catheterization due to lower risk of bleeding and vascular complications. However, the transradial approach is not necessarily easy for interventionalists due to the smaller vessel diameter and more frequent occurrence of vasospasm induced by the procedure. By using the measurement in ultrasound, a previous study demonstrated that subcutaneous nitroglycerin injection at the radial artery puncture site dilated the radial artery, and that a patch was also easier and less invasive. The current c...
Source: The Journal of Invasive Cardiology - July 5, 2021 Category: Cardiology Authors: Kota Murai Masashi Fujino Yu Kataoka Teruo Noguchi Source Type: research

Early and Mid-Term Outcomes of Femoro-Ilio-Caval Vein Stent Implantation
J Invasive Cardiol. 2021 Jul;33(7):E497-E505.ABSTRACTOBJECTIVE: We sought to investigate mid-term clinical outcomes and identify risk factors in one of the largest comprehensive series reported of femoro-ilio-caval (FIC) vein stent placement.BACKGROUND: Endovascular intervention with balloon angioplasty and stenting of the iliac and common femoral veins has become first-line treatment for symptomatic deep venous outflow obstruction.METHODS: We conducted a single-center, retrospective analysis of 180 patients who underwent FIC stent implantation between May 2017 and May 2019; 327 procedures were performed. Our primary objec...
Source: The Journal of Invasive Cardiology - July 5, 2021 Category: Cardiology Authors: Robert Sogomonian Carlos A Gonzalez-Lengua Balaram K Hanumanthu Mikko A Tesalona Pouya Mohajer Kevin Liu Nima Taghipour Ramesh M Gowda Deepika Misra Source Type: research

Dry Field Closure of Large-Bore Access With Iliac Artery Angioplasty Through the Ipsilateral Sheath: The Single-Access Dry-Closure Technique
J Invasive Cardiol. 2021 Jul;33(7):E516-E521.ABSTRACTThe use of large-bore sheaths has risen exponentially in the last decade partly due to the growth of structural heart interventions and various mechanical circulatory support options. Meanwhile, the interventional community has gradually shifted from an open surgical to endovascular closure. However, vascular access complications and bleeding still remain a significant risk. Various techniques involving an additional access site have been described to allow for endovascular bailout of potential complications. However, these by themselves create an additional burden to pr...
Source: The Journal of Invasive Cardiology - July 5, 2021 Category: Cardiology Authors: Hady Lichaa Jason Wollmuth Rajiv Tayal Source Type: research

Impact of Cryoballoon Ablation on Electrophysiology Lab Efficiency During the Treatment of Patients With Persistent Atrial Fibrillation: A Subanalysis of the STOP Persistent AF Study
CONCLUSIONS: Cryoballoon ablation for the treatment of patients with PsAF confers EP lab efficiencies that can support 3 PVI cases in a lab day.PMID:34224381 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - July 5, 2021 Category: Cardiology Authors: Marcin Kowalski Wilber W Su Reece Holbrook Alicia Sale Kendra M Braegelmann Hugh Calkins STOP Persistent AF Investigators Source Type: research