Mitral Valve Surgery After Failed MitraClip: A Single-Center Experience
CONCLUSION: When performed by an experienced mitral surgeon and within 1 year of failed MitraClip implantation, surgical MV repair is feasible in most patients who were surgical repair candidates before the clip. Having the option for surgical MV repair after failed MitraClip is important to preserve optimal long-term outcomes for patients who undergo transcatheter mitral repair with MitraClip, especially as ongoing trials are shifting to study lower-risk patients who are also candidates for surgical repair.PMID:33794477 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - April 1, 2021 Category: Cardiology Authors: Florian Rader Robert J Siegel Nir Flint Harjit Minhas Yehezkel G Shmueli Takahiro Shiota Alfredo Trento Source Type: research

Evaluation of a Real-World In-Hospital Antiplatelet-Switching Strategy Following Coronary Interventions: The SWITCH Study
CONCLUSIONS: A strategy of using newer, fast-acting, and reliable antiplatelet agents prior to PCI and acutely switching to long-term clopidogrel therapy appears safe and efficacious. Although the superiority of the newer antiplatelet agents for long-term post-PCI dual-antiplatelet therapy in a trial setting is well established, the impact of increased adherence to lower-cost clopidogrel therapy in the real-world setting merits further consideration.PMID:33794478 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - April 1, 2021 Category: Cardiology Authors: Antoine E Soueid Ibrahim Kassas Jeffrey Rade Nikolaos Kakouros Source Type: research

Perforation of an Aortopulmonary Collateral: A Scary Sight in the Lab!
J Invasive Cardiol. 2021 Apr;33(4):E312-E313.ABSTRACTA 12-year-old boy with complex cyanotic congenital heart disease with single-ventricle physiology was planned for univentricular repair. Aortopulmonary collateral occlusion using thrombotic embolization coils was planned, but during the procedure, there was perforation of an aortopulmonary collateral arising from the descending thoracic aorta. The teaching point from this case is that all aortopulmonary collaterals do not necessarily need to be occluded; when occlusion is performed, coils must be appropriately sized.PMID:33794479 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - April 1, 2021 Category: Cardiology Authors: Dinkar Bhasin Gaurav Kumar Arora Anunay Gupta H S Isser Sandeep Bansal Source Type: research

The Yin-Yang Sign of Severe Mitral Regurgitation
J Invasive Cardiol. 2021 Apr;33(4):E314.ABSTRACTIn select patients with severe, eccentric mitral regurgitation, we have observed that the regurgitant jet may entrain blood along the left atrial wall to produce a Chinese yin-yang symbol on color Doppler. This clinical imaging series demonstrates this unique phenomenon in an 81-year-old woman with symptomatic, severe, functional mitral regurgitation secondary to non-ischemic cardiomyopathy who was referred for transcatheter mitral valve repair. The yin-yang symbol resolved on transthoracic echocardiography after placement of 2 MitraClip NTR devices.PMID:33794480 (Source: The...
Source: The Journal of Invasive Cardiology - April 1, 2021 Category: Cardiology Authors: Pankaj Malhotra Jonathan Yap Edris Aman Jason H Rogers Source Type: research

Successful Mechanical Aspiration of Embolized Vessel Fragment During TAVR With Penumbra Indigo Cat Rx Catheter
J Invasive Cardiol. 2021 Apr;33(4):E315.ABSTRACTAn 81-year-old female with severe aortic valve stenosis underwent TAVR using the right femoral approach. Shortly after successful deployment of a 29 mm Evolut Pro valve (Medtronic), the patient became hypotensive and ST depressions were noted on telemetry. Selective left coronary angiography revealed coronary embolism to the left anterior descending/ first diagonal bifurcation. Mechanical aspiration was performed and a small piece of debris was retrieved. We believe it was a broken-off fragment of the femoral artery that migrated on the tip of the TAVR delivery system. This i...
Source: The Journal of Invasive Cardiology - April 1, 2021 Category: Cardiology Authors: Shazib Sagheer Shane Prejean Silvio Litovsky Thomas Watts Gregory Von Mering Kyle Eudailey Mustafa Iltimas Ahmed Source Type: research

Spontaneous Coronary Artery Dissection Post Partum
J Invasive Cardiol. 2021 Apr;33(4):E316.ABSTRACTA previously healthy 30-year-old woman presented with intensive anterior myocardial infarction at day 6 post partum. Coronary angiogram demonstrated a proximal left anterior descending coronary artery dissection with an intimal flap starting at the ostial segment and extending to the mid segment separating a large false lumen from a narrow true lumen. Percutaneous coronary intervention was successfully performed using a drug-eluting stent with good angiographic result. Optical coherence tomography showed a widely patent vessel with a crescent hypointense image spanning the st...
Source: The Journal of Invasive Cardiology - April 1, 2021 Category: Cardiology Authors: Ziad Dahdouh Elias Salem Tahir Mohamed Source Type: research

Microbubbles Mimicking Prosthetic Mitral Valve Thrombosis
J Invasive Cardiol. 2021 Apr;33(4):E317.ABSTRACTA 36-year-old woman with a history of redo mitral valve replacement (bileaflet mechanical mitral valve prosthesis) in 2002 for prosthetic mitral valve endocarditis presented to the emergency department with a history of recurrent palpitations. A transthoracic echocardiogram was performed and falsely indicated a diagnosis of prosthetic mitral valve thrombosis. However, review of the echocardiogram by an experienced echocardiologist revised the diagnosis to microbubbles formation phenomenon with mechanical mitral prosthesis. Frame-by-frame analysis or reducing the frame rate of...
Source: The Journal of Invasive Cardiology - April 1, 2021 Category: Cardiology Authors: Muhammad Athar Sadiq Source Type: research

Acute Treatment and 5-Year Follow-up of Longitudinal Deformation of a Bioresorbable Scaffold
J Invasive Cardiol. 2021 Apr;33(4):E318-E319.ABSTRACTA 46-year-old man with type 1 diabetes underwent percutaneous coronary intervention with bioresorbable scaffold implantation for a long segment of physiologically significant left anterior descending coronary artery disease. The procedure was complicated by longitudinal stent deformation (LSD). The images carry several important educational messages for clinicians. First, as with all stents, LSD is possible in extreme circumstances. Second, as the device is not seen angiographically, it is imperative that optical coherence tomography be performed to confirm LSD. When rec...
Source: The Journal of Invasive Cardiology - April 1, 2021 Category: Cardiology Authors: Calum S Creaney Colm G Hanratty Martin K Christensen Simon J Walsh Source Type: research

Mitral Valve Surgery After Failed MitraClip: A Single-Center Experience
CONCLUSION: When performed by an experienced mitral surgeon and within 1 year of failed MitraClip implantation, surgical MV repair is feasible in most patients who were surgical repair candidates before the clip. Having the option for surgical MV repair after failed MitraClip is important to preserve optimal long-term outcomes for patients who undergo transcatheter mitral repair with MitraClip, especially as ongoing trials are shifting to study lower-risk patients who are also candidates for surgical repair.PMID:33794477 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - April 1, 2021 Category: Cardiology Authors: Florian Rader Robert J Siegel Nir Flint Harjit Minhas Yehezkel G Shmueli Takahiro Shiota Alfredo Trento Source Type: research

Evaluation of a Real-World In-Hospital Antiplatelet-Switching Strategy Following Coronary Interventions: The SWITCH Study
CONCLUSIONS: A strategy of using newer, fast-acting, and reliable antiplatelet agents prior to PCI and acutely switching to long-term clopidogrel therapy appears safe and efficacious. Although the superiority of the newer antiplatelet agents for long-term post-PCI dual-antiplatelet therapy in a trial setting is well established, the impact of increased adherence to lower-cost clopidogrel therapy in the real-world setting merits further consideration.PMID:33794478 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - April 1, 2021 Category: Cardiology Authors: Antoine E Soueid Ibrahim Kassas Jeffrey Rade Nikolaos Kakouros Source Type: research

Perforation of an Aortopulmonary Collateral: A Scary Sight in the Lab!
J Invasive Cardiol. 2021 Apr;33(4):E312-E313.ABSTRACTA 12-year-old boy with complex cyanotic congenital heart disease with single-ventricle physiology was planned for univentricular repair. Aortopulmonary collateral occlusion using thrombotic embolization coils was planned, but during the procedure, there was perforation of an aortopulmonary collateral arising from the descending thoracic aorta. The teaching point from this case is that all aortopulmonary collaterals do not necessarily need to be occluded; when occlusion is performed, coils must be appropriately sized.PMID:33794479 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - April 1, 2021 Category: Cardiology Authors: Dinkar Bhasin Gaurav Kumar Arora Anunay Gupta H S Isser Sandeep Bansal Source Type: research

The Yin-Yang Sign of Severe Mitral Regurgitation
J Invasive Cardiol. 2021 Apr;33(4):E314.ABSTRACTIn select patients with severe, eccentric mitral regurgitation, we have observed that the regurgitant jet may entrain blood along the left atrial wall to produce a Chinese yin-yang symbol on color Doppler. This clinical imaging series demonstrates this unique phenomenon in an 81-year-old woman with symptomatic, severe, functional mitral regurgitation secondary to non-ischemic cardiomyopathy who was referred for transcatheter mitral valve repair. The yin-yang symbol resolved on transthoracic echocardiography after placement of 2 MitraClip NTR devices.PMID:33794480 (Source: The...
Source: The Journal of Invasive Cardiology - April 1, 2021 Category: Cardiology Authors: Pankaj Malhotra Jonathan Yap Edris Aman Jason H Rogers Source Type: research

Successful Mechanical Aspiration of Embolized Vessel Fragment During TAVR With Penumbra Indigo Cat Rx Catheter
J Invasive Cardiol. 2021 Apr;33(4):E315.ABSTRACTAn 81-year-old female with severe aortic valve stenosis underwent TAVR using the right femoral approach. Shortly after successful deployment of a 29 mm Evolut Pro valve (Medtronic), the patient became hypotensive and ST depressions were noted on telemetry. Selective left coronary angiography revealed coronary embolism to the left anterior descending/ first diagonal bifurcation. Mechanical aspiration was performed and a small piece of debris was retrieved. We believe it was a broken-off fragment of the femoral artery that migrated on the tip of the TAVR delivery system. This i...
Source: The Journal of Invasive Cardiology - April 1, 2021 Category: Cardiology Authors: Shazib Sagheer Shane Prejean Silvio Litovsky Thomas Watts Gregory Von Mering Kyle Eudailey Mustafa Iltimas Ahmed Source Type: research

Spontaneous Coronary Artery Dissection Post Partum
J Invasive Cardiol. 2021 Apr;33(4):E316.ABSTRACTA previously healthy 30-year-old woman presented with intensive anterior myocardial infarction at day 6 post partum. Coronary angiogram demonstrated a proximal left anterior descending coronary artery dissection with an intimal flap starting at the ostial segment and extending to the mid segment separating a large false lumen from a narrow true lumen. Percutaneous coronary intervention was successfully performed using a drug-eluting stent with good angiographic result. Optical coherence tomography showed a widely patent vessel with a crescent hypointense image spanning the st...
Source: The Journal of Invasive Cardiology - April 1, 2021 Category: Cardiology Authors: Ziad Dahdouh Elias Salem Tahir Mohamed Source Type: research

Microbubbles Mimicking Prosthetic Mitral Valve Thrombosis
J Invasive Cardiol. 2021 Apr;33(4):E317.ABSTRACTA 36-year-old woman with a history of redo mitral valve replacement (bileaflet mechanical mitral valve prosthesis) in 2002 for prosthetic mitral valve endocarditis presented to the emergency department with a history of recurrent palpitations. A transthoracic echocardiogram was performed and falsely indicated a diagnosis of prosthetic mitral valve thrombosis. However, review of the echocardiogram by an experienced echocardiologist revised the diagnosis to microbubbles formation phenomenon with mechanical mitral prosthesis. Frame-by-frame analysis or reducing the frame rate of...
Source: The Journal of Invasive Cardiology - April 1, 2021 Category: Cardiology Authors: Muhammad Athar Sadiq Source Type: research

Acute Treatment and 5-Year Follow-up of Longitudinal Deformation of a Bioresorbable Scaffold
J Invasive Cardiol. 2021 Apr;33(4):E318-E319.ABSTRACTA 46-year-old man with type 1 diabetes underwent percutaneous coronary intervention with bioresorbable scaffold implantation for a long segment of physiologically significant left anterior descending coronary artery disease. The procedure was complicated by longitudinal stent deformation (LSD). The images carry several important educational messages for clinicians. First, as with all stents, LSD is possible in extreme circumstances. Second, as the device is not seen angiographically, it is imperative that optical coherence tomography be performed to confirm LSD. When rec...
Source: The Journal of Invasive Cardiology - April 1, 2021 Category: Cardiology Authors: Calum S Creaney Colm G Hanratty Martin K Christensen Simon J Walsh Source Type: research

Mitral Valve Surgery After Failed MitraClip: A Single-Center Experience
CONCLUSION: When performed by an experienced mitral surgeon and within 1 year of failed MitraClip implantation, surgical MV repair is feasible in most patients who were surgical repair candidates before the clip. Having the option for surgical MV repair after failed MitraClip is important to preserve optimal long-term outcomes for patients who undergo transcatheter mitral repair with MitraClip, especially as ongoing trials are shifting to study lower-risk patients who are also candidates for surgical repair.PMID:33794477 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - April 1, 2021 Category: Cardiology Authors: Florian Rader Robert J Siegel Nir Flint Harjit Minhas Yehezkel G Shmueli Takahiro Shiota Alfredo Trento Source Type: research

Evaluation of a Real-World In-Hospital Antiplatelet-Switching Strategy Following Coronary Interventions: The SWITCH Study
CONCLUSIONS: A strategy of using newer, fast-acting, and reliable antiplatelet agents prior to PCI and acutely switching to long-term clopidogrel therapy appears safe and efficacious. Although the superiority of the newer antiplatelet agents for long-term post-PCI dual-antiplatelet therapy in a trial setting is well established, the impact of increased adherence to lower-cost clopidogrel therapy in the real-world setting merits further consideration.PMID:33794478 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - April 1, 2021 Category: Cardiology Authors: Antoine E Soueid Ibrahim Kassas Jeffrey Rade Nikolaos Kakouros Source Type: research

Perforation of an Aortopulmonary Collateral: A Scary Sight in the Lab!
J Invasive Cardiol. 2021 Apr;33(4):E312-E313.ABSTRACTA 12-year-old boy with complex cyanotic congenital heart disease with single-ventricle physiology was planned for univentricular repair. Aortopulmonary collateral occlusion using thrombotic embolization coils was planned, but during the procedure, there was perforation of an aortopulmonary collateral arising from the descending thoracic aorta. The teaching point from this case is that all aortopulmonary collaterals do not necessarily need to be occluded; when occlusion is performed, coils must be appropriately sized.PMID:33794479 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - April 1, 2021 Category: Cardiology Authors: Dinkar Bhasin Gaurav Kumar Arora Anunay Gupta H S Isser Sandeep Bansal Source Type: research

The Yin-Yang Sign of Severe Mitral Regurgitation
J Invasive Cardiol. 2021 Apr;33(4):E314.ABSTRACTIn select patients with severe, eccentric mitral regurgitation, we have observed that the regurgitant jet may entrain blood along the left atrial wall to produce a Chinese yin-yang symbol on color Doppler. This clinical imaging series demonstrates this unique phenomenon in an 81-year-old woman with symptomatic, severe, functional mitral regurgitation secondary to non-ischemic cardiomyopathy who was referred for transcatheter mitral valve repair. The yin-yang symbol resolved on transthoracic echocardiography after placement of 2 MitraClip NTR devices.PMID:33794480 (Source: The...
Source: The Journal of Invasive Cardiology - April 1, 2021 Category: Cardiology Authors: Pankaj Malhotra Jonathan Yap Edris Aman Jason H Rogers Source Type: research

Successful Mechanical Aspiration of Embolized Vessel Fragment During TAVR With Penumbra Indigo Cat Rx Catheter
J Invasive Cardiol. 2021 Apr;33(4):E315.ABSTRACTAn 81-year-old female with severe aortic valve stenosis underwent TAVR using the right femoral approach. Shortly after successful deployment of a 29 mm Evolut Pro valve (Medtronic), the patient became hypotensive and ST depressions were noted on telemetry. Selective left coronary angiography revealed coronary embolism to the left anterior descending/ first diagonal bifurcation. Mechanical aspiration was performed and a small piece of debris was retrieved. We believe it was a broken-off fragment of the femoral artery that migrated on the tip of the TAVR delivery system. This i...
Source: The Journal of Invasive Cardiology - April 1, 2021 Category: Cardiology Authors: Shazib Sagheer Shane Prejean Silvio Litovsky Thomas Watts Gregory Von Mering Kyle Eudailey Mustafa Iltimas Ahmed Source Type: research

Spontaneous Coronary Artery Dissection Post Partum
J Invasive Cardiol. 2021 Apr;33(4):E316.ABSTRACTA previously healthy 30-year-old woman presented with intensive anterior myocardial infarction at day 6 post partum. Coronary angiogram demonstrated a proximal left anterior descending coronary artery dissection with an intimal flap starting at the ostial segment and extending to the mid segment separating a large false lumen from a narrow true lumen. Percutaneous coronary intervention was successfully performed using a drug-eluting stent with good angiographic result. Optical coherence tomography showed a widely patent vessel with a crescent hypointense image spanning the st...
Source: The Journal of Invasive Cardiology - April 1, 2021 Category: Cardiology Authors: Ziad Dahdouh Elias Salem Tahir Mohamed Source Type: research

Microbubbles Mimicking Prosthetic Mitral Valve Thrombosis
J Invasive Cardiol. 2021 Apr;33(4):E317.ABSTRACTA 36-year-old woman with a history of redo mitral valve replacement (bileaflet mechanical mitral valve prosthesis) in 2002 for prosthetic mitral valve endocarditis presented to the emergency department with a history of recurrent palpitations. A transthoracic echocardiogram was performed and falsely indicated a diagnosis of prosthetic mitral valve thrombosis. However, review of the echocardiogram by an experienced echocardiologist revised the diagnosis to microbubbles formation phenomenon with mechanical mitral prosthesis. Frame-by-frame analysis or reducing the frame rate of...
Source: The Journal of Invasive Cardiology - April 1, 2021 Category: Cardiology Authors: Muhammad Athar Sadiq Source Type: research

Acute Treatment and 5-Year Follow-up of Longitudinal Deformation of a Bioresorbable Scaffold
J Invasive Cardiol. 2021 Apr;33(4):E318-E319.ABSTRACTA 46-year-old man with type 1 diabetes underwent percutaneous coronary intervention with bioresorbable scaffold implantation for a long segment of physiologically significant left anterior descending coronary artery disease. The procedure was complicated by longitudinal stent deformation (LSD). The images carry several important educational messages for clinicians. First, as with all stents, LSD is possible in extreme circumstances. Second, as the device is not seen angiographically, it is imperative that optical coherence tomography be performed to confirm LSD. When rec...
Source: The Journal of Invasive Cardiology - April 1, 2021 Category: Cardiology Authors: Calum S Creaney Colm G Hanratty Martin K Christensen Simon J Walsh Source Type: research

Percutaneous Right Ventricular Assist Device Using the TandemHeart ProtekDuo: Real-World Experience
CONCLUSIONS: This real-world experience, despite high morbidity, continues to suggest benefits of THPD for patients with severe acute RV failure.PMID:33771937 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - March 27, 2021 Category: Cardiology Authors: Estefania Oliveros Fareed M Collado Marie F Poulin Christopher W Seder Robert March Clifford J Kavinsky Source Type: research

Coronary Computed Tomography Angiography (CCTA) vs Functional Imaging in the Evaluation of Stable Ischemic Heart Disease
J Invasive Cardiol. 2021 Mar 26:JIC20210326-1. Online ahead of print.ABSTRACTManagement of patients with stable ischemic heart disease remains challenging, in part due to the inability of non-invasive testing to accurately identify those who may benefit from coronary revascularization. For decades, use of functional testing, such as nuclear perfusion imaging, stress echocardiography, and exercise electrocardiography, has remained a pivotal component of algorithms designed to evaluate anginal pain. Over the past several years, however, a growing body of evidence has developed to support anatomical imaging, with special atte...
Source: The Journal of Invasive Cardiology - March 27, 2021 Category: Cardiology Authors: Vishal I Patel Sion K Roy Matthew J Budoff Source Type: research

Percutaneous Right Ventricular Assist Device Using the TandemHeart ProtekDuo: Real-World Experience
CONCLUSIONS: This real-world experience, despite high morbidity, continues to suggest benefits of THPD for patients with severe acute RV failure.PMID:33771937 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - March 27, 2021 Category: Cardiology Authors: Estefania Oliveros Fareed M Collado Marie F Poulin Christopher W Seder Robert March Clifford J Kavinsky Source Type: research

Coronary Computed Tomography Angiography (CCTA) vs Functional Imaging in the Evaluation of Stable Ischemic Heart Disease
J Invasive Cardiol. 2021 Mar 26:JIC20210326-1. Online ahead of print.ABSTRACTManagement of patients with stable ischemic heart disease remains challenging, in part due to the inability of non-invasive testing to accurately identify those who may benefit from coronary revascularization. For decades, use of functional testing, such as nuclear perfusion imaging, stress echocardiography, and exercise electrocardiography, has remained a pivotal component of algorithms designed to evaluate anginal pain. Over the past several years, however, a growing body of evidence has developed to support anatomical imaging, with special atte...
Source: The Journal of Invasive Cardiology - March 27, 2021 Category: Cardiology Authors: Vishal I Patel Sion K Roy Matthew J Budoff Source Type: research

Percutaneous Right Ventricular Assist Device Using the TandemHeart ProtekDuo: Real-World Experience
CONCLUSIONS: This real-world experience, despite high morbidity, continues to suggest benefits of THPD for patients with severe acute RV failure.PMID:33771937 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - March 27, 2021 Category: Cardiology Authors: Estefania Oliveros Fareed M Collado Marie F Poulin Christopher W Seder Robert March Clifford J Kavinsky Source Type: research

Coronary Computed Tomography Angiography (CCTA) vs Functional Imaging in the Evaluation of Stable Ischemic Heart Disease
J Invasive Cardiol. 2021 Mar 26:JIC20210326-1. Online ahead of print.ABSTRACTManagement of patients with stable ischemic heart disease remains challenging, in part due to the inability of non-invasive testing to accurately identify those who may benefit from coronary revascularization. For decades, use of functional testing, such as nuclear perfusion imaging, stress echocardiography, and exercise electrocardiography, has remained a pivotal component of algorithms designed to evaluate anginal pain. Over the past several years, however, a growing body of evidence has developed to support anatomical imaging, with special atte...
Source: The Journal of Invasive Cardiology - March 27, 2021 Category: Cardiology Authors: Vishal I Patel Sion K Roy Matthew J Budoff Source Type: research

Percutaneous Right Ventricular Assist Device Using the TandemHeart ProtekDuo: Real-World Experience
CONCLUSIONS: This real-world experience, despite high morbidity, continues to suggest benefits of THPD for patients with severe acute RV failure.PMID:33771937 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - March 27, 2021 Category: Cardiology Authors: Estefania Oliveros Fareed M Collado Marie F Poulin Christopher W Seder Robert March Clifford J Kavinsky Source Type: research

Coronary Computed Tomography Angiography (CCTA) vs Functional Imaging in the Evaluation of Stable Ischemic Heart Disease
J Invasive Cardiol. 2021 Mar 26:JIC20210326-1. Online ahead of print.ABSTRACTManagement of patients with stable ischemic heart disease remains challenging, in part due to the inability of non-invasive testing to accurately identify those who may benefit from coronary revascularization. For decades, use of functional testing, such as nuclear perfusion imaging, stress echocardiography, and exercise electrocardiography, has remained a pivotal component of algorithms designed to evaluate anginal pain. Over the past several years, however, a growing body of evidence has developed to support anatomical imaging, with special atte...
Source: The Journal of Invasive Cardiology - March 27, 2021 Category: Cardiology Authors: Vishal I Patel Sion K Roy Matthew J Budoff Source Type: research

Performance of the Edwards Sapien 3 Ultra Transcatheter Aortic Valve System in Patients With Aortic Stenosis and Annulus Diameter in Proximity to Valve Size
J Invasive Cardiol. 2021 Mar 17:JIC20210317-1. Online ahead of print.ABSTRACTOBJECTIVES: The new Sapien 3 Ultra (S3U) transcatheter heart valve (Edwards Lifesciences) was designed with the intention to improve paravalvular sealing. In patients with an annulus size in proximity to the prosthesis size, little or no oversizing of the transcatheter aortic valve implantation (TAVI) prosthesis may lead to paravalvular regurgitation. Thus, this study was designed to assess valve performance in such patients.METHODS: We retrospectively enrolled 30 consecutive patients with symptomatic high-grade aortic stenosis scheduled for trans...
Source: The Journal of Invasive Cardiology - March 19, 2021 Category: Cardiology Authors: Peter Ong Stephan Hill Hardy Baumbach Samir Ahad Alina Stan Alexander Becker Ingmar Tiefenbach Angela Geissler Christian Wunder Schahriar Salehi-Gilani Ulrich F W Franke Raffi Bekeredjian Source Type: research

Comparing the Safety and Effectiveness of Five Leading New-Generation Devices for Transcatheter Aortic Valve Implantation: Twelve-Month Results From the RISPEVA Study
J Invasive Cardiol. 2021 Mar 19:JIC20210319-1. Online ahead of print.ABSTRACTOBJECTIVES: The management of severe aortic stenosis has been revolutionized by the introduction of transcatheter aortic valve implantation (TAVI), especially in patients at intermediate, high, or prohibitive surgical risk. There is uncertainty, however, regarding the comparative effectiveness and safety of contemporary TAVI devices.METHODS: We queried detailed data from the ongoing national Italian TAVI registry and compared baseline features, procedural details, and 12-month outcomes of Acurate Neo (Boston Scientific), Evolut Pro/R (Medtronic), ...
Source: The Journal of Invasive Cardiology - March 19, 2021 Category: Cardiology Authors: Nicola Corcione Alberto Morello Paolo Ferraro Michele Cimmino Luca Testa Anna Sonia Petronio Alessandro Iadanza Antonio L Bartorelli Sergio Berti Damiano Regazzoli Enrico Romagnoli Carmen Spaccarotella Maurizio Tespili Martino Pepe Giacomo Frati Giuseppe Source Type: research

Performance of the Edwards Sapien 3 Ultra Transcatheter Aortic Valve System in Patients With Aortic Stenosis and Annulus Diameter in Proximity to Valve Size
J Invasive Cardiol. 2021 Mar 17:JIC20210317-1. Online ahead of print.ABSTRACTOBJECTIVES: The new Sapien 3 Ultra (S3U) transcatheter heart valve (Edwards Lifesciences) was designed with the intention to improve paravalvular sealing. In patients with an annulus size in proximity to the prosthesis size, little or no oversizing of the transcatheter aortic valve implantation (TAVI) prosthesis may lead to paravalvular regurgitation. Thus, this study was designed to assess valve performance in such patients.METHODS: We retrospectively enrolled 30 consecutive patients with symptomatic high-grade aortic stenosis scheduled for trans...
Source: The Journal of Invasive Cardiology - March 19, 2021 Category: Cardiology Authors: Peter Ong Stephan Hill Hardy Baumbach Samir Ahad Alina Stan Alexander Becker Ingmar Tiefenbach Angela Geissler Christian Wunder Schahriar Salehi-Gilani Ulrich F W Franke Raffi Bekeredjian Source Type: research

Comparing the Safety and Effectiveness of Five Leading New-Generation Devices for Transcatheter Aortic Valve Implantation: Twelve-Month Results From the RISPEVA Study
J Invasive Cardiol. 2021 Mar 19:JIC20210319-1. Online ahead of print.ABSTRACTOBJECTIVES: The management of severe aortic stenosis has been revolutionized by the introduction of transcatheter aortic valve implantation (TAVI), especially in patients at intermediate, high, or prohibitive surgical risk. There is uncertainty, however, regarding the comparative effectiveness and safety of contemporary TAVI devices.METHODS: We queried detailed data from the ongoing national Italian TAVI registry and compared baseline features, procedural details, and 12-month outcomes of Acurate Neo (Boston Scientific), Evolut Pro/R (Medtronic), ...
Source: The Journal of Invasive Cardiology - March 19, 2021 Category: Cardiology Authors: Nicola Corcione Alberto Morello Paolo Ferraro Michele Cimmino Luca Testa Anna Sonia Petronio Alessandro Iadanza Antonio L Bartorelli Sergio Berti Damiano Regazzoli Enrico Romagnoli Carmen Spaccarotella Maurizio Tespili Martino Pepe Giacomo Frati Giuseppe Source Type: research

Performance of the Edwards Sapien 3 Ultra Transcatheter Aortic Valve System in Patients With Aortic Stenosis and Annulus Diameter in Proximity to Valve Size
J Invasive Cardiol. 2021 Mar 17:JIC20210317-1. Online ahead of print.ABSTRACTOBJECTIVES: The new Sapien 3 Ultra (S3U) transcatheter heart valve (Edwards Lifesciences) was designed with the intention to improve paravalvular sealing. In patients with an annulus size in proximity to the prosthesis size, little or no oversizing of the transcatheter aortic valve implantation (TAVI) prosthesis may lead to paravalvular regurgitation. Thus, this study was designed to assess valve performance in such patients.METHODS: We retrospectively enrolled 30 consecutive patients with symptomatic high-grade aortic stenosis scheduled for trans...
Source: The Journal of Invasive Cardiology - March 19, 2021 Category: Cardiology Authors: Peter Ong Stephan Hill Hardy Baumbach Samir Ahad Alina Stan Alexander Becker Ingmar Tiefenbach Angela Geissler Christian Wunder Schahriar Salehi-Gilani Ulrich F W Franke Raffi Bekeredjian Source Type: research

Comparing the Safety and Effectiveness of Five Leading New-Generation Devices for Transcatheter Aortic Valve Implantation: Twelve-Month Results From the RISPEVA Study
J Invasive Cardiol. 2021 Mar 19:JIC20210319-1. Online ahead of print.ABSTRACTOBJECTIVES: The management of severe aortic stenosis has been revolutionized by the introduction of transcatheter aortic valve implantation (TAVI), especially in patients at intermediate, high, or prohibitive surgical risk. There is uncertainty, however, regarding the comparative effectiveness and safety of contemporary TAVI devices.METHODS: We queried detailed data from the ongoing national Italian TAVI registry and compared baseline features, procedural details, and 12-month outcomes of Acurate Neo (Boston Scientific), Evolut Pro/R (Medtronic), ...
Source: The Journal of Invasive Cardiology - March 19, 2021 Category: Cardiology Authors: Nicola Corcione Alberto Morello Paolo Ferraro Michele Cimmino Luca Testa Anna Sonia Petronio Alessandro Iadanza Antonio L Bartorelli Sergio Berti Damiano Regazzoli Enrico Romagnoli Carmen Spaccarotella Maurizio Tespili Martino Pepe Giacomo Frati Giuseppe Source Type: research

Performance of the Edwards Sapien 3 Ultra Transcatheter Aortic Valve System in Patients With Aortic Stenosis and Annulus Diameter in Proximity to Valve Size
J Invasive Cardiol. 2021 Mar 17:JIC20210317-1. Online ahead of print.ABSTRACTOBJECTIVES: The new Sapien 3 Ultra (S3U) transcatheter heart valve (Edwards Lifesciences) was designed with the intention to improve paravalvular sealing. In patients with an annulus size in proximity to the prosthesis size, little or no oversizing of the transcatheter aortic valve implantation (TAVI) prosthesis may lead to paravalvular regurgitation. Thus, this study was designed to assess valve performance in such patients.METHODS: We retrospectively enrolled 30 consecutive patients with symptomatic high-grade aortic stenosis scheduled for trans...
Source: The Journal of Invasive Cardiology - March 19, 2021 Category: Cardiology Authors: Peter Ong Stephan Hill Hardy Baumbach Samir Ahad Alina Stan Alexander Becker Ingmar Tiefenbach Angela Geissler Christian Wunder Schahriar Salehi-Gilani Ulrich F W Franke Raffi Bekeredjian Source Type: research

Comparing the Safety and Effectiveness of Five Leading New-Generation Devices for Transcatheter Aortic Valve Implantation: Twelve-Month Results From the RISPEVA Study
J Invasive Cardiol. 2021 Mar 19:JIC20210319-1. Online ahead of print.ABSTRACTOBJECTIVES: The management of severe aortic stenosis has been revolutionized by the introduction of transcatheter aortic valve implantation (TAVI), especially in patients at intermediate, high, or prohibitive surgical risk. There is uncertainty, however, regarding the comparative effectiveness and safety of contemporary TAVI devices.METHODS: We queried detailed data from the ongoing national Italian TAVI registry and compared baseline features, procedural details, and 12-month outcomes of Acurate Neo (Boston Scientific), Evolut Pro/R (Medtronic), ...
Source: The Journal of Invasive Cardiology - March 19, 2021 Category: Cardiology Authors: Nicola Corcione Alberto Morello Paolo Ferraro Michele Cimmino Luca Testa Anna Sonia Petronio Alessandro Iadanza Antonio L Bartorelli Sergio Berti Damiano Regazzoli Enrico Romagnoli Carmen Spaccarotella Maurizio Tespili Martino Pepe Giacomo Frati Giuseppe Source Type: research

Performance of the Edwards Sapien 3 Ultra Transcatheter Aortic Valve System in Patients With Aortic Stenosis and Annulus Diameter in Proximity to Valve Size
J Invasive Cardiol. 2021 Mar 17:JIC20210317-1. Online ahead of print.ABSTRACTOBJECTIVES: The new Sapien 3 Ultra (S3U) transcatheter heart valve (Edwards Lifesciences) was designed with the intention to improve paravalvular sealing. In patients with an annulus size in proximity to the prosthesis size, little or no oversizing of the transcatheter aortic valve implantation (TAVI) prosthesis may lead to paravalvular regurgitation. Thus, this study was designed to assess valve performance in such patients.METHODS: We retrospectively enrolled 30 consecutive patients with symptomatic high-grade aortic stenosis scheduled for trans...
Source: The Journal of Invasive Cardiology - March 19, 2021 Category: Cardiology Authors: Peter Ong Stephan Hill Hardy Baumbach Samir Ahad Alina Stan Alexander Becker Ingmar Tiefenbach Angela Geissler Christian Wunder Schahriar Salehi-Gilani Ulrich F W Franke Raffi Bekeredjian Source Type: research

Comparing the Safety and Effectiveness of Five Leading New-Generation Devices for Transcatheter Aortic Valve Implantation: Twelve-Month Results From the RISPEVA Study
J Invasive Cardiol. 2021 Mar 19:JIC20210319-1. Online ahead of print.ABSTRACTOBJECTIVES: The management of severe aortic stenosis has been revolutionized by the introduction of transcatheter aortic valve implantation (TAVI), especially in patients at intermediate, high, or prohibitive surgical risk. There is uncertainty, however, regarding the comparative effectiveness and safety of contemporary TAVI devices.METHODS: We queried detailed data from the ongoing national Italian TAVI registry and compared baseline features, procedural details, and 12-month outcomes of Acurate Neo (Boston Scientific), Evolut Pro/R (Medtronic), ...
Source: The Journal of Invasive Cardiology - March 19, 2021 Category: Cardiology Authors: Nicola Corcione Alberto Morello Paolo Ferraro Michele Cimmino Luca Testa Anna Sonia Petronio Alessandro Iadanza Antonio L Bartorelli Sergio Berti Damiano Regazzoli Enrico Romagnoli Carmen Spaccarotella Maurizio Tespili Martino Pepe Giacomo Frati Giuseppe Source Type: research

Performance of the Edwards Sapien 3 Ultra Transcatheter Aortic Valve System in Patients With Aortic Stenosis and Annulus Diameter in Proximity to Valve Size
J Invasive Cardiol. 2021 Mar 17:JIC20210317-1. Online ahead of print.ABSTRACTOBJECTIVES: The new Sapien 3 Ultra (S3U) transcatheter heart valve (Edwards Lifesciences) was designed with the intention to improve paravalvular sealing. In patients with an annulus size in proximity to the prosthesis size, little or no oversizing of the transcatheter aortic valve implantation (TAVI) prosthesis may lead to paravalvular regurgitation. Thus, this study was designed to assess valve performance in such patients.METHODS: We retrospectively enrolled 30 consecutive patients with symptomatic high-grade aortic stenosis scheduled for trans...
Source: The Journal of Invasive Cardiology - March 19, 2021 Category: Cardiology Authors: Peter Ong Stephan Hill Hardy Baumbach Samir Ahad Alina Stan Alexander Becker Ingmar Tiefenbach Angela Geissler Christian Wunder Schahriar Salehi-Gilani Ulrich F W Franke Raffi Bekeredjian Source Type: research

Comparing the Safety and Effectiveness of Five Leading New-Generation Devices for Transcatheter Aortic Valve Implantation: Twelve-Month Results From the RISPEVA Study
J Invasive Cardiol. 2021 Mar 19:JIC20210319-1. Online ahead of print.ABSTRACTOBJECTIVES: The management of severe aortic stenosis has been revolutionized by the introduction of transcatheter aortic valve implantation (TAVI), especially in patients at intermediate, high, or prohibitive surgical risk. There is uncertainty, however, regarding the comparative effectiveness and safety of contemporary TAVI devices.METHODS: We queried detailed data from the ongoing national Italian TAVI registry and compared baseline features, procedural details, and 12-month outcomes of Acurate Neo (Boston Scientific), Evolut Pro/R (Medtronic), ...
Source: The Journal of Invasive Cardiology - March 19, 2021 Category: Cardiology Authors: Nicola Corcione Alberto Morello Paolo Ferraro Michele Cimmino Luca Testa Anna Sonia Petronio Alessandro Iadanza Antonio L Bartorelli Sergio Berti Damiano Regazzoli Enrico Romagnoli Carmen Spaccarotella Maurizio Tespili Martino Pepe Giacomo Frati Giuseppe Source Type: research

Performance of the Edwards Sapien 3 Ultra Transcatheter Aortic Valve System in Patients With Aortic Stenosis and Annulus Diameter in Proximity to Valve Size
J Invasive Cardiol. 2021 Mar 17:JIC20210317-1. Online ahead of print.ABSTRACTOBJECTIVES: The new Sapien 3 Ultra (S3U) transcatheter heart valve (Edwards Lifesciences) was designed with the intention to improve paravalvular sealing. In patients with an annulus size in proximity to the prosthesis size, little or no oversizing of the transcatheter aortic valve implantation (TAVI) prosthesis may lead to paravalvular regurgitation. Thus, this study was designed to assess valve performance in such patients.METHODS: We retrospectively enrolled 30 consecutive patients with symptomatic high-grade aortic stenosis scheduled for trans...
Source: The Journal of Invasive Cardiology - March 19, 2021 Category: Cardiology Authors: Peter Ong Stephan Hill Hardy Baumbach Samir Ahad Alina Stan Alexander Becker Ingmar Tiefenbach Angela Geissler Christian Wunder Schahriar Salehi-Gilani Ulrich F W Franke Raffi Bekeredjian Source Type: research

Comparing the Safety and Effectiveness of Five Leading New-Generation Devices for Transcatheter Aortic Valve Implantation: Twelve-Month Results From the RISPEVA Study
J Invasive Cardiol. 2021 Mar 19:JIC20210319-1. Online ahead of print.ABSTRACTOBJECTIVES: The management of severe aortic stenosis has been revolutionized by the introduction of transcatheter aortic valve implantation (TAVI), especially in patients at intermediate, high, or prohibitive surgical risk. There is uncertainty, however, regarding the comparative effectiveness and safety of contemporary TAVI devices.METHODS: We queried detailed data from the ongoing national Italian TAVI registry and compared baseline features, procedural details, and 12-month outcomes of Acurate Neo (Boston Scientific), Evolut Pro/R (Medtronic), ...
Source: The Journal of Invasive Cardiology - March 19, 2021 Category: Cardiology Authors: Nicola Corcione Alberto Morello Paolo Ferraro Michele Cimmino Luca Testa Anna Sonia Petronio Alessandro Iadanza Antonio L Bartorelli Sergio Berti Damiano Regazzoli Enrico Romagnoli Carmen Spaccarotella Maurizio Tespili Martino Pepe Giacomo Frati Giuseppe Source Type: research

Intravascular Ultrasound for Pulmonary Vein Stenosis Interventions in Congenital Heart Disease
J Invasive Cardiol. 2021 Mar 3:JIC20210303-1. Online ahead of print.ABSTRACTOBJECTIVE: Pulmonary vein stenosis (PVS) is aggressive, with high morbidity and mortality. Surgical and catheter interventions yield modest success, at best. Refinements in catheter interventions could potentially improve outcomes in this patient population. The goal of this study was to determine the utility of intravascular ultrasound (IVUS) for patients with congenital heart disease and PVS.METHODS: Single-center, retrospective review of patients with congenital heart disease and PVS undergoing diagnostic or interventional catheterizations from ...
Source: The Journal of Invasive Cardiology - March 16, 2021 Category: Cardiology Authors: Samantha A Kops Danielle Strah Kwan S Lee Michael D Seckeler Source Type: research

COmplex Bifurcation Lesions: RAndomized Comparison of Modified-T Stenting vs Reconstruction With Self-Expanding Stent and Bioresorbable Scaffold: COBRA II
J Invasive Cardiol. 2021 Mar 4:JIC20210304-1. Online ahead of print.ABSTRACTOBJECTIVES: To evaluate the role of a double bioresorbable vascular scaffold (BVS) strategy in coronary bifurcations, alone or in combination with a dedicated bifurcation device.METHODS: COBRA II is a prospective, single-center, randomized controlled trial. Patients were randomized to treatment with biolimus-eluting Axxess bifurcation device (Biosensors) in combination with Absorb BVS (Abbott Vascular) or a modified-T strategy using Absorb BVS. Optical coherence tomography (OCT) was performed post procedure and at 30 months. The primary endpoint wa...
Source: The Journal of Invasive Cardiology - March 16, 2021 Category: Cardiology Authors: Johan Bennett Keir McCutcheon Maarten Vanhaverbeke Ruben Pauwels Tom Adriaenssens Peter Sinnaeve Walter Desmet Christophe Dubois Source Type: research

Feasibility of Quantitative Flow Ratio in Adult Patients With Anomalous Aortic Origin of the Coronary Artery With 5 Years of Clinical Follow-up
CONCLUSIONS: When QFR analysis of ARCA is feasible, non-significant QFR values are associated with good clinical outcome at 5 years.PMID:33723087 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - March 16, 2021 Category: Cardiology Authors: Julien Adjedj Fabien Hyafil Farhang Aminfar Xavier Halna du Fretay Fabien Picard Patrick Dupouy Jean-Michel Juliard Olivier Muller William Wijns Pierre Aubry ANOCOR Investigators Source Type: research

The Utility of Peripheral Intravascular Lithotripsy in Calcific Coronary Artery Disease: A Case Series
CONCLUSION: Coronary IVL with a peripheral IVL system may be an effective therapy for CAC modification within ULMCA disease, ostial disease, in-stent restenosis, and New York Heart Association class III/IV heart failure.PMID:33723088 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - March 16, 2021 Category: Cardiology Authors: Brett B Yarusi Vikrant S Jagadeesan Arif Jivan Erin D Unger Lowie M R Van Assche Tim S Provias James D Flaherty Keith H Benzuly Daniel R Schimmel Source Type: research