Predictors of Hemodynamic Response to Intra-Aortic Balloon Pump Therapy in Patients With Acute Decompensated Heart Failure and Cardiogenic Shock
J Invasive Cardiol. 2021 Mar 12:JIC20210312-1. Online ahead of print.ABSTRACTOBJECTIVES: There is renewed interest in intra-aortic balloon pump (IABP) use in chronic systolic heart failure (HF) patients with acute decompensation and cardiogenic shock (CS). We sought to identify predictors of early IABP response to guide optimal use in this population.METHODS: We retrospectively analyzed records of chronic systolic HF patients presenting to our center between 2011-2018 with acute decompensated HF who received IABP for CS. An IABP responder was defined as having both an early cardiac output (CO) increase and mean pulmonary a...
Source: The Journal of Invasive Cardiology - March 16, 2021 Category: Cardiology Authors: Athena L Huang Justin A Fried Waqas Malick Veli Topkara Ersilia M DeFilippis Jennifer Haythe Maryjane Farr Melana Yuzefpolskaya Paolo C Colombo Koji Takeda E Wilson Grandin Ajay J Kirtane Duane Pinto A Reshad Garan Source Type: research

Intravascular Ultrasound Insights Into Perforation After Coronary Atherectomy
J Invasive Cardiol. 2021 Mar 15:JIC20210315-1. Online ahead of print.ABSTRACTIn recent years, there has been strong evidence to support the regular use of intravascular ultrasound (IVUS) imaging to optimize the results of percutaneous coronary intervention (PCI). This holds particularly true in more complex cases, such as calcific lesions, whereby angiographic evaluation is often insufficient to determine whether a vessel has been adequately prepared or to perform reference vessel sizing. Severe calcific lesions are often treated with coronary atherectomy to debulk the calcific plaque and allow for adequate predilation of ...
Source: The Journal of Invasive Cardiology - March 16, 2021 Category: Cardiology Authors: Laura Young Chetan P Huded Rishi Puri Jaikirshan J Khatri 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

Predictors of Hemodynamic Response to Intra-Aortic Balloon Pump Therapy in Patients With Acute Decompensated Heart Failure and Cardiogenic Shock
J Invasive Cardiol. 2021 Mar 12:JIC20210312-1. Online ahead of print.ABSTRACTOBJECTIVES: There is renewed interest in intra-aortic balloon pump (IABP) use in chronic systolic heart failure (HF) patients with acute decompensation and cardiogenic shock (CS). We sought to identify predictors of early IABP response to guide optimal use in this population.METHODS: We retrospectively analyzed records of chronic systolic HF patients presenting to our center between 2011-2018 with acute decompensated HF who received IABP for CS. An IABP responder was defined as having both an early cardiac output (CO) increase and mean pulmonary a...
Source: The Journal of Invasive Cardiology - March 16, 2021 Category: Cardiology Authors: Athena L Huang Justin A Fried Waqas Malick Veli Topkara Ersilia M DeFilippis Jennifer Haythe Maryjane Farr Melana Yuzefpolskaya Paolo C Colombo Koji Takeda E Wilson Grandin Ajay J Kirtane Duane Pinto A Reshad Garan Source Type: research

Intravascular Ultrasound Insights Into Perforation After Coronary Atherectomy
J Invasive Cardiol. 2021 Mar 15:JIC20210315-1. Online ahead of print.ABSTRACTIn recent years, there has been strong evidence to support the regular use of intravascular ultrasound (IVUS) imaging to optimize the results of percutaneous coronary intervention (PCI). This holds particularly true in more complex cases, such as calcific lesions, whereby angiographic evaluation is often insufficient to determine whether a vessel has been adequately prepared or to perform reference vessel sizing. Severe calcific lesions are often treated with coronary atherectomy to debulk the calcific plaque and allow for adequate predilation of ...
Source: The Journal of Invasive Cardiology - March 16, 2021 Category: Cardiology Authors: Laura Young Chetan P Huded Rishi Puri Jaikirshan J Khatri 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

Predictors of Hemodynamic Response to Intra-Aortic Balloon Pump Therapy in Patients With Acute Decompensated Heart Failure and Cardiogenic Shock
J Invasive Cardiol. 2021 Mar 12:JIC20210312-1. Online ahead of print.ABSTRACTOBJECTIVES: There is renewed interest in intra-aortic balloon pump (IABP) use in chronic systolic heart failure (HF) patients with acute decompensation and cardiogenic shock (CS). We sought to identify predictors of early IABP response to guide optimal use in this population.METHODS: We retrospectively analyzed records of chronic systolic HF patients presenting to our center between 2011-2018 with acute decompensated HF who received IABP for CS. An IABP responder was defined as having both an early cardiac output (CO) increase and mean pulmonary a...
Source: The Journal of Invasive Cardiology - March 16, 2021 Category: Cardiology Authors: Athena L Huang Justin A Fried Waqas Malick Veli Topkara Ersilia M DeFilippis Jennifer Haythe Maryjane Farr Melana Yuzefpolskaya Paolo C Colombo Koji Takeda E Wilson Grandin Ajay J Kirtane Duane Pinto A Reshad Garan Source Type: research

Intravascular Ultrasound Insights Into Perforation After Coronary Atherectomy
J Invasive Cardiol. 2021 Mar 15:JIC20210315-1. Online ahead of print.ABSTRACTIn recent years, there has been strong evidence to support the regular use of intravascular ultrasound (IVUS) imaging to optimize the results of percutaneous coronary intervention (PCI). This holds particularly true in more complex cases, such as calcific lesions, whereby angiographic evaluation is often insufficient to determine whether a vessel has been adequately prepared or to perform reference vessel sizing. Severe calcific lesions are often treated with coronary atherectomy to debulk the calcific plaque and allow for adequate predilation of ...
Source: The Journal of Invasive Cardiology - March 16, 2021 Category: Cardiology Authors: Laura Young Chetan P Huded Rishi Puri Jaikirshan J Khatri Source Type: research

Accidental Cannulation of the Cardiac Venous System During Pericardiocentesis
J Invasive Cardiol. 2021 Mar;33(3):E225-E226.ABSTRACTA 52-year-old woman presented to another hospital with progressive dyspnea of 10-day duration. The patient was diagnosed with a massive pericardial effusion and underwent pericardiocentesis. However, the patient's symptoms did not improve and she was referred to our hospital with a pericardial sheath in situ. On evaluation, the patient had a large pericardial effusion and evidence of cardiac tamponade, but no fluid could be aspirated from the sheath. This case underscores the importance of image-guided pericardiocentesis.PMID:33646967 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Anunay Gupta Sourabh Agstam Dinkar Bhasin Nitish Rai Jeetesh Jain H S Isser Sandeep Bansal Source Type: research

Treating Mitral Valve Prolapse in Barlow's Disease by Creation of a Medial MitraClip Bridge and a "New" Lateral Orifice: Rationale for MitraClip NTR Adoption
J Invasive Cardiol. 2021 Mar;33(3):E227-E228.ABSTRACTPercutaneous mitral valve repair with MitraClip XTR (Abbott Vascular) has been proposed in patients with Barlow's disease, as the extended length of the MitraClip XTR may facilitate "grasping" and limit the number of clips. However, the design of the MitraClip XTR includes arms that 3 mm longer than the NTR device as well as 2 additional frictional elements, and requires a patient selection based mainly on mitral valve tissue quality. We summarize our rationale for using the shorter and smaller MitraClip NTR in patients with Barlow's disease.PMID:33646968 (Sour...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Sebastian Feickert Giuseppe D'Ancona Alla Neuhausen Abramkina H üseyin Ince Source Type: research

Percutaneous Management of a Mechanical Complication Post Mitral Valve Surgery in a Child
J Invasive Cardiol. 2021 Mar;33(3):E229.ABSTRACTA 4-year-old girl with congenital mitral regurgitation status post mechanical mitral valve replacement (MVR) using a 16 mm Carbomedics valve (LivaNova) at the age of 5 months underwent a redo MVR using a 21 mm aortic prosthesis implanted in an inverted position for progressed increased mitral valve gradient due to pannus formation. Post operatively, echocardiogram showed good mitral valve prosthesis function with severe depressed left ventricular function (ejection fraction, 19%) and markedly segmental dyskinesia in the lateral wall. Her diagnosis of compression to the proxim...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Ziad Dahdouh Ghassan Siblini Source Type: research

De Winter Pattern Caused by a Large Diagonal Branch Culprit Lesion
J Invasive Cardiol. 2021 Mar;33(3):E230.ABSTRACTA 70-year-old man was referred to the emergency department for an episode of ongoing chest pain during physical activity. Urgent coronary angiogram revealed a 75% stenosis in the left anterior descending coronary artery and a total occlusion of a large diagonal branch. Both stenoses were treated successfully with percutaneous coronary intervention. After reperfusion, the ECG showed a "De Winter" pattern, which was the ECG expression of a culprit lesion located in a large diagonal branch rather than in the left anterior descending.PMID:33646970 (Source: The Journal o...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Andrea Demarchi Laura Frigerio Roberto Rordorf Stefano Cornara Alberto Somaschini Silvana De Martino Gaetano Maria De Ferrari Source Type: research

Giant Aortic Root Aneurysm in Marfan's Syndrome
J Invasive Cardiol. 2021 Mar;33(3):E231-E232.ABSTRACTA 25-year-old man came to our clinic with the complaints of exertional palpitations and dyspnea. He had skeletal features suggestive of Marfan's syndrome. Contrast-enhanced computed tomography confirmed aneurysmal dilation of the aortic root and the proximal part of the ascending aorta. The patient was advised to undergo Bentall procedure for replacement of the aortic valve, aortic root, and ascending aorta. Marfan's syndrome is a connective tissue disorder with autosomal-dominant inheritance. Patients have a predisposition for progressive aortic root and ascending aorti...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Dinkar Bhasin Gaurav Kumar Arora Sourabh Agstam Anunay Gupta H S Isser Sandeep Bansal Source Type: research

Emergency Percutaneous Treatment of Saphenous Vein Graft Perforation After Cardiac Surgery
J Invasive Cardiol. 2021 Mar;33(3):E233-E234.ABSTRACTImmediately post coronary artery bypass graft surgery, a 58-year-old woman developed excessive bleeding through the chest drains and hemodynamic instability, followed by total atrioventricular block requiring use of temporary pacemaker, which precluded electrocardiographic interpretation. She was referred for urgent diagnostic coronary angiography, which demonstrated important contrast leakage from the distal body of the saphenous vein graft to the first marginal branch. Acute saphenous vein graft perforation following coronary artery bypass graft surgery is rare. To the...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Gustavo L Agostini Denise Pellegrini Eduardo Saadi Ricardo Lasevitch Vitor Gomes Diego Pinheiro Ricardo Soccol Paulo Caramori Source Type: research

Accidental Cannulation of the Cardiac Venous System During Pericardiocentesis
J Invasive Cardiol. 2021 Mar;33(3):E225-E226.ABSTRACTA 52-year-old woman presented to another hospital with progressive dyspnea of 10-day duration. The patient was diagnosed with a massive pericardial effusion and underwent pericardiocentesis. However, the patient's symptoms did not improve and she was referred to our hospital with a pericardial sheath in situ. On evaluation, the patient had a large pericardial effusion and evidence of cardiac tamponade, but no fluid could be aspirated from the sheath. This case underscores the importance of image-guided pericardiocentesis.PMID:33646967 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Anunay Gupta Sourabh Agstam Dinkar Bhasin Nitish Rai Jeetesh Jain H S Isser Sandeep Bansal Source Type: research

Treating Mitral Valve Prolapse in Barlow's Disease by Creation of a Medial MitraClip Bridge and a "New" Lateral Orifice: Rationale for MitraClip NTR Adoption
J Invasive Cardiol. 2021 Mar;33(3):E227-E228.ABSTRACTPercutaneous mitral valve repair with MitraClip XTR (Abbott Vascular) has been proposed in patients with Barlow's disease, as the extended length of the MitraClip XTR may facilitate "grasping" and limit the number of clips. However, the design of the MitraClip XTR includes arms that 3 mm longer than the NTR device as well as 2 additional frictional elements, and requires a patient selection based mainly on mitral valve tissue quality. We summarize our rationale for using the shorter and smaller MitraClip NTR in patients with Barlow's disease.PMID:33646968 (Sour...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Sebastian Feickert Giuseppe D'Ancona Alla Neuhausen Abramkina H üseyin Ince Source Type: research

Percutaneous Management of a Mechanical Complication Post Mitral Valve Surgery in a Child
J Invasive Cardiol. 2021 Mar;33(3):E229.ABSTRACTA 4-year-old girl with congenital mitral regurgitation status post mechanical mitral valve replacement (MVR) using a 16 mm Carbomedics valve (LivaNova) at the age of 5 months underwent a redo MVR using a 21 mm aortic prosthesis implanted in an inverted position for progressed increased mitral valve gradient due to pannus formation. Post operatively, echocardiogram showed good mitral valve prosthesis function with severe depressed left ventricular function (ejection fraction, 19%) and markedly segmental dyskinesia in the lateral wall. Her diagnosis of compression to the proxim...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Ziad Dahdouh Ghassan Siblini Source Type: research

De Winter Pattern Caused by a Large Diagonal Branch Culprit Lesion
J Invasive Cardiol. 2021 Mar;33(3):E230.ABSTRACTA 70-year-old man was referred to the emergency department for an episode of ongoing chest pain during physical activity. Urgent coronary angiogram revealed a 75% stenosis in the left anterior descending coronary artery and a total occlusion of a large diagonal branch. Both stenoses were treated successfully with percutaneous coronary intervention. After reperfusion, the ECG showed a "De Winter" pattern, which was the ECG expression of a culprit lesion located in a large diagonal branch rather than in the left anterior descending.PMID:33646970 (Source: The Journal o...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Andrea Demarchi Laura Frigerio Roberto Rordorf Stefano Cornara Alberto Somaschini Silvana De Martino Gaetano Maria De Ferrari Source Type: research

Giant Aortic Root Aneurysm in Marfan's Syndrome
J Invasive Cardiol. 2021 Mar;33(3):E231-E232.ABSTRACTA 25-year-old man came to our clinic with the complaints of exertional palpitations and dyspnea. He had skeletal features suggestive of Marfan's syndrome. Contrast-enhanced computed tomography confirmed aneurysmal dilation of the aortic root and the proximal part of the ascending aorta. The patient was advised to undergo Bentall procedure for replacement of the aortic valve, aortic root, and ascending aorta. Marfan's syndrome is a connective tissue disorder with autosomal-dominant inheritance. Patients have a predisposition for progressive aortic root and ascending aorti...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Dinkar Bhasin Gaurav Kumar Arora Sourabh Agstam Anunay Gupta H S Isser Sandeep Bansal Source Type: research

Emergency Percutaneous Treatment of Saphenous Vein Graft Perforation After Cardiac Surgery
J Invasive Cardiol. 2021 Mar;33(3):E233-E234.ABSTRACTImmediately post coronary artery bypass graft surgery, a 58-year-old woman developed excessive bleeding through the chest drains and hemodynamic instability, followed by total atrioventricular block requiring use of temporary pacemaker, which precluded electrocardiographic interpretation. She was referred for urgent diagnostic coronary angiography, which demonstrated important contrast leakage from the distal body of the saphenous vein graft to the first marginal branch. Acute saphenous vein graft perforation following coronary artery bypass graft surgery is rare. To the...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Gustavo L Agostini Denise Pellegrini Eduardo Saadi Ricardo Lasevitch Vitor Gomes Diego Pinheiro Ricardo Soccol Paulo Caramori Source Type: research

Accidental Cannulation of the Cardiac Venous System During Pericardiocentesis
J Invasive Cardiol. 2021 Mar;33(3):E225-E226.ABSTRACTA 52-year-old woman presented to another hospital with progressive dyspnea of 10-day duration. The patient was diagnosed with a massive pericardial effusion and underwent pericardiocentesis. However, the patient's symptoms did not improve and she was referred to our hospital with a pericardial sheath in situ. On evaluation, the patient had a large pericardial effusion and evidence of cardiac tamponade, but no fluid could be aspirated from the sheath. This case underscores the importance of image-guided pericardiocentesis.PMID:33646967 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Anunay Gupta Sourabh Agstam Dinkar Bhasin Nitish Rai Jeetesh Jain H S Isser Sandeep Bansal Source Type: research

Treating Mitral Valve Prolapse in Barlow's Disease by Creation of a Medial MitraClip Bridge and a "New" Lateral Orifice: Rationale for MitraClip NTR Adoption
J Invasive Cardiol. 2021 Mar;33(3):E227-E228.ABSTRACTPercutaneous mitral valve repair with MitraClip XTR (Abbott Vascular) has been proposed in patients with Barlow's disease, as the extended length of the MitraClip XTR may facilitate "grasping" and limit the number of clips. However, the design of the MitraClip XTR includes arms that 3 mm longer than the NTR device as well as 2 additional frictional elements, and requires a patient selection based mainly on mitral valve tissue quality. We summarize our rationale for using the shorter and smaller MitraClip NTR in patients with Barlow's disease.PMID:33646968 (Sour...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Sebastian Feickert Giuseppe D'Ancona Alla Neuhausen Abramkina H üseyin Ince Source Type: research

Percutaneous Management of a Mechanical Complication Post Mitral Valve Surgery in a Child
J Invasive Cardiol. 2021 Mar;33(3):E229.ABSTRACTA 4-year-old girl with congenital mitral regurgitation status post mechanical mitral valve replacement (MVR) using a 16 mm Carbomedics valve (LivaNova) at the age of 5 months underwent a redo MVR using a 21 mm aortic prosthesis implanted in an inverted position for progressed increased mitral valve gradient due to pannus formation. Post operatively, echocardiogram showed good mitral valve prosthesis function with severe depressed left ventricular function (ejection fraction, 19%) and markedly segmental dyskinesia in the lateral wall. Her diagnosis of compression to the proxim...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Ziad Dahdouh Ghassan Siblini Source Type: research

De Winter Pattern Caused by a Large Diagonal Branch Culprit Lesion
J Invasive Cardiol. 2021 Mar;33(3):E230.ABSTRACTA 70-year-old man was referred to the emergency department for an episode of ongoing chest pain during physical activity. Urgent coronary angiogram revealed a 75% stenosis in the left anterior descending coronary artery and a total occlusion of a large diagonal branch. Both stenoses were treated successfully with percutaneous coronary intervention. After reperfusion, the ECG showed a "De Winter" pattern, which was the ECG expression of a culprit lesion located in a large diagonal branch rather than in the left anterior descending.PMID:33646970 (Source: The Journal o...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Andrea Demarchi Laura Frigerio Roberto Rordorf Stefano Cornara Alberto Somaschini Silvana De Martino Gaetano Maria De Ferrari Source Type: research

Giant Aortic Root Aneurysm in Marfan's Syndrome
J Invasive Cardiol. 2021 Mar;33(3):E231-E232.ABSTRACTA 25-year-old man came to our clinic with the complaints of exertional palpitations and dyspnea. He had skeletal features suggestive of Marfan's syndrome. Contrast-enhanced computed tomography confirmed aneurysmal dilation of the aortic root and the proximal part of the ascending aorta. The patient was advised to undergo Bentall procedure for replacement of the aortic valve, aortic root, and ascending aorta. Marfan's syndrome is a connective tissue disorder with autosomal-dominant inheritance. Patients have a predisposition for progressive aortic root and ascending aorti...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Dinkar Bhasin Gaurav Kumar Arora Sourabh Agstam Anunay Gupta H S Isser Sandeep Bansal Source Type: research

Emergency Percutaneous Treatment of Saphenous Vein Graft Perforation After Cardiac Surgery
J Invasive Cardiol. 2021 Mar;33(3):E233-E234.ABSTRACTImmediately post coronary artery bypass graft surgery, a 58-year-old woman developed excessive bleeding through the chest drains and hemodynamic instability, followed by total atrioventricular block requiring use of temporary pacemaker, which precluded electrocardiographic interpretation. She was referred for urgent diagnostic coronary angiography, which demonstrated important contrast leakage from the distal body of the saphenous vein graft to the first marginal branch. Acute saphenous vein graft perforation following coronary artery bypass graft surgery is rare. To the...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Gustavo L Agostini Denise Pellegrini Eduardo Saadi Ricardo Lasevitch Vitor Gomes Diego Pinheiro Ricardo Soccol Paulo Caramori Source Type: research

Accidental Cannulation of the Cardiac Venous System During Pericardiocentesis
J Invasive Cardiol. 2021 Mar;33(3):E225-E226.ABSTRACTA 52-year-old woman presented to another hospital with progressive dyspnea of 10-day duration. The patient was diagnosed with a massive pericardial effusion and underwent pericardiocentesis. However, the patient's symptoms did not improve and she was referred to our hospital with a pericardial sheath in situ. On evaluation, the patient had a large pericardial effusion and evidence of cardiac tamponade, but no fluid could be aspirated from the sheath. This case underscores the importance of image-guided pericardiocentesis.PMID:33646967 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Anunay Gupta Sourabh Agstam Dinkar Bhasin Nitish Rai Jeetesh Jain H S Isser Sandeep Bansal Source Type: research

Treating Mitral Valve Prolapse in Barlow's Disease by Creation of a Medial MitraClip Bridge and a "New" Lateral Orifice: Rationale for MitraClip NTR Adoption
J Invasive Cardiol. 2021 Mar;33(3):E227-E228.ABSTRACTPercutaneous mitral valve repair with MitraClip XTR (Abbott Vascular) has been proposed in patients with Barlow's disease, as the extended length of the MitraClip XTR may facilitate "grasping" and limit the number of clips. However, the design of the MitraClip XTR includes arms that 3 mm longer than the NTR device as well as 2 additional frictional elements, and requires a patient selection based mainly on mitral valve tissue quality. We summarize our rationale for using the shorter and smaller MitraClip NTR in patients with Barlow's disease.PMID:33646968 (Sour...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Sebastian Feickert Giuseppe D'Ancona Alla Neuhausen Abramkina H üseyin Ince Source Type: research

Percutaneous Management of a Mechanical Complication Post Mitral Valve Surgery in a Child
J Invasive Cardiol. 2021 Mar;33(3):E229.ABSTRACTA 4-year-old girl with congenital mitral regurgitation status post mechanical mitral valve replacement (MVR) using a 16 mm Carbomedics valve (LivaNova) at the age of 5 months underwent a redo MVR using a 21 mm aortic prosthesis implanted in an inverted position for progressed increased mitral valve gradient due to pannus formation. Post operatively, echocardiogram showed good mitral valve prosthesis function with severe depressed left ventricular function (ejection fraction, 19%) and markedly segmental dyskinesia in the lateral wall. Her diagnosis of compression to the proxim...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Ziad Dahdouh Ghassan Siblini Source Type: research

De Winter Pattern Caused by a Large Diagonal Branch Culprit Lesion
J Invasive Cardiol. 2021 Mar;33(3):E230.ABSTRACTA 70-year-old man was referred to the emergency department for an episode of ongoing chest pain during physical activity. Urgent coronary angiogram revealed a 75% stenosis in the left anterior descending coronary artery and a total occlusion of a large diagonal branch. Both stenoses were treated successfully with percutaneous coronary intervention. After reperfusion, the ECG showed a "De Winter" pattern, which was the ECG expression of a culprit lesion located in a large diagonal branch rather than in the left anterior descending.PMID:33646970 (Source: The Journal o...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Andrea Demarchi Laura Frigerio Roberto Rordorf Stefano Cornara Alberto Somaschini Silvana De Martino Gaetano Maria De Ferrari Source Type: research

Giant Aortic Root Aneurysm in Marfan's Syndrome
J Invasive Cardiol. 2021 Mar;33(3):E231-E232.ABSTRACTA 25-year-old man came to our clinic with the complaints of exertional palpitations and dyspnea. He had skeletal features suggestive of Marfan's syndrome. Contrast-enhanced computed tomography confirmed aneurysmal dilation of the aortic root and the proximal part of the ascending aorta. The patient was advised to undergo Bentall procedure for replacement of the aortic valve, aortic root, and ascending aorta. Marfan's syndrome is a connective tissue disorder with autosomal-dominant inheritance. Patients have a predisposition for progressive aortic root and ascending aorti...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Dinkar Bhasin Gaurav Kumar Arora Sourabh Agstam Anunay Gupta H S Isser Sandeep Bansal Source Type: research

Emergency Percutaneous Treatment of Saphenous Vein Graft Perforation After Cardiac Surgery
J Invasive Cardiol. 2021 Mar;33(3):E233-E234.ABSTRACTImmediately post coronary artery bypass graft surgery, a 58-year-old woman developed excessive bleeding through the chest drains and hemodynamic instability, followed by total atrioventricular block requiring use of temporary pacemaker, which precluded electrocardiographic interpretation. She was referred for urgent diagnostic coronary angiography, which demonstrated important contrast leakage from the distal body of the saphenous vein graft to the first marginal branch. Acute saphenous vein graft perforation following coronary artery bypass graft surgery is rare. To the...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Gustavo L Agostini Denise Pellegrini Eduardo Saadi Ricardo Lasevitch Vitor Gomes Diego Pinheiro Ricardo Soccol Paulo Caramori Source Type: research

Accidental Cannulation of the Cardiac Venous System During Pericardiocentesis
J Invasive Cardiol. 2021 Mar;33(3):E225-E226.ABSTRACTA 52-year-old woman presented to another hospital with progressive dyspnea of 10-day duration. The patient was diagnosed with a massive pericardial effusion and underwent pericardiocentesis. However, the patient's symptoms did not improve and she was referred to our hospital with a pericardial sheath in situ. On evaluation, the patient had a large pericardial effusion and evidence of cardiac tamponade, but no fluid could be aspirated from the sheath. This case underscores the importance of image-guided pericardiocentesis.PMID:33646967 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Anunay Gupta Sourabh Agstam Dinkar Bhasin Nitish Rai Jeetesh Jain H S Isser Sandeep Bansal Source Type: research

Treating Mitral Valve Prolapse in Barlow's Disease by Creation of a Medial MitraClip Bridge and a "New" Lateral Orifice: Rationale for MitraClip NTR Adoption
J Invasive Cardiol. 2021 Mar;33(3):E227-E228.ABSTRACTPercutaneous mitral valve repair with MitraClip XTR (Abbott Vascular) has been proposed in patients with Barlow's disease, as the extended length of the MitraClip XTR may facilitate "grasping" and limit the number of clips. However, the design of the MitraClip XTR includes arms that 3 mm longer than the NTR device as well as 2 additional frictional elements, and requires a patient selection based mainly on mitral valve tissue quality. We summarize our rationale for using the shorter and smaller MitraClip NTR in patients with Barlow's disease.PMID:33646968 (Sour...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Sebastian Feickert Giuseppe D'Ancona Alla Neuhausen Abramkina H üseyin Ince Source Type: research

Percutaneous Management of a Mechanical Complication Post Mitral Valve Surgery in a Child
J Invasive Cardiol. 2021 Mar;33(3):E229.ABSTRACTA 4-year-old girl with congenital mitral regurgitation status post mechanical mitral valve replacement (MVR) using a 16 mm Carbomedics valve (LivaNova) at the age of 5 months underwent a redo MVR using a 21 mm aortic prosthesis implanted in an inverted position for progressed increased mitral valve gradient due to pannus formation. Post operatively, echocardiogram showed good mitral valve prosthesis function with severe depressed left ventricular function (ejection fraction, 19%) and markedly segmental dyskinesia in the lateral wall. Her diagnosis of compression to the proxim...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Ziad Dahdouh Ghassan Siblini Source Type: research

De Winter Pattern Caused by a Large Diagonal Branch Culprit Lesion
J Invasive Cardiol. 2021 Mar;33(3):E230.ABSTRACTA 70-year-old man was referred to the emergency department for an episode of ongoing chest pain during physical activity. Urgent coronary angiogram revealed a 75% stenosis in the left anterior descending coronary artery and a total occlusion of a large diagonal branch. Both stenoses were treated successfully with percutaneous coronary intervention. After reperfusion, the ECG showed a "De Winter" pattern, which was the ECG expression of a culprit lesion located in a large diagonal branch rather than in the left anterior descending.PMID:33646970 (Source: The Journal o...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Andrea Demarchi Laura Frigerio Roberto Rordorf Stefano Cornara Alberto Somaschini Silvana De Martino Gaetano Maria De Ferrari Source Type: research

Giant Aortic Root Aneurysm in Marfan's Syndrome
J Invasive Cardiol. 2021 Mar;33(3):E231-E232.ABSTRACTA 25-year-old man came to our clinic with the complaints of exertional palpitations and dyspnea. He had skeletal features suggestive of Marfan's syndrome. Contrast-enhanced computed tomography confirmed aneurysmal dilation of the aortic root and the proximal part of the ascending aorta. The patient was advised to undergo Bentall procedure for replacement of the aortic valve, aortic root, and ascending aorta. Marfan's syndrome is a connective tissue disorder with autosomal-dominant inheritance. Patients have a predisposition for progressive aortic root and ascending aorti...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Dinkar Bhasin Gaurav Kumar Arora Sourabh Agstam Anunay Gupta H S Isser Sandeep Bansal Source Type: research

Emergency Percutaneous Treatment of Saphenous Vein Graft Perforation After Cardiac Surgery
J Invasive Cardiol. 2021 Mar;33(3):E233-E234.ABSTRACTImmediately post coronary artery bypass graft surgery, a 58-year-old woman developed excessive bleeding through the chest drains and hemodynamic instability, followed by total atrioventricular block requiring use of temporary pacemaker, which precluded electrocardiographic interpretation. She was referred for urgent diagnostic coronary angiography, which demonstrated important contrast leakage from the distal body of the saphenous vein graft to the first marginal branch. Acute saphenous vein graft perforation following coronary artery bypass graft surgery is rare. To the...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Gustavo L Agostini Denise Pellegrini Eduardo Saadi Ricardo Lasevitch Vitor Gomes Diego Pinheiro Ricardo Soccol Paulo Caramori Source Type: research

Accidental Cannulation of the Cardiac Venous System During Pericardiocentesis
J Invasive Cardiol. 2021 Mar;33(3):E225-E226.ABSTRACTA 52-year-old woman presented to another hospital with progressive dyspnea of 10-day duration. The patient was diagnosed with a massive pericardial effusion and underwent pericardiocentesis. However, the patient's symptoms did not improve and she was referred to our hospital with a pericardial sheath in situ. On evaluation, the patient had a large pericardial effusion and evidence of cardiac tamponade, but no fluid could be aspirated from the sheath. This case underscores the importance of image-guided pericardiocentesis.PMID:33646967 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Anunay Gupta Sourabh Agstam Dinkar Bhasin Nitish Rai Jeetesh Jain H S Isser Sandeep Bansal Source Type: research

Treating Mitral Valve Prolapse in Barlow's Disease by Creation of a Medial MitraClip Bridge and a "New" Lateral Orifice: Rationale for MitraClip NTR Adoption
J Invasive Cardiol. 2021 Mar;33(3):E227-E228.ABSTRACTPercutaneous mitral valve repair with MitraClip XTR (Abbott Vascular) has been proposed in patients with Barlow's disease, as the extended length of the MitraClip XTR may facilitate "grasping" and limit the number of clips. However, the design of the MitraClip XTR includes arms that 3 mm longer than the NTR device as well as 2 additional frictional elements, and requires a patient selection based mainly on mitral valve tissue quality. We summarize our rationale for using the shorter and smaller MitraClip NTR in patients with Barlow's disease.PMID:33646968 (Sour...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Sebastian Feickert Giuseppe D'Ancona Alla Neuhausen Abramkina H üseyin Ince Source Type: research

Percutaneous Management of a Mechanical Complication Post Mitral Valve Surgery in a Child
J Invasive Cardiol. 2021 Mar;33(3):E229.ABSTRACTA 4-year-old girl with congenital mitral regurgitation status post mechanical mitral valve replacement (MVR) using a 16 mm Carbomedics valve (LivaNova) at the age of 5 months underwent a redo MVR using a 21 mm aortic prosthesis implanted in an inverted position for progressed increased mitral valve gradient due to pannus formation. Post operatively, echocardiogram showed good mitral valve prosthesis function with severe depressed left ventricular function (ejection fraction, 19%) and markedly segmental dyskinesia in the lateral wall. Her diagnosis of compression to the proxim...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Ziad Dahdouh Ghassan Siblini Source Type: research

De Winter Pattern Caused by a Large Diagonal Branch Culprit Lesion
J Invasive Cardiol. 2021 Mar;33(3):E230.ABSTRACTA 70-year-old man was referred to the emergency department for an episode of ongoing chest pain during physical activity. Urgent coronary angiogram revealed a 75% stenosis in the left anterior descending coronary artery and a total occlusion of a large diagonal branch. Both stenoses were treated successfully with percutaneous coronary intervention. After reperfusion, the ECG showed a "De Winter" pattern, which was the ECG expression of a culprit lesion located in a large diagonal branch rather than in the left anterior descending.PMID:33646970 (Source: The Journal o...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Andrea Demarchi Laura Frigerio Roberto Rordorf Stefano Cornara Alberto Somaschini Silvana De Martino Gaetano Maria De Ferrari Source Type: research

Giant Aortic Root Aneurysm in Marfan's Syndrome
J Invasive Cardiol. 2021 Mar;33(3):E231-E232.ABSTRACTA 25-year-old man came to our clinic with the complaints of exertional palpitations and dyspnea. He had skeletal features suggestive of Marfan's syndrome. Contrast-enhanced computed tomography confirmed aneurysmal dilation of the aortic root and the proximal part of the ascending aorta. The patient was advised to undergo Bentall procedure for replacement of the aortic valve, aortic root, and ascending aorta. Marfan's syndrome is a connective tissue disorder with autosomal-dominant inheritance. Patients have a predisposition for progressive aortic root and ascending aorti...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Dinkar Bhasin Gaurav Kumar Arora Sourabh Agstam Anunay Gupta H S Isser Sandeep Bansal Source Type: research

Emergency Percutaneous Treatment of Saphenous Vein Graft Perforation After Cardiac Surgery
J Invasive Cardiol. 2021 Mar;33(3):E233-E234.ABSTRACTImmediately post coronary artery bypass graft surgery, a 58-year-old woman developed excessive bleeding through the chest drains and hemodynamic instability, followed by total atrioventricular block requiring use of temporary pacemaker, which precluded electrocardiographic interpretation. She was referred for urgent diagnostic coronary angiography, which demonstrated important contrast leakage from the distal body of the saphenous vein graft to the first marginal branch. Acute saphenous vein graft perforation following coronary artery bypass graft surgery is rare. To the...
Source: The Journal of Invasive Cardiology - March 1, 2021 Category: Cardiology Authors: Gustavo L Agostini Denise Pellegrini Eduardo Saadi Ricardo Lasevitch Vitor Gomes Diego Pinheiro Ricardo Soccol Paulo Caramori Source Type: research