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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Footprint of a Bioresorbable Vascular Scaffold in Computed Tomography Coronary Angiogram at 5-Year Follow-up.
Authors: Vijayvergiya R, Kanabar K, Palanivel R, Lal A, Gupta A Abstract The Absorb bioresorbable vascular scaffold (Abbott Vascular) does not have an artifact on computed tomography coronary angiography (CTCA); the extent/location of the stent in situ can only be assessed by localizing its radiopaque platinum markers in a non-contrast CTCA. The characteristic appearance of BVS on CTCA should be interpreted as the footprint of a resorbed BVS, instead of a calcified plaque. PMID: 32357136 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Infected Thrombus on a TAVI Aortic Valve.
Authors: Merdler I, Hochstadt A, Kramer A, Shmilovich H, Halavy A, Ingbir M, Shacham Y Abstract After a series of tests, an 86-year-old patient was shown to have an infected thrombus on a TAVI valve and was referred to urgent surgery. The valve with the infected thrombus was removed and a biological prosthetic valve was implanted in its place. PMID: 32357137 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Concertina Effect.
Authors: Agarwal R, Sinha DP Abstract Accordion effect or concertina effect - also known as "crumpled coronary" - is an uncommon occurrence during coronary angioplasty. It usually has no major clinical sequelae and should be differentiated from spasm, dissection, and thrombosis, which require special management. PMID: 32357138 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

A Unique Case Report of Complete Left Main Coronary Artery Occlusion in a 24-Year-Old Male.
Authors: Heyworth PB, Essack N, Rahman A Abstract A 24-year-old male presented to hospital following syncope with electrocardiographic changes and was found to have left main coronary artery occlusion requiring emergent coronary artery bypass grafting. PMID: 32357139 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Chronic Total Occlusion 5 Years After Bioresorbable Vascular Scaffold Implantation: A Serial Optical Coherence Tomography Assessment.
Authors: Ochijewicz D, Tomaniak M, KoĊ‚towski L, Kochman J Abstract Angiography at 60 months post implantation of an Absorb 1.0 bioresorbable vascular scaffold (Abbott Vascular) revealed a total occlusion at the distal scaffold. Within the proximal edge, optical coherence tomography showed complete absorption of stent struts with a decreased mean scaffold area and diameter. PMID: 32357140 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Pulmonary Arteriography in Pulmonary Vein Stenosis.
Authors: Duque L, José Orrego M, Escobar Á, Isaza S, Duque M Abstract A 43-year-old woman underwent radiofrequency pulmonary vein ablation for symptomatic paroxysmal atrial fibrillation. At 3 months, she developed worsening dyspnea and exercise intolerance; tests revealed severe stenosis in her right pulmonary veins at the venoatrial junction and an abnormally small left atrium. PMID: 32357141 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Randomized Trial of Radial Hemostasis Using Focused vs Balloon Compression Devices.
Authors: Safirstein JG, Elfandi A, Reid N, Clark TWI Abstract BACKGROUND: Radial artery hemostasis devices differ in compression mechanisms, which may influence time to hemostasis and hand perfusion. METHODS: Subjects (n = 52) undergoing transradial diagnostic coronary catheterization or percutaneous coronary intervention (PCI) were randomized 1:1 to either focused compression (VasoStat; Forge Medical) or balloon compression device (TR Band; Terumo Medical) for radial artery hemostasis. Time to complete hemostasis enabling device removal was measured in each subject. Hand perfusion was quantitated using the per...
Source: The Journal of Invasive Cardiology - April 25, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Left Atrial Appendage Occlusion in Patients With Thrombus in Left Atrial Appendage.
CONCLUSION: Our study showed that percutaneous LAA closure could be a therapeutic option for patients with resistant LAA thrombus. PMID: 32330118 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - April 25, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Planned Robotic Chronic Total Occlusion Percutaneous Coronary Intervention: Feasibility Report.
CONCLUSIONS: CTO revascularization via a robotic approach is feasible. Technical success may be best predicted by those patients with low J-CTO scores and lesions amenable to antegrade wire escalation technique. Given the potential benefits to both operators and patients, further research is warranted. PMID: 32330119 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - April 25, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

The First 4 Years of Postmarketing Safety Surveillance Related to the MitraClip Device: A United States Food and Drug Administration MAUDE Experience.
CONCLUSIONS: While injuries reported to the FDA have steadily increased with more widespread use of TMVR, device- or procedure-related death reports have accrued more slowly, corroborating a potential institutional or operator learning curve with this device. However, in light of incomplete and poor data quality, higher-fidelity systems of postmarketing safety surveillance are needed in the evaluation of emerging devices. PMID: 32269176 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - April 11, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Resource Allocation and Decision Making for Pediatric and Congenital Cardiac Catheterization During the Novel Coronavirus SARS-CoV-2 (COVID-19) Pandemic: A U.S. Multi-Institutional Perspective.
Authors: Morray BH, Gordon BM, Crystal MA, Goldstein BH, Qureshi AM, Torres AJ, Epstein SM, Crittendon I, Ing FF, Sathanandam SK Abstract BACKGROUND: The novel coronavirus (COVID-19) pandemic has placed severe stress on healthcare systems around the world. There is limited information on current practices in pediatric cardiac catheterization laboratories in the United States (US). OBJECTIVES: To describe current practice patterns and make recommendations regarding potential resource allocation for congenital cardiac catheterization during the COVID-19 pandemic. METHODS: A web-based survey was distributed re...
Source: The Journal of Invasive Cardiology - April 11, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Novel Prognostic Score for Immediate and Late Success After Percutaneous Mitral Balloon Commissurotomy in Patients With Mitral Stenosis.
The objective of this study was to propose a new score for the prediction of immediate and late success. METHODS: This is a single-center, retrospective analysis of all 1582 patients with severe mitral stenosis who underwent PMBC from August 1987 to July 2010. The composite outcome was cardiovascular death, new PMBC, or mitral valve repair surgery up to 24 years of follow-up. RESULTS: Mean patient age was 36.8 ± 12.9 years, most (86.4%) were female, and Wilkins score was between 9-11 in 49.1% of patients. In the multivariate analysis, the predictors of immediate success were age (odds ratio [OR], 0.98; 95% c...
Source: The Journal of Invasive Cardiology - April 11, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Failed ISCHEMIA Trial or Failed Ischemia Testing?
Authors: Dahal S, Budoff MJ Abstract The results of the ISCHEMIA (International Study of Comparative Health Effectiveness With Medical and Invasive Approach) trial were presented at the American Heart Association Scientific Sessions in November, 2019 in Philadelphia, Pennsylvania, and recently published on March 30, 2020 in the New England Journal of Medicine. After an average follow-up of 3.5 years, invasive therapy did not reduce the major adverse cardiac event (MACE) rate compared with optimal medical therapy (OMT) in patients with stable ischemic heart disease. However, the ISCHEMIA trial results might stem fro...
Source: The Journal of Invasive Cardiology - April 4, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Cardiogenic Shock: A Systemic Review of Clinical Trials Registered With ClinicalTrials.gov.
CONCLUSIONS: Modern trials vary from single center to multicenter and are small in size. The primary endpoints were clinical, focusing on mortality and restoration of cardiac output or cardiac index. Methodological quality varies in the trials focused on pharmacologic therapy. Trials with devices or revascularization do not employ blinding, but do employ randomization. PMID: 32240097 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - April 4, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Role of Intravascular Ultrasound in Managing a Rare Case of Delayed Stent Deformity.
Authors: Satuluri P, Makam K, Naji P, Wasty N, Kaid K Abstract Delayed stent deformity is a very rare complication. We attempted to dilate the lumen within the crushed stent, but were unsuccessful even after laser atherectomy. At this point, we opted to place a new stent within the deformed old stent. In this case, intravascular ultrasound was extremely useful in guiding its diagnosis and management. PMID: 32240098 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - April 4, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Alpha-Loop for Permanent Pacemaker Implantation in Restrictive Cardiomyopathy.
Authors: Sharma YP, Kanabar K, Makode S, Prasad K Abstract High-grade and complete heart block commonly occurs in adult patients with restrictive cardiomyopathy, and requires aggressive monitoring and prophylactic pacemaker/defibrillator. There are limited data on the procedural details of pacemaker implantation in this group of patients, and as reported, special maneuvers may be required for ventricular lead placement. PMID: 32240099 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - April 4, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Adjunctive Rotational Atherectomy and Intravascular Lithotripsy for Heavily Calcified Left Main Disease Via Radial Access.
Authors: Macaya F, Yeoh J, Hill J, Dworakowski R Abstract Coronary angiography demonstrated severe distal left main disease in a patient with heavy concentric calcification extending into the left anterior descending and left circumflex arteries. Rotational atherectomy and lithotripsy were used to debulk plaque so that stenting could be performed. PMID: 32240100 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - April 4, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

A 67-Year-Old Man With a Mass Shadow in His Heart Chamber During Coronary Angiography.
Authors: Han Z, Xu X, Lin Y Abstract A 67-year-old man was admitted to our hospital due to chest tightness induced by activity that had started about 2 months earlier. To clarify the causes of chest pain in this patient, cardiac magnetic resonance imaging was performed, resulting in a diagnosis of ventricular apical hypertrophic cardiomyopathy with intramyocardial calcification. PMID: 32240101 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - April 4, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Impella-Induced Left Ventricular Microbubbles, A Potential Sign for Hemolysis.
Authors: Quevedo HC, Abi Rafeh N Abstract We observed left ventricular microbubbles associated with Impella support in the setting of a high-risk coronary intervention. Left ventricular microbubbles may indicate exaggerated shear stress and cavitation phenomenon, potentially leading to hemolysis. PMID: 32240102 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - April 4, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Radial Artery Spiral Dissection Confirmed by OCT Without Guidewire Shadow.
Authors: Liu Z, Niu D, Guo J Abstract A novel technique was used to eliminate the guidewire shadow artifact by removing the guidewire in frequent domain optical coherence tomography interpretation in vivo. This technique allowed us to observe a rare iatrogenic spiral dissection of the radial artery caused by transradial coronary intervention. PMID: 32240103 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - April 4, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

COVID-19: An Unintended Force for Medical Revolution?
Authors: Wang X, Bhatt DL PMID: 32229647 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - April 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Does Resting Cardiac Power Index Affect Survival Post Transcatheter Aortic Valve Replacement?
Authors: Agasthi P, Arsanjani R, Mookadam F, Wang P, Venepally NR, Sweeney J, Eleid M, Holmes DR, Pollak P, Fortuin FD Abstract OBJECTIVE: Cardiac power index (CPI) is an integrative hemodynamic measure of cardiac pumping capability and is the product of the simultaneously measured mean arterial pressure and the cardiac output. We assessed the association between baseline resting CPI and survival post transcatheter aortic valve replacement (TAVR). METHODS AND RESULTS: We retrospectively abstracted data of patients who underwent TAVR at the Mayo Clinic Foundation with follow-up data available at 1 year. Baseline...
Source: The Journal of Invasive Cardiology - March 22, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Sex-Related Differences in Early- and Long-Term Mortality After Transcatheter and Surgical Aortic Valve Replacement: A Systematic Review and Meta-Analysis.
This study sought to examine early- and long-term mortality with TAVR and SAVR in women versus men. METHODS: Electronic search was performed until February 2018 for studies reporting sex-specific mortality following TAVR or isolated SAVR. Data were pooled using random-effects models. Outcomes included rates of early mortality (in hospital or 30 days) and long term (1 year or longer). RESULTS: With 35 studies, a total of 80,928 patients were included in our systematic review and meta-analysis, including 40,861 men and 40,067 women. Pooled analyses suggested considerable sex-related differences in longterm mortality ...
Source: The Journal of Invasive Cardiology - March 22, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Temporal Trends in Chronic Total Occlusion Percutaneous Coronary Interventions: Insights From the PROGRESS-CTO Registry.
Authors: Xenogiannis I, Gkargkoulas F, Karmpaliotis D, Alaswad K, Jaffer FA, Yeh RW, Patel M, Mahmud E, Choi JW, Burke MN, Garcia S, Doing AH, Dattilo P, Toma C, Uretsky B, Krestyaninov O, Khelimskii D, Moses JW, Lembo NJ, Parikh M, Kirtane AJ, Ali ZA, Russo JJ, Hakemi E, Hall AB, Nikolakopoulos I, Vemmou E, Karatasakis A, Danek B, Rangan BV, Abdullah S, Banerjee S, Brilakis ES Abstract BACKGROUND: Chronic total occlusion (CTO) percutaneous coronary intervention (PCI) has significantly evolved in recent years. METHODS: We compared the clinical, angiographic, and technical characteristics, as well as procedural ...
Source: The Journal of Invasive Cardiology - March 22, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Interaction Between Self-Expanding Transcatheter Heart Valves and Coronary Ostia: An Angiographically Based Analysis of the Evolut R/Pro Valve System.
CONCLUSIONS: The Evolut R/Pro neo-valve was positioned below the LCA ostium in the vast majority of cases (85%), but an implantation depth ≤6mm was associated with a higher rate of neo-valve positioning at or above the coronary ostia level. Considering the current tendency of very high (aortic) valve implants to avoid conduction disturbances, future studies should determine the impact of high Evolut R/Pro positioning on coronary access issues post TAVR. PMID: 32160151 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - March 12, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Comparison of Minimum Pressure and Patent Hemostasis on Radial Artery Occlusion After Transradial Catheterization.
CONCLUSION: Checking radial patency during hemostatic compression may not be necessary after the procedure when adopting a mild and short hemostatic compression. PMID: 32160152 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - March 12, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research