Periprocedural Bivalirudin Versus Unfractionated Heparin During Percutaneous Coronary Intervention Following Fibrinolysis for ST-Segment Elevation Myocardial Infarction.
Authors: Rashid MK, Singh K, Bernick J, Wells GA, Hibbert B, Russo J, So DY, Le May MR, CAPITAL PCI Group Abstract BACKGROUND: A pharmacoinvasive strategy for ST-segment elevation myocardial infarction (STEMI) management combines the use of fibrinolysis with the routine transfer to coronary angiography, with percutaneous coronary intervention (PCI) if needed. This method reduces the risk of major adverse cardiovascular event (MACE) compared with fibrinolysis alone; however, it is associated with higher bleeding risk. We sought to assess the bivalirudin compared with unfractionated heparin (UFH) used during PCI as p...
Source: The Journal of Invasive Cardiology - December 2, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Multiple Coronary Artery Aneurysms in Alport Syndrome.
We report the first case of multiple coronary aneurysms as a manifestation of AS. PMID: 31786532 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - December 2, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Single Sheath for Dual Injection Prior to CTO Intervention.
Authors: Kontopodis E, Oikonomidis N, Tsiafoutis I, Lazaris E, Koutouzis M Abstract To our knowledge, this is the first reported case of a dual injection using a single sheath approach, in order to evaluate a CTO and plan a future intervention. PMID: 31786533 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - December 2, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Longitudinal Stent Deformation: Precise Diagnosis With Optical Coherence Tomography.
Authors: Hernández-Matamoros H, Gonzálvez-Garcia A, Moreno-Gómez R, Jiménez-Valero S Abstract Longitudinal stent deformation is a recognized complication of coronary angioplasty; however, it is difficult to detect angiographically. This case illustrates the value of OCT to identify and correctly diagnose longitudinal stent deformation. PMID: 31786534 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - December 2, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Acquired Coronary Fenestration.
Authors: Hafiz AM, Perras M, Kakouros N Abstract OCT in a 74-year-old woman highlights how an angiographic coronary fenestration can be acquired through calcific nodule atherosclerosis in the coronary arteries. We demonstrate how tandem anatomic and physiologic assessment can be used to diagnose, functionally evaluate, and effectively treat this rare finding. PMID: 31786535 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - December 2, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Reverse-Loop Technique for Percutaneous Transvenous Mitral Commissurotomy in a Patient With Huge Left Atrium.
We present an alternative reverse-loop technique for PTMC in patients with large left atrium. PMID: 31786536 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - December 2, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Coronary Guidewire Fracture Into a Radial Artery Loop: A New Complication in the Transradial Era?
We describe the occurrence of a new complication in the transradial intervention era. PMID: 31786537 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - December 2, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Periprocedural Changes in Cognitive Function After Transcatheter and Surgical Aortic Valve Replacement: Results From a Pilot Study Assessing Cognition in Elderly Veterans.
Authors: Garcia S, Hemmy LS, Kelly R, Fink HA Abstract BACKGROUND: There is paucity of data comparing periprocedural changes in cognitive function between surgical aortic valve replacement (SAVR) and transcatheter aortic valve replacement (TAVR). METHODS: We enrolled patients with severe aortic stenosis scheduled to undergo TAVR or SAVR at the discretion of the heart team. Participants completed a cognitive battery before and 3 months after TAVR or SAVR, including the Montreal Cognitive Assessment (MoCA), phonemic (letter) verbal fluency, semantic (category) verbal fluency, and the Trail Making test (TMT) A and...
Source: The Journal of Invasive Cardiology - November 16, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Transcatheter Aortic Valve Replacement Influence on Coronary Hemodynamics: A Quantitative Meta-Analysis and Proposed Decision-Making Algorithm.
CONCLUSIONS: Pooled coronary physiology measurements before and after TAVR are similar, but data on variation within individual lesions are limited. PMID: 31724534 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - November 16, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Outcomes After Transcatheter Mitral Valve-in-Valve Replacement in Patients With Degenerated Bioprosthesis: A Single-Center Experience.
This study sought to describe a single center's experience with transcatheter mitral valve-in-valve (TM-ViV) implantation. METHODS: Consecutive patients who had TM-ViV due to degenerative biological valve prosthesis at a single center during a 4-year period were identified from a prospectively maintained database. Operative outcomes were assessed both in-hospital and at 30 days. The primary outcome was in-hospital mortality. Secondary outcomes included valve function, functional status, and quality of life at follow-up. RESULTS: Mean (± standard deviation) patient age was 69 ± 12 years and all patient...
Source: The Journal of Invasive Cardiology - November 16, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Initial Experience With GlideAssist to Facilitate Advancement of Orbital Atherectomy Prior to Plaque Modification of Severely Calcified Coronary Artery Lesions.
CONCLUSIONS: The GlideAssist function is a useful feature of the orbital atherectomy system to facilitate successful delivery of the crown in complex coronary anatomy. PMID: 31671058 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - November 2, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Percutaneous Occlusion of Paravalvular Aortic Leaks: A Single-Center Experience Focused on Intracardiac Echocardiography.
Authors: Ribeiro JM, Paiva L, Teixeira R, Puga L, Lopes J, Sousa JP, Campos D, Saleiro C, Costa M, Gonçalves L Abstract OBJECTIVES: To describe our initial experience with an intracardiac echocardiography (ICE) for guidance of aortic percutaneous paravalvular leak occlusion (PPVLO) and to assess the outcomes after aortic PPVLO. BACKGROUND: PPVLO has emerged as an alternative to cardiac surgery for patients with symptomatic PVLs. ICE is an appealing alternative to transesophageal echocardiography (TEE) for guidance of percutaneous structural interventions, but experience with ICE for PPVLO guidance is lim...
Source: The Journal of Invasive Cardiology - November 2, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Plaque Sealing With Drug-Eluting Stents Versus Medical Therapy for Treating Intermediate Non-Obstructive Saphenous Vein Graft Lesions: A Pooled Analysis of the VELETI and VELETI II Trials.
Authors: Maes F, Jolly SS, Cairns J, Delarochellière R, Côté M, Dzavik V, Rodés-Cabau J Abstract BACKGROUND: The presence of intermediate "non-obstructive" saphenous vein graft (SVG) lesions is a strong predictor of cardiac events. We wanted to assess the efficacy of sealing these SVG lesions with drug-eluting stent (DES) implantation for reducing major adverse cardiac event (MACE) rate. METHODS: The present analysis is based on the pooled data from the VELETI and VELETI II randomized trials. Patients with at least 1 intermediate SVG lesion (30%-60% diameter stenosis) were r...
Source: The Journal of Invasive Cardiology - November 2, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

15th Annual Complex Cardiovascular Catheter Therapeutics (C3): Advanced Endovascular and Coronary Intervention Global Summit.
Authors: PMID: 31671061 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - November 2, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Transradial Repair of Type IA Endoleak.
Authors: Shah M, Patel M, Sanghvi K Abstract An 81-year-old Caucasian male with a known abdominal aortic aneurysm (AAA) was referred to the endovascular clinic. One month after successful endovascular repair, surveillance CTA showed endoleak with presence of contrast within the aneurysmal sac. An elective repair was performed. PMID: 31671062 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - November 2, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

A Case of Single Coronary With Very Late In-Stent Restenosis of Drug-Eluting Stents After 12 Years.
We present a rare case of very late in-stent restenosis of Cypher stents 12 years after PCI in a case of a single anomalous coronary. PMID: 31671063 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - November 2, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

The Diagonal Branch to the Accompanying Vein Fistula After Rotational Atherectomy.
We report a case of rotational-atherectomy induced fistula between the diagonal branch and the accompanying vein. Thus far, the patient has had no relevant symptoms; thus, no intervention has been undertaken. We will closely monitor the patient to determine future treatment. PMID: 31671064 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - November 2, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Type 3 Coronary Perforation on Optical Coherence Imaging.
Authors: Thomson VS, Varghese L, Joseph G Abstract OCT imaging revealed a 1.5 mm-long transmural breach in a segment of the artery devoid of calcium or eccentric plaque burden. Focal negative remodeling identified on OCT was deemed the reason for this otherwise unexplained cause of coronary rupture. PMID: 31671065 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - November 2, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Large Right Coronary Artery Aneurysm.
Authors: Smith AE, Ashraf S, Mir T, Kumar K, Bell K, Ando T, Baciewicz FA Abstract Complications of aneurysm include thrombosis and distal embolization, rupture, and vasospasm. The natural history and prognosis remain obscure. Controversies persist regarding the use of surgical or medical management. PMID: 31671066 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - November 2, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Twiddler's Syndrome Combined With Subclavian Crush Syndrome: A Case of ICD Lead Failure and Potential Challenging Lead Extraction.
Authors: Quinto L, Testolina M, Zanon F, Migliore F Abstract Our report demonstrates how Twiddler's syndrome associated with subclavian crush syndrome may result in a challenging transvenous lead extraction. Thus, it should be performed in centers with experience with the appropriate tools. PMID: 31671067 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - November 2, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

After Action Reviews.
Authors: Truesdell AG, Tehrani B, Rosner C, Singh R, Sinha S, Desai M, Desai S, Druckenbrod G, Murphy C, Batchelor W, O'Connor C PMID: 31671068 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - November 2, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

A Need For Long-Term Results of LMCA-CTO-PCI.
Authors: Cepas-Guillen P, Vásquez S, Fernandez-Valledor A, San Antonio R, Flores-Umanzor E, Martin-Yuste V PMID: 31671069 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - November 2, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

The Market Reacts Quickly: Changes in Paclitaxel Vascular Device Purchasing Within the Ascension Healthcare System.
Authors: Monteleone PP, Banerjee S, Kothapalli P, Stern AD, Fehder D, Ginor R, Vollmar D, Fry ETA, Pirwitz MJ Abstract BACKGROUND: A meta-analysis of trials in endovascular therapy suggested an increased mortality associated with treatment exposure to paclitaxel. Multiple publications and corrections of prior data were performed, and the United States Food and Drug Administration has issued multiple advisories regarding paclitaxel use. We analyzed how this controversy impacted device purchasing and related utilization patterns in the period immediately following publication of the meta-analysis. METHODS AND RES...
Source: The Journal of Invasive Cardiology - October 16, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Hemopericardium Following Transseptal Puncture During Balloon Mitral Valvotomy: Management Strategies and Outcomes.
CONCLUSIONS: The incidence of hemopericardium complicating transseptal access during BMV was 2.0%, and was associated with a mortality rate of 6.9%. BMV can be safely performed in the same sitting with a second transseptal puncture, in patients with a favorable valve morphology. Surgical intervention can be reserved for a subset of patients with persistent pericardial collection. PMID: 31611427 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - October 16, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Systematic Review and Meta-Analysis of Interventional Emergency Treatment of Decompensated Severe Aortic Stenosis.
CONCLUSION: Mortality in CS patients due to decompensated severe AS is high, regardless of interventional treatment strategy. Both eBAV and eTAVR seem feasible. As eTAVR is associated with better initial improvements in hemodynamics and simultaneously avoids sequential interventions, it might be favorable to eBAV in select patients. If eTAVR is not available, eBAV might serve as a "bridge" to elective TAVR. PMID: 31611428 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - October 16, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Early Experience With Embolic Protection Devices During Transcatheter Aortic Valve Replacement.
Authors: Stamou SC, Polcari K, Abdallah A, James T, Rothenberg M, Daniel G, Nores MA Abstract OBJECTIVES: Embolic protection devices (EPDs) have been employed to combat the risk of cerebrovascular events during transcatheter aortic valve replacement (TAVR). The use of EPD has been shown in some studies to decrease periprocedural stroke incidence when compared with non-EPD TAVR. Our study aimed to compare the postoperative outcomes of TAVR with versus without EPD. METHODS: Thirty-three patients who underwent TAVR with EPD at our institution between October 2018 and February 2019 were compared with a contemporane...
Source: The Journal of Invasive Cardiology - October 2, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Comparison of TransFemoral Transcatheter Aortic Valve Replacement Performed With a Minimally Invasive Simplified Technique: "FAST" Versus a Standard Approach.
Comparison of TransFemoral Transcatheter Aortic Valve Replacement Performed With a Minimally Invasive Simplified Technique: "FAST" Versus a Standard Approach. J Invasive Cardiol. 2019 Oct;31(10):300-306 Authors: Lefèvre G, Jégou A, Dambrin G, Picard F, Anconina J, Pouzet B, Guesnier L, Cheikh Khelifa R, Hilpert L, Doan HL, Favereau X Abstract OBJECTIVES: To assess the safety and efficacy of a new simplified procedure for transfemoral (TF) transcatheter aortic valve replacement (TAVR): the FAST protocol. BACKGROUND: A minimalist approach for TF-TAVR has been reported. The goa...
Source: The Journal of Invasive Cardiology - October 2, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Increased Rate of Intermediate-Term Valve Failure After TAVR in End-Stage Renal Disease Patients Requiring Maintenance Dialysis.
Authors: Long A, Mahoney P Abstract BACKGROUND: Transcatheter aortic valve replacement (TAVR) has been widely adopted, but outcomes in end-stage renal disease (ESRD) patients on hemodialysis (HD) have not been extensively studied. METHODS: A total of 1260 TAVRs were performed at our center between December 2011 and October 2018, including 86 patients (6.82%) with ESRD on HD. Comparisons were made between baseline demographics, preoperative risk, hemodynamics, and reintervention, as well as survival at 30 days, 1 year, and 2 years. RESULTS: Age at TAVR was 62.7 ± 12.1 years in the ESRD-HD group vs 72....
Source: The Journal of Invasive Cardiology - October 2, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Surgical Risk Scores Applied to Transcatheter Aortic Valve Implantation: Friends or Foes? Short-Term and Long-Term Outcomes From a Single-Center Registry.
Authors: Compagnone M, Moretti C, Marcelli C, Taglieri N, Ghetti G, Corsini A, Bruno M, Bruno AG, Orzalkiewicz M, Marrozzini C, Bacchi Reggiani ML, Palmerini T, Saia F Abstract BACKGROUND: Transcatheter aortic valve implantation (TAVI) is a valid alternative to surgical aortic valve replacement for the treatment of symptomatic aortic stenosis. The EuroScore (ES) II, logistic EuroScore (log ES), and the Society of Thoracic Surgeons (STS) score are the most applied scores for surgical risk stratification. However, their predictive value for patients undergoing TAVI is still unclear. AIM: To evaluate the performan...
Source: The Journal of Invasive Cardiology - October 2, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Baseline Predictors of Renal Failure in Transcatheter Aortic Valve Implantation.
CONCLUSION: Diabetics with CKD stage ≥4 (as defined by the Kidney Disease: Improving Global Outcomes criteria) constitute a high-risk group for developing AKI after TAVI. In this high-risk subgroup, baseline creatinine in combination with amount of contrast agent used were strong risk factors for developing AKI. AKI in non-diabetics was less predictable by baseline characteristics. PMID: 31567117 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - October 2, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Provisional Closure of an Iatrogenic Atrial Septal Defect for Shunt Reversal After Transcatheter Treatment of Tricuspid Regurgitation.
We present a patient with severe TR who underwent transcatheter tricuspid valve repair (TTVR) using the MitraClip system, with the development of LR shunt through an iatrogenic ASD. Provisional occlusion of ASD after TTVR should be considered in patients with residual LR shunt and iatrogenic ASD. PMID: 31567118 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - October 2, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Toggle Malapposition and Femoral Subocclusion as a Potential Complication of Manta Closure Device During TAVR.
Authors: Díez-Delhoyo F, Elizaga J, Gutierrez-Ibañes E, Fernández-Aviles F Abstract A 73-year-old woman with severe aortic stenosis underwent successful TAVR implantation through the right femoral artery. Femoral closure was intended with the new collagen-based 14 Fr Manta device; after apparent successful closure, control angiography showed mobile subocclusive intravascular material protruding from the anterior puncture site to the posterior calcified wall. To the best of our knowledge, this is the first report of this specific complication using the Manta closure device, highlighting the impo...
Source: The Journal of Invasive Cardiology - October 2, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Acute Hemodynamic Changes Achieved With Successful MitraClip Procedure for Severe Mitral Regurgitation.
Authors: Świerczewski M, Zielinski K, Kalinczuk Ł, Pregowski J, Witkowski A Abstract An 85-year-old, symptomatic man with severe chronic mitral regurgitation MR, left ventricular ejection fraction of 30%, permanent atrial fibrillation, and EuroScore II of 13% qualified for MitraClip procedure. TEE and electrocardiography documented acute hemodynamic changes throughout the procedure. PMID: 31567120 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - October 2, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

First Report of Supra-Annular Atrially Placed Bioprosthetic Mitral Valve Leak Closure Through Percutaneous Approach.
Authors: Zgheib AZ, Gharzuddine WS, Sawaya FJ Abstract An 81-year-old man underwent mitral valve replacement in 2015 for severe calcific mitral stenosis with multiple subsequent hospitalizations for pulmonary edema. TEE in 2019 revealed severe paravalvular regurgitation. This is the first reported case of suprannular atrially placed mitral paravalvular leak closure. PMID: 31567121 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - October 2, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Transcatheter Tricuspid Valve-in-Valve Replacement Via Right Internal Jugular Vein Access in a 39-Year-Old Woman.
Authors: Parikh PB, Pyo R, Stergiopoulos K, Katz J, Fan R, Izrailtyan I, Bilfinger T Abstract Transcatheter tricuspid valve-in-valve replacement via right internal jugular is safe and feasible for failed bioprosthetic valve implantation. Challenging aspects include stiff wire advancement into the pulmonary artery for rail establishment and multiple push-pull manipulations for balloon and valve advancement. PMID: 31567122 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - October 2, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Novel Antegrade Approach to Transcatheter Aortic Valve Paravalvular Leak Closure.
We describe a novel antegrade closure approach to treat transcatheter aortic PVL. PMID: 31567123 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - October 2, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Impact of Ascending Aorta Dilation on Mid-Term Outcome After Transcatheter Aortic Valve Implantation.
CONCLUSIONS: AAD does not appear to impact the mid-term outcomes in a cohort of subjects undergoing TAVI. PMID: 31522139 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - September 16, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

The IrisFIT Patent Foramen Ovale Closure Device in Patients With History of Cryptogenic Embolization.
CONCLUSION: The IrisFIT PFO Closure System can be used safely and with high technical success for secondary prevention of cryptogenic stroke or peripheral embolization. PMID: 31522140 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - September 16, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Predictors of Universal Catheter Failure in Transradial Coronary Angiography.
Authors: Liebenthal R, Butler S, Coppola J, Shah B Abstract BACKGROUND: Use of a universal diagnostic catheter may decrease procedural time and catheter-exchange related spasm when compared with a dual-catheter strategy. The aim of this study was to identify preprocedural predictors of failure to complete a coronary angiogram with a universal catheter alone. METHODS: Consecutive patients (n = 782) who underwent a right transradial/transulnar coronary angiogram with a single operator were retrospectively reviewed. Multivariable predictors of failure to complete the procedure with a universal catheter alone were ...
Source: The Journal of Invasive Cardiology - September 16, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Four-Year Outcomes of Multivessel Percutaneous Coronary Intervention With Xience V Everolimus-Eluting Stents.
Authors: Lee MS, Shlofmitz R, Mahmud E, Park KW, Rha SW, Gaborro A, Wang J, Zhao W, Sudhir K Abstract OBJECTIVES: We evaluated the long-term outcomes of multivessel compared with single-vessel percutaneous coronary intervention (PCI) with Xience V everolimus-eluting stents in real-world patients. BACKGROUND: Treatment options for multivessel disease include PCI, coronary artery bypass grafting, and medical therapy. Patients with multivessel disease are at a higher risk for ischemic complications than those with single-vessel disease. METHODS: The XIENCE V USA study was a condition-of-approval, single-arm, p...
Source: The Journal of Invasive Cardiology - September 5, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Use of the DyeVert System in Chronic Total Occlusion Percutaneous Coronary Intervention.
CONCLUSION: Use of the DyeVert system is feasible during CTO-PCI and may reduce the contrast volume administered to the patient. Additional larger studies with a primary clinical endpoint are needed to confirm these findings. PMID: 31478890 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - September 5, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Transcatheter Aortic Valve Implantation in Patients With Pre-Existing Mechanical Mitral Valve Prostheses.
CONCLUSION: TAVI in patients with mechanical MVR is challenging and requires careful preparation and choice of TAVI device. Repositionable and retrievable devices seem to be a safer option. PMID: 31478891 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - September 5, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

The Dose and Timing of Fentanyl Impacts on Ticagrelor Absorption and Platelet Inhibition During Percutaneous Coronary Intervention: The PACIFY Randomized Clinical Trial.
CONCLUSIONS: We have previously shown that fentanyl slows absorption of oral ticagrelor, attenuating its effect on platelet inhibition. We now demonstrate this mechanism appears to be dose- and time-dependent. PMID: 31478892 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - September 5, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Secular Trend in the Use and Implementation of Impella in High-Risk Percutaneous Coronary Intervention and Cardiogenic Shock: A Real-World Experience.
CONCLUSION: The use of the Impella device as a mechanical circulatory support has increased since its introduction, although its acceptance rate remains low. Despite its theoretical hemodynamic advantage, the outcome in cardiogenic shock patients remains poor. PMID: 31478893 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - September 5, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

A Polymeric Bioresorbable Vascular Scaffold Versus an Everolimus-Eluting Stent in ST-Segment Elevation Myocardial Infarction.
Authors: Wernly B, Latib A, Ielasi A, Jung C Abstract Bioresorbable vascular scaffold (BRS) devices deliver both short-term coronary artery support and drugs. This could potentially be advantageous in patients suffering from STEMI featuring large and necrotic thrombus-rich lesions, which are often associated with stent-related complications. We performed a meta-analysis comparing polymeric BRS vs everolimus-eluting stent in STEMI patients. PMID: 31478894 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - September 5, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Severe, Reversible Pulmonary Hypertension From Giant Pedunculated Left Atrial Myxoma.
Authors: Bamford P, Lau GT Abstract A 77-year-old woman with obstructive sleep apnea presented with a 3-week history of leg swelling and dyspnea on exertion. She had a dry cough and lost 10 kg over the past 2 years. Examination revealed elevated jugular venous pressure, reduced air entry in the left lower-lung field, and pedal edema. Imaging with chest computed tomography revealed a giant pedunculated left atrial myxoma to be the cause of her severe pulmonary hypertension, which was reversible with treatment. PMID: 31478895 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - September 5, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Loss of Leaflet Insertion After Percutaneous Mitral Valve Repair Requiring Left Ventricular Assist Device Implantation: Usefulness of 3D Multiplanar Reconstruction.
Authors: Melillo F, Ancona F, Calvo F, Fisicaro A, Stella S, Capogrosso C, Spoladore R, Denti P, Melisurgo G, Lapenna E, Pappalardo F, Castiglioni A, Margonato A, Agricola E Abstract Three-dimensional multiplanar reconstruction was used to diagnose recurrence of mitral regurgitation after MitraClip implantation in a 71-year-old man. Subsequent mitral valve surgery in such a case is high risk, and repeat MitraClip intervention could be feasible but is technically challenging. This imaging series demonstrates that LVAD implantation may be a solution to address MitraClip failure. PMID: 31478896 [PubMed - in proces...
Source: The Journal of Invasive Cardiology - September 5, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Can Lightning Strike Twice? Tackling Complications From Transcatheter Aortic Valve Implantation.
Authors: Yap J, Ewe SH, Chao V, Ho KW Abstract TAVI complications may occur in the peri- and postprocedural periods. A 79-year-old woman with known severe degenerative calcified aortic stenosis underwent transfemoral TAVI; prior to groin closure, she became hypotensive. Prosthetic valve thrombosis was confirmed with transesophageal echocardiography and computed tomography aortogram, which showed thrombus on the immobile non-coronary cusp leaflet. PMID: 31478897 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - September 5, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

3D Optical Coherence Tomography Reveals Fractured Coronary Stent as Cause of Acute Myocardial Infarction.
Authors: Obaid DR, Chase AJ, Smith D Abstract A 61-year-old patient who underwent emergent coronary angiography and drug-eluting stent implantation of a calcified left anterior descending coronary artery returned 2 days later with recurrence of chest pain and anterior ST-segment elevation. Three-dimensional OCT revealed extensive fracture and distortion of the struts in the distal portion of a stent, presumably caused by aggressive postdilation at the time of implantation. This was managed successfully with the insertion of a new coronary stent inside the damaged stent segment. PMID: 31478898 [PubMed - in proce...
Source: The Journal of Invasive Cardiology - September 5, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Anomalous Origin of Right Coronary Artery From Left Sinus of Valsalva.
We present the imaging series of a 52-year-old woman with no cardiovascular risk factors who was admitted for acute coronary syndrome without persistent ST elevation (NSTEMI). Coronary angiography and cardiac computed tomography demonstrated anomalous origination of the coronary artery from the opposite sinus (ACAOS), which is an uncommon coronary anomaly; the incidence is about 1.07% in general, and only 0.12%-0.9% in the case of right ACAOS. The clinical consequences can be relevant if the ectopic artery has intramural intussusception or courses between the aorta and pulmonary artery. PMID: 31478899 [PubMed - in proc...
Source: The Journal of Invasive Cardiology - September 5, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research