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

Transcatheter Valve Implantation for Failed Surgical Aortic and Mitral Bioprostheses: A Single-Center Experience.
CONCLUSIONS: We demonstrate outcomes from one of the largest single-center United States based cohorts of transcatheter replacements of failed surgical bioprostheses. Our center has demonstrated that it is feasible to pursue the replacement of failed surgical bioprostheses in the aortic and mitral positions with transcatheter valves given appropriate patient selection. PMID: 32160153 [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

Hemodynamic Outcome and Valve Durability Beyond Five Years After Transcatheter Aortic Valve Replacement.
Authors: Murray MI, Hofmann E, De Rosa R, Mas-Peiro S, Seppelt P, Walther T, Zeiher AM, Fichtlscherer S, Vasa-Nicotera M Abstract OBJECTIVE: The aim of this study was to evaluate hemodynamic outcome, structural valve deterioration, and bioprosthetic valve failure beyond 5 years after transcatheter aortic valve replacement (TAVR). METHODS: Demographic, procedural, and outcome data were obtained from all patients treated with TAVR at our institution from 2006 to 2012. We included all patients with echocardiographic data at baseline and with a follow-up echocardiography more than 5 years after TAVR. Standardized d...
Source: The Journal of Invasive Cardiology - March 5, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Intravascular Ultrasound Imaging Versus Digital Subtraction Angiography in Patients with Peripheral Vascular Disease.
CONCLUSION: IVUS appears to offer a greater degree of accuracy in measuring arterial lumen diameter. As measurements obtained from angiographic imaging consistently under-estimated vessel size, utilization of IVUS may aid in the determination of treatment algorithms and lead to improved endovascular outcomes. PMID: 32123141 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - March 5, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Cardiovascular Risk Stratification for Patients Treated With Drug-Eluting Stents: Development and Validation of the DESIRE Score.
Authors: Costa Moreira A, Sousa A, de Ribamar Costa J, Costa R, Damiani L, Campos Neto C, Maldonado G, Sousa JE Abstract BACKGROUND: We sought to develop a risk score to estimate the risk of major adverse cardiac event (MACE) occurrence during the in-hospital and long-term follow-up periods after percutaneous coronary intervention (PCI) with drug-eluting stent (DES) implantation. METHODS: This score was developed and validated in a single-center database encompassing all consecutive patients treated with DES between 2007 and 2014 (n = 4061). For the development of the score, we analyzed all patients treated bet...
Source: The Journal of Invasive Cardiology - March 5, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

The Impact of a Chronic Total Coronary Occlusion on Outcomes of Patients With an Implantable Cardioverter Defibrillator: Insights From the EXPLORE Trial.
Authors: van Veelen A, van Dongen IM, Elias J, Henriques JPS Abstract A chronic total occlusion (CTO) may increase the risk of appropriate implantable cardioverter-defibrillator (ICD) therapy. Therefore, we evaluated all patients who received an ICD during 5-year follow-up in the EXPLORE trial. Of 22 ICD patients, twelve were randomized to CTO percutaneous coronary intervention (PCI) and 10 to no revascularizaton of the CTO. Appropriate ICD therapy occurred in 1 patient in the CTO-PCI group. Compared with the 280 non-ICD patients in the EXPLORE trial, the 22 ICD patients had higher risk of adverse cardiac events (32% vs 10%; P
Source: The Journal of Invasive Cardiology - March 5, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Solving Challenging Situations and Complications in Everyday Percutaneous Coronary Intervention Using Chronic Total Occlusion Techniques.
Authors: Azzalini L, Tzanis G, Mashayekhi K, Uretsky BF, Ojeda S, Pan M, Rinfret S, Avran A, Alaswad K, Yamane M, Karmpaliotis D, Brilakis ES, Carlino M, Ybarra LF Abstract The field of chronic total occlusion (CTO) percutaneous coronary intervention (PCI) has witnessed a dramatic evolution in the last decade. The challenging nature of CTO interventions involves regularly dealing with support-related issues, uncrossable/undilatable lesions, manipulation of equipment in the subadventitial (also known as "subintimal") space, and the treatment of complications such as perforation and equipment loss or entrap...
Source: The Journal of Invasive Cardiology - March 5, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

An Unusual Entity: Woven Coronary Artery Anomaly.
Authors: López-Lluva MT, Abellán-Huerta J, Sánchez-Pérez I, Pérez Díaz P, Lozano Ruíz-Poveda F Abstract The recognition of woven coronary artery anomaly is difficult because of its rare nature. Optical coherence tomography imaging is challenging due to the tortuosity of the channels; however, it is crucial not only for the differential diagnosis but also to guide the treatment approach. PMID: 32123145 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - March 5, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Bilateral Hand Wasting After Coronary Artery Bypass Graft Surgery.
Authors: Chandra B, Sharma VK Abstract Open surgical harvesting of the left internal mammary artery (LIMA) is believed to increase the risk of injury to the brachial plexus. We believe that this approach probably aggravated the neurological damage in our patient. Proper positioning, thoracoscopic harvesting of LIMA, and avoiding prolonged and excessive traction on the rib cage could have reduced the risk of this injury. PMID: 32123146 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - March 5, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Superior Vena Cava Stent Migration Into the Right Atrium.
Authors: Suraci N, Mihos C, Baquero S, Santana O Abstract Possible stent migration was suspected in this case and confirmed on transesophageal echocardiography. The patient underwent successful stent removal with snaring, as well as subsequent placement of another stent in the superior vena cava without further complications. PMID: 32123147 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - March 5, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

The Venovo Venous Stent in Pregnancy.
We present the case of a young woman who became pregnant following placement of a Venovo venous stent (BD/Bard) in her left common iliac vein. Our case illustrates the safety of the Venovo stent during pregnancy. This needs further validation with a larger registry. PMID: 32123148 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - March 5, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Role of StentBoost in Successful Guidewire Recrossing.
Authors: Kanabar K, Prasad K, Santosh K, Kaur N, Panda P, Sharma YP Abstract In this difficult case, StentBoost (Philips Medical Systems) demonstrated abluminal passage of the guidewire through the proximal stent struts. PMID: 32123149 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - March 5, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Multimodality Imaging of Purulent Pericarditis: Hints to Speed up Diagnosis and Promote Healing.
Authors: Dall'Ara G, Longhi S, Grotti S, Noera G, Essatari MHM, Bachetti C, Tarantino F, Galvani M Abstract Purulent pericarditis is rare and usually associated with pneumonia, bacteremia, immunosuppression, and thoracic surgery. A timely diagnostic pericardiocentesis with dedicated maneuvers to improve the effectiveness of drainage and pericardial fibrinolytic rinsing can improve prognosis and prevent a surgical pericardiectomy. Imaging offers useful clues for a more aggressive approach. PMID: 32123150 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - March 5, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Impact of Left Ventricular Outflow Tract Calcification on Pacemaker Implantation After Transcatheter Aortic Valve Implantation With Second-Generation Devices.
Authors: Ancona MB, Moroni F, Pagnesi M, Del Sole P, Demir O, Khawaja S, Bellini B, Ferri L, Beneduce A, Visco E, Capogrosso C, Agricola E, Esposito A, Palmisano A, Chieffo A, Montorfano M Abstract OBJECTIVE: To evaluate the impact of left ventricular outflow tract calcification (LVOT-CA) localization and extension on permanent pacemaker implantation (PPI) rates after transcatheter aortic valve implantation (TAVI) with second-generation devices. METHODS: This single-center retrospective study included all consecutive patients who underwent transfemoral TAVI with second-generation devices at San Raffaele Hospita...
Source: The Journal of Invasive Cardiology - February 13, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Percutaneous Coronary Intervention With the Agent Paclitaxel-Coated Balloon: A Real-World Multicenter Experience.
CONCLUSIONS: The use of Agent DCBs during PCI appears safe and effective in a large real-world registry. These results were maintained in all subgroups, with a slightly higher trend of events rates in the ISR setting, consistent with the higher-risk nature of this patient subset. PMID: 32045346 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - February 13, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Novel Mechanical Thrombectomy Device for the Treatment of Acute Myocardial Infarction: A Retrospective Report of Initial Results.
CONCLUSION: The Aspire mechanical thrombectomy device demonstrated initial effectiveness and safety. Further prospective studies using objective performance criteria to demonstrate effectiveness and safety using the Aspire mechanical thrombectomy device are necessary to determine whether short-term and long-term outcomes improve over previously published clinical trials. PMID: 32024804 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - February 7, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Afterload Mismatch After MitraClip Implantation: Intraoperative Assessment and Prognostic Implications.
CONCLUSION: Afterload mismatch, as assessed intraoperatively, is not uncommon after MitraClip implantation in patients with impaired LV function and is a risk marker of poor clinical outcome. PMID: 32024805 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - February 7, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

No-Reflow Complicating Chronic Total Occlusion Coronary Revascularization.
CONCLUSIONS: No-reflow in CTO recanalization is rare, but associated with a high risk of periprocedural myocardial infarction, with incomplete protection from ischemia offered by the pre-existing collateral network. PMID: 32005785 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - February 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Investigation of Computed-Tomography Based Predictors of Acute Stroke Related to Transcatheter Aortic Valve Replacement: Aortic Wall Plaque Thickness Might be a Predictive Parameter of Stroke.
The objective of this study was to determine whether anatomical features of the aortic valve and aorta visualized by CT are predictive parameters of stroke. METHODS: The study included 1270 patients who underwent preprocedural contrast-enhanced CT assessment and TAVR for severe aortic valve stenosis. Twenty-six patients (2.5%) who developed acute strokes that occurred within 48 hours after TAVR and 104 matched patients without strokes were identified, using 1:4 propensity-score matching. The degree of hypoattenuation in the aortic valve leaflets, calcium volume of the aortic valve, and plaque thickness in the aortic wa...
Source: The Journal of Invasive Cardiology - February 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Excimer Laser Coronary Angioplasty (ELCA): Fundamentals, Mechanism of Action, and Clinical Applications.
This article outlines the scientific background, experimental data, practical procedural techniques, and clinical applications of excimer laser coronary angioplasty in the treatment of coronary artery disease. PMID: 32005787 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - February 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Sequential Use of Alcohol Septal Ablation and Electrosurgical Leaflet Resection Prior to Transcatheter Mitral Valve Replacement.
We describe the recent successful management of a patient with severe mitral valve disease, mitral annular calcification (MAC), and high risk of post-TMVR LVOT obstruction, who underwent a sequential strategy of ASA followed by electrosurgical leaflet resection with the LAMPOON procedure prior to TMVR to successfully prevent LVOT obstruction. To our knowledge, this is the first time this dual strategy has been reported, and it may allow more patients with severe mitral valve disease to undergo TMVR in the future. PMID: 32005788 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - February 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Left Ventricular Noncompaction: A Rare Cause of Effort Angina Unveiled During Left Heart Catheterization.
Authors: Santos LG, Carvalho R, Montenegro F, Saraiva F, Guardado J, Morais J Abstract Effort angina is an under-appreciated presentation of left ventricular non-compaction that frequently leads to a late diagnosis. Cardiac ventriculography can assist in this diagnosis. PMID: 32005789 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - February 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Late Manifestation of Pulmonary Cement Embolism Visualized by Coronary Angiography.
Authors: Dogan A, Baki H, Ozdemir E, Kurtoglu N Abstract Following percutaneous vertebroplasty for vertebral compression fracture 6 years prior, late pulmonary cement embolism developed after leakage of the cement into the paravertebral venous plexus. PMID: 32005790 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - February 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Uncorrected Univentricular Heart in an Adult.
Authors: Suraci N, Kassem H, Mihos C, Baquero S, Santana O Abstract An 18-year-old male with an unknown medical history presented with palpitations and paroxysmal episodes of shortness of breath over a 7-year period. Transthoracic echocardiography displayed a univentricle with an ejection fraction of 45%. The patient refused treatment and was lost to follow-up. PMID: 32005791 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - February 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Left Atrial "Pinball" Thrombus Causing Recurrent Syncope.
Left Atrial "Pinball" Thrombus Causing Recurrent Syncope. J Invasive Cardiol. 2020 Feb;32(2):E45 Authors: Suraci N, Santana A, Garcia G, Arenas I Abstract A 75-year-old female was admitted due to a syncopal episode. Transesophageal echocardiography demonstrated severe mitral stenosis with a 5 cm, free-floating, left atrial thrombus intermittently obstructing the mitral valve orifice; she underwent thrombus removal and mitral valve replacement. PMID: 32005792 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - February 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

First Reported Case of Skin Necrosis Due to Prolonged Mechanical Compression After Transradial Catheterization.
We present a patient under triple-antithrombotic therapy who underwent prolonged mechanical compression after radial intervention; the subsequent necrosis at the access site required surgical repair. PMID: 32005793 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - February 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Urschel's Sign in Paget-Schroetter Syndrome: Multimodality Evaluation by Extravascular and Intravascular Imaging.
Authors: Chi WK, Tan GM, Yan BP Abstract Paget-Schroetter Syndrome is potentially life-threatening. In this case, multidisciplinary imaging with extravascular and intravascular evaluation guided the proper diagnosis and treatment planning. PMID: 32005794 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - February 3, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Virtual-Reality Guided Versus Fluoroscopy-Guided Transseptal Puncture in a Cardiac Phantom.
CONCLUSIONS: Virtual reality compared with fluoroscopic guidance for transseptal puncture shows considerable promise, particularly for novice trainees, where it could lessen the learning curve. Current barriers to widespread implementation are discussed. PMID: 31958070 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - January 22, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Impact of Side-Branch Predilation on Angiographic Outcomes in Non-Left Main Coronary Bifurcation Lesions.
Authors: Mirzaee S, Isa M, Thakur U, Cameron JD, Nicholls SJ, Dundon BK Abstract BACKGROUND: Despite the high prevalence of coronary bifurcation lesions in routine interventional cardiology practice, the best strategy for managing this challenging lesion subset remains debatable. Due to potential for complications, the routine practice of side-branch (SB) predilation is controversial. METHODS: An electronic search was performed of online databases up until April 2018 for studies reporting periprocedural angiographic outcomes comparing provisional main-branch stenting with and without SB predilation. Random-effe...
Source: The Journal of Invasive Cardiology - January 22, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Electrocautery-Facilitated Crossing (ECFC) of Chronic Total Occlusions.
CONCLUSION: The use of energized stiff guidewires to perform ECFC can be of great value for CTO lesions when standard CTO techniques fail. ECFC should only be performed with caution by experienced and high-volume operators to avoid complications. PMID: 31958072 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - January 22, 2020 Category: Cardiology Tags: J Invasive Cardiol Source Type: research