Successful Stent Delivery Through a Slaloming Coronary Path.
Authors: Aznaouridis K, Bonou M, Masoura K, Vaina S, Vlachopoulos C, Tousoulis D Abstract A 66-year-old man with refractory angina was admitted for percutaneous coronary intervention (PCI) through a tortuous saphenous vein graft sequentially anastomosed with a diagonal and a first marginal branch. Our target was a critical stenosis at the retrograde limb of the first marginal proximal to saphenous vein graft anastomosis. Stent delivery to our target lesion mandated tracking through sequential angulations. In this case, we enhanced the support of the guide catheter and delivered a stent on the retrograde limb of the...
Source: The Journal of Invasive Cardiology - February 2, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Endothelialization of an Amplatzer Septal Occluder Device 6 Months Post Implantation: Is This Enough Time? An In Vivo Angioscopic Assessment.
This report therefore evaluates endothelialization in vivo and demonstrates that 6 months of postimplantation prophylactic therapy may not provide sufficient time for adequate endothelialization. Further investigations are warranted to determine the optimal duration of these treatments after atrial septal defect closure. PMID: 30700633 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - February 2, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Superdominant Circumflex Thrombosis With Occluded LAD and Absent RCA Ostium.
Authors: da Silva Matte B, Lima Marques FP, de Araujo GN, Gonçalves SC Abstract To our knowledge, this is the first report of primary percutaneous coronary intervention in a patient with a superdominant left circumflex artery, in which the entire right coronary artery myocardium territory is provided by the left circumflex. Coronary angiographic images of our 80-year-old male patient illustrate this anomaly. Single coronary arteries are among the most rare anatomic coronary anomalies, and the absence of right coronary artery ostium has been described as the rarest of these anomalies. Coronary events in such ...
Source: The Journal of Invasive Cardiology - February 2, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Percutaneous Biventricular Mechanical Circulatory Support With Impella CP and Protek Duo Plus TandemHeart.
Authors: Patel NJ, Verma DR, Gopalan R, Heuser RR, Pershad A Abstract This is the first reported case of full biventricular mechanical circulatory support with the combination of Impella and Protek Duo, which is a dual-lumen cannula inserted via the right internal jugular vein, with its proximal inflow lumen positioned in the right atrium and distal lumen positioned in the main pulmonary artery. These lumens are connected with the paracorporeal TandemHeart pump allowing flows up to 5 L/min. The alternative percutaneous option for right ventricular support is the Impella RP (Abiomed), which has to be placed in the f...
Source: The Journal of Invasive Cardiology - February 2, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

In-Hospital Outcomes of Rotational Atherectomy in High-Risk Patients With Severely Calcified Left Main Coronary Artery Disease: A Single-Center Experience.
We report our experience with RA for severely calcified LM-CAD. METHODS: From January 2008 to January 2017, all patients who underwent RA-assisted LM-PCI were evaluated. The study population included both protected and unprotected LM-CAD patients. Clinical characteristics and in-hospital outcomes were collected retrospectively. In-hospital outcomes included post-PCI myocardial infarction, stroke, death, emergency coronary artery bypass graft surgery, and urgent repeat PCI. Angiographic success was defined by residual stenosis
Source: The Journal of Invasive Cardiology - January 17, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Frequency and Outcomes of Ad Hoc Versus Planned Chronic Total Occlusion Percutaneous Coronary Intervention: Multicenter Experience.
Authors: Sandoval Y, Tajti P, Karatasakis A, Burke MN, Danek BA, Karmpaliotis D, Alaswad K, Jaffer FA, Yeh RW, Patel M, Mahmud E, Krestyaninov O, Khelimskii D, Choi JW, Doing AH, Toma C, Wyman RM, Uretsky B, Garcia S, Koutouzis M, Tsiafoutis I, Holper E, Moses JW, Lembo NJ, Parikh M, Kirtane AJ, Ali ZA, Doshi D, Kandzari DE, Karacsonyi J, Rangan BV, Thompson C, Banerjee S, Brilakis ES Abstract BACKGROUND: For patients needing coronary chronic total occlusion (CTO) percutaneous coronary intervention (PCI), a planned, staged intervention has been recommended by experts. Ad hoc CTO-PCI, however, occurs in practice. ...
Source: The Journal of Invasive Cardiology - January 17, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

A Long-Term Single-Center Registry of 6893 Patients Undergoing Elective Percutaneous Coronary Intervention With the Xience Everolimus-Eluting Stent.
CONCLUSIONS: This large, prospective registry confirms the very long-term safety and efficacy of the EES in unselected real-world and complex coronary lesions. PMID: 30643041 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - January 17, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Clinical Outcomes and Cost Comparisons of Stent and Non-Stent Interventions in Infrainguinal Peripheral Artery Disease: Insights From the Excellence in Peripheral Artery Disease (XLPAD) Registry.
We present data from the ongoing United States multicenter Excellence in Peripheral Artery Disease Registry between 2006-2016 to compare stent vs non-stent treatment outcomes and associated costs in FP interventions. A total of 2910 FP interventions were performed in 2162 patients (mean age, 66 years), comprising 1339 stent based (superficial femoral artery, 93%) in 1007 patients and 1571 non-stent interventions (superficial femoral artery, 85%) in 1155 patients. A growing trend for non-stent based interventions and a declining trend in repeat revascularization rate at 1 year were observed across years of registry enrollme...
Source: The Journal of Invasive Cardiology - January 7, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

A Cancer Paradox: Machine-Learning Backed Propensity-Score Analysis of Coronary Angiography Findings in Cardio-Oncology.
Authors: Balanescu DV, Monlezun DJ, Donisan T, Boone D, Cervoni-Curet F, Palaskas N, Lopez-Mattei J, Kim P, Iliescu C, Balanescu SM Abstract OBJECTIVES: Cancer has been proposed as a cardiovascular risk factor. We aimed to assess the cardiovascular risk profile and coronary angiography (CA) findings of cancer patients and compare them to those of patients without cancer. METHODS: A retrospective case-control analysis was conducted on randomly enrolled cancer and non-cancer patients from a high-volume cardio-oncology center and a tertiary cardiology center, respectively, who underwent CA from April 2008 to June ...
Source: The Journal of Invasive Cardiology - January 7, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Impella CP Dislodgment, Swap, or Removal: Current Practices.
Authors: Kaluski E, Khan SU, Sattur S, Sporn D, Singh M Abstract The Impella CP (ICP) catheter (Abiomed) offers hemodynamic superiority over the intra-aortic balloon pump. However, device-specific issues are occasionally encountered, especially when long-term mechanical circulatory support (MCS) is required. These include ICP dislodgment, ICP mechanical failure, and the need to remove the ICP while maintaining arterial access to either insert a new MCS device or to perform suture-based arteriotomy site closure. We offer a case in which ICP-based MCS involved ICP distal dislodgment, kinking of the ICP catheter, and ...
Source: The Journal of Invasive Cardiology - January 7, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Challenging Aorto-Coronary Occlusion: Which Solution?
Authors: Lorenzoni G, Merella P, Casu G Abstract Aorto-coronary occlusion is a particularly difficult lesion to treat, especially in an emergent setting. To our knowledge, this is the first description of the use of a microcatheter not to support the guidewire, but to open an aorto-coronary calcific occlusion with anterograde approach in an emergent situation. PMID: 30611125 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - January 7, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Coronary Artery Tenting After Bypass Grafting: A Key Issue During Percutaneous Coronary Intervention of a Chronic Total Occlusion.
Authors: Jurado-Román A, Rumoroso JR, Abellán-Huerta J, López-Lluva MT, Sánchez-Pérez I, Ruíz-Poveda FL Abstract This image series shows how bypass grafts may tent the vessel to which they are anastomosed, potentially changing the expected course of the native coronary vessel. This fact must be taken into account during CTO-PCI, and this case emphasizes the importance of careful analysis of coronary anatomy with several angiographic projections. PMID: 30611126 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - January 7, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Combined Percutaneous Treatment of Severe Triscuspid Regurgitation and Left Atrial Appendage Closure.
Authors: Arellano-Serrano C, Moñivas V, Estévez-Loureiro R Abstract LAA closure and MitraClip implantation in the tricuspid position in the same procedure is a feasible and safe option in patients with a high surgical risk suffering from severe symptomatic tricuspid regurgitation and bleeding complications under anticoagulant therapy. PMID: 30611127 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - January 7, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Optical Coherence Tomography Evaluation of Coronary Dissection and Intramural Hematoma.
Authors: Hayat U, Williams PD, Austin D Abstract Image series shows an extensive intramural hematoma causing luminal compression corresponding to the angiographic stenosis. Although intramural hematomas are identifiable on intravascular ultrasound, OCT offers superior characterization and exclusion of alternate diagnoses, such as plaque erosion. PMID: 30611128 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - January 7, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

"Single Arm-Double Access" for CTO Intervention.
"Single Arm-Double Access" for CTO Intervention. J Invasive Cardiol. 2019 Jan;31(1):E7 Authors: Koutouzis M, Kontopodis E, Tassopoulos A, Tsiafoutis I, Oikonomidis N, Lazaris E Abstract To our knowledge, this is the first reported case of a dual-access approach for CTO intervention using transradial and ipsilateral transulnar access. Although retrograde CTO intervention is a challenging procedure, a single arm-double access approach seems to be a feasible alternative that may be useful in patients with limited access-site availability. PMID: 30611129 [PubMed - in process] (Source: The Jou...
Source: The Journal of Invasive Cardiology - January 7, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

A Novel Approach to Aortoiliac Bifurcation Stenting Using a Single Balloon-Expandable Stent.
Authors: Alomar M, Tayal R, Amponsah M, Cohen M, Wasty N Abstract Contrary to popular wisdom, predominantly unilateral aortoiliac bifurcation disease can be safely treated with a single stent if the contralateral common iliac ostium is protected with matching balloon inflation. Larger studies on this novel approach with a longer clinical follow-up are needed to validate our results. PMID: 30611130 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - January 7, 2019 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

The Spontaneous Coronary Slow-Flow Phenomenon: Reversal by Intracoronary Nicardipine.
Authors: Mehta HH, Morris M, Fischman DL, Finley JJ, Ruggiero N, Walinsky P, McCarey M, Savage MP Abstract OBJECTIVE: An under-recognized cause of chest pain, the coronary slow-flow (CSF) phenomenon is characterized by delayed coronary opacification during diagnostic angiography in the absence of epicardial coronary artery disease (CAD). Given its angiographic resemblance to no-reflow during percutaneous coronary intervention, a condition associated with microvascular spasm responsive to calcium-channel blockers, we hypothesized that spontaneous CSF may similarly be reversed by intracoronary (IC) nicardipine. M...
Source: The Journal of Invasive Cardiology - December 18, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Safety of Calcium-Channel Blockers During Radial Cardiac Catheterization in Patients With Acute Myocardial Infarction or Systolic Heart Failure.
CONCLUSIONS: Patients with STEMI or HF can safely tolerate intra-arterial CCB during radial catheterization. PMID: 30555053 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - December 18, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Outcomes Among Patients With Heart Failure With Reduced Ejection Fraction Undergoing Transcatheter Aortic Valve Replacement: Minimally Invasive Strategy Versus Conventional Strategy.
Authors: Panhwar MS, Li J, Zidar DA, Clevenger J, Lipinski J, Patel TR, Karim A, Saric P, Patel SM, Kalra A, Attizzani G Abstract OBJECTIVES: To investigate the effect of TAVR technique on in-hospital and 30-day outcomes in patients with aortic stenosis (AS) and reduced ejection fraction (EF). BACKGROUND: Patients with AS and concomitant low EF may be at risk for adverse hemodynamic effects from general anesthesia utilized in transcatheter aortic valve replacement (TAVR) via the conventional strategy (CS). These patients may be better suited for the minimally invasive strategy (MIS), which employs conscious sed...
Source: The Journal of Invasive Cardiology - December 18, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Balloon Valvuloplasty Followed by Transcatheter Aortic Valve Implantation as a Staged Procedure in Patients With Low-Flow Low-Gradient Aortic Stenosis.
Authors: Piayda K, Wimmer AC, Veulemans V, Afzal S, Sievert H, Gafoor S, Erkens R, Polzin A, Quast C, Jung C, Westenfeld R, Kelm M, Hellhammer K, Zeus T Abstract OBJECTIVE: Balloon aortic valvuloplasty (BAV) as a bridge to transcatheter aortic valve implantation (TAVI) is a well-established treatment option in patients who are in a critical state or who suffer from underlying comorbidities that disguise the severity of aortic stenosis (AS). If convalescence is achieved, TAVI can be performed with good results in high-gradient aortic stenosis (HG-AS) patients. Whether this approach is safe and effective in low-flow ...
Source: The Journal of Invasive Cardiology - December 8, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Clinical and Angiographic Outcomes Comparison of Patients With Left Main Vs Non-Left Main Bifurcation Lesions Treated With Percutaneous Coronary Intervention With Second-Generation Drug-Eluting Stents.
Authors: Vergara R, Valenti R, Migliorini A, Ciabatti M, Grazia De Gregorio M, Taborchi G, Morini S, Rondine R, Martone R, Antoniucci D Abstract INTRODUCTION: It is not clear if differences exist about treating left main bifurcation (LMB) and non-left main bifurcation (non-LMB) lesions by means of percutaneous coronary intervention (PCI). METHODS: We prospectively analyzed all consecutive patients treated at our center for bifurcation lesions from January 1, 2011 to December 31, 2015, including acute myocardial infarction (MI) and cardiogenic shock, and compared the angiographic and clinical outcomes of patient...
Source: The Journal of Invasive Cardiology - December 8, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Predicting Iliac Vein Compression With Computed Tomography Angiography and Venography: Correlation With Intravascular Ultrasound.
Authors: Shammas NW, Shammas GA, Jones-Miller S, Radaideh Q, Winter AR, Shammas AN, Kovach IZ, Bou Dargham B, Daher GE, Rachwan RJ, Shammas WJ, Omar W, Manazir A, Kasula S Abstract BACKGROUND: Intravascular ultrasound (IVUS) is considered the gold standard in diagnosing common iliac vein (CIV) compression. The presence of>50% surface area reduction by IVUS is considered significant compression by most operators. Thus, we evaluated the role of computed tomography angiography (CTA) and venography in diagnosing CIV compression when compared to IVUS. METHODS: All patients who underwent CTA of the pelvis with ven...
Source: The Journal of Invasive Cardiology - December 8, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Outcomes of Extracorporeal Membrane Oxygenation Support for Complex High-Risk Elective Percutaneous Coronary Interventions: A Single-Center Experience and Review of the Literature.
We examined the in-hospital and mid-term clinical outcomes in patients undergoing complex, high-risk PCI with VA-ECMO support. METHODS: . We conducted a retrospective review of ECMO-supported elective high-risk PCIs performed at our institution between May 2012 and May 2017. The electronic medical records and angiograms were individually reviewed. We assessed the in-hospital and mid-term major adverse cardiovascular and cerebrovascular event (MACCE) rates, and reviewed bleeding and vascular complications. RESULTS: Five patients underwent elective high-risk PCI with ECMO support. Mean age was 66.8 ± 8.6 years...
Source: The Journal of Invasive Cardiology - December 8, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Different Spasmolytic Regimens (Nitroglycerin vs Verapamil) and the Incidence of Radial Artery Occlusion After Transradial Catheterization.
This study evaluated whether use of different spasmolytic regimens (nitroglycerin or verapamil) administered soon after sheath insertion affects postprocedure radial artery occlusion (RAO) in patients who underwent transradial catheterization. METHODS AND RESULTS: We performed a post hoc analysis of a randomized trial evaluating the use of 500 μg intra-arterial nitroglycerin just before sheath removal in 1706 patients undergoing transradial catheterization. Patients who received 200 μg or 300 μg nitroglycerin after sheath placement (group A; n = 688) were compared with patients who received 5 mg verapamil afte...
Source: The Journal of Invasive Cardiology - December 8, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Hybrid Coronary Revascularization vs Complete Coronary Artery Bypass Grafting for Multivessel Coronary Artery Disease: A Systematic Review and Meta-Analysis.
CONCLUSIONS: Our results suggest that compared to CABG, HCR is associated with a lower risk of postoperative blood transfusion and infection, as well as a shorter ICU stay and hospital stay. HCR was also associated with a higher risk of long-term TVR. PMID: 30504516 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - December 8, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Suggesting a New Primary Access Site for Treating Chronic Total Occlusions: Bilateral Distal Transradial Intervention (bdTRI).
Authors: Hadžibegović I, Starčević B Abstract Bilateral distal transradial intervention is a new primary access strategy for chronic total occlusion interventions. We provide a brief review of recent studies and offer the rationale behind this promising approach. PMID: 30504517 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - December 8, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Recanalization of Left Subclavian Vein Total Occlusion Jailed by Superior Vena Cava Stent Using Culotte Stenting Technique With a Dedicated Venous Stent.
Authors: Chi WK, Tam GM, Yan BP Abstract This case demonstrates that the high radial strength of a dedicated nitinol venous stent is able to achieve good acute angiographic results and clinical efficacy. PMID: 30504518 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - December 8, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Thrombolysis-Guided Primary Percutaneous Coronary Intervention.
Authors: Tzanis G, Giannini F, Latib A, Colombo A Abstract A 77-year-old STEMI patient became hemodynamically unstable during attempted PCI, and operators were unable to visualize the right coronary artery ostium despite multiple attempts. Systemic thrombolysis resolved these issues and allowed PCI to proceed. This case highlights that fibrinolysis might still play a key role for some challenging cases in the era of modern PCI. PMID: 30504519 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - December 8, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Snow and Reindeer: Large Tricuspid Valve Mobile Vegetation.
Authors: Olson PC, Agarwal V, Royzman R Abstract A 20-year-old female with history of polysubstance abuse presented with fevers and lightheadness. Blood cultures grew out Streptococcus constellatus, which is known to form purulent infections when introduced in the body. Evaluation with transesophageal echocardiogram showed a definite large, irregular, loosely organized, highly mobile vegetation. PMID: 30504520 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - December 8, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Traumatic Fracture of Pacemaker Lead by Suture Transfixation to Pectoral Muscle.
We report acute lead fracture during pacemaker implantation. Suturing the lead without the sleeve might damage the lead. To avoid this result, we suggest tying knots tightly, but not too vigorously. PMID: 30504521 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - December 8, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

OCT Analysis of Very Early Strut Coverage of the Synergy Stent in Non-ST Segment Elevation Acute Coronary Syndrome Patients.
CONCLUSIONS: In NSTE-ACS patients undergoing culprit percutaneous coronary intervention with the Synergy stent, the rate of covered struts at 1 month was 78.5%. This rapid coverage is in line with the results of clinical trials demonstrating the safety of short-duration DAPT in selected patients who are at high bleeding risk and treated with new-generation DES options. PMID: 30418164 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - November 14, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Immediate Improvement in Left Atrial Function After Transcatheter Aortic Valve Replacement on Doppler Echocardiography.
Authors: Phan D, Chalian A, Makkar R, Siegel RJ, Rader F Abstract BACKGROUND: More than 50% of embolic strokes occur>24 hours after transcatheter aortic valve replacement (TAVR) and are therefore not directly procedure related. We aimed to determine immediate changes in left atrial (LA) function after TAVR, that may alter short-term and long-term stroke risk after TAVR. METHODS: Transesophageal and transthoracic echocardiography were performed before and immediately after TAVR to evaluate left atrial appendage (LAA) velocities and Doppler echocardiographic markers of LA function. RESULTS: Eighty-five pat...
Source: The Journal of Invasive Cardiology - November 14, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Comparison Between Traditional and Guide-Catheter Extension Reverse Controlled Antegrade Dissection and Retrograde Tracking: Insights From the PROGRESS-CTO Registry.
Authors: Xenogiannis I, Karmpaliotis D, Alaswad K, Jaffer FA, Yeh RW, Patel M, Mahmud E, Choi JW, Burke MN, Doing AH, Dattilo P, Toma C, Smith AJC, Uretsky B, Krestyaninov O, Khelimskii D, Holper E, Potluri S, Wyman RM, Kandzari DE, Garcia S, Koutouzis M, Tsiafoutis I, Jaber W, Samady H, Moses JW, Lembo NJ, Parikh M, Kirtane AJ, Ali ZA, Doshi D, Tajti P, Rangan BV, Abdullah S, Banerjee S, Brilakis ES Abstract OBJECTIVES: The most common re-entry technique during retrograde chronic total occlusion (CTO) percutaneous coronary intervention (PCI) is reverse controlled antegrade and retrograde tracking (rCART). The use ...
Source: The Journal of Invasive Cardiology - November 14, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

High-Sensitivity Troponin in Patients With Coronary Artery Endothelial Dysfunction.
CONCLUSION: Our findings suggest that endothelial dysfunction may be associated with higher baseline hscTnI levels, suggesting increased myocardial injury in this population of patients. Additional studies are necessary to further define the role of hscTnI in risk stratification in this population. PMID: 30373950 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - November 1, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Bacterial Contamination of Lead Aprons in a High-Volume Cardiac Catheterization Laboratory and Disinfection Using an Automated Ultraviolet-C Radiation System.
Authors: Ang L, Almasoud A, Palakodeti S, Mahmud E Abstract OBJECTIVES: Quantify and characterize bacterial contamination of lead aprons in a high-volume catheterization laboratory and evaluate the efficacy of decontamination using an ultraviolet-C (UV-C) radiation system. BACKGROUND: Bacterial contamination and ineffective disinfection of personal protective equipment in medical centers pose potential health risks to patients and medical staff. The contamination burden of lead aprons and a reliable disinfection strategy are unknown. METHODS: Ten routinely used, unsterilized lead aprons from a high-volume c...
Source: The Journal of Invasive Cardiology - November 1, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Early Clinical Outcomes of Transcatheter Aortic Valve Replacement in Left Ventricular Outflow Tract Calcification: New-Generation Device vs Early-Generation Device.
CONCLUSION: In the setting of LVOT-CA, patients with new-generation devices compared to those with early-generation devices had acceptable clinical outcomes except for cardiac conduction disturbances, especially in new-onset LBBB. PMID: 30373952 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - November 1, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Hematomas, Compartment Syndrome, and Boney Infarcts: Potential Melancholy for Dorsal Radial Access?
Authors: Gilchrist IC Abstract An editorial addressing the concerns related to the unique technical and anatomical components of the hand. PMID: 30373953 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - November 1, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Rescue Implantation of Covered Stent in Pulmonary Artery Rupture During Balloon Pulmonary Angioplasty.
We present a 62-year-old female with residual pulmonary hypertension after pulmonary endarterectomy for CTEPH who underwent balloon pulmonary angioplasty (BPA). Implantation of a covered stent not only protects the ruptured vessel, but also keeps perfusion in the future. PMID: 30373954 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - November 1, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Superficial Femoral Artery Aneurysm as a Cause of Deep Vein Thrombosis Treated With a Covered Stent.
We present a 57-year-old female patient who had recently undergone a left superficial femoral artery (SFA) intervention at an outside institution due to significant peripheral artery disease. Imaging revealed a 3.2 cm SFA aneurysm with secondary mass effect on the left mid superficial femoral vein. She underwent successful exclusion of the aneurysm with a 6.0 x 10 cm Viabahn covered stent. PMID: 30373955 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - November 1, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Percutaneous Management of Left Atrial Appendage Perforation: Keep Calm and Think Fast.
We present an 83-year-old woman with permanent atrial fibrillation and high thromboembolic and bleeding risk who was admitted for elective percutaneous LAA closure. During angiographic study, she suddenly became hypotensive. Heart perforation with leakage of contrast in the pericardial space was evident and imaging confirmed cardiac tamponade. Rapid release of the closure device and pericardial evacuation allowed the operators to successfully manage the cardiac tamponade and avoid a surgical option. PMID: 30373956 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - November 1, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Interatrial Septal Dissection Complicating a MitraClip Procedure.
We report the first case of interatrial dissection and hematoma in association with the MitraClip procedure. Hemodynamically stable patients can be managed conservatively, with echocardiographic imaging, often with resolution of the dissection over the course of weeks. Our patient remained hemodynamically stable and asymptomatic post operation; at 1-month follow-up, echocardiogram showed resolution of the interatrial septal dissection. PMID: 30373957 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - November 1, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Novel Cerebral Protection Technique During Right Transcarotid TAVR in Bicuspid Aortic Stenosis and Porcelain Aorta.
We report a case using cerebral embolic protection during a right transcarotid TAVR. PMID: 30373958 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - November 1, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Atrial Myxoma With Feeding Vessels From Both the Right and Left Coronary Arteries: A Rare Finding During Coronary Angiography.
Authors: Frederiks P, Vandekerckhove H, Hermans K Abstract A 73-year-old woman presented with exertional chest pain and mild dyspnea for several months. In this case, preoperative coronary angiography showed neovascularization originating from the right coronary artery (RCA) and left circumflex (LCX). Vascular supply in left atrial myxomas usually originates from the LCX and sometimes from the RCA, but vascular supply from both the right and left coronary arteries is rarely seen. PMID: 30373959 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - November 1, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Clinical Outcomes of Atherectomy Prior to Percutaneous Coronary Intervention: A Comparative Assessment of Atherectomy in Patients With Obesity (COAP-PCI Subanalysis).
CONCLUSION: In this study assessing atherectomy in obese patients, OA and RA demonstrated comparable outcomes with complication rates within an acceptable range. It demonstrates that OA and RA can be safely performed in this high-risk patient subset with CAC. PMID: 30318482 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - October 16, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Safety of the Atlas Gold Balloon in Treating Iliofemoral Veins: Experience From a Single Center.
CONCLUSION: All patients postdilated with the Atlas Gold balloon exceeded the 95% safety benchmark set in this study. No balloon perforation, vessel laceration, or balloon-related intravascular events occurred. PMID: 30318483 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - October 16, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Prehospital Prasugrel Versus Ticagrelor in Real-World Patients With ST-Elevation Myocardial Infarction Referred for Primary PCI: Procedural and 30-Day Outcomes.
CONCLUSIONS: Prehospital administration of both prasugrel and ticagrelor in STEMI patients is safe, without differences in preprocedural and postprocedural reperfusion and short-term clinical outcomes. PMID: 30318484 [PubMed - as supplied by publisher] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - October 16, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Use of the STEMI Team for Treatment of Patients With Pulmonary Embolism: A Pilot Study.
CONCLUSIONS: Use of an existing STEMI team and activation protocol is a feasible method to care for patients with massive and submassive PE. This pilot study demonstrated rapid treatment times with low in-hospital mortality. PMID: 30279292 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - October 5, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Comparative Effectiveness Study of Drug-Eluting and Bare-Metal Peripheral Artery Stents in Endovascular Femoropopliteal Artery Revascularization.
CONCLUSIONS: Patients treated with DES had higher lesion and vessel patency than BMS after adjusting for confounding, which included complexity of lesion characteristics and operators' clinical decision-making regarding selection of treatment modalities, in femoropopliteal endovascular interventions in a real-world registry. PMID: 30279293 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - October 5, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Outcome of Patients Undergoing Transcatheter Aortic Valve Implantation After Prior Balloon Aortic Valvuloplasty.
CONCLUSION: BAV continues to offer a palliative solution to patients with unclear or poor prognosis and deemed at too high risk for emergent TAVI or surgery. Subjects undergoing BAV and surviving the post-BAV period can undergo TAVI without a significantly increased risk of in-hospital adverse events in comparison with non-BAV patients. PMID: 30279294 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - October 5, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research

Use of Ultrasound-Accelerated, Catheter-Directed Local Thrombolysis for Venous and Arterial Occlusions in a Pediatric Hospital.
CONCLUSIONS: The use of ultrasound-assisted catheter-directed thrombolysis in a pediatric center is a valuable modality for treating acute thrombosis with an acceptable safety profile. PMID: 30279295 [PubMed - in process] (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - October 5, 2018 Category: Cardiology Tags: J Invasive Cardiol Source Type: research