Predictors of Clinical Outcome After Early Veno-Arterial Extracorporeal Membrane Oxygenation in Cardiogenic Shock Complicating ST-Elevation Myocardial Infarction
J Invasive Cardiol. 2021 May;33(5):E329-E335.ABSTRACTOBJECTIVES: Despite increasing use of veno-arterial extracorporeal membrane oxygenation (VA-ECMO) in patients with cardiogenic shock (CS) secondary to ST-segment elevation myocardial infarction (STEMI), a paucity of adequate evidence for this therapy remains. The aim of this single-center clinical registry study was to identify predictors of survival and discern the possible optimal time to initiate VA-ECMO in this cohort.METHODS AND RESULTS: Seventy-nine consecutive patients with CS complicating STEMI who received VA-ECMO support were included in this analysis. The prim...
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Lukasz Szczanowicz Nicolas Majunke Suzanne de Waha-Thiele Franziska Tietz Stephan Sch ürer Katharina Kirsch Steffen Desch Holger Thiele Marcus Sandri Source Type: research

Proper Shielding Technique in Protecting Operators and Staff From Radiation Exposure in the Fluoroscopy Environment
J Invasive Cardiol. 2021 May;33(5):E342-E343.NO ABSTRACTPMID:33932280 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Lloyd W Klein Source Type: research

The ALSTER-TAVI All-Comers Registry: Procedural and 1-Year Clinical Outcomes of Balloon-Expandable vs Self-Expanding Contemporary TAVI Valves
J Invasive Cardiol. 2021 May;33(5):E356-E364.ABSTRACTOBJECTIVES: Both balloon-expandable and self-expanding transcatheter aortic valves are used for transcatheter aortic valve implantation (TAVI). We compared procedural and clinical outcome variables of Sapien 3 and Evolut R/Pro in an all-comers collective.METHODS: In this single-center registry, patients were consecutively treated with the Sapien 3 from November 2014 to March 2017 (n = 129) and from April 2017 to December 2018 mainly (>95%) with the Evolut R/Pro (n = 124), due to a switch in the main TAVI supplier driven by hospital management. Data were retrospectivel...
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Christina Paitazoglou Felix Meincke Thorsten Hanke Michael La ß Jan Noack Anna Gr üning Christian Frerker Britta Goldmann Philipp Peitsmeyer Michael Schm öckel Stephan Willems Martin W Bergmann Source Type: research

Procedural and 3-Year Outcomes of Peripheral Vascular Interventions Performed in Office-Based Labs: LIBERTY 360 Sub-Analysis
J Invasive Cardiol. 2021 May;33(5):E365-E377.ABSTRACTOBJECTIVE: Few data are available on the safety of interventions for peripheral arterial disease (PAD) performed in the office-based laboratory (OBL) setting. Thus, the aim of this study was to investigate the short- and late-term outcomes of patients treated in OBL vs hospital settings.METHODS: We included patients with PAD treated with any United States Food and Drug Administration approved or cleared devices for distal femoropopliteal and/or infrapopliteal disease. Data were retrieved from the LIBERTY 360 study. A propensity-scored, matched analysis was conducted and ...
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Stefanos Giannopoulos George Pliagas Ehrin J Armstrong Source Type: research

Wolf in Sheep's Clothing - The False Sense of Security in Patients With Anomalous Aortic Origin of a Coronary Artery Undergoing Submaximal Stress Testing
J Invasive Cardiol. 2021 May;33(5):E396-E397.NO ABSTRACTPMID:33932283 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Marius Reto Bigler Christian Seiler Lorenz R äber Christoph Gr äni Source Type: research

Response to "Wolf in Sheep's Clothing - The False Sense of Security in Patients With Anomalous Aortic Origin of a Coronary Artery Undergoing Submaximal Stress Testing"
J Invasive Cardiol. 2021 May;33(5):E397-E398.NO ABSTRACTPMID:33932284 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Hitesh Agrawal Athar M Qureshi Silvana Molossi Source Type: research

Hemopneumothorax - An Unexpected Cath Lab Diagnosis
J Invasive Cardiol. 2021 May;33(5):E399.ABSTRACTA 57-year-old woman presented with chest pain. Electrocardiography (ECG) revealed an inferior ST-segment elevation myocardial infarction. Thrombolysis was initiated and repeat ECG showed reduction of ST elevation. The patient reported ongoing pain and developed hypotension. Fluoroscopy of the chest demonstrated gross tracheal deviation and collapse of the left lung. This case highlights the importance of maintaining a broad differential diagnosis and of harnessing the various skills within a multidisciplinary team.PMID:33932285 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Sandeep Arunothayaraj Dang-Khoa Phan Akshat Saxena Source Type: research

Acute Stent Thrombosis: Severe In-Stent Malapposition and Insufficient Platelet Inhibition as Partners in Crime!
J Invasive Cardiol. 2021 May;33(5):E400.ABSTRACTAcute stent thrombosis is a rare event. When it occurs, procedure- and patient-related factors need to be assessed. First, our case showed that wiring was only successful with a chronic total occlusion-derived technique, indirectly demonstrating a stent-related problem. In fact, OCT showed a remarkable in-stent malapposition. Second, insufficient platelet inhibition was another important factor that contributed to acute stent thrombosis, since morphine negatively affected ticagrelor absorption and onset of action.PMID:33932286 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Giuseppe Talanas Alessandro Murgia Filippo Dossi Guido Parodi Source Type: research

Acute Inferior ST-Elevation Myocardial Infarction Caused by Occlusion of a Giant Coronary Artery Aneurysm
J Invasive Cardiol. 2021 May;33(5):E401-E402.ABSTRACTAn approach to the treatment of a giant aneurysm of the proximal right coronary artery with thrombotic occlusion is described.PMID:33932287 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Sarah L Fairley Source Type: research

Accidental Stent Withdrawal Through an Entrapped Rotational Atherectomy Burr
J Invasive Cardiol. 2021 May;33(5):E403-E404.ABSTRACTCoronary intravascular ultrasound assessment demonstrated severe stent underexpansion and circumferential superficial calcification. Following a failed attempt to predilate the in-stent restenosis, rotational atherectomy was performed.PMID:33932288 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Felipe Homem Valle Felipe Costa Fuchs Fernando Pivatto J únior Gustavo Neves de Ara újo Rodrigo Vugman Wainstein Source Type: research

Minimalist Management of Occlusive Spontaneous Coronary Artery Dissection With Workhorse Guidewire: The Prick-and-Wait Technique
We describe what could be a bailout strategy in the event of (1) failure to reach the distal true lumen, (2) slight improvement in the distal flow, but allowing clinical resolution of STEMI, or (3) a situation not suited to surgery. The "prick-and-wait" technique presented in this case led to a complete recovery.PMID:33932289 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Louis-Marie Desroche Thibault Ronchard Pascal Motreff Source Type: research

Radial Artery Pseudoaneurysm Following Percutaneous Coronary Intervention
J Invasive Cardiol. 2021 May;33(5):E406.ABSTRACTRadial artery pseudoaneurysm is a very rare complication. In the presented case, computed tomography 3 months post percutaneous coronary intervention demonstrated contrast extravasation, suggestive of radial artery pseudoaneurysm. This complication was managed with thrombin infusion at the distal radial artery.PMID:33932290 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Ankur Gupta Sourabh Agstam Source Type: research

Predictors of Clinical Outcome After Early Veno-Arterial Extracorporeal Membrane Oxygenation in Cardiogenic Shock Complicating ST-Elevation Myocardial Infarction
J Invasive Cardiol. 2021 May;33(5):E329-E335.ABSTRACTOBJECTIVES: Despite increasing use of veno-arterial extracorporeal membrane oxygenation (VA-ECMO) in patients with cardiogenic shock (CS) secondary to ST-segment elevation myocardial infarction (STEMI), a paucity of adequate evidence for this therapy remains. The aim of this single-center clinical registry study was to identify predictors of survival and discern the possible optimal time to initiate VA-ECMO in this cohort.METHODS AND RESULTS: Seventy-nine consecutive patients with CS complicating STEMI who received VA-ECMO support were included in this analysis. The prim...
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Lukasz Szczanowicz Nicolas Majunke Suzanne de Waha-Thiele Franziska Tietz Stephan Sch ürer Katharina Kirsch Steffen Desch Holger Thiele Marcus Sandri Source Type: research

Proper Shielding Technique in Protecting Operators and Staff From Radiation Exposure in the Fluoroscopy Environment
J Invasive Cardiol. 2021 May;33(5):E342-E343.NO ABSTRACTPMID:33932280 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Lloyd W Klein Source Type: research

The ALSTER-TAVI All-Comers Registry: Procedural and 1-Year Clinical Outcomes of Balloon-Expandable vs Self-Expanding Contemporary TAVI Valves
J Invasive Cardiol. 2021 May;33(5):E356-E364.ABSTRACTOBJECTIVES: Both balloon-expandable and self-expanding transcatheter aortic valves are used for transcatheter aortic valve implantation (TAVI). We compared procedural and clinical outcome variables of Sapien 3 and Evolut R/Pro in an all-comers collective.METHODS: In this single-center registry, patients were consecutively treated with the Sapien 3 from November 2014 to March 2017 (n = 129) and from April 2017 to December 2018 mainly (>95%) with the Evolut R/Pro (n = 124), due to a switch in the main TAVI supplier driven by hospital management. Data were retrospectivel...
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Christina Paitazoglou Felix Meincke Thorsten Hanke Michael La ß Jan Noack Anna Gr üning Christian Frerker Britta Goldmann Philipp Peitsmeyer Michael Schm öckel Stephan Willems Martin W Bergmann Source Type: research

Procedural and 3-Year Outcomes of Peripheral Vascular Interventions Performed in Office-Based Labs: LIBERTY 360 Sub-Analysis
J Invasive Cardiol. 2021 May;33(5):E365-E377.ABSTRACTOBJECTIVE: Few data are available on the safety of interventions for peripheral arterial disease (PAD) performed in the office-based laboratory (OBL) setting. Thus, the aim of this study was to investigate the short- and late-term outcomes of patients treated in OBL vs hospital settings.METHODS: We included patients with PAD treated with any United States Food and Drug Administration approved or cleared devices for distal femoropopliteal and/or infrapopliteal disease. Data were retrieved from the LIBERTY 360 study. A propensity-scored, matched analysis was conducted and ...
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Stefanos Giannopoulos George Pliagas Ehrin J Armstrong Source Type: research

Wolf in Sheep's Clothing - The False Sense of Security in Patients With Anomalous Aortic Origin of a Coronary Artery Undergoing Submaximal Stress Testing
J Invasive Cardiol. 2021 May;33(5):E396-E397.NO ABSTRACTPMID:33932283 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Marius Reto Bigler Christian Seiler Lorenz R äber Christoph Gr äni Source Type: research

Response to "Wolf in Sheep's Clothing - The False Sense of Security in Patients With Anomalous Aortic Origin of a Coronary Artery Undergoing Submaximal Stress Testing"
J Invasive Cardiol. 2021 May;33(5):E397-E398.NO ABSTRACTPMID:33932284 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Hitesh Agrawal Athar M Qureshi Silvana Molossi Source Type: research

Hemopneumothorax - An Unexpected Cath Lab Diagnosis
J Invasive Cardiol. 2021 May;33(5):E399.ABSTRACTA 57-year-old woman presented with chest pain. Electrocardiography (ECG) revealed an inferior ST-segment elevation myocardial infarction. Thrombolysis was initiated and repeat ECG showed reduction of ST elevation. The patient reported ongoing pain and developed hypotension. Fluoroscopy of the chest demonstrated gross tracheal deviation and collapse of the left lung. This case highlights the importance of maintaining a broad differential diagnosis and of harnessing the various skills within a multidisciplinary team.PMID:33932285 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Sandeep Arunothayaraj Dang-Khoa Phan Akshat Saxena Source Type: research

Acute Stent Thrombosis: Severe In-Stent Malapposition and Insufficient Platelet Inhibition as Partners in Crime!
J Invasive Cardiol. 2021 May;33(5):E400.ABSTRACTAcute stent thrombosis is a rare event. When it occurs, procedure- and patient-related factors need to be assessed. First, our case showed that wiring was only successful with a chronic total occlusion-derived technique, indirectly demonstrating a stent-related problem. In fact, OCT showed a remarkable in-stent malapposition. Second, insufficient platelet inhibition was another important factor that contributed to acute stent thrombosis, since morphine negatively affected ticagrelor absorption and onset of action.PMID:33932286 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Giuseppe Talanas Alessandro Murgia Filippo Dossi Guido Parodi Source Type: research

Acute Inferior ST-Elevation Myocardial Infarction Caused by Occlusion of a Giant Coronary Artery Aneurysm
J Invasive Cardiol. 2021 May;33(5):E401-E402.ABSTRACTAn approach to the treatment of a giant aneurysm of the proximal right coronary artery with thrombotic occlusion is described.PMID:33932287 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Sarah L Fairley Source Type: research

Accidental Stent Withdrawal Through an Entrapped Rotational Atherectomy Burr
J Invasive Cardiol. 2021 May;33(5):E403-E404.ABSTRACTCoronary intravascular ultrasound assessment demonstrated severe stent underexpansion and circumferential superficial calcification. Following a failed attempt to predilate the in-stent restenosis, rotational atherectomy was performed.PMID:33932288 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Felipe Homem Valle Felipe Costa Fuchs Fernando Pivatto J únior Gustavo Neves de Ara újo Rodrigo Vugman Wainstein Source Type: research

Minimalist Management of Occlusive Spontaneous Coronary Artery Dissection With Workhorse Guidewire: The Prick-and-Wait Technique
We describe what could be a bailout strategy in the event of (1) failure to reach the distal true lumen, (2) slight improvement in the distal flow, but allowing clinical resolution of STEMI, or (3) a situation not suited to surgery. The "prick-and-wait" technique presented in this case led to a complete recovery.PMID:33932289 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Louis-Marie Desroche Thibault Ronchard Pascal Motreff Source Type: research

Radial Artery Pseudoaneurysm Following Percutaneous Coronary Intervention
J Invasive Cardiol. 2021 May;33(5):E406.ABSTRACTRadial artery pseudoaneurysm is a very rare complication. In the presented case, computed tomography 3 months post percutaneous coronary intervention demonstrated contrast extravasation, suggestive of radial artery pseudoaneurysm. This complication was managed with thrombin infusion at the distal radial artery.PMID:33932290 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Ankur Gupta Sourabh Agstam Source Type: research

Predictors of Clinical Outcome After Early Veno-Arterial Extracorporeal Membrane Oxygenation in Cardiogenic Shock Complicating ST-Elevation Myocardial Infarction
J Invasive Cardiol. 2021 May;33(5):E329-E335.ABSTRACTOBJECTIVES: Despite increasing use of veno-arterial extracorporeal membrane oxygenation (VA-ECMO) in patients with cardiogenic shock (CS) secondary to ST-segment elevation myocardial infarction (STEMI), a paucity of adequate evidence for this therapy remains. The aim of this single-center clinical registry study was to identify predictors of survival and discern the possible optimal time to initiate VA-ECMO in this cohort.METHODS AND RESULTS: Seventy-nine consecutive patients with CS complicating STEMI who received VA-ECMO support were included in this analysis. The prim...
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Lukasz Szczanowicz Nicolas Majunke Suzanne de Waha-Thiele Franziska Tietz Stephan Sch ürer Katharina Kirsch Steffen Desch Holger Thiele Marcus Sandri Source Type: research

Proper Shielding Technique in Protecting Operators and Staff From Radiation Exposure in the Fluoroscopy Environment
J Invasive Cardiol. 2021 May;33(5):E342-E343.NO ABSTRACTPMID:33932280 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Lloyd W Klein Source Type: research

The ALSTER-TAVI All-Comers Registry: Procedural and 1-Year Clinical Outcomes of Balloon-Expandable vs Self-Expanding Contemporary TAVI Valves
J Invasive Cardiol. 2021 May;33(5):E356-E364.ABSTRACTOBJECTIVES: Both balloon-expandable and self-expanding transcatheter aortic valves are used for transcatheter aortic valve implantation (TAVI). We compared procedural and clinical outcome variables of Sapien 3 and Evolut R/Pro in an all-comers collective.METHODS: In this single-center registry, patients were consecutively treated with the Sapien 3 from November 2014 to March 2017 (n = 129) and from April 2017 to December 2018 mainly (>95%) with the Evolut R/Pro (n = 124), due to a switch in the main TAVI supplier driven by hospital management. Data were retrospectivel...
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Christina Paitazoglou Felix Meincke Thorsten Hanke Michael La ß Jan Noack Anna Gr üning Christian Frerker Britta Goldmann Philipp Peitsmeyer Michael Schm öckel Stephan Willems Martin W Bergmann Source Type: research

Procedural and 3-Year Outcomes of Peripheral Vascular Interventions Performed in Office-Based Labs: LIBERTY 360 Sub-Analysis
J Invasive Cardiol. 2021 May;33(5):E365-E377.ABSTRACTOBJECTIVE: Few data are available on the safety of interventions for peripheral arterial disease (PAD) performed in the office-based laboratory (OBL) setting. Thus, the aim of this study was to investigate the short- and late-term outcomes of patients treated in OBL vs hospital settings.METHODS: We included patients with PAD treated with any United States Food and Drug Administration approved or cleared devices for distal femoropopliteal and/or infrapopliteal disease. Data were retrieved from the LIBERTY 360 study. A propensity-scored, matched analysis was conducted and ...
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Stefanos Giannopoulos George Pliagas Ehrin J Armstrong Source Type: research

Wolf in Sheep's Clothing - The False Sense of Security in Patients With Anomalous Aortic Origin of a Coronary Artery Undergoing Submaximal Stress Testing
J Invasive Cardiol. 2021 May;33(5):E396-E397.NO ABSTRACTPMID:33932283 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Marius Reto Bigler Christian Seiler Lorenz R äber Christoph Gr äni Source Type: research

Response to "Wolf in Sheep's Clothing - The False Sense of Security in Patients With Anomalous Aortic Origin of a Coronary Artery Undergoing Submaximal Stress Testing"
J Invasive Cardiol. 2021 May;33(5):E397-E398.NO ABSTRACTPMID:33932284 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Hitesh Agrawal Athar M Qureshi Silvana Molossi Source Type: research

Hemopneumothorax - An Unexpected Cath Lab Diagnosis
J Invasive Cardiol. 2021 May;33(5):E399.ABSTRACTA 57-year-old woman presented with chest pain. Electrocardiography (ECG) revealed an inferior ST-segment elevation myocardial infarction. Thrombolysis was initiated and repeat ECG showed reduction of ST elevation. The patient reported ongoing pain and developed hypotension. Fluoroscopy of the chest demonstrated gross tracheal deviation and collapse of the left lung. This case highlights the importance of maintaining a broad differential diagnosis and of harnessing the various skills within a multidisciplinary team.PMID:33932285 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Sandeep Arunothayaraj Dang-Khoa Phan Akshat Saxena Source Type: research

Acute Stent Thrombosis: Severe In-Stent Malapposition and Insufficient Platelet Inhibition as Partners in Crime!
J Invasive Cardiol. 2021 May;33(5):E400.ABSTRACTAcute stent thrombosis is a rare event. When it occurs, procedure- and patient-related factors need to be assessed. First, our case showed that wiring was only successful with a chronic total occlusion-derived technique, indirectly demonstrating a stent-related problem. In fact, OCT showed a remarkable in-stent malapposition. Second, insufficient platelet inhibition was another important factor that contributed to acute stent thrombosis, since morphine negatively affected ticagrelor absorption and onset of action.PMID:33932286 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Giuseppe Talanas Alessandro Murgia Filippo Dossi Guido Parodi Source Type: research

Acute Inferior ST-Elevation Myocardial Infarction Caused by Occlusion of a Giant Coronary Artery Aneurysm
J Invasive Cardiol. 2021 May;33(5):E401-E402.ABSTRACTAn approach to the treatment of a giant aneurysm of the proximal right coronary artery with thrombotic occlusion is described.PMID:33932287 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Sarah L Fairley Source Type: research

Accidental Stent Withdrawal Through an Entrapped Rotational Atherectomy Burr
J Invasive Cardiol. 2021 May;33(5):E403-E404.ABSTRACTCoronary intravascular ultrasound assessment demonstrated severe stent underexpansion and circumferential superficial calcification. Following a failed attempt to predilate the in-stent restenosis, rotational atherectomy was performed.PMID:33932288 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Felipe Homem Valle Felipe Costa Fuchs Fernando Pivatto J únior Gustavo Neves de Ara újo Rodrigo Vugman Wainstein Source Type: research

Minimalist Management of Occlusive Spontaneous Coronary Artery Dissection With Workhorse Guidewire: The Prick-and-Wait Technique
We describe what could be a bailout strategy in the event of (1) failure to reach the distal true lumen, (2) slight improvement in the distal flow, but allowing clinical resolution of STEMI, or (3) a situation not suited to surgery. The "prick-and-wait" technique presented in this case led to a complete recovery.PMID:33932289 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Louis-Marie Desroche Thibault Ronchard Pascal Motreff Source Type: research

Radial Artery Pseudoaneurysm Following Percutaneous Coronary Intervention
J Invasive Cardiol. 2021 May;33(5):E406.ABSTRACTRadial artery pseudoaneurysm is a very rare complication. In the presented case, computed tomography 3 months post percutaneous coronary intervention demonstrated contrast extravasation, suggestive of radial artery pseudoaneurysm. This complication was managed with thrombin infusion at the distal radial artery.PMID:33932290 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Ankur Gupta Sourabh Agstam Source Type: research

Predictors of Clinical Outcome After Early Veno-Arterial Extracorporeal Membrane Oxygenation in Cardiogenic Shock Complicating ST-Elevation Myocardial Infarction
J Invasive Cardiol. 2021 May;33(5):E329-E335.ABSTRACTOBJECTIVES: Despite increasing use of veno-arterial extracorporeal membrane oxygenation (VA-ECMO) in patients with cardiogenic shock (CS) secondary to ST-segment elevation myocardial infarction (STEMI), a paucity of adequate evidence for this therapy remains. The aim of this single-center clinical registry study was to identify predictors of survival and discern the possible optimal time to initiate VA-ECMO in this cohort.METHODS AND RESULTS: Seventy-nine consecutive patients with CS complicating STEMI who received VA-ECMO support were included in this analysis. The prim...
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Lukasz Szczanowicz Nicolas Majunke Suzanne de Waha-Thiele Franziska Tietz Stephan Sch ürer Katharina Kirsch Steffen Desch Holger Thiele Marcus Sandri Source Type: research

Proper Shielding Technique in Protecting Operators and Staff From Radiation Exposure in the Fluoroscopy Environment
J Invasive Cardiol. 2021 May;33(5):E342-E343.NO ABSTRACTPMID:33932280 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Lloyd W Klein Source Type: research

The ALSTER-TAVI All-Comers Registry: Procedural and 1-Year Clinical Outcomes of Balloon-Expandable vs Self-Expanding Contemporary TAVI Valves
J Invasive Cardiol. 2021 May;33(5):E356-E364.ABSTRACTOBJECTIVES: Both balloon-expandable and self-expanding transcatheter aortic valves are used for transcatheter aortic valve implantation (TAVI). We compared procedural and clinical outcome variables of Sapien 3 and Evolut R/Pro in an all-comers collective.METHODS: In this single-center registry, patients were consecutively treated with the Sapien 3 from November 2014 to March 2017 (n = 129) and from April 2017 to December 2018 mainly (>95%) with the Evolut R/Pro (n = 124), due to a switch in the main TAVI supplier driven by hospital management. Data were retrospectivel...
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Christina Paitazoglou Felix Meincke Thorsten Hanke Michael La ß Jan Noack Anna Gr üning Christian Frerker Britta Goldmann Philipp Peitsmeyer Michael Schm öckel Stephan Willems Martin W Bergmann Source Type: research

Procedural and 3-Year Outcomes of Peripheral Vascular Interventions Performed in Office-Based Labs: LIBERTY 360 Sub-Analysis
J Invasive Cardiol. 2021 May;33(5):E365-E377.ABSTRACTOBJECTIVE: Few data are available on the safety of interventions for peripheral arterial disease (PAD) performed in the office-based laboratory (OBL) setting. Thus, the aim of this study was to investigate the short- and late-term outcomes of patients treated in OBL vs hospital settings.METHODS: We included patients with PAD treated with any United States Food and Drug Administration approved or cleared devices for distal femoropopliteal and/or infrapopliteal disease. Data were retrieved from the LIBERTY 360 study. A propensity-scored, matched analysis was conducted and ...
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Stefanos Giannopoulos George Pliagas Ehrin J Armstrong Source Type: research

Wolf in Sheep's Clothing - The False Sense of Security in Patients With Anomalous Aortic Origin of a Coronary Artery Undergoing Submaximal Stress Testing
J Invasive Cardiol. 2021 May;33(5):E396-E397.NO ABSTRACTPMID:33932283 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Marius Reto Bigler Christian Seiler Lorenz R äber Christoph Gr äni Source Type: research

Response to "Wolf in Sheep's Clothing - The False Sense of Security in Patients With Anomalous Aortic Origin of a Coronary Artery Undergoing Submaximal Stress Testing"
J Invasive Cardiol. 2021 May;33(5):E397-E398.NO ABSTRACTPMID:33932284 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Hitesh Agrawal Athar M Qureshi Silvana Molossi Source Type: research

Hemopneumothorax - An Unexpected Cath Lab Diagnosis
J Invasive Cardiol. 2021 May;33(5):E399.ABSTRACTA 57-year-old woman presented with chest pain. Electrocardiography (ECG) revealed an inferior ST-segment elevation myocardial infarction. Thrombolysis was initiated and repeat ECG showed reduction of ST elevation. The patient reported ongoing pain and developed hypotension. Fluoroscopy of the chest demonstrated gross tracheal deviation and collapse of the left lung. This case highlights the importance of maintaining a broad differential diagnosis and of harnessing the various skills within a multidisciplinary team.PMID:33932285 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Sandeep Arunothayaraj Dang-Khoa Phan Akshat Saxena Source Type: research

Acute Stent Thrombosis: Severe In-Stent Malapposition and Insufficient Platelet Inhibition as Partners in Crime!
J Invasive Cardiol. 2021 May;33(5):E400.ABSTRACTAcute stent thrombosis is a rare event. When it occurs, procedure- and patient-related factors need to be assessed. First, our case showed that wiring was only successful with a chronic total occlusion-derived technique, indirectly demonstrating a stent-related problem. In fact, OCT showed a remarkable in-stent malapposition. Second, insufficient platelet inhibition was another important factor that contributed to acute stent thrombosis, since morphine negatively affected ticagrelor absorption and onset of action.PMID:33932286 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Giuseppe Talanas Alessandro Murgia Filippo Dossi Guido Parodi Source Type: research

Acute Inferior ST-Elevation Myocardial Infarction Caused by Occlusion of a Giant Coronary Artery Aneurysm
J Invasive Cardiol. 2021 May;33(5):E401-E402.ABSTRACTAn approach to the treatment of a giant aneurysm of the proximal right coronary artery with thrombotic occlusion is described.PMID:33932287 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Sarah L Fairley Source Type: research

Accidental Stent Withdrawal Through an Entrapped Rotational Atherectomy Burr
J Invasive Cardiol. 2021 May;33(5):E403-E404.ABSTRACTCoronary intravascular ultrasound assessment demonstrated severe stent underexpansion and circumferential superficial calcification. Following a failed attempt to predilate the in-stent restenosis, rotational atherectomy was performed.PMID:33932288 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Felipe Homem Valle Felipe Costa Fuchs Fernando Pivatto J únior Gustavo Neves de Ara újo Rodrigo Vugman Wainstein Source Type: research

Minimalist Management of Occlusive Spontaneous Coronary Artery Dissection With Workhorse Guidewire: The Prick-and-Wait Technique
We describe what could be a bailout strategy in the event of (1) failure to reach the distal true lumen, (2) slight improvement in the distal flow, but allowing clinical resolution of STEMI, or (3) a situation not suited to surgery. The "prick-and-wait" technique presented in this case led to a complete recovery.PMID:33932289 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Louis-Marie Desroche Thibault Ronchard Pascal Motreff Source Type: research

Radial Artery Pseudoaneurysm Following Percutaneous Coronary Intervention
J Invasive Cardiol. 2021 May;33(5):E406.ABSTRACTRadial artery pseudoaneurysm is a very rare complication. In the presented case, computed tomography 3 months post percutaneous coronary intervention demonstrated contrast extravasation, suggestive of radial artery pseudoaneurysm. This complication was managed with thrombin infusion at the distal radial artery.PMID:33932290 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Ankur Gupta Sourabh Agstam Source Type: research

Predictors of Clinical Outcome After Early Veno-Arterial Extracorporeal Membrane Oxygenation in Cardiogenic Shock Complicating ST-Elevation Myocardial Infarction
J Invasive Cardiol. 2021 May;33(5):E329-E335.ABSTRACTOBJECTIVES: Despite increasing use of veno-arterial extracorporeal membrane oxygenation (VA-ECMO) in patients with cardiogenic shock (CS) secondary to ST-segment elevation myocardial infarction (STEMI), a paucity of adequate evidence for this therapy remains. The aim of this single-center clinical registry study was to identify predictors of survival and discern the possible optimal time to initiate VA-ECMO in this cohort.METHODS AND RESULTS: Seventy-nine consecutive patients with CS complicating STEMI who received VA-ECMO support were included in this analysis. The prim...
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Lukasz Szczanowicz Nicolas Majunke Suzanne de Waha-Thiele Franziska Tietz Stephan Sch ürer Katharina Kirsch Steffen Desch Holger Thiele Marcus Sandri Source Type: research

Proper Shielding Technique in Protecting Operators and Staff From Radiation Exposure in the Fluoroscopy Environment
J Invasive Cardiol. 2021 May;33(5):E342-E343.NO ABSTRACTPMID:33932280 (Source: The Journal of Invasive Cardiology)
Source: The Journal of Invasive Cardiology - May 1, 2021 Category: Cardiology Authors: Lloyd W Klein Source Type: research