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Outcomes After Percutaneous Coronary Intervention in Patients With a History of Cerebrovascular Disease: Insights From the Blue Cross Blue Shield of Michigan Cardiovascular Consortium Coronary Interventions
Conclusions— A history of TIA/stroke was common in patients who underwent PCI and was associated with increased risks of in-hospital stroke, 90-day readmission, and long-term mortality. Given the devastating consequences of post-PCI stroke, patients with a history of TIA/stroke should be counseled on this increased risk before undergoing PCI.
Source: Circulation: Cardiovascular Interventions - June 12, 2018 Category: Cardiology Authors: Song, C., Sukul, D., Seth, M., Wohns, D., Dixon, S. R., Slocum, N. K., Gurm, H. S. Tags: Complications, Quality and Outcomes Coronary Interventions Source Type: research

Frequency, Reasons, and Impact of Premature Ticagrelor Discontinuation in Patients Undergoing Coronary Revascularization in Routine Clinical Practice: Results From the Bern Percutaneous Coronary Intervention Registry Coronary Artery Disease
Conclusions— Premature ticagrelor cessation in routine clinical practice occurred in 1 of 6 patients and was primarily related to adverse effects among which bleeding and dyspnea were the most frequent. Although premature ticagrelor cessation was not associated with adverse cardiovascular outcomes, this finding requires careful interpretation in view of the modest sample size. Clinical Trial Registration— URL: https://www.clinicaltrials.gov. Unique identifier: NCT02241291.
Source: Circulation: Cardiovascular Interventions - May 10, 2018 Category: Cardiology Authors: Zanchin, T., Temperli, F., Karagiannis, A., Zanchin, C., Rasanen, M., Koskinas, K. C., Stortecky, S., Hunziker, L., Praz, F., Blochlinger, S., Moro, C., Moschovitis, A., Seiler, C., Billinger, M., Heg, D., Pilgrim, T., Valgimigli, M., Windecker, S., Raber Tags: Cardiovascular Disease, Secondary Prevention, Percutaneous Coronary Intervention Coronary Artery Disease Source Type: research

Culprit Vessel-Only Versus Multivessel Percutaneous Coronary Intervention in Patients With Cardiogenic Shock Complicating ST-Segment-Elevation Myocardial Infarction: A Collaborative Meta-Analysis Coronary Interventions
Conclusions— This meta-analysis of nonrandomized studies suggests that in patients with cardiogenic shock complicating ST-segment–elevation myocardial infarction, there may be no significant benefit with single-stage MV-PCI compared with CO-PCI. Given the limitations of observational data, randomized trials are needed to determine the role of MV-PCI in this setting.
Source: Circulation: Cardiovascular Interventions - November 16, 2017 Category: Cardiology Authors: Kolte, D., Sardar, P., Khera, S., Zeymer, U., Thiele, H., Hochadel, M., Radovanovic, D., Erne, P., Hambraeus, K., James, S., Claessen, B. E., Henriques, J. P. S., Mylotte, D., Garot, P., Aronow, W. S., Owan, T., Jain, D., Panza, J. A., Frishman, W. H., Fo Tags: Percutaneous Coronary Intervention, Revascularization, Meta Analysis, Acute Coronary Syndromes Coronary Interventions Source Type: research

Coronary Perforation Complicating Percutaneous Coronary Intervention in Patients With a History of Coronary Artery Bypass Surgery: An Analysis of 309 Perforation Cases From the British Cardiovascular Intervention Society Database Coronary Interventions
Conclusions— CP is an infrequent event during PCI-CABG but is closely associated with adverse clinical outcomes. A legacy effect of perforation on 12-month mortality was observed.
Source: Circulation: Cardiovascular Interventions - September 15, 2017 Category: Cardiology Authors: Kinnaird, T., Anderson, R., Ossei-Gerning, N., Cockburn, J., Sirker, A., Ludman, P., de Belder, M., Johnson, T. W., Copt, S., Zaman, A., Mamas, M. A., on behalf of the British Cardiovascular Intervention Society and the National Institute for Cardiovascul Tags: Percutaneous Coronary Intervention, Stent, Treatment Coronary Interventions Source Type: research

Optimized Screening of Coronary Artery Disease With Invasive Coronary Angiography and Ad Hoc Percutaneous Coronary Intervention During Transcatheter Aortic Valve Replacement Structural Heart Disease
Conclusions— In patients undergoing TAVR, screening of CAD with invasive coronary angiography and ad hoc PCI during TAVR is feasible and was not associated with increased periprocedural risks. PCI followed by TAVR in the same session had similar outcomes than TAVR in which PCI was not performed.
Source: Circulation: Cardiovascular Interventions - August 2, 2017 Category: Cardiology Authors: Barbanti, M., Todaro, D., Costa, G., Pilato, G., Picci, A., Gulino, S., Capranzano, P., La Spina, K., Di Simone, E., DArrigo, P., Deste, W., Indelicato, A., Cannata, S., Giannazzo, D., Imme, S., Tamburino, C., Patane, M., Buccheri, S., Capodanno, D., Sgro Tags: Diagnostic Testing, Aortic Valve Replacement/Transcatheter Aortic Valve Implantation Structural Heart Disease Source Type: research

Differential Event Rates and Independent Predictors of Long-Term Major Cardiovascular Events and Death in 5795 Patients With Unprotected Left Main Coronary Artery Disease Treated With Stents, Bypass Surgery, or Medication: Insights From a Large International Multicenter Registry Coronary Artery Disease
Conclusions— Among patients with unprotected left main coronary artery disease, the key clinical predictors for MACCE and death were generally similar regardless of index treatment. This study provides effect estimates for clinically relevant predictors of long-term clinical outcomes in real-world left main coronary artery patients, providing possible guidance for tailored preventive strategies. Clinical Trial Registration— URL: https://clinicaltrials.gov. Unique identifier: NCT01341327.
Source: Circulation: Cardiovascular Interventions - July 12, 2017 Category: Cardiology Authors: Kang, S. H., Ahn, J.-M., Lee, C. H., Lee, P. H., Kang, S.-J., Lee, S.-W., Kim, Y.-H., Lee, C. W., Park, S.-W., Park, D.-W., Park, S.-J. Tags: Clinical Studies, Cardiovascular Surgery, Percutaneous Coronary Intervention, Quality and Outcomes Coronary Artery Disease Source Type: research

Dual Antiplatelet Therapy Continuation Beyond 1 Year After Drug-Eluting Stents: A Meta-Analysis of Randomized Trials Coronary Interventions
Conclusions— In this meta-analysis, extended DAPT beyond 1 year prevented myocardial infarctions and increased major bleedings, but the strength of evidence for these effects was not strong. DAPT continuation beyond 1 year showed no effects on mortality.
Source: Circulation: Cardiovascular Interventions - May 12, 2017 Category: Cardiology Authors: Ferrante, G., Condorelli, G., Pagnotta, P., Reimers, B. Tags: Percutaneous Coronary Intervention, Pharmacology, Stent, Thrombosis Coronary Interventions Source Type: research

Glycemic Control Status After Percutaneous Coronary Intervention and Long-Term Clinical Outcomes in Patients With Type 2 Diabetes Mellitus Coronary Artery Disease
Conclusions— HbA1c<7.0 measured 2 years after percutaneous coronary intervention was associated with a reduced rate of MACCE. Our data suggest that high HbA1c levels 2 years after percutaneous coronary intervention may identify a population at increased risk of adverse events, especially repeat revascularization.
Source: Circulation: Cardiovascular Interventions - April 3, 2017 Category: Cardiology Authors: Hwang, J. K., Lee, S. H., Song, Y. B., Ahn, J., Carriere, K., Jang, M. J., Park, T. K., Choi, S.-H., Yang, J. H., Choi, J.-H., Lee, S. H., Gwon, H.-C., Hahn, J.-Y. Tags: Diabetes, Type 2, Secondary Prevention, Percutaneous Coronary Intervention Coronary Artery Disease Source Type: research

Impact of Cerebrovascular Events Older Than One Year on Ischemic and Bleeding Outcomes With Cangrelor in Percutaneous Coronary Intervention Coronary Interventions
Conclusions— Among patients in the CHAMPION trials with a prior cerebrovascular event at least 1 year before the percutaneous coronary intervention, the efficacy and bleeding profile of cangrelor compared with clopidogrel was similar to that in the overall trial.
Source: Circulation: Cardiovascular Interventions - December 29, 2016 Category: Cardiology Authors: Sawlani, N. N., Harrington, R. A., Stone, G. W., Steg, P. G., Gibson, C. M., Hamm, C. W., Price, M. J., Prats, J., Deliargyris, E. N., Mahaffey, K. W., White, H. D., Bhatt, D. L. Tags: Percutaneous Coronary Intervention, Pharmacology, Ischemic Stroke, Transient Ischemic Attack (TIA) Coronary Interventions Source Type: research

Percutaneous Coronary Intervention Using Drug-Eluting Stents Versus Coronary Artery Bypass Grafting for Unprotected Left Main Coronary Artery Stenosis: A Meta-Analysis of Randomized Trials Expedited Publication
Conclusions— PCI using drug-eluting stents and CABG are equally safe methods of revascularization for patients at low surgical risk with significant unprotected left main coronary artery stenosis. However, CABG is associated with significantly lower rates of repeat revascularization.
Source: Circulation: Cardiovascular Interventions - November 28, 2016 Category: Cardiology Authors: Nerlekar, N., Ha, F. J., Verma, K. P., Bennett, M. R., Cameron, J. D., Meredith, I. T., Brown, A. J. Tags: Cardiovascular Surgery, Percutaneous Coronary Intervention Expedited Publication Source Type: research

Association Between Duration of Dual Antiplatelet Therapy and Angiographic Multivessel Disease on Outcomes in Patients Treated With Newer-Generation Drug-Eluting Stents Pharmacology
Conclusions— In patients treated with newer-generation drug-eluting stents, a significant interaction between DAPT strategy and multivessel disease was found regarding the occurrence of NACE at 1 year. Among adverse events, myocardial infarction was more frequent in 6-month DAPT than in 12-month DAPT in patients with multivessel disease.
Source: Circulation: Cardiovascular Interventions - October 31, 2016 Category: Cardiology Authors: Lee, S.-Y., Hong, M.-K., Shin, D.-H., Kim, J.-S., Kim, B.-K., Ko, Y.-G., Choi, D., Jang, Y., Kim, H.-S., Valgimigli, M., Colombo, A., Gilard, M., Palmerini, T., Stone, G. W. Tags: Percutaneous Coronary Intervention, Pharmacology, Stent Source Type: research

Antithrombotic Therapy in Patients With Atrial Fibrillation Undergoing Percutaneous Coronary Intervention: A North American Perspective--2016 Update Special Report
The optimal antithrombotic treatment regimen for patients with atrial fibrillation undergoing percutaneous coronary intervention with stent implantation is an emerging clinical problem. Currently, there is limited evidenced-based data on the optimal antithrombotic treatment regimen, including antiplatelet and anticoagulant therapies, for these high-risk patients with practice guidelines, thus, providing limited recommendations. Over the past years, expert consensus documents have provided guidance to clinicians on how to manage patients with atrial fibrillation undergoing percutaneous coronary intervention. Given the recen...
Source: Circulation: Cardiovascular Interventions - October 31, 2016 Category: Cardiology Authors: Angiolillo, D. J., Goodman, S. G., Bhatt, D. L., Eikelboom, J. W., Price, M. J., Moliterno, D. J., Cannon, C. P., Tanguay, J.-F., Granger, C. B., Mauri, L., Holmes, D. R., Gibson, C. M., Faxon, D. P. Tags: Atrial Fibrillation, Anticoagulants, Pharmacology, Stent Special Report Source Type: research

Pharmacoinvasive Strategy Versus Primary Percutaneous Coronary Intervention in Patients With ST-Segment-Elevation Myocardial Infarction: A Propensity Score-Matched Analysis Myocardial Infarction
Conclusions— ST-segment–elevation myocardial infarction patients receiving pharmacoinvasive treatment, compared with PPCI, had shorter time to reperfusion, higher culprit-vessel patency, and similar 12-month clinical outcome.
Source: Circulation: Cardiovascular Interventions - August 30, 2016 Category: Cardiology Authors: Sim, D. S., Jeong, M. H., Ahn, Y., Kim, Y. J., Chae, S. C., Hong, T. J., Seong, I. W., Chae, J. K., Kim, C. J., Cho, M. C., Rha, S.-W., Bae, J. H., Seung, K. B., Park, S. J., on behalf of the Korea Acute Myocardial Infarction Registry (KAMIR) Investigator Tags: Myocardial Infarction, Catheter-Based Coronary and Valvular Interventions Source Type: research

Incidence, Determinants, and Outcomes of Coronary Perforation During Percutaneous Coronary Intervention in the United Kingdom Between 2006 and 2013: An Analysis of 527 121 Cases From the British Cardiovascular Intervention Society Database Coronary Interventions
Conclusions— Using a national PCI database for the first time, the incidence, predictors, and outcomes of CP were defined. Although CP as a complication of PCI occurred rarely, it was strongly associated with poor outcomes.
Source: Circulation: Cardiovascular Interventions - August 1, 2016 Category: Cardiology Authors: Kinnaird, T., Kwok, C. S., Kontopantelis, E., Ossei-Gerning, N., Ludman, P., deBelder, M., Anderson, R., Mamas, M. A., on behalf of the British Cardiovascular Intervention Society and the National Institute for Cardiovascular Outcomes Research Tags: Percutaneous Coronary Intervention, Revascularization, Stent Coronary Interventions Source Type: research

Lack of Concordance Between Local Investigators, Angiographic Core Laboratory, and Clinical Event Committee in the Assessment of Stent Thrombosis: Results From the TRACER Angiographic Substudy Coronary Interventions
Conclusions— ST reporting by an ACL, a CEC, and LIs is discordant. The assessment of ST is more often detected by direct review of angiograms by an ACL. Clinical Trial Registration— URL: http://www.clinicaltrials.gov. Unique identifier: NCT00527943.
Source: Circulation: Cardiovascular Interventions - May 8, 2016 Category: Cardiology Authors: Popma, C. J., Sheng, S., Korjian, S., Daaboul, Y., Chi, G., Tricoci, P., Huang, Z., Moliterno, D. J., White, H. D., Van de Werf, F., Harrington, R. A., Wallentin, L., Held, C., Armstrong, P. W., Aylward, P. E., Strony, J., Mahaffey, K. W., Gibson, C. M. Tags: Angiography, Imaging, Percutaneous Coronary Intervention Coronary Interventions Source Type: research

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