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Clinical outcomes associated with per ‐operative discontinuation of aspirin in patients with coronary artery disease: A systematic review and meta‐analysis
Conclusion: Our analysis suggests that planned short‐term discontinuation in the appropriate clinical setting appears to be safe in the correct clinical setting with no increased risk of thrombotic events and with a decreased risk of bleeding. © 2016 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - September 23, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Faraz Khan Luni, Haris Riaz, Abdur Rahman Khan, Talha Riaz, Muhammad Husnain, Irbaz Bin Riaz, Muhammad Shahzeb Khan, Mohammed Taleb, Yusuf Kanjwal, Christopher J. Cooper, Sadik A. Khuder Tags: Coronary Artery Disease Source Type: research

Percutaneous left atrial appendage occlusion: Effect of device positioning on outcome
ConclusionsNo evidence for a difference in the occurrence of the safety and efficacy endpoint was found between patients with complete vs. incomplete ACP disc coverage of the LAA ostium. The risk of repositioning attempts in case of incomplete coverage does not seem to be warranted. Current findings need further confirmation in a larger scale clinical trial. © 2016 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - July 27, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Mathias Wolfrum, Adrian Attinger ‐Toller, Samera Shakir, Steffen Gloekler, Burkhardt Seifert, Aris Moschovitis, Ahmed Khattab, Francesco Maisano, Bernhard Meier, Fabian Nietlispach Tags: Valvular and Structural Heart Diseases Source Type: research

Cardiovascular Outcomes Following Rotational Atherectomy: A UK Multicentre Experience
ConclusionsRA is safe and effective, with high rate of procedural success and relatively low incidence of MACE. PVD, DM, ACS presentation and SYNTAX score were significant predictors for MACE. © 2016 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - June 2, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Christos Eftychiou, David S. Barmby, Simon J. Wilson, Salahaddin Ubaid, Andrew J. Markwick, Loukia Makri, Jonathan M. Blaxill, James C. Spratt, Mark Gunning, John P. Greenwood Tags: Coronary Artery Disease Source Type: research

Mechanical thrombectomy using the Solitaire stent in a left main coronary artery: A novel approach to coronary thrombus retrieval
The Solitaire stent is a self‐expanding nitinol, fully retrievable stent that was originally designed for applications in cerebral circulation. Expanded indications for its use in mechanical embolectomy during acute ischemic stroke have proven safe and effective. Herein, we describe a novel use of this stent to perform a mechanical thrombectomy of a large left main coronary artery thrombus. © 2016 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - May 8, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Carlos E. Uribe, Mauricio Zuñiga, Camilo Madrid Tags: Coronary Artery Disease Source Type: research

Meta‐analysis of randomized controlled trials comparing percutaneous coronary intervention with aspiration thrombectomy Vs. Conventional percutaneous coronary intervention during ST‐segment elevation myocardial infarction
ConclusionsUsing the totality of evidence available through 2015, this meta‐analysis failed to show that the routine use of aspiration thrombectomy in patients with ST‐elevation myocardial infarction significantly reduces all‐cause mortality, MACE, recurrent MI, TVR, or stent thrombosis. The role of aspiration thrombectomy in selected patients with angiographic evidence of large thrombus burden requires further clinical investigation. © 2015 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - December 23, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Abel Casso Dominguez, John A. Bittl, Georges El‐Hayek, Elizabeth Contreras, Jacqueline E. Tamis‐Holland Tags: Coronary Artery Disease Source Type: research

Efficacy and safety of routine thrombus aspiration in patients with ST‐segment elevation myocardial infarction undergoing primary percutaneous coronary intervention: An updated systematic review and meta‐analysis of randomized controlled trials
ConclusionsCompared with conventional PPCI for STEMI, adjunctive TA reduces the risk of subsequent MACE. However, the benefit in MACE is counterbalanced by an increased risk in stroke. Considering the above potential risks and benefits, TA should be considered in selected patients lesions rather than routinely. © 2015 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - November 19, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Ioannis Mastoris, Gennaro Giustino, Samantha Sartori, Usman Baber, Roxana Mehran, Annapoorna S. Kini, Samin K. Sharma, George D. Dangas Tags: Coronary Artery Disease Source Type: research

Left atrial appendage closure: First in man with the 4th generation watchman device
ConclusionsLAA closure with the 4th generation WATCHMAN device is feasible and safe. New technical features may contribute to a better performance of the occluder, particularly regarding the risk of pericardial effusions. © 2015 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - September 10, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Jakob Ledwoch, Jennifer Franke, Maik Gonzaga, Stefan Bertog, Annkathrin Braut, Ilona Hofmann, Laura Vaskelyte, Sameer Gafoor, Vivek Reddy, Horst Sievert Tags: Valvular and Structural Heart Diseases Source Type: research

Evaluation of the efficacy and safety of dual antiplatelet therapy with or without warfarin in patients with a clinical indication for DAPT and chronic anticoagulation: A meta‐analysis of observational studies
Conclusions: All‐cause mortality appears similar in patients treated with TT or DAPT although TT was associated with higher rates of major bleeding and a lower risk for ischemic stroke. © 2015 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - September 10, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Chirag Bavishi, Anna Koulova, Sripal Bangalore, Ashwin Sawant, Saurav Chatterjee, Sameer Ather, Jose Valencia, Nikolaus Sarafoff, Andrea Rubboli, Juhani K. Airaksinen, Gregory Y. H. Lip, Jacqueline E. Tamis‐Holland Tags: Coronary Artery Disease Source Type: research

A novel approach to extraction of a large thrombus on the intraventricular guide‐wire during transcatheter aortic valve replacement
We report a case where a large guide‐wire thrombus identified during TAVR was successfully removed using a novel approach, preventing a potentially major stroke in this high‐risk patient. © 2015 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - September 2, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Thomas Chin, Padmanabhan Priyesh, Ashequl M. Islam Tags: Valvular and Structural Heart Diseases Source Type: research

A novel approach to extraction of a large thrombus on the intraventricular guide ‐wire during transcatheter aortic valve replacement
We report a case where a large guide‐wire thrombus identified during TAVR was successfully removed using a novel approach, preventing a potentially major stroke in this high‐risk patient. © 2015 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - September 1, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Thomas Chin, Padmanabhan Priyesh, Ashequl M. Islam Tags: Valvular and Structural Heart Diseases Source Type: research

Routine aspiration thrombectomy improves the diagnosis and management of embolic myocardial infarction
ConclusionsRoutine aspiration thrombectomy more readily identifies embolic infarction allowing more specific therapy and avoidance of stenting and triple anticoagulant therapy. © 2015 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - June 23, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Alex L Huang, J. Conleth Murphy, Elizabeth Shaw, Rebecca Kozor, Warren Yan, Anne Loxton, Soon Y. Soo Hoo, Gemma A. Figtree, Helge H. Rasmussen, Peter S. Hansen, Gregory I.C. Nelson, Ravinay Bhindi, Michael R. Ward Tags: Coronary Artery Disease Source Type: research

First in vivo evaluation of a flexible self‐apposing left atrial appendage closure device in the canine model
ConclusionThe percutaneous delivery of a novel self‐positioning LAA occlusion device is feasible and safe in a canine model. At 30 days, all devices displayed complete healing and occlusion of the LAA without any device related adverse events. © 2015 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - June 2, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Yanping Cheng, Gerard Conditt, Genghua Yi, Armando Tellez, Michael Corcoran, Serge Rousselle, Greg L. Kaluza, Juan F. Granada Tags: Valvular and Structural Heart Diseases Source Type: research

Use of intracardiac echocardiography to guide percutaneous transluminal mitral commissurotomy: A 20‐patient case series
ConclusionsICE‐guided PTMC offers excellent visualization of the LA and the LAA with satisfactory clinical outcomes and low risk. As a part of the PTMC procedure, ICE safely provides a valid alternative to a separate TEE procedure. © 2015 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - May 6, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Mike Saji, Michael Ragosta, John Dent, D. Scott Lim Tags: Valvular and Structural Heart Diseases Source Type: research

Use of intracardiac echocardiography to guide percutaneous transluminal mitral commissurotomy
ConclusionsICE‐guided PTMC offers excellent visualization of the LA and the LAA with satisfactory clinical outcomes and low risk. As a part of the PTMC procedure, ICE safely provides a valid alternative to a separate TEE procedure. © 2015 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - May 6, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Mike Saji, Michael Ragosta, John Dent, D. Scott Lim Tags: E ‐Only: Valvular and Structural Heart Diseases Source Type: research

Association of embolism and stroke in the catheterization laboratory
Key Points Strokes continue to be a rare but potentially devastating event during cardiac catheterization Most strokes are associated with brain imaging patterns consistent with embolic etiologies Common embolic etiology supports not only the critical importance of catheterization laboratory techniques to minimize activation of thrombosis or embolism, but also point to potential treatment with rapid application of neurovascular brain salvage techniques.
Source: Catheterization and Cardiovascular Interventions - April 23, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Ian C. Gilchrist Tags: Peripheral Vascular Disease Source Type: research

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