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Total 173 results found since Jan 2013.

Which embolic protection device is ideal during carotid artery stenting?
Key Points Embolic stroke is one of the main risks of carotid artery stenting. The EMBOLDEN trial demonstrates the safety and efficacy of the Gore ® embolic filter. There is no clear evidence for the benefit of one filter‐type over another. It is important to choose the device with which the interventionalist has significant familiarity.
Source: Catheterization and Cardiovascular Interventions - November 26, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Nachiket J. Patel, Richard R. Heuser Tags: Peripheral Vascular Disease Source Type: research

Embolic stroke of undetermined source and patent foramen ovale closure: Practice insights from meta ‐analysis?
Key Points Closure of patent foramen ovale (PFO) in embolic stroke of undetermined source (ESUS) reduces recurrent stroke compared with antiplatelet therapy in select patients but increases risk of atrial fibrillation. Device closure is an attractive option for young patients with an anatomically higher risk PFO and imaging proven ESUS. Benefit of PFO closure in ESUS compared with oral anticoagulation remains undefined.
Source: Catheterization and Cardiovascular Interventions - November 26, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Arka Chatterjee, William B. Hillegass Tags: Valvular and Structural Heart Diseases Source Type: research

Relationship of mildly increased albuminuria and coronary artery revascularization outcomes in patients with diabetes
ConclusionsMildly increased albuminuria is a significant predictor of all ‐cause mortality in those with type‐II diabetes mellitus and stable coronary artery disease, as well as for cardiovascular events those who are nonwhites.
Source: Catheterization and Cardiovascular Interventions - November 23, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Ayesha Siddique, Timothy P. Murphy, Syed S. Naeem, Efaza U. Siddiqui, Karol M. Pencina, Gregory E. McEnteggart, Frank W. Sellke, Lance D. Dworkin Tags: CORONARY ARTERY DISEASE Source Type: research

Percutaneous patent foramen ovale closure using the Occlutech Figulla device: More than 1,300 patient ‐years of follow up
ConclusionThe Occlutech device appears to be safe at long ‐term FU with a very low annual cerebrovascular event rate and a low moderate to large shunt rate at 1‐year FU.
Source: Catheterization and Cardiovascular Interventions - November 20, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Roel J. R. Snijder, Laura E. Renes, Maarten Jan Suttorp, Jurrien M. ten Berg, Martijn C. Post Tags: VALVULAR AND STRUCTURAL HEART DISEASES Source Type: research

Complex robotic compared to manual coronary interventions: 6 ‐ and 12‐month outcomes
ConclusionsAt the 6 ‐ and 12‐month time points following R‐PCI, no difference in clinical outcomes or safety measures was observed as compared to M‐PCI.
Source: Catheterization and Cardiovascular Interventions - November 19, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Daniel Walters, Ryan R. Reeves, Mitul Patel, Jesse Naghi, Lawrence Ang, Ehtisham Mahmud Tags: CORONARY ARTERY DISEASE Source Type: research

Effect of prior stroke on long ‐term outcomes of percutaneous coronary interventions in Chinese patients: A large single‐center study
ConclusionsPrior stroke history was the only predictor of risk of post ‐PCI stroke. The noncerebrovascular adverse events were not increased after adjusted analyses of baseline characteristics and propensity analyses.
Source: Catheterization and Cardiovascular Interventions - November 13, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Jing ‐Jing Xu, Ying Song, Ping Jiang, Zhan Gao, Jian‐Xin Li, Jue Chen, Yue‐Jin Yang, Run‐Lin Gao, Bo Xu, Jin‐Qing Yuan Tags: CORONARY ARTERY DISEASE Source Type: research

Long ‐term results of carotid stenting and risk factors in patients with severe carotid artery stenosis undergoing subsequent cardiac surgery
ConclusionsIn this study with staged CAS followed by cardiac surgery, we confirm previously reported event ‐free survival rates and identify several risk factors for the composite outcome. Future studies are needed to confirm the importance of the identified risk factors and to assess their predictive ability.
Source: Catheterization and Cardiovascular Interventions - November 9, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Najibullah Habib, Bakhtawar K. Mahmoodi, Maarten J. Suttorp, Johannes C. Kelder, Selma C. Tromp, Uday Sonker, Jan Van der Heyden Tags: PERIPHERAL VASCULAR DISEASE Source Type: research

In ‐hospital outcomes of transcatheter versus surgical aortic valve replacement in non‐teaching hospitals
ConclusionsTAVR conferred similar in ‐hospital mortality and major peri‐procedural complications compared with SAVR in non‐teaching hospitals. For those with limited access to teaching hospitals, non‐teaching hospitals appear to be a reasonable option for candidates of aortic valve replacement for severe aortic stenosis.
Source: Catheterization and Cardiovascular Interventions - November 8, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Tomo Ando, Oluwole Adegbala, Pedro A. Villablanca, Alexandros Briasoulis, Hisato Takagi, Cindy L. Grines, Theodore Schreiber, Tamim Nazif, Susheel Kodali, Luis Afonso Tags: VALVULAR AND STRUCTURAL HEART DISEASES Source Type: research

CYP2C19 pharmacogenetics versus standard of care dosing for selecting antiplatelet therapy in patients with coronary artery disease: A meta ‐analysis of randomized clinical trials
ConclusionIn patients undergoing stent implantation, MACE with genotype ‐guided therapy was not significantly reduced; however, there was a signal towards reduction of MACE in ACS patients, as well as a lower rate of MI, though this will require further confirmation in adequately powered trials.
Source: Catheterization and Cardiovascular Interventions - November 7, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Babikir Kheiri, Mohammed Osman, Ahmed Abdalla, Tarek Haykal, Pranay V. Pandrangi, Adam Chahine, Sahar Ahmed, Khansa Osman, Ghassan Bachuwa, Mustafa Hassan, Deepak L. Bhatt Tags: CORONARY ARTERY DISEASE Source Type: research

Patent foramen ovale closure for cryptogenic stroke: Effective, but only in select patients
Catheterization and Cardiovascular Interventions,Volume 92, Issue 1, Page 174-175, July 2018.
Source: Catheterization and Cardiovascular Interventions - August 3, 2018 Category: Cardiovascular & Thoracic Surgery Authors: ArkaChatterjeeMD , William B.HillegassMD, PhD Source Type: research

Long ‐term outcomes of patent foramen ovale closure or medical therapy after cryptogenic stroke: A meta‐analysis of randomized trials
Catheterization and Cardiovascular Interventions, EarlyView.
Source: Catheterization and Cardiovascular Interventions - May 4, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Hesham K.AbdelazizMD PhD , MarwanSaadMD PhD , Hossamaldin Z.AbuomaraMD PhD , RamezNairoozMD , Naga Venkata K.PothineniMD , Mohamed E.MadmaniMD , David H.RobertsMD , EhtishamMahmudMD Source Type: research

Patent foramen ovale (PFO) closure versus medical therapy for prevention of recurrent stroke in patients with prior cryptogenic stroke: A systematic review and meta ‐analysis of randomized controlled trials
Catheterization and Cardiovascular Interventions, EarlyView.
Source: Catheterization and Cardiovascular Interventions - March 30, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Comparison of single versus dual antiplatelet therapy after TAVR: A systematic review and meta ‐analysis
ConclusionIn this small meta‐analysis of DAPT versus SAPT after TAVR, DAPT did not prevent stroke, myocardial infarction or death while the risk of bleeding was higher. Results from ongoing trials are awaited to determine the best anti‐thrombotic approach after TAVR.
Source: Catheterization and Cardiovascular Interventions - March 8, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Hitesh Raheja, Aakash Garg, Sunny Goel, Kinjal Banerjee, Gerald Hollander, Jacob Shani, Stephanie Mick, Jonathan White, Amar Krishnaswamy, Samir Kapadia Tags: VALVULAR AND STRUCTURAL HEART DISEASES Source Type: research

Aspirin and clopidogrel high on ‐treatment platelet reactivity and genetic predictors in peripheral arterial disease
ConclusionClopidogrel HoTPR was significantly associated with TVR, while aspirin HoTPR was not associated with adverse clinical outcomes in patients with PAD.
Source: Catheterization and Cardiovascular Interventions - February 7, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Khung ‐Keong Yeo, Ehrin J. Armstrong, Javier E. López, Debbie C. Chen, Gregory G. Westin, Chin‐Shang Li, David Anderson, Amy Hua, Anil Singapuri, Ezra A. Amsterdam, Nipavan Chiamvimonvat, John R. Laird Tags: PERIPHERAL VASCULAR DISEASE Source Type: research

Fractional flow reserve guided percutaneous coronary intervention results in reduced ischemic myocardium and improved outcomes
ConclusionCompared with angiography‐guided PCI, FFR‐guided PCI results in less repeat revascularization and a lower incidence of post PCI ischemia translating into improved survival, without an increase in complications.
Source: Catheterization and Cardiovascular Interventions - February 6, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Abhishek C. Sawant, Aishwarya Bhardwaj, Kinjal Banerjee, Yash Jobanputra, Arnav Kumar, Parth Parikh, Krishna C. Kandregula, Kanhaiya Poddar, Stephen G. Ellis, Ravi Nair, John Corbelli, Samir Kapadia Tags: CAD ‐ CORONARY ARTERY DISEASE Source Type: research

Supra ‐annular structure assessment for self‐expanding transcatheter heart valve size selection in patients with bicuspid aortic valve
ConclusionsA supra‐annular structure based sizing strategy is feasible for TAVR in patients with bicuspid AS.
Source: Catheterization and Cardiovascular Interventions - February 5, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Xianbao Liu, Yuxin He, Qifeng Zhu, Feng Gao, Wei He, Lei Yu, Qijing Zhou, Minjian Kong, Jian'an Wang Tags: ORIGINAL STUDIES Source Type: research

Transcatheter versus surgical aortic valve replacement in patients at low surgical risk: A meta ‐analysis of randomized trials and propensity score matched observational studies
ConclusionsIn patients who are at low surgical risk, TAVR seems to be associated with increased mortality risk. Until more data in this population is available, SAVR should remain the treatment of choice for these patients.
Source: Catheterization and Cardiovascular Interventions - February 1, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Guy Witberg, Adi Lador, Dafna Yahav, Ran Kornowski Tags: VALVULAR AND STRUCTURAL HEART DISEASES Source Type: research

Prospective, randomized comparison of 3 ‐dimensional computed tomography guidance versus TEE data for left atrial appendage occlusion (PRO3DLAAO)
ConclusionIn this single‐center pilot study, CT guided LAAO case planning was associated with improved device selection accuracy and procedural efficiency. This study data supports the notion that comprehensive 3D assessment significantly simplifies LAAO, minimizing the time and number of steps needed.
Source: Catheterization and Cardiovascular Interventions - February 1, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Marvin H. Eng, Dee Dee Wang, Adam B. Greenbaum, Neil Gheewala, Daniel Kupsky, Tongwa Aka, Thomas Song, Bradley James Kendall, Janet Wyman, Eric Myers, Michael Forbes, William W. O'Neill Tags: VALVULAR AND STRUCTURAL HEART DISEASES Source Type: research

Complex coronary bifurcation treatment by a novel stenting technique: Bench test, fluid dynamic study and clinical outcomes
ConclusionsThe revascularization of complex large coronary bifurcation disease using the Nano‐crush technique appeared promising thanks to the favorable fluid dynamic profile, complete coverage of the SD ostium, and very small metal amount at the carina.
Source: Catheterization and Cardiovascular Interventions - January 25, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Gianluca Rigatelli, Marco Zuin, Fabio Dell'Avvocata, Dobrin Vassilev, Ramesh Daggubati, Thach Nguyen, Minh Tr í Nhân Nguyễn, Nicolas Foin Tags: CORONARY ARTERY DISEASE Source Type: research

Carotid artery stenting followed by open heart surgery in 323 patients: One ‐year results and influencing factors
ConclusionsCAS followed by OHS is a safe and effective treatment for patients with concomitant carotid and cardiac disease within 1‐year follow up. The interval between CAS and OHS, congestive heart failure, and renal insufficiency could obviously influence the 1‐year results.
Source: Catheterization and Cardiovascular Interventions - January 22, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Hui Dong, Wuqiang Che, Xiongjing Jiang, Meng Peng, Yubao Zou, Hongliang Xiong, Yang Chen, Bo Xu, Yuejin Yang, Runlin Gao Tags: PERIPHERAL VASCULAR DISEASE Source Type: research

Transcatheter closure of patent foramen ovale for secondary prevention of ischemic stroke: Quantitative synthesis of pooled randomized trial data
Catheterization and Cardiovascular Interventions, EarlyView.
Source: Catheterization and Cardiovascular Interventions - January 14, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Outcomes of intermediate ‐risk patients treated with transcatheter and surgical aortic valve replacement in the Veterans Affairs Healthcare System: A single center 20‐year experience
ConclusionsAdoption of TAVR as the preferred treatment modality in intermediate‐risk patients may result in significant improvements in morbidity and mortality.
Source: Catheterization and Cardiovascular Interventions - January 9, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Santiago Garcia, Rosemary Kelly, Mackenzie Mbai, Sergey Gurevich, Brett Oestreich, Demetris Yannopoulos, Selcuk Adabag Tags: VALVULAR AND STRUCTURAL HEART DISEASES Source Type: research

Transubclavian approach: A competitive access for transcatheter aortic valve implantation as compared to transfemoral
ConclusionsOur study suggests that TSc approach may be, not only an alternative route to TF approach for TAVI, but even a competitive one in certain patients with increased risk of femoral injury.
Source: Catheterization and Cardiovascular Interventions - January 3, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Ignacio J. Amat ‐Santos, Paol Rojas, Hipólito Gutiérrez, Silvio Vera, Javier Castrodeza, Javier Tobar, L. Renier Goncalves‐Ramirez, Manuel Carrasco, Pablo Catala, José A. San Román Tags: VSD ‐ VALVULAR AND STRUCTURAL HEART DISEASES Source Type: research

Use of a novel embolic filter in carotid artery stenting: 30 ‐Day results from the EMBOLDEN Clinical Study
ConclusionIn patients at high risk for CEA undergoing CAS, the GEF not only showed high rates of successful deployment but also met the primary endpoint of low death, stroke, and MI rates, thus demonstrating safety and effectiveness.
Source: Catheterization and Cardiovascular Interventions - January 3, 2018 Category: Cardiovascular & Thoracic Surgery Authors: William A. Gray, Manish Mehta, Firas Alani, Karthikeshwar Kasirajan, Richard J. Begg, J. Michael Bacharach, Peter A. Soukas, Tags: CORONARY ARTERY DISEASE Source Type: research

Double layered stents for carotid angioplasty: A meta ‐analysis of available clinical data
ConclusionsThis meta‐analysis suggests that dual layered carotid stents could be safely used for the treatment of extracranial carotid artery stenosis, with a relatively low rate of procedural unsuccess, and allow achieving a quite low rate of postprocedural adverse events.
Source: Catheterization and Cardiovascular Interventions - December 14, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Anna Sannino, Giuseppe Giugliano, Evelina Toscano, Gabriele G. Schiattarella, Anna Franzone, Tullio Tesorio, Bruno Trimarco, Giovanni Esposito, Eugenio Stabile Tags: PERIPHERAL VASCULAR DISEASE Source Type: research

Effect of aorto ‐ventricular angulation on procedural success in transcatheter aortic valve replacements with the Lotus Valve system
ConclusionAA did not affect device success or clinical outcome with the Lotus Valve system. The Lotus' unique design features may have mitigated the impact of AA by improving the accuracy, ease of valve positioning, and reducing PVR.
Source: Catheterization and Cardiovascular Interventions - December 6, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Hashrul N. Rashid, Liam M. McCormick, Andrew H. Talman, Abdul R. Ihdayhid, Nitesh Nerlekar, Ameera S. Amiruddin, James Cameron, Arthur Nasis, Ian T. Meredith, Robert P. Gooley Tags: VALVULAR AND STRUCTURAL HEART DISEASES Source Type: research

Carotid ‐cavernous fistula after endovascular intervention for chronic carotid artery total occlusion
ConclusionCCF may develop during chronic CAO endovascular recanalization attempts. It is usually self‐limited and can be managed conservatively.
Source: Catheterization and Cardiovascular Interventions - December 4, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Chih ‐Fan Yeh, Yin‐Hsien Chen, Mao‐Shin Lin, Ching‐Chang Huang, Chi‐Sheng Hung, Shih‐Wei Meng, Chih‐Kuo Lee, Hsien‐Li Kao Tags: PERIPHERAL VASCULAR DISEASE Source Type: research

Thromboembolism after WATCHMANTM in a clopidogrel non ‐responder: A case for concern?
Abstract Atrial fibrillation (AF) is associated with an increased risk of stroke and thromboembolism (TE). The WATCHMANTM left atrial appendage (LAA) closure device is indicated to reduce the risk of TE from the LAA in patients with non‐valvular AF. Here, we present a case of a patient with device‐related thrombus who suffered a TE event two months after WATCHMANTM LAA closure and two weeks after switching from aspirin plus warfarin to aspirin plus clopidogrel therapy. Laboratory investigation identified the patient to be hypercoagulable and to be a non‐responder to clopidogrel therapy. We discuss the potential role ...
Source: Catheterization and Cardiovascular Interventions - November 11, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Ganesh Venkataraman, Kevin P. Bliden, Udaya S. Tantry, Paul A. Gurbel Tags: VALVULAR AND STRUCTURAL HEART DISEASES Source Type: research

Clinical and procedural outcomes with the SAPIEN 3 versus the SAPIEN XT prosthetic valves in transcatheter aortic valve replacement: A systematic review and meta ‐analysis
ConclusionsPatients receiving the S3V had lower risk of PVL, MVC, bleeding, mortality, and stroke. PPI was somewhat higher in the S3V group. S3V implantation was faster and used less contrast.
Source: Catheterization and Cardiovascular Interventions - October 25, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Ramyashree Tummala, Kinjal Banerjee, Kesavan Sankaramangalam, Stephanie Mick, Amar Krishnaswamy, Jonathon White, Maan Fares, Anand Mehta, Zoran Popovic, Lars G. Svensson, Samir R. Kapadia Tags: VALVULAR AND STRUCTURAL HEART DISEASES Source Type: research

Interventional closure of patent foramen ovale with Nit ‐occlud® device in prevention of recurrent neurologic events—Long‐term results
ConclusionsThe Nit‐Occlud PFO device and its delivery system are safe and provides sufficient closure of PFO in patients who suffered from cryptogenic stroke, TIA or paradoxical peripheral embolism. It is associated with high procedural success and favorable rates of complete closure.
Source: Catheterization and Cardiovascular Interventions - October 25, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Aleksander Araszkiewicz, Sylwia S ławek, Olga Trojnarska, Maciej Lesiak, Marek Grygier Tags: VALVULAR AND STRUCTURAL HEART DISEASES Source Type: research

Impact of flow, gradient, and left ventricular function on outcomes after transcatheter aortic valve replacement
ConclusionsIn patients undergoing TAVR, low flow was an independent predictor of 1‐year mortality and HF, and a stronger predictor than either low AVG or LVEF. Patients with low flow and preserved EF had increased mortality and HF at 1‐year, while those with low flow and reduced EF had outcomes similar to patients with normal flow.
Source: Catheterization and Cardiovascular Interventions - October 8, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Edward T. Carreras, Tsuyoshi Kaneko, Fernando Ramirez ‐Del Val, Marc P. Pelletier, Piotr S. Sobieszczyk, Deepak L. Bhatt, Pinak B. Shah Tags: VALVULAR AND STRUCTURAL HEART DISEASES Source Type: research

Vascular complications after balloon aortic valvuloplasty in recent years: Incidence and comparison of two hemostatic devices
ConclusionsVC rate after BAV is fairly low in experienced centers without major differences between the 2 most used VCD.
Source: Catheterization and Cardiovascular Interventions - October 5, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Gianni Dall'Ara, Andrea Santarelli, Antonio Marzocchi, Maria Letizia Bacchi Reggiani, Maria Rita Sabattini, Carolina Moretti, Cinzia Marrozzini, Nevio Taglieri, Federica Baldazzi, Nicoletta Franco, Paolo Ortolani, Matteo Chiarabelli, Giulio Rodin ò, Gian Tags: VALVULAR AND STRUCTURAL HEART DISEASES Source Type: research

Rationale and design of a global registry to evaluate real ‐world clinical outcomes in patients with atrial fibrillation and high risk of stroke treated with left atrial appendage occlusion using the AMPLATZER amulet device—Perspective of available/ongoing registries of catheter‐based LAA occlusion
ConclusionsThere is an important need for prospective real‐world clinical data of catheter‐based LAA occlusion given the increasing application of this intervention. The present global real‐world registry will expand our knowledge on peri‐procedural and long‐term outcome of catheter‐based LAA occlusion using a second generation occlusion device.
Source: Catheterization and Cardiovascular Interventions - September 1, 2017 Category: Cardiovascular & Thoracic Surgery Authors: David Hildick ‐Smith, Hans‐Christoph Diener, Boris Schmidt, Vincent Paul, Magnus Settergren, Emmanuel Teiger, John Camm, Claudio Tondo, Ulf Landmesser Tags: VALVULAR AND STRUCTURAL HEART DISEASES Source Type: research

Stroke Prevention: Let's Prepare for Generation X TAVR
Key Points Stroke leads to significant morbidity, disability, and mortality after TAVR. CKD and prior stroke are risk factors for stroke. Stratification of stroke risk would improve outcomes associated with TAVR. Ongoing prospective randomized trials on embolic protection and post implant anticoagulation are promising strategies to reduce stroke risk and new brain MRI lesions.
Source: Catheterization and Cardiovascular Interventions - October 19, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Laura J. Davidson, Charles J. Davidson Tags: Valvular and Structural Heart Diseases Source Type: research

A mechanism for stroke complicating thrombus aspiration
We propose a mechanism of how stroke may be caused by thrombus aspiration during primary percutaneous coronary intervention (PPCI), and how it may be technique‐dependent. Two recent meta‐analyses report increased risk of stroke in patients undergoing routine thrombus aspiration during STEMI and the value of this technique has been controversial. The mechanism of stroke has not been fully explained. This case demonstrates 2 mechanisms by which aspiration might cause thrombus embolization. We recommend that if thrombus aspiration is performed during PPCI for STEMI, it should be done selectively and carefully. It is prude...
Source: Catheterization and Cardiovascular Interventions - October 3, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Eddie D. Brown, James C. Blankenship Tags: Coronary Artery Disease Source Type: research

Incidence and clinical impact of stroke complicating transcatheter aortic valve implantation: Results from the German TAVI registry
ConclusionsStroke complicating TAVI is a serious complication with a clinically relevant incidence even in daily practice leading to a fivefold increase in 30‐day‐mortality rate, as well as a significant increase in morbidity and disability in patients, who survive this devastating complication. Further research is needed to identify risk factors and ways to reduce stroke after TAVI. © 2016 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - June 3, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Nicolas Werner, Uwe Zeymer, Steffen Schneider, Timm Bauer, Ulrich Gerckens, Axel Linke, Christian Hamm, Horst Sievert, Holger Eggebrecht, und Ralf Zahn, Tags: Valvular and Structural Heart Diseases Source Type: research

Stroke care: Room for improvement
Key Points Endovascular devices to treat stroke will continue to improve Stroke care is suboptimal with IV TPA with such a narrow treatment window Interventional cardiologists should be involved in stroke care with appropriate training.
Source: Catheterization and Cardiovascular Interventions - February 26, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Richard Heuser Tags: Editorial Comment Source Type: research

Putting cryptogenic stroke into perspective
Key Points In patients who have a cryptogenic stroke and have their PFO closed, the recurrence rate of “cerebral ischemia” is much greater in patients who are older than 55 years. Most of these recurrent events (2 strokes and 4TIAs) in the older age group were due to identifiable causes. These findings corroborate the long‐term results from the RESPECT randomized clinical trial of PFO closure versus medical therapy.
Source: Catheterization and Cardiovascular Interventions - February 26, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Jonathan M. Tobis Tags: Editorial Comment Source Type: research

EWOLUTION: Design of a registry to evaluate real‐world clinical outcomes in patients with AF and high stroke risk‐treated with the WATCHMAN left atrial appendage closure technology
ConclusionThe EWOLUTION study will formally expand knowledge of LAA closure into a broader real world setting. © 2015 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - December 31, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Lucas V.A. Boersma, Boris Schmidt, Tim R. Betts, Horst Sievert, Corrado Tamburino, Emmanuel Teiger, Kenneth M. Stein, Martin W. Bergmann Tags: Valvular and Structural Heart Diseases Source Type: research

EWOLUTION: Design of a registry to evaluate real ‐world clinical outcomes in patients with AF and high stroke risk‐treated with the WATCHMAN left atrial appendage closure technology
ConclusionThe EWOLUTION study will formally expand knowledge of LAA closure into a broader real world setting. © 2015 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - December 31, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Lucas V.A. Boersma, Boris Schmidt, Tim R. Betts, Horst Sievert, Corrado Tamburino, Emmanuel Teiger, Kenneth M. Stein, Martin W. Bergmann Tags: Valvular and Structural Heart Diseases Source Type: research

Patent foramen ovale closure following cryptogenic stroke or transient ischaemic attack: Long‐term follow‐up of 301 cases
Patent foramen ovale has been identified as a conduit for paradoxical embolism resulting in cryptogenic stroke or transient ischemic attack (TIA). We aimed to establish rates of death, recurrent stroke or TIA among patients undergoing PFO closure for stroke or TIA at our unit. A retrospective analysis of all PFO closure patients was performed between May 2004 and January 2013. Follow up was performed by mortality tracing using the Medical Research Information Service of the Office of National Statistics. With regard to stroke or TIA recurrence, written consent forms and questionnaires were mailed with follow up telephone c...
Source: Catheterization and Cardiovascular Interventions - June 23, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Mikaeil Mirzaali, Maureen Dooley, Dylan Wynne, Nina Cooter, Lorraine Lee, Peter Haworth, Romi Saha, Nicola Gainsborough, David Hildick‐Smith Tags: Valvular and Structural Heart Diseases Source Type: research

Optimizing endovascular stroke therapy: A primary PCI deja‐vu?
Key Points The optimal revascularization modality (thromboembolectomy, suction thrombectomy, angioplasty with stenting, and stent retriever thrombectomy) for the cerebral circulation remains to be defined Catheter‐based therapy of the acute stroke yields better clinical outcomes in patients <65‐year‐old, with a door‐to‐balloon time <4 hr and successful reperfusion TICI ≥ 2. Considering the significant incidence of acute strokes which are either ineligible for intravenous thrombolytic therapy or present too late, catheter‐based therapies may offer an alternative treatment option. Interventional card...
Source: Catheterization and Cardiovascular Interventions - April 23, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Mehmet Cilingiroglu, Kostas Marmagkiolis Tags: Peripheral Vascular Disease Source Type: research

Initial experience with the novel patent foramen ovale occlusion device Nit‐Occlud® in patients with stroke or transient ischemic attack
ConclusionIn patients with cryptogenic stroke or TIA and a PFO, the Nit‐Occlud® PFO Occlusion Device appears to be both a safe and effective means to occlude the PFO. It is associated with high procedural success and favorable rates of complete closure. © 2015 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - April 2, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Daniel H. Steinberg, Stefan C. Bertog, Julia Momberger, Jennifer Franke, Ilona Hofmann, Kristina Renkhoff, Sonya Joy, Laura Vaskelyte, Horst Sievert Tags: Valvular and Structural Heart Diseases Source Type: research

Predictors of outcomes following catheter‐based therapy for acute stroke
Conclusion Successful revascularization with CBT leads to a good neurologic outcome in selected stroke patients. Medical co‐morbidities and increased age >65y contributed to poor outcomes. To support broadening the number of physicians qualified to perform catheter‐based stroke interventions, this study demonstrates that Interventional Cardiologists participating on a stroke team achieve comparable outcomes to Neurointerventionalists. This article is protected by copyright. All rights reserved.
Source: Catheterization and Cardiovascular Interventions - November 20, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Nay Htyte, Parham Parto, Shawn Ragbir, Leeor Jaffe, Christopher J. White Tags: Original Studies Source Type: research

Neuroimaging patterns of ischemic stroke after percutaneous coronary intervention
Conclusions The vast majority of radiologically‐confirmed ischemic strokes related to PCI are embolic. MCA territory strokes are most common and uniformly fatal when the entire MCA territory is affected. Functional outcomes in survivors of PCI‐stroke are improved when only a single arterial territory is affected. © 2014 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - September 25, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Scott J Hoffman, Alan H. Yee, Joshua P. Slusser, Charanjit S. Rihal, David R. Holmes, Alejandro A. Rabinstein, Rajiv Gulati Tags: Original Studies Source Type: research

Initial experience with the novel patent foramen ovale occlusion device Nit‐Occlud® PFO in patients with stroke or transient ischemic attack
Conclusion: In patients with cryptogenic stroke or transient ischemic attack and a PFO, the Nit‐Occlud® PFO Occlusion Device appears to be both a safe and effective means to occlude the PFO. It is associated with high procedural success and favorable rates of complete closure. © 2014 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - June 19, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Daniel H Steinberg, Stefan C Bertog, Julia Momberger, Jennifer Franke, Ilona Hofmann, Kristina Renkhoff, Sonya Joy, Laura Vascelyte, Horst Sievert Tags: Original Studies Source Type: research