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Source: Catheterization and Cardiovascular Interventions

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Total 236 results found since Jan 2013.

Subclavian artery stenting for coronary ‐subclavian steal syndrome
Conclusion: Subclavian artery stenting is feasible and safe in patients with CSSS, with a low incidence of perioperative complications and stent restenosis rate. © 2016 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - February 2, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Wuqiang Che, Hui Dong, Xiongjing Jiang, Meng Peng, Yubao Zou, Lei Song, Huimin Zhang, Yuejin Yang, Runlin Gao Tags: Coronary Artery Disease Source Type: research

Procedural and 30 ‐day clinical outcomes following transcatheter aortic valve replacement with lotus valve: Results of the RELEVANT study
ConclusionsRELEVANT study showed that TAVR using Lotus, in a real‐world population of patients with severe aortic stenosis at high surgical risk, was associated with excellent device success implantation and early safety according to VARC‐2 definition. The pacemaker implantation rate was about a third of patients. © 2017 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - January 31, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Rocco A. Montone, Luca Testa, Chiara Fraccaro, Matteo Montorfano, Fausto Castriota, Roberto Nerla, Marco Angelillis, Maurizio Tusa, Francesco Giannini, Andrea Garatti, Giuseppe Tarantini, Anna Sonia Petronio, Nedy Brambilla, Francesco Bedogni Tags: Valvular and Structural Heart Diseases Source Type: research

PFO closure: End of an era or beginning of a new chapter?
Key Points This large long‐term retrospective cohort study shows that percutaneous patent foramen ovale (PFO) closure is safe. Higher rates of recurrent stroke or TIA were noted in older patients (age>55) and those with diabetes and hypertension Randomized trials have failed to show significant benefit from PFO closure for cryptogenic stroke though pooled analyses and longer‐term follow‐up have revealed significant reduction in recurrent strokes. Future studies and longer‐term follow‐up will need to elucidate which subgroups of patients will benefit from closure.
Source: Catheterization and Cardiovascular Interventions - January 23, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Mahmoud I. Traina, E. Murat Tuzcu Tags: Editorial Comment Source Type: research

Predictors of long ‐term outcomes after bypass grafting versus drug‐eluting stent implantation for left main or multivessel coronary artery disease
Conclusions: Simple clinical variables and SYNTAX score differentially predict long‐term outcomes after CABG versus those after PCI with DES for left main or multivessel CAD. Those predictors might help to guide the choice of revascularization strategy. © 2017 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - January 22, 2017 Category: Cardiovascular & Thoracic Surgery Authors: Mineok Chang, Cheol Whan Lee, Jung ‐Min Ahn, Rafael Cavalcante, Yohei Sotomi, Yoshinobu Onuma, Minkyu Han, Seong‐Wook Park, Patrick W. Serruys, Seung‐Jung Park Tags: Coronary Artery Disease Source Type: research

Prospective comparison between three TAVR devices: ACURATE neo vs. CoreValve vs. SAPIEN XT. A single heart team experience in patients with severe aortic stenosis
ConclusionsIn a “real world” registry, ACT compared favorably against the well‐studied SXT and MCV devices in both safety and efficacy. MCV implantation was associated with lower device success rates and higher rates of new permanent pacemaker implantation. © 2016 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - December 27, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Tannas Jatene, Antonio Castro ‐Filho, Rafael A. Meneguz‐Moreno, Dimytri A. Siqueira, Alexandre A.C. Abizaid, Auristela I.O. Ramos, Magaly Arrais, David C.S. Le Bihan, Rodrigo B.M. Barretto, Adriana C. Moreira, Amanda G.M.R. Sousa, J. Eduardo Sousa Tags: Valvular and Structural Heart Diseases Source Type: research

Contrast ‐induced encephalopathy following cardiac catheterization
ConclusionsCIE is an important clinical entity to consider in the differential diagnosis of stroke following cardiac catheterization. Given that prognosis is excellent with supportive management only, physicians should be aware of it, and consider it prior to initiating thrombolysis. © 2016 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - November 28, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Roberto Spina, Neil Simon, Romesh Markus, David WM Muller, Krishna Kathir Tags: Coronary Artery Disease Source Type: research

Left atrial appendage closure: Initial experience with the ultraseal device
ConclusionsThis initial experience with the Ultraseal LAA closure device demonstrates preliminary safety and feasibility. Further larger studies with longer follow‐up are warranted. © 2016 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - November 16, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Ander Regueiro, Mathieu Bernier, Gilles O'Hara, Kim O'Connor, Jean ‐Michel Paradis, Jonathan Beaudoin, Tania Rodriguez‐Gabella, Jean Champagne, Josep Rodés‐Cabau Tags: Valvular and Structural Heart Diseases Source Type: research

Thrombus aspiration: Suck it up and keep looking for a niche
Key Points Thrombus aspiration in acute coronary syndrome PCI decreased angiographic stenosis and decreased IVUS‐assessed volume of lesions. Decrease in culprit lesion volume correlated with better stent expansion. This non‐randomized single‐center study demonstrated feasibility of thrombus aspiration pre‐PCI in ACS patients, but did not prove superiority to other methods of lesion preparation such as balloon pre‐dilatation. It is unlikely to be adopted into routine practice based on this study. Randomized studies large enough to compare clinical outcomes (e.g., stroke and death) would be necessary to prove the ...
Source: Catheterization and Cardiovascular Interventions - November 15, 2016 Category: Cardiovascular & Thoracic Surgery Authors: James C. Blankenship Tags: Coronary Artery Disease Source Type: research

Carotid artery stenting: Avoiding the perfect storm
Key Points Carotid artery stenting (CAS) and carotid artery endarterectomy (CEA) have achieved equipoise for most patients with carotid artery stenosis. Studies of outcomes after CAS and CEA must consider important patient and anatomic characteristics. A perfect storm for CAS is observed in a clinical scenario characterized by acute stroke, high likelihood for unstable plaque and thrombus, early revascularization, operator inexperience, and failure to use closed‐cell stents and embolic protection. Adverse outcomes in these situations are not shortcomings of CAS, but are due to poor clinical decision‐making and judgment.
Source: Catheterization and Cardiovascular Interventions - November 15, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Robert D. Safian Tags: Peripheral Vascular Disease Source Type: research

Proximal balloon occlusion versus distal filter protection in carotid artery stenting: A meta ‐analysis and review of the literature
ConclusionsIn patients undergoing CAS, both D‐EPD and P‐EPD provide similar levels of protection from peri‐procedural stroke and 30 days mortality. © 2016 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - November 11, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Jad Omran, Ehtisham Mahmud, Christopher J. White, Herbert D. Aronow, Douglas E. Drachman, William Gray, Obai Abdullah, Mazen Abu ‐Fadel, Belal Firwana, Gergory Mishkel, Ashraf S. Al‐Dadah Tags: Peripheral Vascular Disease 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 18, 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 2, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Eddie D. Brown, James C. Blankenship Tags: Coronary Artery Disease Source Type: research

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

Intracardiac versus transesophageal echocardiography for left atrial appendage occlusion with watchman
Conclusions: ICE guidance for LAAO with the Watchman device is feasible and comparable to TEE and may become the preferred imaging modality for LAAO. © 2016 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - September 20, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Antonio H. Frangieh, Jasmina Alibegovic, Christian Templin, Oliver Gaemperli, Slayman Obeid, Robert Manka, Erik W. Holy, Willibald Maier, Thomas F. L üscher, Ronald K. Binder Tags: Original Studies Source Type: research

Percutaneous left atrial appendage occlusion using different technologies in the United Kingdom: A multicenter registry
ConclusionsLAAO can be performed safely in a real world setting with good implant success rates and procedural outcomes. The long‐term benefits of the procedure are reassuring in terms of both ischemic events and avoidance of severe bleeding associated with anticoagulation in this patient group. © 2016 Wiley Periodicals, Inc.
Source: Catheterization and Cardiovascular Interventions - September 20, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Timothy R. Betts, Milena Leo, Sandeep Panikker, Prapa Kanagaratnam, Michael Koa ‐Wing, David Wyn Davies, David Hildick‐Smith, Dylan G. Wynne, Oliver Ormerod, Oliver R. Segal, Anthony W. Chow, Derick Todd, Sandra Cabrera Gomez, Graeme J. Kirkwood, Davi Tags: Original Studies Source Type: research