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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

Low-Flow Severe Aortic Stenosis: Evolving Role of Transcatheter Aortic Valve Replacement Advances in Interventional Cardiology
The definition of severe aortic stenosis has classically and retrospectively been based on the natural history of patients with medically managed aortic stenosis and preserved left ventricular function in an era where surgical aortic valve replacement was the sole therapy. We now recognize that this disease is more heterogeneous and includes important subsets of patients with low stroke volume index (low flow) and low-gradient with reduced (classical) or preserved (paradoxical) ejection fraction. These patients pose diagnostic and treatment dilemmas, requiring a comprehensive assessment with integration of multimodality im...
Source: Circulation: Cardiovascular Interventions - August 9, 2017 Category: Cardiology Authors: Saybolt, M. D., Fiorilli, P. N., Gertz, Z. M., Herrmann, H. C. Tags: Valvular Heart Disease, Catheter-Based Coronary and Valvular Interventions Advances in Interventional Cardiology 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

Impact of Forward Stroke Volume Response on Clinical and Structural Outcomes After Percutaneous Mitral Valve Repair With MitraClip Structural Heart Disease
Conclusions— FSV increase after MitraClip implantation was associated with more favorable clinical and anatomic outcomes. Severity and pathogenesis of mitral regurgitation and pre-MitraClip FSV predicted postprocedural FSV response.
Source: Circulation: Cardiovascular Interventions - July 11, 2017 Category: Cardiology Authors: Kubo, S., Nakamura, M., Shiota, T., Itabashi, Y., Mizutani, Y., Nakajima, Y., Meemook, K., Hussaini, A., Makar, M., Siegel, R. J., Kar, S. Tags: Catheter-Based Coronary and Valvular Interventions Structural Heart Disease Source Type: research

Clinical and Echocardiographic Outcomes Following Permanent Pacemaker Implantation After Transcatheter Aortic Valve Replacement: Meta-Analysis and Meta-Regression Structural Heart Disease
Conclusions— PPM implantation is not associated with increased risk of all-cause mortality, cardiovascular mortality, stroke, or myocardial infarction both at short- and long-term follow-up. However, PPM is associated with impaired left ventricular ejection fraction recovery post-transcatheter aortic valve replacement.
Source: Circulation: Cardiovascular Interventions - July 11, 2017 Category: Cardiology Authors: Mohananey, D., Jobanputra, Y., Kumar, A., Krishnaswamy, A., Mick, S., White, J. M., Kapadia, S. R. Tags: Arrhythmias, Valvular Heart Disease, Catheter-Based Coronary and Valvular Interventions, Pacemaker Structural Heart Disease Source Type: research

Outcome With the Repositionable and Retrievable Boston Scientific Lotus Valve Compared With the Balloon-Expandable Edwards Sapien 3 Valve in Patients Undergoing Transfemoral Aortic Valve Replacement Structural Heart Disease
Conclusions— Transfemoral aortic valve replacement with the ES3 and the Lotus were associated with similar 30-day, 12-month, and 24-month clinical outcomes. Need for permanent pacemaker implantation was significantly higher with the repositionable Lotus device. Clinical Trial Registration— URL: http://www.clinicaltrials.gov. Unique identifier: NCT02162069.
Source: Circulation: Cardiovascular Interventions - May 31, 2017 Category: Cardiology Authors: Seeger, J., Gonska, B., Rottbauer, W., Wohrle, J. Tags: Aortic Valve Replacement/Transcatheter Aortic Valve Implantation Structural Heart 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

Morbidity and Mortality Associated With Balloon Aortic Valvuloplasty: A National Perspective Structural Heart Disease
Conclusions— In a contemporary national registry, BAV is associated with significant morbidity and mortality that are similar to TAVR. With the substantial increase in BAV utilization and the continuous improvement in TAVR outcomes, these data have important implications to aid clinicians in the selection of appropriate BAV candidates.
Source: Circulation: Cardiovascular Interventions - May 11, 2017 Category: Cardiology Authors: Alkhouli, M., Zack, C. J., Sarraf, M., Bashir, R., Nishimura, R. A., Eleid, M. F., Nkomo, V. T., Sandhu, G. S., Gulati, R., Greason, K. L., Holmes, D. R., Rihal, C. S. Tags: Aortic Valve Replacement/Transcatheter Aortic Valve Implantation, Catheter-Based Coronary and Valvular Interventions Structural Heart Disease Source Type: research

Matched Comparison of Self-Expanding Transcatheter Heart Valves for the Treatment of Failed Aortic Surgical Bioprosthesis: Insights From the Valve-in-Valve International Data Registry (VIVID) Structural Heart Disease
Conclusions— In this first matched comparison of THVs for valve-in-valve implantations, Portico and CoreValve demonstrated differences in postprocedural hemodynamics and long-term clinical outcomes. Although this could be related to THV design characteristics, the impact of other procedural factors cannot be excluded and require further evaluation.
Source: Circulation: Cardiovascular Interventions - April 11, 2017 Category: Cardiology Authors: Alnasser, S., Cheema, A. N., Simonato, M., Barbanti, M., Edwards, J., Kornowski, R., Horlick, E., Wijeysundera, H. C., Testa, L., Bedogni, F., Amrane, H., Walther, T., Pelletier, M., Latib, A., Laborde, J.-C., Hildick-Smith, D., Kim, W.-K., Tchetche, D., Tags: Aortic Valve Replacement/Transcatheter Aortic Valve Implantation Structural Heart Disease 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

Independent Modular Filter for Embolic Protection in Carotid Stenting Peripheral Vascular Disease
Conclusions— The data suggest that independent modular filter use in carotid artery stenting in high surgical risk patients is safe and effective. The outcomes suggest that use of an independent modular filter may be associated with a lower rate of embolic complications associated with carotid stent placement. Clinical Trial Registration— URL: http://www.clinicaltrials.gov. Unique identifier: NCT01783639.
Source: Circulation: Cardiovascular Interventions - March 9, 2017 Category: Cardiology Authors: Scheinert, D., Reimers, B., Cremonesi, A., Schmidt, A., Sievert, H., Rohde, S., Schofer, J., Mudra, H. G., Bosiers, M., Zeller, T., Pacchioni, A., Rosenschein, U., on behalf of the WISE (Wirion Study Europe) Pivotal Trial Investigators Tags: Catheter-Based Coronary and Valvular Interventions Peripheral Vascular 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

Significant Association of Annual Hospital Volume With the Risk of Inhospital Stroke or Death Following Carotid Endarterectomy but Likely Not After Carotid Stenting: Secondary Data Analysis of the Statutory German Carotid Quality Assurance Database Peripheral Vascular Disease
Conclusions— An inverse volume–outcome relationship in CEA-treated patients was demonstrated. No significant association between hospital volume and the risk of stroke or death was found for CAS.
Source: Circulation: Cardiovascular Interventions - November 3, 2016 Category: Cardiology Authors: Kuehnl, A., Tsantilas, P., Knappich, C., Schmid, S., Konig, T., Breitkreuz, T., Zimmermann, A., Mansmann, U., Eckstein, H.-H. Tags: Ethics and Policy, Quality and Outcomes, Cerebrovascular Disease/Stroke, Cerebrovascular Procedures Peripheral Vascular Disease Source Type: research

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