journal
https://read.qxmd.com/read/37410752/an-inadvertent-event-during-percutaneous-transvenous-mitral-commissurotomy
#81
JOURNAL ARTICLE
Ramanathan Velayutham, Avinash Anantharaj, Arunkumar Azhaganathan
No abstract text is available yet for this article.
June 2023: Journal of Invasive Cardiology
https://read.qxmd.com/read/37410751/an-unusual-congenital-aorto-pulmonary-shunt-in-tetralogy-of-fallot-anomalous-left-innominate-artery-off-the-pulmonary-artery
#82
JOURNAL ARTICLE
Macken Yrun-Duffy, Danielle D Strah, Kenneth Fox, Scott E Klewer, Michael D Seckeler
No abstract text is available yet for this article.
June 2023: Journal of Invasive Cardiology
https://read.qxmd.com/read/37410750/percutaneous-approach-with-coil-embolization-for-annular-rupture-during-transcatheter-aortic-valve-replacement
#83
JOURNAL ARTICLE
Ravinder Singh Rao, Kailash Chandra, Govind Narayan Sharma, Prashant Varshney
No abstract text is available yet for this article.
June 2023: Journal of Invasive Cardiology
https://read.qxmd.com/read/37410749/intrapericardial-blood-re-transfused-to-venous-circulation-through-a-closed-circuit-a-life-saving-management-of-hemopericardium
#84
JOURNAL ARTICLE
John Papanikolaou, Dimitrios Karelas, Grigorios Syrmos, Nikolaos Platogiannis
No abstract text is available yet for this article.
June 2023: Journal of Invasive Cardiology
https://read.qxmd.com/read/37410748/effect-of-combination-of-balloon-pulmonary-angioplasty-and-medical-therapy-on-reverse-right-ventricular-remodeling-and-hemodynamics-in-chronic-thromboembolic-pulmonary-hypertension
#85
JOURNAL ARTICLE
Felipe Kazmirczak, Sasha Z Prisco, Ryan Knoper, Steve Huddleston, Ganesh Raveendran, Marc Pritzker, Thenappan Thenappan, Kurt W Prins, Sergey Gurevich
INTRODUCTION: Chronic thromboembolic pulmonary hypertension (CTEPH) is a progressive and debilitating disorder that results from incomplete resolution of vascular obstructions resulting in pulmonary hypertension. Surgical pulmonary thromboendarterectomy (PTE) is the treatment of choice for CTEPH. Unfortunately, many CTEPH patients are ineligible for PTE or do not have access to an expert surgical center. Medical therapy imparts important symptomatic and exercise benefits for CTEPH patients, but it does not extend survival...
June 2023: Journal of Invasive Cardiology
https://read.qxmd.com/read/37410747/using-artificial-intelligence-in-predicting-ischemic-stroke-events-after-percutaneous-coronary-intervention
#86
JOURNAL ARTICLE
Chieh-Ju Chao, Pradyumna Agasthi, Timothy Barry, Chia-Chun Chiang, Panwen Wang, Hasan Ashraf, Farouk Mookadam, Amith R Seri, Nithin Venepally, Mohamed Allam, Sai Harika Pujari, Anil Sriramoju, Mohamed Sleem, Said Alsidawi, Mackram Eleid, Nirat Beohar, Floyd D Fortuin, Eric H Yang, Charanjit S Rihal, David R Holmes, Reza Arsanjani
BACKGROUND: Ischemic stroke (IS) is an uncommon but severe complication in patients undergoing percutaneous coronary intervention (PCI). Despite significant morbidity and economic cost associated with post PCI IS, a validated risk prediction model is not currently available. AIMS: We aim to develop a machine learning model that predicts IS after PCI. METHODS: We analyzed data from Mayo Clinic CathPCI registry from 2003 to 2018. Baseline clinical and demographic data, electrocardiography (ECG), intra/post-procedural data, and echocardiographic variables were abstracted...
June 2023: Journal of Invasive Cardiology
https://read.qxmd.com/read/37410746/assessment-of-the-ercto-score-for-predicting-success-in-retrograde-chronic-total-occlusion-percutaneous-coronary-interventions-in-the-progress-cto-registry
#87
JOURNAL ARTICLE
Athanasios Rempakos, Bahadir Simsek, Spyridon Kostantinis, Judit Karacsonyi, Khaldoon Alaswad, Olga C Mastrodemos, Salman Allana, Yader Sandoval, Arun Kalyanasundaram, Emmanouil S Brilakis
BACKGROUND: The retrograde strategy is a common approach used in complex chronic total occlusion (CTO) percutaneous coronary intervention (PCI). The ERCTO Retrograde score is a tool that aims to predict the likelihood of technical success for retrograde CTO PCI procedures by evaluating 5 parameters: calcification, distal opacification, proximal tortuosity, collateral connection classification, and operator volume. METHODS: We evaluated the performance of the ERCTO Retrograde score using data from 2341 patients enrolled in the Prospective Global Registry for the Study of Chronic Total Occlusion Intervention (PROGRESS-CTO) at 35 centers between 2013 and 2023...
June 2023: Journal of Invasive Cardiology
https://read.qxmd.com/read/37410745/intermediate-term-outcomes-following-transcatheter-aortic-valve-implantation-in-patients-with-a-history-of-chest-radiation-therapy-a-propensity-score-matched-analysis
#88
JOURNAL ARTICLE
Kris Kumar, Mohammed Osman, Ashraf Samhan, Craig C Morris, Trisha Chau, Tessa Herman, Gurion Lantz, Scott M Chadderdon, Howard K Song, Firas E Zahr, Harsh Golwala
Chest radiation therapy (XRT) has been associated with a higher rate of mortality following surgical aortic valve replacement. We performed a single-center retrospective analysis of patients with severe AS who underwent TAVI from January 1 2012 to July 31 2020 comparing patients with and without XRT. A total of 915 patients met inclusion criteria, with a total of 50 patients found to have a history of XRT. At a mean follow-up of 2.4 years, unadjusted and propensity score matching analysis demonstrated no differences in mortality, heart failure or bleeding-related hospitalization, overall stroke, and 30-day pacemaker implantation in patients with and without XRT...
June 2023: Journal of Invasive Cardiology
https://read.qxmd.com/read/37220640/ioxaglate-versus-iodixanol-for-the-prevention-of-contrast-induced-nephropathy-the-idpc-trial
#89
JOURNAL ARTICLE
Rafaela Andrade Penalva Freitas, Luis Fernando Tanajura, Roxana Mehran, Daniel Chamié, Aurea Chaves, Marinella Centemero, Sergio Braga, Ricardo Costa, Davide Cao, Amanda Sousa, Fausto Feres, J Ribamar Costa
BACKGROUND: Despite the potential benefits of percutaneous procedures for the assessment and treatment of coronary artery disease, these interventions require the use of iodine contrast, which might lead to contrast-induced nephropathy (CIN) and increased risk of dialysis and major adverse cardiac events (MACE). AIMS: We sought to compare two different iodine contrasts (low vs. iso-osmolar) for the prevention of CIN among high-risk patients. METHODS: This is a single-center, randomized (1:1) trial comparing consecutive patients at high risk for CIN referred to percutaneous coronary diagnostic and/or therapeutic procedures with low (ioxaglate) vs...
May 16, 2023: Journal of Invasive Cardiology
https://read.qxmd.com/read/37220639/incidence-treatment-and-outcomes-of-coronary-artery-dissection-during-percutaneous-coronary-intervention
#90
JOURNAL ARTICLE
Elizabeth Page, Spyridon Kostantinis, Judit Karacsonyi, Salman S Allana, Evan Walser-Kuntz, Bavana V Rangan, Bahadir Simsek, Beatrice Rynders, Olga C Mastrodemos, Larissa Stanberry, Vennela Avula, Athanasios Rempakos, M Nicholas Burke, Yader Sandoval, Michael Mooney, Paul Sorajja, Jay H Traverse, Anil Poulose, Ivan Chavez, Yale Wang, Mario Gössl, Emmanouil S Brilakis
BACKGROUND: Coronary artery dissection is a feared and potentially life-threatening complication of percutaneous coronary intervention (PCI). METHODS: We examined the clinical, angiographic, and procedural characteristics, and outcomes of coronary dissection at a tertiary care institution. RESULTS: Between 2014 and 2019, unplanned coronary dissection occurred in 141 of 10,278 PCIs (1.4%). Median patient age was 68 (60, 78) years, 68% were men, and 83% had hypertension...
May 16, 2023: Journal of Invasive Cardiology
https://read.qxmd.com/read/37219856/two-giant-right-coronary-artery-aneurysms-presenting-as-late-st-segment-elevation-inferior-wall-myocardial-infarction
#91
JOURNAL ARTICLE
Tomasz Bochenek, Magdalena Mizia-Szubryt, Łukasz Dykas, Damian Hudziak, Katarzyna Mizia-Stec
Coronary artery ectasia is reported 1.2% up to 7.4% of patients. Giant coronary artery aneurysms are seen in 0.02% of patients. The best therapeutic approach is not yet defined. To our knowledge, this case report is the first to show 2 giant, partially thrombosed aneurysms of such enormous dimensions presenting as late ST-segment elevation infarction.
May 2023: Journal of Invasive Cardiology
https://read.qxmd.com/read/37219855/recurrent-valve-migration-during-tavr-using-one-valve-to-anchor-another-valve
#92
JOURNAL ARTICLE
Hussein Sliman, Amnon Eitan, Ronen Jaffe
This case describes management of recurrent valve migration during a TAVR procedure in a patient with a hypertrophic and hyperdynamic left ventricle. Since anchoring a valve in an optimal position within the aortic annulus was not possible, a valve was intentionally deployed deep within the left ventricular outflow tract. This valve was used as an anchoring site for an additional valve, which achieved an optimal hemodynamic result and clinical outcome outcome.
May 2023: Journal of Invasive Cardiology
https://read.qxmd.com/read/37219854/dual-lumen-catheter-and-floating-wire-technique-to-access-protruding-aorto-ostial-stent
#93
JOURNAL ARTICLE
Bernard Wong, Eugene B Wu
PCI in the setting of previous aorto-ostial stenting can be difficult, especially if there is excessive stent protrusion. Various techniques have been described, including double-wire technique, double-guide snare technique, side-strut sequential ballooning technique, and guide extension facilitated sidestrut stenting. These techniques can sometimes be complicated, and intervention through a side-strut may lead to excessive stent deformation or avulsion of the protruding segment. Our novel technique uses a dual-lumen catheter and floating wire to back the JR4 guide away from the protruding stent while maintaining stability for another guidewire to enter the central lumen...
May 2023: Journal of Invasive Cardiology
https://read.qxmd.com/read/37219853/major-aortopulmonary-collaterals-from-coronary-arteries-and-dual-left-anterior-descending-artery-in-an-adult-with-tetralogy-of-fallot
#94
JOURNAL ARTICLE
Yamasandi Siddegowda Shrimanth, Anil Kumar Choudhary, Arun Sharma, Sanjeev Hanumanthacharya Naganur, Neelam Dahiya
Major aortopulmonary collaterals (APCs) are more common with tetralogy of Fallot (TOF) with pulmonary atresia. Collateral arteries, when present, arise most commonly from the descending thoracic aorta, less commonly from the subclavian arteries, and rarely from the abdominal aorta or its branches or from the coronary arteries. Collaterals arising from the coronary arteries can cause myocardial ischemia due to coronary steal phenomenon. They can be addressed either by endovascular interventions like coiling or surgical ligation during the intracardiac repair...
May 2023: Journal of Invasive Cardiology
https://read.qxmd.com/read/37219852/leaving-your-buddy-in-jail-a-simplified-approach-to-the-jailed-buddy-wire-technique
#95
LETTER
Dominik Rath, Monika Zdanyte, Meinrad Gawaz, Michal Droppa
Stent delivery into highly tortuous and/or calcified coronary lesions represents a challenging problem during PCI. In this case series of 7 patients with complex coronary lesions, we had a hard time delivering larger and thus bulkier stents. We used a buddy wire and delivered a stent into the most distal lesion and jailed the buddy wire. We left the wire jailed during the whole procedure and were easily able to deliver large and long stents to the more proximal lesions. Retrieval of the buddy wire was possible without problems in all cases...
May 2023: Journal of Invasive Cardiology
https://read.qxmd.com/read/37219851/transcatheter-aortic-valve-implantation-with-balloon-expandable-valve-prostheses-in-patients-with-pure-native-non-or-mildly-calcified-aortic-regurgitation-a-case-series-and-literature-review
#96
REVIEW
Luca Oechslin, Patric Biaggi, Peter Wenaweser, Christophe Wyss, Daniel Fritschi, Oliver Gaemperli, Roberto Corti
OBJECTIVE: Transcatheter aortic valve implantation (TAVI) is an off-label procedure for selected patients at high surgical risk with native non- or mildly calcified aortic regurgitation (AR). Traditionally, self-expanding transcatheter heart valves (THV) have been favored over balloon-expandable THV's probably due to assumed better device fixation. We report a series of patients with native severe AR successfully treated with a balloon-expandable THV. METHODS: Between 2019 and 2022, 8 consecutive patients (5 male, 82 (interquartile range 80-85) years old, STS PROM 4...
May 2023: Journal of Invasive Cardiology
https://read.qxmd.com/read/37219850/ifr-ffr-ivus-discordance-and-clinical-implications-results-from-the-prospective-left-main-physiology-registry
#97
MULTICENTER STUDY
Peter Kayaert, Mathieu Coeman, Chadi Ghafari, Benny Drieghe, Peter Gheeraert, Johan Bennett, Keir McCutcheon, Claudiu Ungureanu, Bert Vandeloo, Vincent Floré, Kurt Hermans, Jo Dens, Georges Saad, Luc Janssens, Panos Xaplanteris, Yoann Bataille, Oscar Semeraro, Joelle Kefer, Sofie Gevaert, Michel De Pauw, Stéphane Carlier, Marc J Claeys, Steven Haine
OBJECTIVES: This study aimed to assess discordance between results of instantaneous wave-free ratio (iFR), fractional flow reserve (FFR), and intravascular ultrasound (IVUS) in intermediate left main coronary (LM) lesions, and its impact on clinical decision making and outcome. METHODS: We enrolled 250 patients with a 40%-80% LM stenosis in a prospective, multicenter registry. These patients underwent both iFR and FFR measurements. Of these, 86 underwent IVUS and assessment of the minimal lumen area (MLA), with a 6 mm2 cutoff for significance...
May 2023: Journal of Invasive Cardiology
https://read.qxmd.com/read/37169391/intravascular-imaging-use-in-percutaneous-coronary-interventions-of-chronic-total-occlusions
#98
JOURNAL ARTICLE
Judit Karacsonyi, Spyridon Kostantinis, Bahadir Simsek, Mir Basir, Michael Megaly, Ziad Ali, Ajay Kirtane, Margaret McEntegart, Emmanouil S Brilakis, Khaldoon Alaswad
BACKGROUND: Intravascular ultrasound (IVUS) can assist percutaneous coronary intervention (PCI) of chronic total occlusions (CTO). METHODS: We analyzed 8,983 CTO PCIs performed in 8,771 patients between 2012 and 2022 at 39 centers. RESULTS: Overall, IVUS was used in 44.5% of the cases, for crossing in 11.5% and for stent optimization in 33.1%. IVUS for stent optimization was used more often for complex lesions with higher prevalence of calcification (51...
April 14, 2023: Journal of Invasive Cardiology
https://read.qxmd.com/read/37029998/chronic-total-occlusion-techniques-to-recanalize-an-occluded-pulmonary-vein-after-atrial-fibrillation-ablation
#99
JOURNAL ARTICLE
Borja Rivero-Santana, Alfonso Jurado-Roman, Santiago Jimenez-Valero, Guillermo Galeote, Raul Moreno, Jose Luis Merino
Cardiac computed tomography (CT) scan was performed in a 69-year-old male with atrial fibrillation radiofrequency ablation who was admitted for transcatheter angioplasty of left inferior pulmonary vein (LIPV) stenosis due to recurrent hemoptysis. CT showed complete ostial occlusion in the area of the LIPV. Occlusion of the pulmonary vein ostium is a rare complication. We describe the successful use of chronic occlusion techniques in the treatment of this patient.
April 2023: Journal of Invasive Cardiology
https://read.qxmd.com/read/37029997/long-sheath-assisted-transcatheter-aortic-valve-replacement-the-best-and-worst-cases
#100
JOURNAL ARTICLE
Ryosuke Higuchi, Kota Nishida, Mike Saji, Makoto Ohno, Itaru Takamisawa
Transfemoral transcatheter aortic valve replacement (TAVR) is quite challenging in patients with tortuous aorta. Recently, the combined method of buddy wire and long-sheath use was reported. We describe 2 cases having tortuous aorta undergoing transfemoral TAVR following opposite clinical courses. A long-sheath supported transfemoral approach is an effective method in patients with tortuous aorta; however, the tip of a large-bore sheath could cause an aortic injury during the procedure. The advantage of the transfemoral approach and risk of aortic injury should be counterbalanced, especially in patients with fragile tortuous aorta...
April 2023: Journal of Invasive Cardiology
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