journal
https://read.qxmd.com/read/37992325/thrombectomy-using-alphavac-for-left-atrial-thrombus-causing-mechanical-mitral-valve-obstruction-and-cardiogenic-shock
#101
JOURNAL ARTICLE
Lina Ya'Qoub, Ramin E Beygui, Kendrick Shunk, Harsh Agrawal
We present a 73-year-old female with history of rheumatic heart disease status post-mechanical mitral valve on warfarin, valvular atrial fibrillation, and alpha thalassemia who was admitted to an outside hospital with anterior ST-segment myocardial infarction. Coronary angiogram showed occluded left anterior descending artery (LAD) with acute thrombus status post-thrombectomy and balloon angioplasty.
November 2023: Journal of Invasive Cardiology
https://read.qxmd.com/read/37992324/ping-pong-guide-catheter-technique-for-facilitating-antegrade-crossing-of-a-chronic-total-occlusion
#102
JOURNAL ARTICLE
Ioannis Tsiafoutis, Theodoros Zografos, Mike Koutouzis, Konstantina Katsanou, Emmanouil S Brilakis
A 60-year-old man was referred for percutaneous coronary intervention of a proximal left circumflex (Cx) chronic total occlusion (CTO) with distal filling via epicardial collaterals from the left anterior descending (LAD) artery.
November 2023: Journal of Invasive Cardiology
https://read.qxmd.com/read/37984332/-size-it-and-fix-it-pulsatile-abdomen-and-presyncope-post-pacemaker-implantation
#103
JOURNAL ARTICLE
Sriram Veeraraghavan, Bharath Raj Kidambi, Vasundhara Ponnaganti
A 69-year-old obese man who had undergone permanent pacemaker implantation (VVIR, Medtronic) 3 weeks prior presented with a one-day history of experiencing continued, forceful pulsations in his abdomen followed by presyncope.
October 2023: Journal of Invasive Cardiology
https://read.qxmd.com/read/37984331/recanalized-vein-of-marshall-following-bidirectional-glenn-surgery
#104
JOURNAL ARTICLE
Sourabh Agstam, Lydia John, Sivasubramanian Ramakrishnan, Saurabh Kumar Gupta
A 6-year-old boy with a case of double outlet right ventricle with large non-routable ventricle septal defect and severe pulmonary stenosis was deemed unsuitable for biventricular repair on a prior evaluation. Hence, a bidirectional Glenn (BDG) shunt was performed at 3 years of age following cardiac catheterization.
October 2023: Journal of Invasive Cardiology
https://read.qxmd.com/read/37984330/acute-iatrogenic-aortic-coarctation-after-balloon-expandable-prosthesis-pop-out-during-transcatheter-aortic-valve-implantation-intervention
#105
JOURNAL ARTICLE
Alessio Arrivi, Riccardo Rosati, Amalia Morgantini, Marcello Dominici
An 80-year-old man was referred to our cath-lab for transcatheter aortic valve implantation (TAVI) due to symptomatic severe aortic valve stenosis. The intervention utilized a balloon-expandable prosthesis (Edwards Sapien 3 Ultra n°26, Edwards Lifesciences).
October 2023: Journal of Invasive Cardiology
https://read.qxmd.com/read/37984329/an-unusual-approach-for-platypnea-orthodeoxia-syndrome-due-to-isolated-pulmonary-arteriovenous-malformations
#106
JOURNAL ARTICLE
Tahir Bezgin, Aziz Inan Celik, Nart Zafer Baytugan, Suleyman Karakoyun, Metin Cagdas
A 27-year-old man presented to the emergency department with complaints of syncope, dyspnea, and fatigue. Physical examination revealed left-sided mild hemiparesis, platypnea, and continuous murmur on right middle lobe lung auscultation.
October 2023: Journal of Invasive Cardiology
https://read.qxmd.com/read/37984328/very-late-incidental-diagnosis-of-anomalous-right-coronary-artery-from-the-pulmonary-artery
#107
JOURNAL ARTICLE
Tanush Gupta, Donna D Kang
A 59-year-old Asian woman with paroxysmal supraventricular tachycardia (PSVT), diabetes, and dyslipidemia was hospitalized with palpitations and chest discomfort. Her electrocardiogram showed short RP tachycardia with a heart rate of 167 bpm. She received intravenous adenosine with successful restoration of sinus rhythm and resolution of her symptoms.
October 2023: Journal of Invasive Cardiology
https://read.qxmd.com/read/37984327/right-atrial-appendage-detected-by-intravascular-ultrasound
#108
JOURNAL ARTICLE
Takashi Kajiya, Tatsuro Takei, Nobuhiko Atsuchi, Mitsuru Ohishi
A 70-year-old woman with a history of type 2 diabetes mellitus was transferred to our hospital due to inferior ST-segment elevation myocardial infarction. An emergent coronary angiogram revealed occlusion of the distal right coronary artery. Primary percutaneous coronary intervention was performed, preceded by lesion assessment using intravascular ultrasound (IVUS).
October 2023: Journal of Invasive Cardiology
https://read.qxmd.com/read/37984326/a-novel-device-for-additional-guide-wire-support-to-cross-tortuous-anatomy-and-tight-lesions-the-micro-rx-rapid-exchange-microcatheter
#109
JOURNAL ARTICLE
Gregor Leibundgut, Emmanouil S Brilakis, Roberto Garbo
Successful crossing of the target coronary lesion with a guidewire is an essential step in percutaneous coronary intervention. Guidewire advancement can be challenging, especially in tortuous, severely stenosed, and heavily calcified lesions. The use of a microcatheter significantly improves the guidewire steerability and penetration force, but it requires specific training and is associated with increased procedural costs. We present the first in vivo experience with a new type of rapid exchange microcatheter (Micro Rx, Interventional Medical Device Solutions), describe bench testing of combinations of guidewires and microcatheters, and suggest potential applications...
October 2023: Journal of Invasive Cardiology
https://read.qxmd.com/read/37984325/temporal-trends-and-outcomes-of-patients-with-chronic-limb-threatening-ischemia-with-and-without-history-of-coronary-artery-disease-insights-from-the-us-national-inpatient-sample-database
#110
JOURNAL ARTICLE
Zainali S Chunawala, Christopher Chew, Michael Hendrickson, Sameer Arora, Alfonso Tafur, Gregory Mishkel, Mark J Ricciardi, Thomas A Zelniker, Issam D Moussa, Atif Hassan, Jaafer Golzar, Sebouh Gueyikian, Carlos F Bechara, Cheong Jun Lee, Arman Qamar
BACKGROUND: The burden and prognostic significance of coronary artery disease (CAD) in adults with peripheral artery disease and chronic limb-threatening ischemia (CLTI) is unknown. METHODS: Temporal trends in prevalence of significant CAD (history of myocardial infarction or coronary revascularizations) in hospitalizations for CLTI were determined using the 2000 to 2018 National Inpatient Sample (NIS) database. A multivariable regression analysis of outcomes was performed based on presence or absence of CAD...
October 2023: Journal of Invasive Cardiology
https://read.qxmd.com/read/37984324/assessing-the-feasibility-of-using-the-antecubital-vein-to-perform-right-heart-catheterization-in-children-and-adults-with-congenital-heart-disease-a-retrospective-observational-single-center-study
#111
JOURNAL ARTICLE
Mario Giordano, Raffaella Marzullo, Gianpiero Gaio, Maurizio Cappelli Bigazzi, Maria Teresa Palladino, Nadia Della Cioppa, Gabriella Gaudieri, Dario Fabiani, Berardo Sarubbi, Maria Giovanna Russo
BACKGROUND: Right heart catheterization (RHC) usually is performed via the femoral vein or the internal jugular vein. However, the antecubital fossa vein is a valid venous access, and it has become increasingly popular to perform right heart catheterization utilizing this access. METHODS: A retrospective, observational study was conducted to describe use of the antecubital fossa vein for right heart catheterization in adults and children with congenital heart disease (CHD)...
October 2023: Journal of Invasive Cardiology
https://read.qxmd.com/read/37984323/burr-entrapment-in-a-percutaneous-coronary-intervention-during-rotational-atherectomy-an-experience-with-3195-cases
#112
JOURNAL ARTICLE
Yusuke Morita, Yoshifumi Kashima, Yu Yasuda, Daitaro Kanno, Daisuke Hachinohe, Takuro Sugie, Akihiro Endo, Tsutomu Fujita, Kazuaki Tanabe
OBJECTIVES: Burr entrapment is a potentially life-threatening complication of rotational atherectomy (RA). However, owing to its infrequency, there have been no major reports on burr entrapment. This study aimed to evaluate the incidence, treatment, and outcomes of burr entrapment. METHODS: This multicenter retrospective study analyzed patients who had undergone percutaneous coronary interventions (PCIs) and were treated by RA between May 2013 and March 2022. RESULTS: Of the 22 640 PCI procedures, RA was performed in 3195 patients (14...
October 2023: Journal of Invasive Cardiology
https://read.qxmd.com/read/37984322/the-safety-and-feasibility-of-live-stream-proctoring-for-cto-procedures
#113
JOURNAL ARTICLE
Claudiu Ungureanu, Masahisa Yamane, Peter Kayaert, Paul Knaapen, Kambis Mashayekhi, Khaldoon Alaswad, James C Spratt, Gabriele Luigi Gasparini, Joseph Dens, Caroline Lepièce, Stéphane Carlier, Gregory A Sgueglia, Alexander Avran
OBJECTIVE: To assess the technical feasibility of a new method of educational training, based on audio-video (AV) communication between an interventional cardiologist and the cath lab staff members in one location and a remote expert proctor. METHODS: Overall, 9 patients underwent a percutaneous coronary intervention (PCI) targeting a chronic total occlusion (CTO) between June 2021 and January 2022 at a single Belgian center using the virtual proctoring approach...
October 2023: Journal of Invasive Cardiology
https://read.qxmd.com/read/37983114/percutaneous-edge-to-edge-repair-as-a-bailout-option-to-treat-iatrogenic-leaflet-perforation
#114
JOURNAL ARTICLE
Andrea Fisicaro, Daniela Mele, Enrico Fabris, Francesco Giannini
An 80-year-old man was referred to our center for heart failure and severe degenerative mitral regurgitation (MR). Transesophageal echocardiography revealed severe MR due to anterior leaflet prolapse, mainly in its central portion (A2) in the context of fibroelastic deficiency.
September 2023: Journal of Invasive Cardiology
https://read.qxmd.com/read/37983113/improving-patient-outcomes-with-a-mobile-digital-health-platform-for-patients-undergoing-transcatheter-aortic-valve-replacement
#115
JOURNAL ARTICLE
Vishal Venkatraman, Shivanand P Lad, Ziad F Gellad, Helen Heo, Kevin A Wu, Rajeev Dharmapurikar, Beiyu Liu, Sin-Ho Jung, Ryan Plichta, J Kevin Harrison, Tom C Nguyen, Julie Doberne
PURPOSE: ManageMySurgery (MMS) is a digital health application (app) for patients undergoing surgery, including Transcatheter Aortic Valve Replacement (TAVR). Patients using MMS review procedure-specific education, view FAQs, and report patient-reported outcomes. This study assessed the impact of app use on postoperative outcomes. METHODS: Patients who underwent TAVR and invited to use MMS between March 2019 and November 2021 were identified. Patients received standard perioperative care and were defined as App users if they signed into the app at least once and engaged with at least one task or FAQ...
September 2023: Journal of Invasive Cardiology
https://read.qxmd.com/read/37983112/quadricuspid-aortic-valve
#116
JOURNAL ARTICLE
Akash Jain, Jayashree Kharge, Cholanahalli Nanjappa Manjunath, Yamasandi Siddegowda Shrimanth
A 56-year-old man presented with typical angina for 1 day and a prior history of exertional dyspnea of 6 months duration. Clinically, he was diagnosed with severe aortic regurgitation (AR). Electrocardiogram showed left ventricular hypertrophy with volume overload.
September 2023: Journal of Invasive Cardiology
https://read.qxmd.com/read/37983111/a-tale-of-tears-and-healing
#117
JOURNAL ARTICLE
Vivesh Jeyalan, Vamsidhar Dronavalli, Azfar Zaman, Mohammad Alkhalil
A 78-year-old woman with a background of hypertension and osteoarthritis presented with a history of syncope secondary to severe aortic stenosis. She underwent a computed tomography (CT) scan that showed a heavily calcific trileaflet aortic valve.
September 2023: Journal of Invasive Cardiology
https://read.qxmd.com/read/37983110/adverse-events-with-intravascular-lithotripsy-after-coronary-use-a-report-from-the-fda-maude-database
#118
JOURNAL ARTICLE
Athanasios Rempakos, Bahadir Simsek, Spyridon Kostantinis, Michaella Alexandrou, Judit Karacsonyi, Bavana V Rangan, Olga C Mastrodemos, Salman S Allana, Yader Sandoval, M Nicholas Burke, Emmanouil S Brilakis
Percutaneous coronary intervention (PCI) on heavily calcified lesions has been associated with more complications.1 Intravascular lithotripsy (IVL) was recently approved for treating de novo calcified coronary lesions based on excellent safety and efficacy on several studies, but there are limited "real world" outcomes. We conducted a comprehensive search of the MAUDE database between February 12, 2021, and February 28, 2023 using the manufacturer and brand name tabs with the keywords "Shockwave Medical" and "Shockwave," respectively...
September 2023: Journal of Invasive Cardiology
https://read.qxmd.com/read/37983109/aortic-luminal-remodeling-after-intravascular-stent-therapy-for-coarctation-of-the-aorta-intermediate-results
#119
JOURNAL ARTICLE
Louise Pei, Lusine Abrahamyan, Jaime C Sklar, Annamalar Muthuppalaniappan, Ricardo Gorocica Romero, Lee Benson, Mark Osten, Eric M Horlick
OBJECTIVE: Outcomes after adult coarctation of the aorta (CoA) stenting is scant. We explored predictors of aortic remodeling after stent implantation and report early- and intermediate-term clinical outcomes. METHODS: Adult patients who underwent stenting between July 2003 and December 2017 were included in this single-center retrospective study. We created a novel index of aortic volumetric and diameter changes using computed tomography (CT)/magnetic resonance (MR) images measured through TeraRecon and AngioQ...
September 2023: Journal of Invasive Cardiology
https://read.qxmd.com/read/37983108/impact-of-target-vessel-on-the-procedural-techniques-and-outcomes-of-chronic-total-occlusion-percutaneous-coronary-intervention
#120
JOURNAL ARTICLE
Spyridon Kostantinis, Athanasios Rempakos, Bahadir Simsek, Judit Karacsonyi, Salman S Allana, Khaldoon Alaswad, Mir Babar Basir, Rhian E Davies, Stewart M Benton, Oleg Krestyaninov, Dmitrii Khelimskii, Wissam A Jaber, Stephane Rinfret, William Nicholson, Jarrod Frizzell, Farouc A Jaffer, Jaikirshan J Khatri, Paul Poommipanit, James W Choi, Raj Chandwaney, Brian K Jefferson, Taral N Patel, Karim M Al-Azizi, Srinivasa Potluri, Nazif Aygul, Ahmed M ElGuindy, Nidal Abi Rafeh, Omer Goktekin, Michaella Alexandrou, Olga C Mastrodemos, Bavana V Rangan, Yader Sandoval, M Nicholas Burke, Emmanouil S Brilakis, Sevket Gorgulu
BACKGROUND: There is limited information on the impact of the target vessel on the procedural techniques and outcomes of chronic total occlusion (CTO) percutaneous coronary intervention (PCI). METHODS: We analyzed the baseline clinical and angiographic characteristics and procedural outcomes of 11,580 CTO PCIs performed between 2012 and 2022 at 44 centers. RESULTS: The most common CTO target vessel was the right coronary artery (RCA) (53.1%) followed by the left anterior descending artery (LAD) (26...
September 2023: Journal of Invasive Cardiology
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