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Journals Catheterization and Cardiovasc...

Catheterization and Cardiovascular Interventions

https://read.qxmd.com/read/37735946/prime-score-for-prediction-of-permanent-pacemaker-implantation-after-transcatheter-aortic-valve-replacement
#1
JOURNAL ARTICLE
Christopher D Barrett, Andrew Nickel, Michael A Rosenberg, Karen Ream, Wendy S Tzou, Ryan Aleong, Alexis Tumolo, Lohit Garg, Matthew Zipse, John J West, Paul Varosy, Amneet Sandhu
OBJECTIVES: We sought to produce a simple scoring system that can be applied at clinical visits before transcatheter aortic valve replacement (TAVR) to stratify the risk of permanent pacemaker (PPM) after the procedure. BACKGROUND: Atrioventricular block is a known complication of TAVR. Current models for predicting the risk of PPM after TAVR are not designed to be applied clinically to assist with preprocedural planning. METHODS: Patients undergoing TAVR at the University of Colorado were split into a training cohort for the development of a predictive model, and a testing cohort for model validation...
September 21, 2023: Catheterization and Cardiovascular Interventions
https://read.qxmd.com/read/37731297/novel-approach-to-stenting-the-left-anterior-descending-coronary-artery-through-a-retrograde-approach-via-the-left-internal-mammary-artery-graft-in-a-patient-with-occlusion-of-the-coronary-ostium-from-a-prior-aortic-valve-replacement
#2
Mohamad Soud, Frederick Feit, Sunil Rao, Sripal Bangalore
Total occlusion of both coronary ostia is a rare and potentially life-threatening complication following surgical aortic valve replacement. This report presents a case of a patient with known total occlusion of both coronary artery ostia following combined coronary artery bypass graft surgery and aortic valve replacement who underwent successful percutaneous coronary intervention through a retrograde approach.
September 20, 2023: Catheterization and Cardiovascular Interventions
https://read.qxmd.com/read/37731291/drug-coated-balloon-angioplasty-is-a-well-established-treatment-and-in-everyday-use-in-cathlabs-worldwide
#3
LETTER
Tuomas T Rissanen, Franz X Kleber, Bruno Scheller
No abstract text is available yet for this article.
September 20, 2023: Catheterization and Cardiovascular Interventions
https://read.qxmd.com/read/37727885/restoration-of-von-willebrand-factor-after-transcatheter-aortic-valve-replacement-a-possible-cause-for-posttranscatheter-aortic-valve-replacement-thrombocytopenia
#4
JOURNAL ARTICLE
Nastasia Roth, Carolin Heidel, Congde Xu, Ute Hubauer, Stefan Wallner, Christine Meindl, Andreas Holzamer, Michael Hilker, Marcus Creutzenberg, Samuel Sossalla, Lars Maier, Carsten Jungbauer, Kurt Debl
OBJECTIVES: The aim of the current study was to analyze the clinical and procedural predictors of thrombocytopenia and the relationship between the decrease in platelet count (DPC) and change in vWF function (ΔvWF) after transcatheter aortic valve replacement (TAVR). BACKGROUND: TAVR often causes temporary thrombocytopenia. At the same time, TAVR leads to a restoration of von Willebrand factor (vWF) function. METHODS: One hundred and forty-one patients with severe aortic stenosis undergoing TAVR were included in the study...
September 20, 2023: Catheterization and Cardiovascular Interventions
https://read.qxmd.com/read/37724846/anomalous-right-coronary-artery-originating-from-the-opposite-sinus-of-valsalva-fractional-flow-reserve-and-intravascular-ultrasound-guided-management
#5
Arushi Singh, Robert Donnino, Adam Small, Sripal Bangalore
There remains significant controversy in the risk stratification and management of patients with anomalous right coronary artery originating from the opposite sinus (R-ACAOS). We present the case of a patient with an inferior ST-elevation myocardial infarction, found to have R-ACAOS and severe atherosclerotic right coronary artery disease, treated with fractional flow reserve and intravascular ultrasound-guided percutaneous coronary intervention.
September 19, 2023: Catheterization and Cardiovascular Interventions
https://read.qxmd.com/read/37706639/assessment-of-atherectomy-treatment-for-thromboangiitis-obliterans-a-single-center-experience
#6
JOURNAL ARTICLE
Song Xue, Xing Zhang, Zhaoxi Peng, Xiaoyu Wu, Zhiyou Peng, Jinbao Qin, Xinwu Lu
BACKGROUND AND AIMS: Endovascular recanalizaiton (ER) has been proven to be a feasible method for Thromboangiitis Obliterans (TAO). The aims of this study were to evaluate the effectiveness and safety of atherectomy for TAO compared to nonatherectomy ER in our center. METHODS: Patients diagnosed as TAO were reviewed from January 2016 to June 2021 in our center. Basic characteristics of patients before ER and perioperative data were collected and compared between the atherectomy and nonatherectomy groups...
September 14, 2023: Catheterization and Cardiovascular Interventions
https://read.qxmd.com/read/37702150/ping-pong-snaring-of-a-totally-dislodged-stent-across-left-main-ostium-all-is-not-lost
#7
Attilio Restivo, Alessio Stanzione, Diego Maffeo, Andrea Buono
Undeployed stent loss is a rare but potentially serious complication of percutaneous coronary intervention. Its management is not assisted by well-defined guidelines, and it is made even more difficult when the dislodged stent is not protected by in situ guidewire. In this work, we present the case of a total stent loss with a crushed device protruding out of the left main. In this hopeless circumstance, an innovative ping-pong technique was used to contralaterally perform a successful stent retrieval.
September 13, 2023: Catheterization and Cardiovascular Interventions
https://read.qxmd.com/read/37702117/prognostic-significance-of-the-syntax-score-and-syntax-score-ii-in-patients-with-myocardial-infarction-treated-with-percutaneous-coronary-intervention
#8
JOURNAL ARTICLE
Marco Di Maio, Luca Esposito, Angelo Silverio, Michele Bellino, Francesco Paolo Cancro, Giuseppe De Luca, Francesca Maria Di Muro, Maria Giovanna Vassallo, Carmine Vecchione, Gennaro Galasso
OBJECTIVES: We aimed to evaluate the prognostic significance of the SYNTAX score (SS) and SYNTAX score II (SS-II) in a contemporary real-world cohort of myocardial infarction (MI) patients treated with percutaneous coronary intervention (PCI). BACKGROUND: The role of SS and SS-II in the prognostic stratification of patients presenting with MI and undergoing PCI has been poorly investigated. METHODS: This study included MI patients treated with PCI from January 2015 to April 2020 at the University Hospital of Salerno...
September 13, 2023: Catheterization and Cardiovascular Interventions
https://read.qxmd.com/read/37698396/trends-and-outcomes-of-combined-percutaneous-tavi-pci-and-surgical-approach-savr-cabg-for-patients-with-aortic-valve-and-coronary-artery-disease-a-national-readmission-database-nrd-analysis
#9
JOURNAL ARTICLE
Waqas Ullah, Deepika Sarvepalli, Arnav Kumar, Salman Zahid, Sameer Saleem, Hamza Z U Muhammadzai, Furqan Khattak, Peter C Block, Wissam A Jaber, Mehdi H Shishehbor, Steven J Filby, Chandan Devireddy
BACKGROUND: In patients with severe aortic stenosis (AS) and concomitant severe coronary artery disease (CAD), the relative merits of a combined percutaneous (transcatheter aortic valve implantation [TAVI] and percutaneous coronary intervention [PCI]] versus surgical approach (surgical aortic valve replacement [SAVR] and coronary artery bypass graft [CABG]) remain unknown. AIMS: To determine the utility of combined percutaneous versus surgical approaches in patients with severe AS and CAD...
September 12, 2023: Catheterization and Cardiovascular Interventions
https://read.qxmd.com/read/37698379/dracula-a-mnemonic-for-unfavorable-resuscitation-features-in-cardiac-arrest-patients
#10
LETTER
Tanveer Rab
No abstract text is available yet for this article.
September 12, 2023: Catheterization and Cardiovascular Interventions
https://read.qxmd.com/read/37698349/optimal-management-of-coronary-artery-disease-in-patients-undergoing-tavi-the-heart-team-holds-the-power
#11
JOURNAL ARTICLE
Tamara M Atkinson, Yen Tibayan
No abstract text is available yet for this article.
September 12, 2023: Catheterization and Cardiovascular Interventions
https://read.qxmd.com/read/37698335/performance-of-the-32%C3%A2-mm-myval-transcatheter-heart-valve-for-treatment-of-aortic-stenosis-in-patients-with-extremely-large-aortic-annuli-in-real-world-scenario-first-global-multicenter-experience
#12
JOURNAL ARTICLE
Andreas Holzamer, Francesco Bedogni, Pieter van Wyk, Parag Barwad, Marcin Protasiewicz, Alfonso Ielasi, Luis Nombela-Franco, Tim Seidler, Michael Hilker
BACKGROUND: Extremely large aortic valve anatomy is one of the remaining limitations leading to exclusion of patients for transcatheter aortic valve replacement (TAVR). AIMS: The newly approved Myval 32 mm device is designed for use in aortic annulus areas up to 840 mm2 . Here we want to share the initial worldwide experience with the device. METHODS AND RESULTS: Retrospective data were collected from 10 patients with aortic stenosis and very large annular anatomy (mean area 765...
September 12, 2023: Catheterization and Cardiovascular Interventions
https://read.qxmd.com/read/37698294/utility-of-rapid-atrial-pacing-before-and-after-tavr-with-balloon-expandable-valve-in%C3%A2-predicting-permanent-pacemaker-implantation
#13
JOURNAL ARTICLE
Bryan E-Xin Tan, Anas Hashem, Leela K T Boppana, Mohamed S Mohamed, Syed Faiz Abbas, Mohammed Faisaluddin, Samarthkumar Thakkar, Akbar K Ahmed, Cameron Hall, Farhad Abtahian, Mohan Rao, Deepak L Bhatt, Jeremiah P Depta
BACKGROUND: High-grade or complete atrioventricular block (AVB) requiring permanent pacemaker (PPM) implantation is a known complication of transcatheter aortic valve replacement (TAVR). Wenckebach AVB induced by rapid atrial pacing (RAP) after TAVR was previously demonstrated in an observational analysis to be an independent predictor for PPM. We sought to investigate the utility of both pre- and post-TAVR RAP in predicting PPM implantation. METHODS: In a single-center, prospective study, 421 patients underwent TAVR with balloon-expandable valves (BEV) between April 2020 and August 2021...
September 12, 2023: Catheterization and Cardiovascular Interventions
https://read.qxmd.com/read/37694682/endovascular-maneuvers-for-contralateral-stent-graft-limb-misplacement-in-endovascular-aortic-repair
#14
Katrin Schulte, Andrei Zdoroveac, Lorenz Gürke, Andrej Isaak
Cannulation and placement of the contralateral stent graft limb during endovascular aortic repair (EVAR) procedure are crucial steps as mispositioning may lead to conversion to open aortic repair. Endovascular bail-out strategies for stent graft relocation in EVAR are underreported though detailed knowledge may facilitate application and prevent conversion. We present three endovascular bail-out strategies for repositioning of a mispositioned contralateral stent graft limb. (1) Retraction of the mispositioned component with an inflated reliant balloon and placement of an interposition stent graft after successful cannulation; (2) Push-maneuver of the mispositioned stent graft into the infrarenal aortic aneurysm with an inflated reliant balloon supported by a large lumen introducer sheath and (3) Parallel placement of a second contralateral stent graft limb displacing the mispositioned one against the atrial wall in cases with adequate vessel diameter...
September 11, 2023: Catheterization and Cardiovascular Interventions
https://read.qxmd.com/read/37694603/patient-specific-commissural-alignment-for-acurate-neo2-implantation-in-degenerated-surgical-bioprostheses
#15
JOURNAL ARTICLE
Jonathan Curio, Arif A Khokhar, Alessandro Beneduce, Darren Mylotte, Simone Fezzi, Won-Keun Kim, Adriana Zlahoda-Huzior, Francesco Giannini, Dariusz Dudek
Valve-in-valve TAVI to treat failing surgical aortic valves (SAVs) is increasingly performed, and commissural alignment is a key technical aspect in such procedures. Surgeons optimize valve alignment, accounting for potential coronary eccentricity and achieving a patient-specific optimized commissural orientation, representing the ideal target for TAVI alignment. Therefore, here we present a dedicated stepwise valve-in-valve implantation technique using the ACURATE neo2. In a specific SAV postoverlap view, isolating one surgical post to the right of the screen representing the target for alignment, rotational orientation of the TAVI commissures, matching the SAV orientation, is achieved and verified before implantation...
September 11, 2023: Catheterization and Cardiovascular Interventions
https://read.qxmd.com/read/37681968/long-term-clinical-outcomes-following-successful-percutaneous-coronary-intervention-in-patients-with-extremely-long-coronary-chronic-total-occlusion-lesions
#16
JOURNAL ARTICLE
Jihun Ahn, HyeYon Yu, Seung-Woon Rha, Byoung Geol Choi, Soohyung Park, Eun Jin Park, Dong Oh Kang, Cheol Ung Choi
BACKGROUND: Lesion length is related to worse clinical outcomes following percutaneous coronary intervention (PCI) for the treatment of chronic total occlusion (CTO). However, the data to confirm the association between extremely long lesions and clinical hard endpoints have been limited. Therefore, we investigated the impact of extremely long CTO lesions (≥50 mm, treated lesion length) on the long-term clinical outcomes following successful PCI. METHODS: A total of 333 consecutive patients with CTO who underwent successful PCI with drug-eluting stents (DESs) were allocated to either the extremely long or the short CTO group according to their CTO lesion length...
September 8, 2023: Catheterization and Cardiovascular Interventions
https://read.qxmd.com/read/37681964/impact-of-preprocedural-anemia-on-in-hospital-and-follow-up-outcomes-of-chronic-total-occlusion-percutaneous-coronary-intervention
#17
JOURNAL ARTICLE
Athanasios Rempakos, Spyridon Kostantinis, Bahadir Simsek, Judit Karacsonyi, Michaella Alexandrou, James W Choi, Paul Poommipanit, Jaikirshan J Khatri, Laura Young, Rhian Davies, Stewart Benton, Farouc A Jaffer, Raj Chandwaney, Lorenzo Azzalini, Khaldoon Alaswad, Brian Jefferson, Jarrod Frizzell, Nidal Abi-Rafeh, Ahmed Elguindy, Omer Goktekin, Bavana V Rangan, Olga C Mastrodemos, Salman S Allana, Yader Sandoval, Nicholas M Burke, Emmanouil S Brilakis, Sevket Gorgulu
BACKGROUND: The impact of preprocedural anemia on the outcomes of chronic total occlusion (CTO) percutaneous coronary intervention (PCI) has received limited study. METHODS: We examined the clinical and angiographic characteristics and procedural outcomes of 8633 CTO PCIs performed at 39 US and non-US centers between 2012 and 2023. Anemia was defined as a hemoglobin level of <13 g/dL in men and <12 g/dL in women. RESULTS: Anemia was present in 1652 (19%) patients undergoing CTO PCI...
September 8, 2023: Catheterization and Cardiovascular Interventions
https://read.qxmd.com/read/37681962/a-preliminary-study-of-minimal-left-atrial-appendage-occlusion-using-watchman-under-the-guidance-of-fluoroscopy
#18
JOURNAL ARTICLE
Zhong-Bao Ruan, Wei Li, Kai Jin, Xiang-Wei Ding, Ge-Cai Chen, Jun-Guo Zhu, Yi Ren, Li Zhu
BACKGROUND: Left atrial appendage occlusion (LAAO) has been considered an alternative treatment to prevent embolic stroke in patients with nonvalvular atrial fibrillation (NVAF). However, it carries a risk of general anesthesia or esophageal injury if guided by transesophageal echocardiography (TEE). AIMS: We aimed to investigate the feasibility and safety of minimal LAAO (MLAAO) using Watchman under fluoroscopy guidance alone in patients with NVAF. METHODS: A total of 249 consecutive patients with NVAF who underwent LAAO using the WATCHMAN device were divided into two groups: the Standard LAAO (SLAAO) group and the MLAAO group...
September 8, 2023: Catheterization and Cardiovascular Interventions
https://read.qxmd.com/read/37681951/hemodynamics-after-tavr-matter
#19
JOURNAL ARTICLE
Howard C Herrmann
No abstract text is available yet for this article.
September 8, 2023: Catheterization and Cardiovascular Interventions
https://read.qxmd.com/read/37681474/comparative-evaluation-of-intracardiac-transesophageal-and-transthoracic-echocardiography-in-the-assessment-of-patent-foramen-ovale-a-retrospective-single-center-study
#20
JOURNAL ARTICLE
Abhishek Chaturvedi, Francesco Moroni, Michael Axline, Anna Tomdio, Mohammad K Mojadidi, Zachary Gertz
INTRODUCTION: Certain patent foramen ovale (PFO) characteristics, such as a large right-to-left shunt (RLS) or atrial septal aneurysm, identify patients who may receive the highest clinical benefit from percutaneous PFO closure. This study aimed to compare intracardiac echocardiography (ICE) with standard echocardiographic imaging in the evaluation of high-risk PFO characteristics and RLS severity in patients with PFO-associated stroke. METHODS: We conducted a retrospective review of all patients aged ≥18 years who underwent percutaneous PFO closure for PFO-associated stroke and received all three ultrasound-based cardiac imaging modalities and had interpretable results (N = 51)...
September 8, 2023: Catheterization and Cardiovascular Interventions
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