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Catheterization and Cardiovascular Interventions

Christopher J White
No abstract text is available yet for this article.
February 14, 2019: Catheterization and Cardiovascular Interventions
Osamu Iida, Yoshimitsu Soga, Kazushi Urasawa, Shigeru Saito, Michael R Jaff, Hong Wang, Hiroko Ookubo, Hiroyoshi Yokoi
OBJECTIVES: To assess the longer-term safety and efficacy of the IN.PACT Admiral (MDT-2113) drug-coated balloon (DCB) for the treatment of de novo and non-stented restenotic lesions in the superficial femoral and/or proximal popliteal arteries versus uncoated percutaneous transluminal angioplasty (PTA) in a Japanese cohort. BACKGROUND: Although DCBs are the newest endovascular strategy for patients with peripheral artery disease presenting with femoropopliteal lesions, there remains a paucity of results in non-Caucasian populations...
February 12, 2019: Catheterization and Cardiovascular Interventions
William R Miranda, Donald J Hagler, Guy S Reeder, Carole A Warnes, Heidi M Connolly, Alexander C Egbe, Nathaniel W Taggart
OBJECTIVE: To review our experience with balloon testing prior to atrial septal defect (ASD) closure in adults with left ventricular (LV) diastolic dysfunction. BACKGROUND: ASD closure in patients with LV diastolic dysfunction may precipitate LV failure. Temporary ASD occlusion has been used in this scenario but data are limited. METHODS: Retrospective review of 27 patients age ≥ 50 years undergoing temporary ASD balloon occlusion between 2000 and 2018 for suspected LV diastolic dysfunction or elevated LV end-diastolic pressure (LVEDP)...
February 12, 2019: Catheterization and Cardiovascular Interventions
Anja Hanser, Ludger Sieverding, Till-Karsten Hauser, Gesa Wiegand, Michael Hofbeck
OBJECTIVES: To describe the efficacy and safety of stent-retriever thrombectomy in infants with thrombosis of the superior vena cava (SVC) and innominate vein. BACKGROUND: Thrombosis of the SVC and of the innominate vein is a potentially life threatening complication in infants during intensive care treatment following major surgical procedures. To avoid reoperations, we evaluated interventional revascularization by stent-retriever thrombectomy. METHODS: From 2015 to 2017, five infants were diagnosed with acute thrombosis of the SVC and innominate vein following major cardiac or pediatric surgery...
February 9, 2019: Catheterization and Cardiovascular Interventions
Yuhei Nojima, Hidenori Adachi, Madoka Ihara, Tetsuya Kurimoto, Keita Okayama, Yasushi Sakata, Shinsuke Nanto
OBJECTIVES: We aimed to compare the coronary angioscopic appearance of neointimal coverage (NIC) over durable-polymer everolimus-eluting stents (XIENCE-EES) and bioresorbable-polymer everolimus-eluting stents (SYNERGY-EES) 1 year after implantation. BACKGROUND: XIENCE-EES and SYNERGY-EES have been developed to prevent delayed arterial healing associated with first generation drug-eluting stents. However, the process of arterial healing after XIENCE-EES and SYNERGY-EES implantation has not been clarified...
February 9, 2019: Catheterization and Cardiovascular Interventions
Mohammed A Al-Hijji, Abdallah El Sabbagh, Mayra E Guerrero, Charanjit S Rihal, Mackram F Eleid
BACKGROUND: Treatment of hemodynamically significant mitral annular calcification (MAC) using transcatheter approaches is in the early learning phase. The occurrence of paravalvular leak (PVL) following transcatheter mitral valve in MAC is common. AIMS: To report the initial experience and techniques of percutaneous PVL closure after transcatheter valve in MAC. METHODS: This series includes five consecutive patients who underwent percutaneous PVL closure following transcatheter balloon expandable SAPIEN S3 valve in MAC...
February 9, 2019: Catheterization and Cardiovascular Interventions
Arshad Khan, Stephen Brienesse, Andrew Boyle, Nicholas Collins
While coronary artery bypass grafting remains an essential component of revascularization therapy, the use of venous conduits in the form of saphenous vein grafts is associated with a number of late sequelae, including graft stenosis and occlusion. The recognition of saphenous vein graft aneurysm, typically a late complication, may be associated with adverse outcomes. We describe the percutaneous therapy of saphenous vein graft aneurysm, utilizing contemporary devices, including newer generation covered stents, and the use of devices more commonly used in peripheral vascular intervention, reflecting the dilated nature of vein grafts...
February 9, 2019: Catheterization and Cardiovascular Interventions
Toru Naganuma, Hiroyoshi Kawamoto, Onishi Hirokazu, Sunao Nakamura
We first report the case highlighting a loop snare wire technique may be a useful percutaneous treatment option when faced with difficulty crossing the Evolut-R system into a surgical valve due to interference between the two prostheses, especially in cases with a very horizontal aorta.
February 9, 2019: Catheterization and Cardiovascular Interventions
Yong Wang, Hong-Wei Zhao, Cheng-Fu Wang, Chun-Yu Fan, Xiao-Jiao Zhang, Yu Zhu, De-Feng Luo, Guo-Ning Yu, Ai-Jie Hou, Bo Luan
OBJECTIVES: To assess the efficacy and safety of bivalirudin during percutaneous coronary intervention (PCI) for chronic total occlusion (CTO) in high-bleeding-risk elderly patients. BACKGROUND: Bivalirudin reduces PCI-related bleeding; however, its efficacy and safety in patients with CTO, especially elderly patients with a high bleeding risk, remain unclear. METHODS: This single-center prospective randomized controlled trial assigned 123 high-bleeding-risk elderly patients with CTO to either the unfractionated heparin (UFH) group (n = 55) or the bivalirudin group (n = 68)...
February 5, 2019: Catheterization and Cardiovascular Interventions
Yong-Hoon Yoon, Pil Hyung Lee, Jung-Min Ahn, Do-Yoon Kang, Hanbit Park, Osung Kwon, Kyusup Lee, Seung-Whan Lee, Duk-Woo Park, Seung-Jung Park
BACKGROUND: Little is known about how the relative treatment effect of percutaneous coronary intervention (PCI) and coronary-artery bypass grafting (CABG) on clinical outcomes in ostial or shaft left main coronary artery (LMCA) disease has evolved over time. METHODS: This study included 2,112 patients with ostial or shaft LMCA disease from IRIS-MAIN registry who underwent PCI (n = 1,329) or CABG (n = 783). Patients were stratified by time period based on stent type availability: wave 1 (1995-2002, bare-metal stent [BMS] era); wave 2 (2003-2006, first-generation drug-eluting stent [DES] era); and wave 3 (2007-2014, second-generation DES era)...
February 5, 2019: Catheterization and Cardiovascular Interventions
Mitsuru Abe, Takeshi Morimoto, Yoshihiro Morino, Hiroyuki Tanaka, Masaharu Akao, Yasuhiko Hayashi, Toshiya Muramatsu, Masahiko Ochiai, Yuichi Noguchi, Kazuhiko Yumoto, Yoshisato Shibata, Yoshikazu Hiasa, Osamu Doi, Takehiro Yamashita, Tomoaki Hinohara, Kazushige Kadota, Takeshi Kimura
OBJECTIVES: The aim of this study was to evaluate the impact of the J-CTO score on long-term target lesion revascularization (TLR) after successful native chronic total occlusion (CTO)-percutaneous coronary intervention (PCI). BACKGROUND: We previously reported that the J-CTO score could be used to stratify the lesion complexity and procedural success rate in CTO lesions. METHODS: We evaluated the prognostic significance of a high J-CTO score for long-term TLR rate in the J-CTO Registry...
February 5, 2019: Catheterization and Cardiovascular Interventions
Ronald A Ligon, Christopher J Petit
We describe a patient with chronic thromboembolic pulmonary hypertension who presented to the pediatric cardiac catheterization laboratory for peripheral pulmonary artery recanalization and angioplasty. This case report outlines serial pulmonary arterial rehabilitation via a retrograde approach through intrapulmonary collateral arterial connections.
February 5, 2019: Catheterization and Cardiovascular Interventions
Hiroyuki Omori, Yoshiaki Kawase, Masahiko Hara, Toru Tanigaki, Shuuichi Okamoto, Tetsuo Hirata, Jun Kikuchi, Hideaki Ota, Yoshihiro Sobue, Taiji Miyake, Itta Kawamura, Munenori Okubo, Hiroki Kamiya, Kunihiko Tsuchiya, Takahiko Suzuki, Nico H J Pijls, Hitoshi Matsuo
OBJECTIVES: The objective was to evaluate the safety, feasibility, and accuracy of the jailed-pressure wire technique using a durable optical fiber-based pressure wire with high-pressure dilatation using a non-compliant balloon after main vessel stenting. BACKGROUND: Fractional flow reserve (FFR) information can help interventionists determine whether they should treat a jailed-side branch (SB). However, re-crossing a pressure wire into a jailed-SB is sometimes technically difficult...
February 5, 2019: Catheterization and Cardiovascular Interventions
Romain Didier, David Bourhis, Chaker Oueslati, Bahaa Nasr, Florent Le Ven, Antoine Noël, Yannick Jobic, Pascal Damien, Dominique Pene-Baverez, Jacques Mansourati, Pierre Philippe Nicol, Martine Gilard
OBJECTIVES: The aim of this study was to determine the accuracy of DoseMap™ software as compared to gafchromic film in real clinical practices. BACKGROUND: The radiation exposure from cardiovascular procedures could expose patients to potential risk of cancer and/or skin injury. New tools like Dosemap software were developed to estimate the patient skin dose in the cardiac catheterization laboratory. However, little data are available to validate this estimation of patient radiation skin dose...
February 4, 2019: Catheterization and Cardiovascular Interventions
Toru Miyazaki, Takashi Ashikaga, Mitsutoshi Asano, Taro Sasaoka, Ken Kurihara, Shunji Yoshikawa, Mitsuaki Isobe
OBJECTIVE: The aim of the study was to investigate the impact of chronic kidney disease (CKD) on the 5-year clinical outcomes of everolimus-eluting stent (EES) implantation. BACKGROUND: Recent studies have demonstrated the safety and efficacy of EES. However, limited information exists on the long-term clinical outcomes associated with CKD. METHODS: The Tokyo-MD PCI study is a multi-center observational study designed to describe the clinical outcomes of unselected patients after EES implantation...
February 4, 2019: Catheterization and Cardiovascular Interventions
Vladimir Rubimbura, Laura Rostain, Anne-Marie Duval, Servais Akakpo, Madjid Boukantar, Philippe Boiron, Gauthier Mouillet, Romain Gallet, Abdelkaoui Belarbi, Philippe Le Corvoisier, Jean-Luc Dubois-Randé, Emmanuel Teiger
AIMS: Same-day discharge (SDD) after percutaneous coronary intervention (PCI) was safe and cost-effective in randomized and observational studies but faces limited acceptance due to concerns about early adverse events. Our aim was to evaluate early outcomes after SDD PCI in a high-volume urban PCI center over 10 years. METHODS AND RESULTS: From 2007 to 2016, 1,635 unselected patients had PCI at our ambulatory cardiac care unit, mainly for stable ischemic heart disease (SIHD)...
January 31, 2019: Catheterization and Cardiovascular Interventions
Bassel Mohammad Nijres, John H Huntington, Giedrius Baliulis, Joseph J Vettukattil
An infant with hypoplastic left heart syndrome (HLHS) presented with complete heart block and severe myocardial dysfunction requiring ECMO support due to complete left main coronary artery (LMCA) thrombosis. Current guidelines for managing coronary artery thrombosis in infants with single ventricle physiology are inadequate. We describe successful LMCA and branch recanalization via intra coronary infusion of recombinant tissue plasminogen activator and discuss management of acute coronary thrombosis in children with single ventricle physiology...
January 31, 2019: Catheterization and Cardiovascular Interventions
Yuki Katagiri, Giovanni Luigi De Maria, Norihiro Kogame, Ply Chichareon, Kuniaki Takahashi, Chun Chin Chang, Rodrigo Modolo, Simon Walsh, Manel Sabate, Justin Davies, Maciej Lesiak, Raul Moreno, Ignacio Cruz-Gonzalez, Nick E J West, Jan J Piek, Joanna J Wykrzykowska, Vasim Farooq, Javier Escaned, Adrian P Banning, Yoshinobu Onuma, Patrick W Serruys
OBJECTIVES: To investigate the impact of minimal stent area (MSA) evaluated by post-procedural intravascular ultrasound (IVUS) on clinical outcomes after contemporary PCI in patients with three-vessel disease (TVD). BACKGROUND: The impact of post-procedural MSA on clinical outcomes has not yet been extensively studied in patients with TVD. METHODS: The SYNTAX II study is a multicenter, all-comers, open-label, single arm study that investigated the impact of a state-of-the-art PCI strategy on clinical outcomes in patients with TVD (454 patients with 1,559 lesions)...
January 31, 2019: Catheterization and Cardiovascular Interventions
François Dérimay, Nils P Johnson, Frederik M Zimmermann, Julien Adjedj, Nils Witt, Barry Hennigan, Bon-Kwon Koo, Emanuele Barbato, Giovanni Esposito, Bruno Trimarco, Gilles Rioufol, Seung-Jung Park, Sérgio Bravo Baptista, George S Chrysant, Antonio Maria Leone, Allen Jeremias, Colin Berry, Bernard De Bruyne, Keith G Oldroyd, Nico H J Pijls, William F Fearon
OBJECTIVES: To identify clinical, angiographic and hemodynamic predictors of discordance between instantaneous wave-free ratio (iFR) and fractional flow reserve (FFR). BACKGROUND: The iFR was found to be non-inferior to the gold-standard FFR for guiding coronary revascularization, although it is discordant with FFR in 20% of cases. A better understanding of the causes of discordance may enhance application of these indices. METHODS: Both FFR and iFR were measured in the prospective multicenter CONTRAST study...
January 31, 2019: Catheterization and Cardiovascular Interventions
Kaize Wu, Zehan Huang, Zhian Zhong, Hongtao Liao, Yi Zhou, Bingzheng Luo, Bin Zhang
OBJECTIVE: To investigate predictors, treatment, and long-term outcomes associated with coronary perforation (CP) in patients who underwent retrograde percutaneous coronary intervention (PCI) through epicardial collaterals for chronic total occlusion (CTO). BACKGROUND: Data regarding CP during retrograde PCI through epicardial collaterals for CTO are scarce. METHODS: We included 155 patients who underwent retrograde CTO PCI through epicardial collaterals at Guangdong Cardiovascular Institute from August 2011 to December 2017...
January 28, 2019: Catheterization and Cardiovascular Interventions
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