journal
Journals Circulation. Cardiovascular In...

Circulation. Cardiovascular Interventions

https://read.qxmd.com/read/38533653/tabernacl-temporary-hemodynamic-stabilization-in-vivo
#1
JOURNAL ARTICLE
Rim N Halaby, Christopher G Bruce, D Korel Yildirim, Dogangun Uzun, Toby Rogers, Jaffar M Khan, Andi E Jaimes, Laurie P Grant, Vasilis C Babaliaros, Adam B Greenbaum, Robert J Lederman
BACKGROUND: Acute aortic regurgitation is life-threatening with few nonsurgical options for immediate stabilization. We propose Trans-Aortic Balloon to Ease Regurgitation Applying Counter-Pulsation (TABERNACL), a simple, on-table temporary valve using commercially available equipment to temporize acute severe aortic regurgitation. METHODS: We hypothesize that an appropriately sized commercial balloon dilatation catheter-straddling the aortic annulus and connected to a counterpulsation console-can serve as a temporizing valve to restore hemodynamic stability in acute aortic regurgitation...
March 27, 2024: Circulation. Cardiovascular Interventions
https://read.qxmd.com/read/38529637/acurate-neo2-versus-sapien-3-ultra-transcatheter-heart-valve-in-severe-aortic-valve-calcification-a-propensity-matched-analysis
#2
JOURNAL ARTICLE
Clemens Eckel, Won-Keun Kim, Dagmar Sötemann, Christina Grothusen, Vedat Tiyerili, Guido Dohmen, Matthias Renker, Efstratios I Charitos, Christian W Hamm, Yeong-Hoon Choi, Albrecht Elsässer, Helge Möllmann, Johannes Blumenstein
BACKGROUND: Comparative data on transcatheter self-expanding ACURATE neo2 (NEO2) and balloon-expandable SAPIEN 3 Ultra prostheses in technically challenging anatomy of severe aortic valve calcified aortic annuli are scarce. METHODS: A total of 1987 patients with severe native aortic stenosis treated with the self-expanding NEO2 (n=1457) or balloon-expandable SAPIEN 3 Ultra (n=530) from January 2017 to April 2023 were evaluated. The primary end point was procedural outcome according to the Valve Academic Research Consortium 3 definitions...
March 26, 2024: Circulation. Cardiovascular Interventions
https://read.qxmd.com/read/38525652/virtual-ffr-from-optical-coherence-tomography-a-1-stop-shop-for-pci-guidance
#3
EDITORIAL
Morton J Kern, Arnold H Seto
No abstract text is available yet for this article.
March 25, 2024: Circulation. Cardiovascular Interventions
https://read.qxmd.com/read/38525609/optical-coherence-tomography-based-functional-stenosis-assessment-fusion-a-prospective-multicenter-trial
#4
JOURNAL ARTICLE
Allen Jeremias, Akiko Maehara, Mitsuaki Matsumura, Richard A Shlofmitz, Aziz Maksoud, Takashi Akasaka, Hiram G Bezerra, William F Fearon, Habib Samady, Bruce Samuels, Joshua Rapkin, Ajay Gopinath, Nutte Tarn Teraphongphom, Jana Buccola, Ziad A Ali
BACKGROUND: Intravascular imaging and intracoronary physiology may both be used to guide and optimize percutaneous coronary intervention; however, they are rarely used together. The virtual flow reserve (VFR) is an optical coherence tomography (OCT)-based model of fractional flow reserve (FFR) facilitating the assessment of the physiological significance of coronary lesions. We aimed to validate the VFR assessment of intermediate coronary artery stenoses. METHODS: FUSION (Validation of OCT-Based Functional Diagnosis of Coronary Stenosis) was a multicenter, prospective, observational study comparing OCT-derived VFR to invasive FFR...
March 25, 2024: Circulation. Cardiovascular Interventions
https://read.qxmd.com/read/38487882/no-reflow-prediction-in-acute-coronary-syndrome-during-percutaneous-coronary-intervention-the-norpacs-risk-score
#5
JOURNAL ARTICLE
Luke P Dawson, Muhammad Rashid, Diem T Dinh, Angela Brennan, Jason E Bloom, Sinjini Biswas, Jeffrey Lefkovits, James A Shaw, William Chan, David J Clark, Ernesto Oqueli, Chin Hiew, Melanie Freeman, Andrew J Taylor, Christopher M Reid, Andrew E Ajani, David M Kaye, Mamas A Mamas, Dion Stub
BACKGROUND: Suboptimal coronary reperfusion (no reflow) is common in acute coronary syndrome percutaneous coronary intervention (PCI) and is associated with poor outcomes. We aimed to develop and externally validate a clinical risk score for angiographic no reflow for use following angiography and before PCI. METHODS: We developed and externally validated a logistic regression model for prediction of no reflow among adult patients undergoing PCI for acute coronary syndrome using data from the Melbourne Interventional Group PCI registry (2005-2020; development cohort) and the British Cardiovascular Interventional Society PCI registry (2006-2020; external validation cohort)...
March 15, 2024: Circulation. Cardiovascular Interventions
https://read.qxmd.com/read/38436084/comparison-of-transcatheter-edge-to-edge-mitral-valve-repair-for-primary-mitral-regurgitation-outcomes-to-hospital-volumes-of-surgical-mitral-valve-repair
#6
JOURNAL ARTICLE
Paul A Grayburn, Michael J Mack, Pratik Manandhar, Andrzej S Kosinski, Anna Sannino, Robert L Smith, Molly Szerlip, Sreekanth Vemulapalli
BACKGROUND: Transcatheter edge-to-edge mitral valve (MV) repair (TEER) is an effective treatment for patients with primary mitral regurgitation at prohibitive risk for surgical MV repair (MVr). High-volume MVr centers and high-volume TEER centers have better outcomes than low-volume centers, respectively. However, whether MVr volume predicts TEER outcomes remains unknown. We hypothesized that high-volume MV surgical centers would have superior risk-adjusted outcomes for TEER than low-volume centers...
March 4, 2024: Circulation. Cardiovascular Interventions
https://read.qxmd.com/read/38410989/clinical-outcomes-and-predictors-of-advanced-therapy-for-the-management-of-right-heart-thrombus
#7
JOURNAL ARTICLE
Nathan W Watson, Ido Weinberg, Andrew B Dicks, Brett J Carroll, Eric A Secemsky
BACKGROUND: The role of advanced therapies (systemic thrombolysis, catheter-based treatment, and surgical thrombectomy) for the management of right heart thrombus is poorly defined. In this study, we assessed the clinical predictors and outcomes of advanced therapy compared with anticoagulation alone for the acute management of right heart thrombus. METHODS: In this observational cohort study, we analyzed consecutive patients who were treated for right heart thrombus...
February 27, 2024: Circulation. Cardiovascular Interventions
https://read.qxmd.com/read/38410946/implementation-of-a-multidimensional-strategy-to-reduce-post-pci-bleeding-risk
#8
JOURNAL ARTICLE
Andrea L Price, Amit P Amin, Susan Rogers, John C Messenger, Issam D Moussa, Julie M Miller, Jonathan Jennings, Frederick A Masoudi, J Dawn Abbott, Rebecca Young, Daniel M Wojdyla, Sunil V Rao
BACKGROUND: The American College of Cardiology Reduce the Risk: PCI Bleed Campaign was a hospital-based quality improvement campaign designed to reduce post-percutaneous coronary intervention (PCI) bleeding events. The aim of the campaign was to provide actionable evidence-based tools for participants to review, adapt, and adopt, depending upon hospital resources and engagement. METHODS: We used data from 8 757 737 procedures in the National Cardiovascular Data Registry between 2015 and 2021 to compare patient and hospital characteristics and bleeding outcomes among campaign participants (n=195 hospitals) and noncampaign participants (n=1384)...
February 27, 2024: Circulation. Cardiovascular Interventions
https://read.qxmd.com/read/38410944/percutaneous-left-ventricular-unloading-during-high-risk-coronary-intervention-rationale-and-design-of-the-chip-bcis3-randomized-controlled-trial
#9
JOURNAL ARTICLE
Matthew Ryan, Saad M Ezad, Ian Webb, Peter D O'Kane, Matthew Dodd, Richard Evans, Lynn Laidlaw, Sohail Q Khan, Roshan Weerackody, Alan Bagnall, Vasileios F Panoulas, Haseeb Rahman, Julian W Strange, Farzin Fath-Ordoubadi, Stephen P Hoole, Rod H Stables, Nick Curzen, Tim Clayton, Divaka Perera
INTRODUCTION: Percutaneous coronary intervention for complex coronary disease is associated with a high risk of cardiogenic shock. This can cause harm and limit the quality of revascularization achieved, especially when left ventricular function is impaired at the outset. Elective percutaneous left ventricular unloading is increasingly used to mitigate adverse events in patients undergoing high-risk percutaneous coronary intervention, but this strategy has fiscal and clinical costs and is not supported by robust evidence...
February 27, 2024: Circulation. Cardiovascular Interventions
https://read.qxmd.com/read/38375668/perfect-wedding-between-patient-with-stemi-and-angiography-derived-indexes-of-coronary-physiology
#10
EDITORIAL
Gianluca Campo, Andrea Erriquez, Simone Biscaglia
No abstract text is available yet for this article.
February 20, 2024: Circulation. Cardiovascular Interventions
https://read.qxmd.com/read/38375667/angiography-derived-index-of-microcirculatory-resistance-to-define-the-risk-of-early-discharge-in-stemi
#11
JOURNAL ARTICLE
Roberto Scarsini, Rafail A Kotronias, Francesco Della Mora, Leonardo Portolan, Stefano Andreaggi, Stefano Benenati, Federico Marin, Sara Sgreva, Alberto Comuzzi, Caterina Butturini, Gabriele Pesarini, Domenico Tavella, Keith M Channon, Hector M Garcia Garcia, Flavio Ribichini, Adrian P Banning, Giovanni Luigi De Maria
BACKGROUND: Patients with ST-segment-elevation myocardial infarction but no coronary microvascular injury are at low risk of early cardiovascular complications (ECC). We aim to assess whether nonhyperemic angiography-derived index of microcirculatory resistance (NH-IMRangio ) could be a user-friendly tool to identify patients at low risk of ECC, potentially candidates for expedited care pathway and early hospital discharge. METHODS: Retrospective analysis of 2 independent, international, prospective, observational cohorts included 568 patients with ST-segment-elevation myocardial infarction...
February 20, 2024: Circulation. Cardiovascular Interventions
https://read.qxmd.com/read/38349184/drug-coated-balloons-with-or-without-provisional-bare-metal-stenting-in-femoropopliteal-disease-no-metal-left-behind
#12
EDITORIAL
Jennifer A Rymer, J Antonio Gutierrez
No abstract text is available yet for this article.
February 13, 2024: Circulation. Cardiovascular Interventions
https://read.qxmd.com/read/38348677/five-year-safety-and-effectiveness-of-paclitaxel-drug-coated-balloons-alone-or-with-provisional-bare-metal-stenting-for-real-world-femoropopliteal-lesions-in-pact-global-study-subgroup-analysis
#13
JOURNAL ARTICLE
Gary M Ansel, Marianne Brodmann, Krishna J Rocha-Singh, Jeremiah S Menk, Thomas Zeller
BACKGROUND: The treatment of complex infra-inguinal disease with drug-coated balloons (DCBs) is associated with a significant number of patients undergoing provisional stenting to treat a suboptimal result. To determine the potential long-term impact of DCB treatment with provisional bare metal stenting in complex lesions in real-world patients, a post hoc analysis was performed on data from the IN.PACT Global Study (The IN.PACT Global Clinical Study for the Treatment of Comprehensive Superficial Femoral and/or Popliteal Artery Lesions Using the IN...
February 13, 2024: Circulation. Cardiovascular Interventions
https://read.qxmd.com/read/38348649/statewide-initiative-to-reduce-patient-radiation-doses-during-percutaneous-coronary-intervention
#14
JOURNAL ARTICLE
Ryan D Madder, Milan Seth, Kathleen Frazier, Simon Dixon, Milind Karve, John Collins, Ronald V Miller, Elizabeth Pielsticker, Manoj Sharma, Devraj Sukul, Hitinder S Gurm
BACKGROUND: Improved radiation safety practices are needed across hospitals performing percutaneous coronary intervention (PCI). This study was performed to assess the temporal trend in PCI radiation doses concurrent with the conduct of a statewide radiation safety initiative. METHODS: A statewide initiative to reduce PCI radiation doses was conducted in Michigan between 2017 and 2021 and included focused radiation safety education, reporting of institutional radiation doses, and implementation of radiation performance metrics for hospitals...
February 13, 2024: Circulation. Cardiovascular Interventions
https://read.qxmd.com/read/38293832/prioritizing-rapid-reperfusion-in-st-segment-elevation-myocardial-infarction-complicated-by-cardiogenic-shock-leveraging-regionalized-systems-of-care
#15
EDITORIAL
Eugene Yuriditsky, James M Horowitz
No abstract text is available yet for this article.
January 31, 2024: Circulation. Cardiovascular Interventions
https://read.qxmd.com/read/38293830/reperfusion-in-patients-with-st-segment-elevation-myocardial-infarction-with-cardiogenic-shock-and-prolonged-interhospital-transport-times
#16
JOURNAL ARTICLE
Sean van Diepen, Yinggan Zheng, Janek M Senaratne, Benjamin D Tyrrell, Debraj Das, Holger Thiele, Timothy D Henry, Kevin R Bainey, Robert C Welsh
BACKGROUND: In patients with ST-segment-elevation myocardial infarction complicated by cardiogenic shock, primary percutaneous coronary intervention (pPCI) is the preferred revascularization option. Little is known about the efficacy and safety of a pharmacoinvasive approach for patients with cardiogenic shock presenting to a non-PCI hospital with prolonged interhospital transport times. METHODS: In a retrospective analysis of geographically extensive ST-segment-elevation myocardial infarction network (2006-2021), 426 patients with cardiogenic shock and ST-segment-elevation myocardial infarction presented to a non-PCI-capable hospital and underwent reperfusion therapy (53...
January 31, 2024: Circulation. Cardiovascular Interventions
https://read.qxmd.com/read/38264938/prospective-multicenter-international-registry-of-ultrasound-facilitated-catheter-directed-thrombolysis-in-intermediate-high-and-high-risk-pulmonary-embolism-knocout-pe
#17
JOURNAL ARTICLE
Keith M Sterling, Samuel Z Goldhaber, Andrew S P Sharp, Nils Kucher, Noah Jones, Robert Maholic, Nicolas Meneveau, David Zlotnick, Sameh Sayfo, Stavros V Konstantinides, Gregory Piazza
BACKGROUND: Prior clinical trials have demonstrated the efficacy of ultrasound-facilitated catheter-directed thrombolysis (USCDT) for the treatment of acute intermediate-risk pulmonary embolism (PE) using reduced thrombolytic doses and shorter infusion durations. However, utilization and safety of such strategies in broader PE populations remain unclear. The KNOCOUT PE (The EKoSoNic Registry of the Treatment and Clinical Outcomes of Patients With Pulmonary Embolism) registry is a multicenter international registry designed to study the treatment of acute PE with USCDT, with focus on safety outcomes...
January 24, 2024: Circulation. Cardiovascular Interventions
https://read.qxmd.com/read/38258562/catheterization-for-congenital-heart-disease-adjustment-for-risk-method-ii
#18
JOURNAL ARTICLE
Brian P Quinn, Lauren C Gunnelson, Sarah G Kotin, Kimberlee Gauvreau, Mary J Yeh, Babar Hasan, John Lozier, Oliver M Barry, Shabana Shahanavaz, Sarosh P Batlivala, Arash Salavitabar, Susan Foerster, Bryan Goldstein, Abhay Divekar, Ralf Holzer, George T Nicholson, Michael L O'Byrne, Wendy Whiteside, Lisa Bergersen
BACKGROUND: Current metrics used to adjust for case mix complexity in congenital cardiac catheterization are becoming outdated due to the introduction of novel procedures, innovative technologies, and expanding patient subgroups. This study aims to develop a risk adjustment methodology introducing a novel, clinically meaningful adverse event outcome and incorporating a modern understanding of risk. METHODS: Data from diagnostic only and interventional cases with defined case types were collected for patients ≤18 years of age and ≥2...
January 23, 2024: Circulation. Cardiovascular Interventions
https://read.qxmd.com/read/38235547/associations-of-sarcopenia-and-body-composition-measures-with-mortality-after-transcatheter-aortic-valve-replacement
#19
JOURNAL ARTICLE
Elliot J Stein, Colin Neill, Sangeeta Nair, J Greg Terry, J Jeffrey Carr, William F Fearon, Sammy Elmariah, Juyong B Kim, Samir Kapadia, Dharam J Kumbhani, Linda Gillam, Brian Whisenant, Nishath Quader, Alan Zajarias, Frederick G Welt, Anthony A Bavry, Megan Coylewright, Robert Piana, Ravinder R Mallugari, Anna Vatterott, Natalie Jackson, Shi Huang, Brian R Lindman
BACKGROUND: Frailty associates with worse outcomes after transcatheter aortic valve replacement (TAVR). Sarcopenia underlies frailty, but the association between a comprehensive assessment of sarcopenia-muscle mass, strength, and performance-and outcomes after TAVR has not been examined. METHODS: From a multicenter prospective registry of patients with symptomatic severe aortic stenosis undergoing TAVR, 445 who had a preprocedure computed tomography and clinical assessment of frailty were included...
January 18, 2024: Circulation. Cardiovascular Interventions
https://read.qxmd.com/read/38235546/implications-of-mitral-annular-calcification-on-outcomes-following-mitral-transcatheter-edge-to-edge-repair
#20
JOURNAL ARTICLE
Alon Shechter, Mirae Lee, Danon Kaewkes, Vivek Patel, Ofir Koren, Tarun Chakravarty, Keita Koseki, Takashi Nagasaka, Sabah Skaf, Moody Makar, Raj R Makkar, Robert J Siegel
BACKGROUND: Limited data exist regarding the impact of mitral annular calcification (MAC) on outcomes of transcatheter edge-to-edge repair for mitral regurgitation (MR). METHODS: We retrospectively analyzed 968 individuals (median age, 79 [interquartile range, 70-86] years; 60.0% males; 51.8% with functional MR) who underwent an isolated, first-time intervention. Stratified by MAC extent per baseline transthoracic echocardiogram, the cohort was assessed for residual MR, functional status, all-cause mortality, heart failure hospitalizations, and mitral reinterventions post-procedure...
January 18, 2024: Circulation. Cardiovascular Interventions
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