journal
Journals Circulation. Cardiovascular In...

Circulation. Cardiovascular Interventions

https://read.qxmd.com/read/38887949/natural-history-of-coronary-atherosclerosis-in-patients-with-aortic-stenosis-undergoing-transcatheter-aortic-valve-replacement-the-role-of-quantitative-flow-ratio
#1
JOURNAL ARTICLE
Iginio Colaiori, Luca Paolucci, Fabio Mangiacapra, Emanuele Barbato, Gian Paolo Ussia, Francesco Grigioni, Pierluigi Demola, Marco Vitolo, Giorgio Benatti, Luigi Vignali, Davide Gabbieri, Paolo Magnavacchi, Fabio Alfredo Sgura, Giuseppe Boriani, Vincenzo Guiducci
BACKGROUND: The prognostic impact of functionally significant coronary artery disease, as assessed with quantitative flow ratio (QFR), in patients with severe aortic stenosis treated with transcatheter aortic valve replacement is unknown. METHODS: This is a retrospective study with blind analysis of angiographic data, enrolling consecutive patients with severe aortic stenosis treated with transcatheter aortic valve replacement at 4 Italian centers. None of the patients enrolled received pre-transcatheter aortic valve replacement or concomitant coronary revascularization, either for the absence of significant coronary stenoses or by clinical decision...
June 18, 2024: Circulation. Cardiovascular Interventions
https://read.qxmd.com/read/38887948/ultrasound-guided-transfemoral-access-for-coronary-procedures-a-pooled-learning-curve-analysis-from-the-faust-and-universal-trials
#2
JOURNAL ARTICLE
Marc-André d'Entremont, Arnold H Seto, Sulaiman Alrashidi, Omar Alansari, Bradley Brochu, Samuel Lemaire-Paquette, Laura Heenan, Elizabeth Skuriat, Jessica Tyrwhitt, Michael Raco, Michael B Tsang, Nicholas Valettas, James Velianou, Tej Sheth, Matthew Sibbald, Shamir R Mehta, Natalia Pinilla-Echeverri, Jon-David Schwalm, Madhu K Natarajan, Mazen Abu-Fadel, Andrew Kelly, Elie Akl, Sarah Tawadros, Walaa Faidi, John Bauer, Rachel Moxham, James Nkurunziza, Gustavo Dutra, Jose Winter, Étienne L Couture, Sanjit S Jolly
BACKGROUND: The learning curve for new operators performing ultrasound-guided transfemoral access (TFA) remains uncertain. METHODS: We performed a pooled analysis of the FAUST (Femoral Arterial Access With Ultrasound Trial) and UNIVERSAL (Routine Ultrasound Guidance for Vascular Access for Cardiac Procedures) trials, both multicenter randomized controlled trials of 1:1 ultrasound-guided versus non-ultrasound-guided TFA for coronary procedures. Outcomes included the composite of major bleeding or vascular complications and successful common femoral artery cannulation...
June 18, 2024: Circulation. Cardiovascular Interventions
https://read.qxmd.com/read/38881462/safety-and-efficacy-of-percutaneous-left-atrial-appendage-closure-without-preprocedural-imaging
#3
JOURNAL ARTICLE
Claudio Sanfilippo, Marco Frazzetto, Giuliano Costa, Claudia Contrafatto, Chiara Giacalone, Giovanni Tricomi, Chiara Barbera, Sofia Rizzo, Jessica De Santis, Maria Sanfilippo, Giuseppe Castania, Maria Elena Di Salvo, Salvatore Scandura, Corrado Tamburino, Marco Barbanti, Carmelo Grasso
No abstract text is available yet for this article.
June 17, 2024: Circulation. Cardiovascular Interventions
https://read.qxmd.com/read/38853766/bioprosthetic-aortic-valve-thrombosis-definitions-clinical-impact-and-management-a-state-of-the-art-review
#4
REVIEW
Kalyan R Chitturi, Amer I Aladin, Ryan Braun, Abdullah K Al-Qaraghuli, Avantika Banerjee, Pavan Reddy, Ilan Merdler, Abhishek Chaturvedi, Waiel Abusnina, Dan Haberman, Lior Lupu, Fernando J Rodriguez-Weisson, Brian C Case, Jason P Wermers, Itsik Ben-Dor, Lowell F Satler, Ron Waksman, Toby Rogers
Bioprosthetic aortic valve thrombosis is frequently detected after transcatheter and surgical aortic valve replacement due to advances in cardiac computed tomography angiography technology and standardized surveillance protocols in low-surgical-risk transcatheter aortic valve replacement trials. However, evidence is limited concerning whether subclinical leaflet thrombosis leads to clinical adverse events or premature structural valve deterioration. Furthermore, there may be net harm in the form of bleeding from aggressive antithrombotic treatment in patients with subclinical leaflet thrombosis...
June 10, 2024: Circulation. Cardiovascular Interventions
https://read.qxmd.com/read/38853741/clinical-outcomes-of-percutaneous-transcatheter-release-of-stuck-mechanical-mitral-valve-with-cerebral-embolic-protection
#5
JOURNAL ARTICLE
Vasu Nandhakumar, Latchumanadhas Kalidoss, Janakiraman Ezhilan, Shahina Begam, Mullasari S Ajit
BACKGROUND: Surgery or fibrinolysis is the currently available evidence-based treatment for obstructive mechanical valve thrombus. We reported the feasibility and short-term outcomes of percutaneous transcatheter therapy with cerebral embolic protection. Mid- and long-term outcomes remain unknown. METHODS: From 2020 to 2023, 24 patients underwent percutaneous transcatheter release of stuck leaflets with cerebral embolic protection for obstructive mitral mechanical valve thrombus...
June 10, 2024: Circulation. Cardiovascular Interventions
https://read.qxmd.com/read/38841833/comparing-management-strategies-in-patients-with-clot-in-transit
#6
JOURNAL ARTICLE
Robert S Zhang, Eugene Yuriditsky, Peter Zhang, Lindsay Elbaum, Eric Bailey, Muhammad H Maqsood, Radu Postelnicu, Nancy E Amoroso, Thomas S Maldonado, Muhamed Saric, Carlos L Alviar, James M Horowitz, Sripal Bangalore
BACKGROUND: Clot-in-transit is associated with high mortality, but optimal management strategies remain uncertain. The aim of this study was to compare the outcomes of different treatment strategies in patients with clot-in-transit. METHODS: This is a retrospective study of patients with documented clot-in-transit in the right heart on echocardiography across 2 institutions between January 2020 and October 2023. The primary outcome was a composite of in-hospital mortality, resuscitated cardiac arrest, or hemodynamic decompensation...
June 6, 2024: Circulation. Cardiovascular Interventions
https://read.qxmd.com/read/38837174/impact-of-cerebral-embolic-protection-devices-on-disabling-stroke-after-transcatheter-aortic-valve-replacement-updated-results-from-the-sts-acc-tvt-registry
#7
JOURNAL ARTICLE
Neel M Butala, Samir R Kapadia, Eric A Secemsky, Dianne Gallup, Andrzej S Kosinski, Sreekanth Vemulapalli, John C Messenger, Robert W Yeh, David J Cohen
Background: Cerebral embolic protection devices (EPDs) were developed to mitigate the risk of stroke during transcatheter aortic valve replacement (TAVR), but their benefit remains unproven. In the PROTECTED-TAVR trial, EPD use did not reduce periprocedural stroke (primary study outcome) but led to a 62% reduction in the secondary endpoint of disabling stroke. Given these results, the impact of EPDs during TAVR remains unclear. Methods: We used STS/ACC TVT registry data to examine the association between EPD use and a proxy for disabling stroke among transfemoral TAVR patients between 1/2018-6/2023...
June 5, 2024: Circulation. Cardiovascular Interventions
https://read.qxmd.com/read/38837149/use-of-discharge-disposition-to-determine-stroke-severity-after-tavr
#8
JOURNAL ARTICLE
Neel M Butala, Samir R Kapadia, Robert W Yeh, David J Cohen
No abstract text is available yet for this article.
June 5, 2024: Circulation. Cardiovascular Interventions
https://read.qxmd.com/read/38837134/supplementing-randomized-trial-data-to-answer-a-real-world-question-discharge-to-home-status-as-a-heuristic-for-stroke-severity-after-transcatheter-aortic-valve-replacement
#9
EDITORIAL
Dharam J Kumbhani, Frederick G Welt
No abstract text is available yet for this article.
June 5, 2024: Circulation. Cardiovascular Interventions
https://read.qxmd.com/read/38836574/impact-of-left-atrial-pressure-on-outcomes-after-mitral-transcatheter-edge-to-edge-repair
#10
JOURNAL ARTICLE
Yasser M Sammour, Rody Georges Bou Chaaya, Taha Hatab, Syed Zaid, Joe Aoun, Omar M Makram, Priscilla Wessly, Sahar Samimi, Sherif F Nagueh, William A Zoghbi, Marvin D Atkins, Michael J Reardon, Nadeen Faza, Stephen H Little, Neal S Kleiman, Sachin S Goel
Background: Increased left atrial pressure (LAP) has been associated with adverse outcomes after mitral transcatheter edge-to-edge repair (M-TEER). We sought to evaluate outcomes based on differences in post-procedural LAP measured after final clip deployment. Methods: We included consecutive patients who underwent M-TEER at our institution between 2014-2022 with LAP monitoring. Patients were stratified into 3 groups according to tertiles of post-TEER mean LAP. Outcomes were assessed using Kaplan-Meier analysis and Cox proportional hazard models...
June 5, 2024: Circulation. Cardiovascular Interventions
https://read.qxmd.com/read/38818724/coronary-artery-obstruction-after-transcatheter-aortic-valve-implantation-past-present-and-future
#11
REVIEW
Homam Ibrahim, Adib Chaus, Ahmed Alkhalil, Lindsey Prescher, Neal Kleiman
Coronary obstruction (CO) is a rare but critical complication of transcatheter aortic valve implantation. It is associated with significant morbidity and mortality. This comprehensive review elucidates the evolving landscape of CO risk assessment and management strategies in the contemporary era of transcatheter aortic valve implantation. Drawing upon recent advances in computed tomography angiography, we delve into the nuanced evaluation of anatomic parameters crucial for predicting CO risk. Furthermore, this review explores the utility of interventional and surgical techniques, including chimney stenting and leaflet modification systems, in mitigating CO complications...
May 31, 2024: Circulation. Cardiovascular Interventions
https://read.qxmd.com/read/38786579/biodegradable-polymer-versus-polymer-free-ultrathin-sirolimus-eluting-stents-analysis-of-the-stent-arm-registry-from-the-host-idea-randomized-trial
#12
JOURNAL ARTICLE
Jung-Kyu Han, Seokhun Yang, Doyeon Hwang, Sang-Hyeon Park, Jeehoon Kang, Han-Mo Yang, Kyung Woo Park, Hyun-Jae Kang, Bon-Kwon Koo, Jin-Man Cho, Janghyun Cho, Duk Won Bang, Jae-Hwan Lee, Han Cheol Lee, Kyung-Jin Kim, Woo Jung Chun, Won-Woo Seo, Woo-Jung Park, Sang Min Park, Jin Won Kim, Hyo-Soo Kim
BACKGROUND: The efficacy and safety of each third-generation drug-eluting stent with ultrathin struts and advanced polymer technology remain unclear. We investigated the clinical outcomes of percutaneous coronary intervention using the Coroflex ISAR polymer-free sirolimus-eluting stent (SES) or Orsiro biodegradable polymer SES. METHODS: The HOST-IDEA trial (Harmonizing Optimal Strategy for Treatment of Coronary Artery Stenosis-Coronary Intervention With Next-Generation Drug-Eluting Stent Platforms and Abbreviated Dual Antiplatelet Therapy), initially designed with a 2×2 factorial approach, sought to randomize patients undergoing percutaneous coronary intervention based on dual antiplatelet therapy duration (3 versus 12 months) and stent type (Coroflex ISAR versus Orsiro)...
May 24, 2024: Circulation. Cardiovascular Interventions
https://read.qxmd.com/read/38785084/three-year-outcomes-with-fractional-flow-reserve-guided-or-angiography-guided-multivessel-percutaneous-coronary-intervention-for-myocardial-infarction
#13
JOURNAL ARTICLE
Etienne Puymirat, Guillaume Cayla, Tabassome Simon, Philippe Gabriel Steg, Gilles Montalescot, Isabelle Durand-Zaleski, Fabiola Ngaleu Siaha, Romain Gallet, Khalife Khalife, Jean-François Morelle, Pascal Motreff, Gilles Lemesle, Jean-Guillaume Dillinger, Thibault Lhermusier, Johanne Silvain, Vincent Roule, Jean-Noel Labèque, Grégoire Rangé, Grégory Ducrocq, Yves Cottin, Didier Blanchard, Anaïs Charles Nelson, Juliette Djadi-Prat, Gilles Chatellier, Nicolas Danchin
BACKGROUND: In patients with multivessel disease with successful primary percutaneous coronary intervention for ST-segment-elevation myocardial infarction, the FLOWER-MI trial (Flow Evaluation to Guide Revascularization in Multivessel ST-Elevation Myocardial Infarction) showed that a fractional flow reserve (FFR)-guided strategy was not superior to an angiography-guided strategy for treatment of noninfarct-related artery lesions regarding the 1-year risk of death from any cause, myocardial infarction, or unplanned hospitalization leading to urgent revascularization...
May 24, 2024: Circulation. Cardiovascular Interventions
https://read.qxmd.com/read/38785083/unfolding-mystery-of-aortic-transcatheter-valve-doppler-gradient-and-clinical-outcomes
#14
EDITORIAL
Mackram F Eleid
No abstract text is available yet for this article.
May 24, 2024: Circulation. Cardiovascular Interventions
https://read.qxmd.com/read/38785079/impact-of-elevated-gradients-after-transcatheter-aortic-valve-implantation-for-degenerated-surgical-aortic-valve-bioprostheses
#15
JOURNAL ARTICLE
Riyad Yazan Kherallah, John M Suffredini, Faisal Rahman, Marvin H Eng, Neal Kleiman, Pratik Manandhar, Andrzej Kosinski, Guilherme Silva, Ishan Kamat, Samir Kapadia, Sreekanth Vemulapalli, Hani Jneid
BACKGROUND: Elevated aortic valve gradients are common after transcatheter aortic valve implantation for degenerated surgical aortic valve replacement bioprostheses, but their clinical impact is uncertain. METHODS: A total of 12 122 patients who underwent transcatheter aortic valve implantation-in-surgical aortic valve replacement from November 2011 to December 2019 in the Society of Thoracic Surgery/American College of Cardiology Transvalvular Therapeutics Registry were included...
May 24, 2024: Circulation. Cardiovascular Interventions
https://read.qxmd.com/read/38785074/is-there-a-role-for-physiology-guided-pci-of-nonculprit-lesions-in-patients-with-stemi
#16
EDITORIAL
Pascal Thériault-Lauzier, William F Fearon
No abstract text is available yet for this article.
May 24, 2024: Circulation. Cardiovascular Interventions
https://read.qxmd.com/read/38726685/mechanisms-matter-combining-invasive-metrics-to-better-define-microvascular-dysfunction
#17
EDITORIAL
Steven E S Miner, Tommaso Gori
No abstract text is available yet for this article.
May 10, 2024: Circulation. Cardiovascular Interventions
https://read.qxmd.com/read/38726677/prognostic-value-of-microvascular-resistance-reserve-measured-immediately-after-pci-in-stable-coronary-artery-disease
#18
JOURNAL ARTICLE
Takeshi Nishi, Tadashi Murai, Katsuhisa Waseda, Atsushi Hirohata, Andy S C Yong, Martin K C Ng, Tetsuya Amano, Emanuele Barbato, Tsunekazu Kakuta, William F Fearon
BACKGROUND: Microvascular resistance reserve (MRR) has been proposed as a specific metric to quantify coronary microvascular function. The long-term prognostic value of MRR measured in stable patients immediately after percutaneous coronary intervention (PCI) is unknown. This study sought to determine the prognostic value of MRR measured immediately after PCI in patients with stable coronary artery disease. METHODS: This study included 502 patients with stable coronary artery disease who underwent elective PCI and coronary physiological measurements, including pressure and flow estimation using a bolus thermodilution method after PCI...
May 10, 2024: Circulation. Cardiovascular Interventions
https://read.qxmd.com/read/38716671/intracoronary-adenosine-derived-coronary-flow-reserve-and-index-of-microvascular-resistance
#19
JOURNAL ARTICLE
Daniel T Y Ang, David Carrick, Anna Kamdar, Robert Sykes, Ross J McGeoch, Damien Collison, Alex McConnachie, Colin Berry
No abstract text is available yet for this article.
May 8, 2024: Circulation. Cardiovascular Interventions
https://read.qxmd.com/read/38708609/angiographic-characteristics-and-clinical-outcomes-in-patients-with-chronic-kidney-disease-undergoing-impella-supported-high-risk-percutaneous-coronary-intervention-insights-from-the-cvad-protect-iii-study
#20
JOURNAL ARTICLE
Aditya S Bharadwaj, Arsalan Abu-Much, Aneel S Maini, Zhipeng Zhou, Yanru Li, Wayne B Batchelor, Cindy L Grines, Suzanne J Baron, Björn Redfors, Alexandra J Lansky, Mir B Basir, William W O'Neill
BACKGROUND: Prior studies have found that patients with chronic kidney disease (CKD) have worse outcomes following percutaneous coronary intervention (PCI). There are no data about patients with advanced CKD undergoing Impella-supported high-risk PCI. We, therefore, aimed to evaluate angiographic characteristics and clinical outcomes in patients with CKD who received Impella-supported high-risk PCI as part of the catheter-based ventricular assist device PROTECT III study (A Prospective, Multi-Center, Randomized Controlled Trial of the IMPELLA RECOVER LP 2...
May 6, 2024: Circulation. Cardiovascular Interventions
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