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Journal of Invasive Cardiology

Michael Koutouzis, Eleftherios Kontopodis, Andreas Tassopoulos, Ioannis Tsiafoutis, Efstathios Lazaris
This is the first reported case of severe hand hematoma after cardiac catheterization through the distal radial artery, with the hematoma extending distally to the sheath insertion site. The distribution of the hematoma in our case is completely different compared to the hematomas observed after traditional radial catheterization, which used to extend to the forearm. Therefore, the traditional EASY classification may not apply to hematomas after catheterization through the distal radial artery.
June 19, 2018: Journal of Invasive Cardiology
Rohan Menon, Aris Karatasakis, Siddharth Patel, Barbara A Danek, Judit Karacsonyi, Bavana V Rangan, Tayo Addo, Dharam Kumbhani, Samir Kapadia, Michael Luna, Ehtisham Mahmud, Charles Chambers, Subhash Banerjee, Emmanouil S Brilakis
BACKGROUND: There is great variability in radiation safety practices in cardiac catheterization laboratories around the world. METHODS: We performed an international online survey on radiation safety including interventional cardiologists, electrophysiologists, interventional radiologists, and vascular surgeons. RESULTS: A total of 570 responses were received from various geographic locations, including the United States (77.9%), Asia (7.9%), Europe (6...
June 15, 2018: Journal of Invasive Cardiology
Ashleigh Long, Paul Mahoney
BACKGROUND: Transcatheter mitral valve-in-valve (TMVIV) or valve-in-ring (TMVIR) replacement has shown early promise in patients deemed poor surgical candidates as a less invasive alternative to conventional reoperative mitral valve (MV) replacement. OBJECTIVE: This retrospective, single-center study reviewed the procedural outcomes of all TMVIV and TMVIR procedures between 2013-2018 at a large tertiary referral center serving the southeastern United States. An analysis of patient safety measures was also performed, with a retrospective assessment of relative procedural safety that included preoperative risk stratification and postoperative mortality predictors, operative time, average blood loss, length of hospital stay, and readmission rates...
June 15, 2018: Journal of Invasive Cardiology
Sorin J Brener, Venkatesh Alapati, Doris Chan, Akanibo Da-Wariboko, Yousef Kaid, Yevgeniy Latyshev, Amr Moussa, Chockalingham A Narayanan, John P O'Laughlin, Amol Raizada, Gautam Verma, Terrence J Sacchi
BACKGROUND: Short-term outcome after percutaneous coronary intervention (PCI) has improved dramatically, but the association between clinical or angiographic characteristics and long-term outcome remains less well described. The SYNTAX (Synergy Between PCI With TAXUS and Cardiac Surgery) II score has been designed to overcome the limitations of the purely angiographic SYNTAX I score by including clinical parameters and comorbidities. It has not been tested extensively in "real-world" PCI patients, outside of randomized clinical studies...
June 15, 2018: Journal of Invasive Cardiology
Umberto Barbero, Rahim Kanji, Enrico Cerrato, Roberto Di Summa, Federico Conrotto, Hiroyoshi Kawamoto, Giuseppe Biondi-Zoccai, Sebastiano Gili, Fabrizio Ugo, Mario Iannaccone, Marco Gagliardi, Michele De Benedictis, Baldassarre Doronzo, Ferdinando Varbella, Maurizio D'Amico, Claudio Moretti, Antonio Colombo, Javier Escaned, Fabrizio D'Ascenzo
OBJECTIVE: To evaluate the outcome of patients undergoing PCI for unprotected left main coronary artery (ULMCA) disease with different drug-eluting stent (DES) types. BACKGROUND: Published literature suggests that second-generation DES options have differing vascular responses and outcomes, but there is a paucity of data in real-life patients in the LM setting. METHODS: This is a retrospective, multicenter study, including patients treated with a second-generation DES for ULMCA disease between 2007 and 2015...
May 15, 2018: Journal of Invasive Cardiology
Hesham K Abdelaziz, Andrew Wiper, Ranjit S More, Mohamad N Bittar, David H Roberts
The use of balloon-expandable prosthesis in the treatment of native aortic valve regurgitation in the presence of ascending aortic dissection is described.
July 2018: Journal of Invasive Cardiology
Amrita Mukhopadhyay, Kamil F Faridi, Aarti Asnani, Eric A Osborn, Jesse X Yang, Colin T Phillips, Meghan York
A cancer patient presented with acute chest pain at rest 40 hours after IV fluorouracil infusion. Angiography showed evidence of myocardial bridging.
July 2018: Journal of Invasive Cardiology
Maksymilian P Opolski, Milosz J Jaguszewski, Mateusz Spiewak, Adam Witkowski
An OCT-guided watchful-waiting strategy is used to avoid the invasive treatment of the LMCA in a very young patient with massive coronary thrombosis.
July 2018: Journal of Invasive Cardiology
Wai Kin Chi, Bryan P Yan, Chi Yuen Chan
Optimal GuideLiner positioning for OCT acquisition in tortuous vessels requires special attention to avoid iatrogenic dissection.
July 2018: Journal of Invasive Cardiology
James J Chen, Justin Y Teng, Sharad V Shetty
A broken TIVAD catheter segment was discovered lodged within the right ventricle of a man presenting with chest pain. The catheter removal is detailed.
July 2018: Journal of Invasive Cardiology
Michael S Lee, Evan Shlofmitz, Kyung Woo Park, Alec Goldberg, Allen Jeremias, Richard Shlofmitz
OBJECTIVE: We assessed the 1-year outcomes of patients who underwent orbital atherectomy for severely calcified unprotected left main coronary artery (ULMCA) disease. BACKGROUND: The standard of care for ULMCA is coronary artery bypass graft surgery. Percutaneous coronary intervention (PCI) is a reasonable option for the treatment for ULMCA disease, especially in patients who are not good candidates for surgical revascularization. Coronary artery calcification is associated with worse clinical outcomes in patients who undergo PCI...
July 2018: Journal of Invasive Cardiology
Francisco Campelo-Parada, Didier Carrié, Antonio L Bartorelli, Atsuo Namiki, Thomas Hovasse, Takeshi Kimura, Antonio Serra-Peñaranda, Olivier Varenne, Jacques Lalmand, Kazushige Kadota, Yuji Ikari, Tetsuya Tobaru, Kenshi Fujii, Shigeru Nakamura, Shigeru Saito, William Wijns
OBJECTIVE: To compare the main outcomes of radial versus femoral access at long-term follow-up. BACKGROUND: Little is known about the long-term major cardiovascular events and bleeding complications of patients undergoing percutaneous coronary intervention (PCI) with radial vs femoral approach. METHODS: A total of 1107 patients from the CENTURY II trial were included. To minimize baseline differences between radial and femoral groups, we applied propensity-score matching for this comparison...
July 2018: Journal of Invasive Cardiology
Nicolas W Shammas, James T Torey, W John Shammas, Susan Jones-Miller, Gail A Shammas
BACKGROUND: Dissections occur post atherectomy of the infrainguinal arteries. We hypothesized that angiography under-estimates their presence significantly. METHODS: In this prospective pilot study, a total of 15 patients were evaluated by intravascular ultrasound (IVUS) following treatment of femoropopliteal de novo or non-stent restenosis using atherectomy. Eagle Eye Platinum ST IVUS catheters (Philips) were used in this study. Thirteen Jetstream XC atherectomy devices (Boston Scientific) and 2 investigational B-laser atherectomy devices (Eximo Medical) were used...
July 2018: Journal of Invasive Cardiology
Nader Mankerious, Katharina Mayer, Senta M Gewalt, Sandra M Helde, Tareq Ibrahim, Lorenz Bott-Flügel, Karl-Ludwig Laugwitz, Heribert Schunkert, Adnan Kastrati, Stefanie Schüpke
OBJECTIVES: To assess the safety and efficacy of arteriotomy closure with the intravascular FemoSeal vascular closure device (VCD; St. Jude Medical) compared to manual compression in patients undergoing diagnostic cardiac catheterization via the common femoral artery. BACKGROUND: There is limited evidence on the performance of individual contemporary VCDs compared to manual compression. METHODS: This is a subanalysis of 3018 patients who underwent transfemoral diagnostic coronary angiography and were randomly assigned to arteriotomy closure with either the intravascular FemoSeal VCD or manual compression within the investigator-initiated, large-scale, randomized, multicenter, open-label ISAR-CLOSURE trial...
July 2018: Journal of Invasive Cardiology
Mathieu Granier, Guillaume Laugaudin, Franc Massin, Stephane Cade, Pierre Francois Winum, Cornelia Freitag, Jean-Luc Pasquie
AIMS: Percutaneous left atrial appendage (LAA) occlusion is occasionally incomplete, with residual permeability of the LAA on cardiac computed tomography. The cause for this is unclear. Our objective was to determine if residual permeability was related to incomplete endothelialization. METHODS: A total of 35 consecutive patients contraindicated for anticoagulant therapy admitted for LAA occlusion were included; 12 patients received a Watchman device (Boston Scientific) and 23 patients received an Amplatzer Cardiac Plug (St...
July 2018: Journal of Invasive Cardiology
Mohamad Lazkani, Joshua Waggoner, Michael Morris, George Gellert, Kenith Fang, Ashish Pershad
This case represents the first reported simultaneous TAVR and TMVR for native aortic and mitral stenosis performed via the transapical approach.
June 2018: Journal of Invasive Cardiology
Vincent Varghese, Kintur Sanghvi
The patient underwent mitral valve replacement with a bioprosthetic porcine valve, tricuspid valve annuloplasty, and left atrial appendage ligation with good result and an uncomplicated postoperative course.
June 2018: Journal of Invasive Cardiology
Amir Samaan, Michael Nagy, Kerolos Wagdy, Alaaeldin Amin, Ahmed El Guindy
Veno-arterial loop is a feasible and safe technique to facilitate mitral valve crossing for balloon mitral valvuloplasty in mitral stenosis patients.
June 2018: Journal of Invasive Cardiology
Angelina Vassileva, Orazio Valsecchi, Giulio Guagliumi, Luigi Fiocca, Paolo Angelo Canova, Alberto Francesco Cereda
Percutaneous aortic balloon valvuloplasty as a bridge-to-decision strategy was performed in an 89-year-old woman with multiple comorbidities and cachexia. The patient did well; after 2 weeks, she was discharged home and referred for possible TAVR.
June 2018: Journal of Invasive Cardiology
Bhupinder Singh, Abhishek Goyal, Bishav Mohan, Shibba Takkar Chhabra, Naved Aslam, Gurpreet Singh Wander
Angiogram of the right coronary artery was used to reveal a subtotal occlusion abutting the proximal end of the stent with TIMI I flow that responded quickly to intracoronary nitrates. The patient was diagnosed with vasospastic angina.
June 2018: Journal of Invasive Cardiology
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