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https://www.readbyqxmd.com/read/29131806/impact-of-guidewire-recrossing-point-into-stent-jailed-side-branch-for-optimal-kissing-balloon-dilatation-corelab-3d-optical-coherence-tomography-analysis
#1
Takayuki Okamura, Ryoji Nagoshi, Tatsuhiro Fujimura, Yoshinobu Murasato, Masahiro Yamawaki, Shiro Ono, Takeshi Serikawa, Yutaka Hikichi, Hiroaki Norita, Fumiaki Nakao, Tomohiro Sakamoto, Toshiro Shinke, Junya Shite
AIMS: We investigated the influence of the guidewire recrossing point on the incidence of incomplete stent apposition (ISA) after kissing balloon dilatation (KBD), and clinical and angiographic outcome at 9 months in a prospective multicenter registry. METHODS AND RESULTS: One hundred five patients underwent single crossover stenting across the side branch (SB) and subsequent KBD. Jailing configuration of the SB orifice and the guidewire recrossing position were assessed by off-line 3D-OCT in the corelab...
November 14, 2017: EuroIntervention
https://www.readbyqxmd.com/read/29131805/management-of-radiation-induced-valvular-heart-disease-due-to-hodgkin-s-lymphoma-in-the-modern-area
#2
Elise Paven, Claire Cimadevilla, Marina Urena, Marie-Pierre Dilly, Patrick Nataf, Richard Raffoul, Dominique Himbert, Alec Vahanian, David Messika-Zeitoun
AIMS: Series purely related to radiation-induced valvular heart diseases (RI-VHD) due to Hodgkin's lymphoma are scarce. We sought to report their contemporary management at the area of transcatheter therapies. METHODS AND RESULTS: We retrospectively enrolled all consecutive patients who underwent a surgical/transcatheter procedure between 2006 and 2016 at our institution for symptomatic RI-VHD due to Hodgkin's lymphoma. Management was left at the discretion of the heart team...
November 14, 2017: EuroIntervention
https://www.readbyqxmd.com/read/29131804/assessing-the-performance-of-the-precise-dapt-and-paris-risk-scores-for-predicting-1-year-out-of-hospital-bleeding-in-acute-coronary-syndrome-patients
#3
Emad Abu-Assi, Sergio Raposeiras-Roubin, Rafael Cobas-Paz, Berenice Caneiro-Queija, Cristina Martínez-Reglero, José Manuel Rodríguez-Rodríguez, Antonio Baz, Andrés Íñiguez-Romo
AIMS: PRECISE-DAPT and PARIS risk scores (RSs) were recently developed to bleeding risk assessment in percutaneous coronary intervention (PCI) patients treated with dual antiplatelet therapy (DAPT). We aimed to assess the performance of these RSs at predicting out-of-hospital bleeding in patients with acute coronary syndrome (ACS). METHODS AND RESULTS:  Retrospectively, we studied 1926 consecutive ACS patients treated with PCI and DAPT. The performance of RSs for predicting one-year BARC type 2, 3 or 5 bleeding and BARC type 3 or 5 bleeding was assessed and compared...
November 14, 2017: EuroIntervention
https://www.readbyqxmd.com/read/29131803/bench-testing-and-coronary-artery-bifurcations-a-consensus-document-from-the-european-bifurcation-club
#4
John A Ormiston, Ghassan Kassab, Gerard Finet, Yiannis S Chatzizisis, Nicolas Foin, Timothy J Mickley, Claudio Chiastra, Yoshinobu Murasato, Yukata Hikichi, Jolanda J Wentzel, Olivier Darremont, Kiyotaka Iwasaki, Thierry Lefèvre, Yves Louvard, Susann Beier, Hikmat Hojeibane, Jeffery Wooton, Ashley Netravali, Brett Cowan, Mark W Webster, Goran Stankovic
This is a consensus document from the European Bifurcation Club concerning bench testing in coronary artery bifurcations. It is intended to provide guidelines for bench assessment of stents and other strategies in coronary bifurcation treatment where the United States Food and Drug Administration (FDA) or International Organization for Standardization (ISO) guidelines are limited or absent. These recommendations provide guidelines rather than a step-by-step manual. We provide data on the anatomy of bifurcations and elastic response of coronary arteries to aid model construction...
November 14, 2017: EuroIntervention
https://www.readbyqxmd.com/read/29131802/acute-and-one-year-clinical-outcomes-following-implantation-of-bioresorbable-vascular-scaffolds-the-absorb-uk-registry
#5
Andreas Baumbach, Azfar Zaman, Nick Ej West, Peter O'Kane, Mohaned Egred, Thomas Johnson, Stephen Wheatcroft, Bowles Ruth, Adam de Belder, Georgious Bouras, Alexandra Lansky, Jonathan Hill, Anthony Mathur, Mark A de Belder, Adrian Banning
AIMS: The aim was to monitor practice patterns and outcomes in patients treated with Absorb bioresorbable vascular scaffolds (BVS) during the early phase of usage in the UK. METHODS AND RESULTS: A total of 1005 patients with de-novo coronary lesions were treated using careful implantation techniques at 24 centers. Follow-up at one year was obtained in 99%. An independent clinical event committee and angiographic corelab adjudicated all events. Patient age was 52 years and 46% presented with acute coronary syndromes...
November 14, 2017: EuroIntervention
https://www.readbyqxmd.com/read/29131801/real-world-experience-using-the-acurate-neo%C3%A2-prosthesis-30-day-outcomes-of-1000-patients-enrolled-in-the-savi-tf-registry
#6
Helge Möllmann, Christian Hengstenberg, Michael Hilker, Sebastian Kerber, Ulrich Schäfer, Tanja Rudolph, Axel Linke, Norbert Franz, Thomas Kuntze, Holger Nef, Utz Kappert, Thomas Walther, Michael O Zembala, Stefan Toggweiler, Won-Keun Kim
AIMS: The aim of the SAVI-TF registry was to assess the safety and performance of the self-expanding ACURATE neoTM transfemoral transcatheter heart valve in a large patient population with severe aortic stenosis and to investigate if the outcomes obtained in the CE-mark cohort can be replicated in an unselected all-comers population. METHODS AND RESULTS: From October 2014 until April 2016, 1000 patients were enrolled in this prospective, European multicenter registry...
November 14, 2017: EuroIntervention
https://www.readbyqxmd.com/read/29131800/qualitative-and-quantitative-evaluation-of-dynamic-changes-in-non-culprit-coronary-atherosclerotic-lesion-morphology-a-longitudinal-oct-study
#7
Bu-Chun Zhang, Antonios Karanasos, Muthukaruppan Gnanadesigan, Johannes N van der Sijde, Nienke van Ditzhuijzen, Karen T Witberg, Jurgen Ligthart, Roberto Diletti, Robert-Jan van Geuns, Jouke Dijkstra, Felix Zijlstra, Gijs van Soest, Evelyn Regar
AIMS: There is limited in vivo evidence regarding the temporal evolution of non-culprit coronary plaque morphology. We evaluated changes in non-culprit plaque morphology over time by optical coherence tomography (OCT). METHODS AND RESULTS:  72 patients with 257 non-culprit segments with serial OCT studies were analyzed. Non-culprit 5mm-long coronary segments from the same imaged region were matched between baseline and follow-up. OCT plaque characterization including automated attenuation analysis was performed and changes over a median follow-up of 6...
November 14, 2017: EuroIntervention
https://www.readbyqxmd.com/read/29131799/multi-slice-computed-tomography-assessment-of-everolimus-eluting-absorb-bioresorbable-scaffold-in-comparison-with-metallic-drug-eluting-stents-from-the-absorb-japan-randomized-trial
#8
Kengo Tanabe, Jeffrey J Popma, Ken Kozuma, Shigeru Saito, Toshiya Muramatsu, Sunao Nakamura, Atsuo Namiki, Yoshihiro Morino, Nobuhisa Hagiwara, Masaaki Uematsu, Tomohiro Kawasaki, Kenshi Fujii, Patrick W Serruys, Yoshinobu Onuma, Shihwa Ying, Hajime Kusano, Gregg W Stone, Takeshi Kimura
AIMS: Blooming artifacts limit accurate coronary assessment by multi-slice computed tomography (MSCT) in metallic stents. We sought to investigate whether bioresorbable vascular scaffold (BVS) could be better assessed by MSCT. Methods and Results: Among 400 patients in the randomized ABSORB Japan trial, a pre-specified MSCT sub-study was performed in 98 patients (103 lesions) in the BVS arm and 49 patients (49 lesions) in the cobalt chromium everolimus-eluting stent (CoCr-EES) arm at 13-month prior to follow-up angiography...
November 14, 2017: EuroIntervention
https://www.readbyqxmd.com/read/29104180/safety-and-feasibility-of-a-low-frame-rate-protocol-for-percutaneous-coronary-intervention-to-chronic-total-occlusions-preliminary-experience
#9
Lei Ge, Xin Zhong, Jianying Ma, Bing Fan, Hao Lu, Juying Qian, Junbo Ge
AIMS: The present study aimed to evaluate the safety and feasibility of a low frame rate protocol for chronic total occlusions (CTOs)-percutaneous coronary intervention (PCI). METHODS AND RESULTS: 192 consecutive patients who underwent CTO-PCI following the low frame rate protocol were analyzed. The low frame rate protocol adopted reduced frame rates and addition of copper and aluminum filter. Procedural outcomes, radiation dose and in-hospital outcomes were ascertained...
November 7, 2017: EuroIntervention
https://www.readbyqxmd.com/read/29104179/safety-of-6-month-dual-antiplatelet-therapy-after-second-generation-drug-eluting-stent-implantation-optima-c-randomized-clinical-trial-and-oct-substudy
#10
Byoung-Kwon Lee, Jung-Sun Kim, Oh-Huyn Lee, Pil-Ki Min, Young-Won Yoon, Bum-Kee Hong, Dong-Ho Shin, Tae-Soo Kang, Byung Ok Kim, Duk-Kyu Cho, Dong Woon Jeon, Sung-Ill Woo, Seonghoon Choi, Byung-Ryul Cho, Woong-Chol Kang, Seunghwan Kim, Byeong-Keuk Kim, Myeong-Ki Hong, Yangsoo Jang, Hyuck Moon Kwon
AIMS: There are few randomized studies of the optimal duration of dual antiplatelet therapy (DAPT) for patients who receive a second-generation drug-eluting stent (DES). METHODS AND RESULTS: A prospective, randomized, multicenter trial was performed at 10 medical centers. The 1,368 patients included in the study received a biolimus-eluting stent (BES) or zotarolimus-eluting stent (ZES). The primary outcome measured was the composite of major adverse cardiac events (MACEs), including cardiac death, myocardial infarction (MI), or ischemia-driven target lesion revascularization at the 12-month follow-up...
November 7, 2017: EuroIntervention
https://www.readbyqxmd.com/read/29094677/four-year-follow-up-of-the-randomised-comparison-between-an-everolimus-eluting-bioresorbable-scaffold-and-an-everolimus-eluting-metallic-stent-for-the-treatment-of-coronary-artery-stenosis-absorb-ii-trial
#11
Bernard Chevalier, Angel Cequier, Dariusz Dudek, Michael Haude, Didier Carrie, Manel Sabaté, Stephan Windecker, Sebastian Reith, Manuel de Sousa Almeida, Gianluca Campo, Andres Iñiguez, Yoshi Onuma, Patrick W Serruys
AIMS: No randomised comparison data are available beyond the resorption of the everolimus-eluting bioresorbable scaffold. Absorb is expected to be completely resorbed by 3 years. The purpose of this report is to provide the 4 year results of a randomised, single blind, multicentre evaluation of Absorb versus the metallic stent Xience (Abbott Vascular, Santa Clara, CA, USA). METHODS AND RESULTS: Three-year follow-up has been previously published. Patients re-consented for additional follow-up up through to 5 years; 86% (N=289) and 84% (N=139) of whom underwent a 4 year follow-up visit...
October 31, 2017: EuroIntervention
https://www.readbyqxmd.com/read/29086709/coronary-sinus-reducer-non-responders-insights-and-perspectives
#12
Luca Baldetti, Antonio Colombo, Shmuel Banai, Azeem Latib, Antonio Esposito, Anna Palmisano, Francesco Giannini
INTRODUCTION: Coronary sinus (CS) Reducer is currently indicated for the treatment of refractory angina in patients unsuitable for coronary revascularization. A 15-30% of non-responders is a constant across literature. Alternative coronary venous drainage systems may be an important factor in determining if patients "respond" to this intervention. We propose a simple method to indirectly assess the presence of these alternative drainage systems and predict responsiveness to Reducer implantation...
October 31, 2017: EuroIntervention
https://www.readbyqxmd.com/read/29086708/drug-eluting-stents-versus-bare-metal-stents-for-saphenous-vein-graft-revascularisation-a-meta-analysis-of-randomised-trials
#13
Islam Y Elgendy, Ahmed N Mahmoud, Emmanouil S Brilakis, Anthony A Bavry
AIMS: Percutaneous coronary intervention (PCI) of saphenous vein grafts is associated with worse outcomes as compared with native coronary arteries. Previous studies comparing drug-eluting stents (DES) with bare metal stents (BMS) for PCI of SVG have yielded inconsistent results. METHODS AND RESULTS: Randomised trials that reported clinical outcomes and compared DES versus BMS for PCI of SVG were included. Summary estimates risk ratios (RRs) were constructed using a DerSimonian and Laird model...
October 31, 2017: EuroIntervention
https://www.readbyqxmd.com/read/29086707/alcohol-septal-ablation-preceding-transcatheter-valve-implantation-to-prevent-left-ventricular-outflow-tract-obstruction
#14
Neila Sayah, Marina Urena, Eric Brochet, Dominique Himbert
AIMS: Bail-out alcohol septal ablation may be life-saving in patients with left ventricular outflow tract obstruction after transcatheter valve implantation. We aimed to evaluate the feasibility of preventive alcohol septal ablation before transcatheter valve implantation in patients at high risk of left ventricular outflow tract (LVOT) obstruction. METHODS AND RESULTS: Preventive alcohol septal ablation was performed in 2 patients at high-risk of LVOT obstruction before transcatheter valve implantation: one patient with severe mitral stenosis and mitral annulus calcification with an indication for TMVI and one patient with severe aortic stenosis and indication for transcatheter aortic valve implantation...
October 31, 2017: EuroIntervention
https://www.readbyqxmd.com/read/29086706/percutaneous-left-atrial-appendage-occlusion-in-patients-with-atrial-fibrillation-and-left-appendage-thrombus-feasibility-safety-and-clinical-efficacy
#15
Giuseppe Tarantini, Gianpiero D'Amico, Azeem Latib, Matteo Montorfano, Patrizio Mazzone, Gaetano Fassini, Anna Maltagliati, Federico Ronco, Salvatore Saccà, Ignatio Cruz-Gonzalez, Reda Ibrahim, Xavier Freixa
AIMS: To investigate the feasibility, safety and efficacy of percutaneous closure for prevention of thromboembolic events in patients with atrial fibrillation (AF) and left atrial appendage (LAA) thrombus. METHODS AND RESULTS: The study included consecutive patients with AF and LAA thrombus who underwent transcatheter occlusion in 8 high-volume centers. Clinical and transesophageal echocardiography (TEE) follow-up was carried as per each center's protocol. Twenty-eight patients were included...
October 31, 2017: EuroIntervention
https://www.readbyqxmd.com/read/29061550/percutaneous-coronary-intervention-for-the-left-main-stem-and-other-bifurcation-lesions-the-12-th-consensus-document-from-the-european-bifurcation-club
#16
Jens Flensted Lassen, Francesco Burzotta, Adrian P Banning, Thierry Lefèvre, Olivier Darremont, David Hildick-Smith, Alaide Chieffo, Manuel Pan, Niels Ramsing Holm, Yves Louvard, Goran Stankovic
The European Bifurcation Club (EBC) was initiated in 2004, to support a continuously overview of the field of coronary artery bifurcation interventions and aims to facilitate a scientific discussion and an exchange of ideas on management of bifurcation disease. EBC hosts an annual, two days compact meeting, dedicated to bifurcations, which brings together physicians, pathologists, engineers, biologists, physicists, mathematicians, epidemiologists and statisticians for detailed discussions. Every meeting is finalized with a consensus statement that reflects the unique opportunity of combining the opinion of interventional cardiologists with the opinion of a large variety of other scientists on bifurcation management...
October 24, 2017: EuroIntervention
https://www.readbyqxmd.com/read/29061549/intravenous-ultrasound-guided-balloon-pulmonary-angioplasty-in-the-treatment-of-totally-occluded-chronic-thromboembolic-pulmonary-hypertension
#17
Shinya Nagayoshi, Shinya Fujii, Takatomo Nakajima, Makoto Muto
No abstract text is available yet for this article.
October 24, 2017: EuroIntervention
https://www.readbyqxmd.com/read/29061548/acute-performance-of-a-novel-restorative-transcatheter-aortic-valve-preclinical-results
#18
Yosuke Miyazaki, Osama I Soliman, Mohammad Abdelghani, Athanasios Katsikis, Christophe Naz, Susana Lopes, Boris Warnack, Martijn Cox, Yoshinobu Onuma, Patrick W Serruys
AIMS: The XELTIS aortic valve leaflets are made from a bioabsorbable supramolecular polymer that guides the tissue to restoring itself. It is mounted on a self-expandable nitinol frame that includes three feelers and a native leaflet clipping mechanism. We sought to investigate the acute valve performance in a preclinical setting. METHODS AND RESULTS: In 33 sheep, 26 mm XELTIS aortic valve were transapically implanted in a 23 mm native annulus. Aortography (analysable, n=28) and echocardiography (analysable, n=20) were acquired immediately after implantation of the XELTIS aortic valve to assess the acute device performance...
October 24, 2017: EuroIntervention
https://www.readbyqxmd.com/read/29061547/randomized-comparison-of-judkins-vs-tiger-catheter-in-coronary-angiography-via-the-right-radial-artery-the-judge-study
#19
Ioanna Xanthopoulou, Katerina Stavrou, Periklis Davlouros, Grigorios Tsigkas, Eleni Koufou, Georgios Almpanis, Michalis Koutouzis, Ioannis Tsiafoutis, Angelos Perperis, Athanasios Moulias, Nikolaos Koutsogiannis, George Hahalis
AIMS: To compare the performance of Tiger-II compared with Judkins 3.5L/4R catheters in coronary angiography (CAG) via the transradial approach (TRA). METHODS AND RESULTS: Consecutive patients undergoing non-urgent CAG via the right TRA were randomized to either Tiger-II (Terumo) or Judkins (3.5L/4R, Medtronic) 5Fr catheters and 320 patients in each group were randomized. Catheter or access site change was required in 57(17.8%) vs 68(21.3%) patients allocated in the Tiger-II and Judkins group respectively (p=0...
October 24, 2017: EuroIntervention
https://www.readbyqxmd.com/read/29061546/prewire-channel-stent-a-novel-stent-for-bifurcation-lesion-in-a-pig-model
#20
Lilong Tang, Guihua Lu, Jinchen Feng, Wan Zhang, Jianping Zeng
AIMS: Avoiding side branch occlusion is challenging for treating bifation lesion. A newly designed stent system called prewire channel stent(PWCS) with a side channel between metallic mesh material and balloon was introduced. METHODS AND RESULTS: PWCS and the conventional stent were used in a pig model. The time consuming from the point of start sending stent outside the body to the bifurcation of the vessel ready for the further procedures such as balloon dilated the side hole of stent and double balloon kiss et al in the conventional stent and PWCS groups were compared...
October 24, 2017: EuroIntervention
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