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Cardiovascular Intervention and Therapeutics

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https://www.readbyqxmd.com/read/29159720/spontaneous-rotation-of-the-monorail-type-guide-extension-support-catheter-during-advancement-of-a-curved-guiding-catheter-the-potential-hazard-of-twisting-with-the-coronary-guidewire
#1
Sho Hashimoto, Akihiko Takahashi, Takeshi Yamada, Yukio Mizuguchi, Norimasa Taniguchi, Tetsuya Hata, Shunsuke Nakajima
The extension support guiding catheter has been used to perform complex percutaneous coronary intervention to increase back-up support for the guiding catheter or to ensure deep intubation for device delivery. However, because of its monorail design, advancement of the stent into the distal extension tubing segment is sometimes problematic. Although this problem is considered due to simple collision of the stent, operators have observed tangling between a monorail extension catheter and coronary guidewire in some patients...
November 20, 2017: Cardiovascular Intervention and Therapeutics
https://www.readbyqxmd.com/read/29080193/correction-to-cost-effectiveness-of-orbital-atherectomy-compared-to-rotational-atherectomy-in-treating-patients-with-severely-calcified-coronary-artery-lesions-in-japan
#2
Jan B Pietzsch, Benjamin P Geisler, Fumiaki Ikeno
In the original publication of this article, in Abstract the 1-year mortality of OAS should be stated as 4.7 and not 5.5%.
October 27, 2017: Cardiovascular Intervention and Therapeutics
https://www.readbyqxmd.com/read/29076053/crossover-stenting-across-the-deep-femoral-artery-entry-a-multicenter-retrospective-study
#3
Yo Iwata, Daisuke Ueshima, Kentaro Jujo, Nobuhito Kaneko, Tomoyuki Umemoto, Makoto Utsunomiya, Tatsuki Doijiri, Teppei Murata, Toru Miyazaki, Tetsuo Yamaguchi, Yoshio Kobayashi
Crossover stenting of femoral bifurcation raises the concern of jeopardizing the deep femoral artery (DFA) entry, thereby increasing future risk of limb-threatening ischemia and amputation. This retrospective multicenter study compared clinical outcomes of crossover stenting and non-crossover stenting for ostial superficial femoral artery (SFA) lesions. We reviewed 125 limbs in 103 patients with successful stent implantation for ostial SFA lesions and allocated them to two groups, based on whether the stent crossed over the DFA orifice (CO, n = 54) or not (NC, n = 71)...
October 26, 2017: Cardiovascular Intervention and Therapeutics
https://www.readbyqxmd.com/read/29052106/effect-of-low-density-lipoprotein-cholesterol-on-the-geometry-of-coronary-bifurcation-lesions-and-clinical-outcomes-of-coronary-interventions-in-the-j-reverse-registry
#4
Yoshinobu Murasato, Yoshihisa Kinoshita, Masahiro Yamawaki, Toshiro Shinke, Yoshihiro Takeda, Kenichi Fujii, Shin-Ichiro Yamada, Yoshihisa Shimada, Takehiro Yamashita, Kazuhiko Yumoto
We investigated the effect of low-density lipoprotein cholesterol (LDL-C) on the geometry of coronary bifurcation lesions. A total of 300 non-left main bifurcation lesions in 298 patients from J-REVERSE registry were classified according to statin treatment status at admission (NT, non-treated; ST, statin-treated) and were further subdivided based on LDL-C levels with a cutoff of 100 mg/dL (NT-high, n = 76 lesions; NT-low, n = 46; ST-high, n = 99 and ST-low, n = 79). In addition, a group with strict control of LDL-C (< 70 mg/dL) was defined (ST-SC; n = 19)...
October 19, 2017: Cardiovascular Intervention and Therapeutics
https://www.readbyqxmd.com/read/29052105/impact-of-previous-drug-eluting-stent-restenosis-in-non-left-main-coronary-artery-lesions-on-long-term-outcomes-after-left-main-coronary-artery-stenting-an-observation-from-the-aoi-lmca-registry
#5
Hirooki Higami, Mamoru Toyofuku, Takeshi Morimoto, Masanobu Ohya, Yasushi Fuku, Kyohei Yamaji, Hiromi Muranishi, Yuhei Yamaji, Koji Nishida, Daisuke Furukawa, Tomohisa Tada, Euihong Ko, Kenji Ando, Hiroki Sakamoto, Takashi Tamura, Kazuya Kawai, Kazushige Kadota, Takeshi Kimura
We hypothesized that patients who had previous target-lesion revascularization (TLR) for DES restenosis in non-left main coronary artery (LMCA) lesions might have a higher risk for restenosis after subsequent DES implantation for a de novo unprotected LMCA lesion. Among 1809 patients enrolled in the Assessing Optimal Percutaneous Coronary Intervention for LMCA (AOI-LMCA) registry, which is a retrospective 6-centre registry of consecutive patients undergoing LMCA stenting in Japan, 251 patients with previous DES implantation for non-LMCA lesions were subdivided into the 2 groups with (N = 56) or without (N = 195) previous TLR in non-LMCA lesions...
October 19, 2017: Cardiovascular Intervention and Therapeutics
https://www.readbyqxmd.com/read/29043606/optimizing-echo-guidance-during-mitraclip-using-fluoroscopy-how-to-see-better
#6
Hector Rodriguez Cetina Biefer, Maurizio Taramasso, Shingo Kuwata, Fabian Nietlispach, Michel Zuber, Francesco Maisano
No abstract text is available yet for this article.
October 17, 2017: Cardiovascular Intervention and Therapeutics
https://www.readbyqxmd.com/read/29039019/a-successful-treatment-for-a-lesion-of-chronic-total-occlusion-using-guiding-catheter-lock-technique
#7
Reo Nakamura, Takashi Yamasaki, Keisuke Ota, Nobuyuki Miyai, Takayoshi Sawanishi, Noriyuki Kinoshita
No abstract text is available yet for this article.
October 16, 2017: Cardiovascular Intervention and Therapeutics
https://www.readbyqxmd.com/read/29022253/successful-transcatheter-aortic-valve-implantation-in-a-quadricuspid-aortic-valve-with-severe-stenosis-and-moderate-regurgitation
#8
Shota Tohoku, Shinichi Shirai, Masaomi Hayashi, Akihiro Isotani, Kenji Ando
No abstract text is available yet for this article.
October 11, 2017: Cardiovascular Intervention and Therapeutics
https://www.readbyqxmd.com/read/28965230/optical-frequency-domain-imaging-guided-rotational-atherectomy-followed-by-drug-coated-balloon-dilation-to-the-non-calcified-lesion-in-a-patient-with-severe-thrombocytopenia
#9
Jun Shiraishi, Muneo Ohshiro, Yuki Matsubara, Masayuki Hyogo, Hitoji Uchiyama, Takahisa Sawada
No abstract text is available yet for this article.
September 30, 2017: Cardiovascular Intervention and Therapeutics
https://www.readbyqxmd.com/read/28952133/change-in-the-distal-vessel-luminal-diameter-following-chronic-total-occlusion-revascularization
#10
Usaid K Allahwala, Michael R Ward, Ravinay Bhindi
Coronary chronic total occlusions (CTO) occur when there is complete, or near complete occlusion of a vessel, angiographically appreciated by the presence of a collateral circulation with late filling of the occluded vessel. With restoration of anterograde blood flow there is alteration in vascular wall stress which may influence distal vessel size. We sought to determine if the distal vessel size changes following revascularization of the CTO. We retrospectively reviewed patients who underwent successful CTO revascularization and who subsequently underwent repeat angiography...
September 26, 2017: Cardiovascular Intervention and Therapeutics
https://www.readbyqxmd.com/read/28929334/efficacy-of-biolimus-a9-eluting-stent-for-treatment-of-right-coronary-ostial-lesion-with-intravascular-ultrasound-guidance-a-multi-center-registry
#11
Kenya Nasu, Yuji Oikawa, Maoto Habara, Shinichi Shirai, Hidetoshi Abe, Makoto Kadotani, Ryo Gotoh, Hidenari Hozawa, Hiroshi Ota, Takashi Suzuki, Yoshihisa Shibata, Masaki Tanabe, Yuya Nakagawa, Takeshi Serikawa, Shiro Nagasaka, Yasuyo Takeuchi, Yoshihide Fujimoto, Hiroshi Tamura, Yuichi Kobori, Junji Yajima, Tadanori Aizawa, Takahiko Suzuki
The aim of this study was to assess the efficacy of a biolimus A9-eluting stent in patients with a right coronary artery (RCA) ostial lesion. Ostial lesions of the RCA have been a limitation of percutaneous coronary intervention even in the drug-eluting stent (DES) era. However, clinical outcomes after the deployment of a second generation DES to an RCA ostial lesion with intravascular ultrasound (IVUS) guidance have not been fully elucidated. From September 2011 to March 2013, 74 patients were enrolled in 17 centers from Japan...
September 19, 2017: Cardiovascular Intervention and Therapeutics
https://www.readbyqxmd.com/read/28918455/in-hospital-outcomes-of-acute-myocardial-infarction-with-cardiogenic-shock-caused-by-right-coronary-artery-occlusion-vs-left-coronary-artery-occlusion
#12
Yousuke Taniguchi, Kenichi Sakakura, Yusuke Adachi, Naoyuki Akashi, Yusuke Watanabe, Masamitsu Noguchi, Kei Yamamoto, Yusuke Ugata, Hiroshi Wada, Shin-Ichi Momomura, Hideo Fujita
In-hospital outcomes of acute myocardial infarction (AMI) with cardiogenic shock (CS) were still not satisfactory even in the primary percutaneous coronary intervention (PCI) era. The aim of this study was to compare in-hospital outcomes of AMI with CS caused by right coronary artery (RCA) occlusion vs. left coronary artery (LCA) occlusion. Consecutive 894 AMI patients from January 2010 to March 2015 were screened for inclusion. A total of 114 AMI patients with CS were included as the final study population, and were divided into the RCA group (n = 56) and LCA group (n = 58)...
September 16, 2017: Cardiovascular Intervention and Therapeutics
https://www.readbyqxmd.com/read/28895077/vasospastic-angina-in-a-16-year-old-female
#13
Takuya Sumi, Akihito Tanaka, Hideki Ishii, Susumu Suzuki, Mitsutoshi Oguri, Toyoaki Murohara
No abstract text is available yet for this article.
September 11, 2017: Cardiovascular Intervention and Therapeutics
https://www.readbyqxmd.com/read/28875395/cost-effectiveness-of-orbital-atherectomy-compared-to-rotational-atherectomy-in-treating-patients-with-severely-calcified-coronary-artery-lesions-in-japan
#14
Jan B Pietzsch, Benjamin P Geisler, Fumiaki Ikeno
Compared to rotational atherectomy (RA), orbital atherectomy (OA) has been shown to decrease procedure failure and reintervention rates in the treatment of severely calcified coronary artery lesions. Our objective was to explore the cost-effectiveness of OA compared to RA in the Japanese healthcare system. A decision-analytic model calculated reintervention rates and consequent total 1-year costs. Effectiveness inputs were therapy-specific target lesion revascularization (TLR) rates and all-cause mortality, pooled from clinical studies...
September 5, 2017: Cardiovascular Intervention and Therapeutics
https://www.readbyqxmd.com/read/28822088/very-late-scaffold-thrombosis-one-week-after-the-discontinuation-of-dual-antiplatelet-therapy
#15
Futoshi Yamanaka, Koki Shishido, Shigeru Saito
No abstract text is available yet for this article.
August 18, 2017: Cardiovascular Intervention and Therapeutics
https://www.readbyqxmd.com/read/28766253/imaging-assessment-of-bioresorbable-vascular-scaffolds
#16
REVIEW
Yohei Sotomi, Pannipa Suwannasom, Erhan Tenekecioglu, Carlos Collet, Shimpei Nakatani, Takayuki Okamura, Takashi Muramatsu, Yuki Ishibashi, Hiroki Tateishi, Yosuke Miyazaki, Taku Asano, Yuki Katagiri, Constantin von Zur Muehlen, Kengo Tanabe, Ken Kozuma, Yukio Ozaki, Patrick W Serruys, Yoshinobu Onuma
Vascular reparative therapy has become a reality with bioresorbable scaffolds (BRSs). To assess acute and long-term performance of the device, multimodality imaging would be essential. Radiopacity of metal hinders the imaging assessment, whereas radiolucent polymeric scaffolds allow for a precise imaging assessment with either invasive or non-invasive modality at baseline and at follow-up, which is one of the advantages of polymeric BRSs. Recent large trials evaluating clinical results of the first-generation BRS technology raised concerns about the safety and efficacy of these devices, namely, scaffold thrombosis...
August 1, 2017: Cardiovascular Intervention and Therapeutics
https://www.readbyqxmd.com/read/28726115/the-impact-of-coronary-calcification-on-angiographic-and-3-year-clinical-outcomes-of-everolimus-eluting-stents-results-of-a-xience-v-promus-post-marketing-surveillance-study
#17
Nobuo Shiode, Ken Kozuma, Jiro Aoki, Masaki Awata, Mamoru Nanasato, Kengo Tanabe, Junichi Yamaguchi, Hajime Kusano, Hong Nie, Takeshi Kimura
Coronary calcification (CCA) is one of the independent predictors for major adverse cardiac events (MACEs) in coronary intervention. Post-marketing surveillance study Japan is a prospective registry designed to evaluate the safety and efficacy of the everolimus-eluting stent (EES, XIENCE V/PROMUS Stent) in routine clinical practice at 47 centers. In this study, 1848 lesions (1546 patients) were assessed using quantitative coronary angiography. In these 1546 patients, renal function data were unknown in 26 patients...
July 19, 2017: Cardiovascular Intervention and Therapeutics
https://www.readbyqxmd.com/read/28710605/current-clinical-applications-of-coronary-optical-coherence-tomography
#18
REVIEW
Teruyoshi Kume, Shiro Uemura
Optical coherence tomography (OCT) is an intra-coronary diagnostic technique that provides detailed imagings of blood vessels in the current cardiac catheterization laboratory. The higher resolution of OCT often provides superior delineation of each structure compared with intravascular ultrasound (IVUS), and it can reliably visualize the microstructure of normal and diseased arteries. The capabilities of OCT are well suited for the identification of calcified plaque and neointima formation after stent implantation...
July 14, 2017: Cardiovascular Intervention and Therapeutics
https://www.readbyqxmd.com/read/28681220/comparison-of-platelet-aggregation-response-in-switching-regimen-from-prasugrel-to-clopidogrel-between-cyp2c19-extensive-versus-non-extensive-metabolizers
#19
Soichiro Ebisawa, Yasushi Ueki, Tomoaki Mochidome, Keisuke Senda, Hitoshi Nishimura, Tatsuya Saigusa, Takashi Miura, Hirohiko Motoki, Jun Koyama, Uichi Ikeda
Little is known about the response of platelet aggregation in patients with acute coronary syndrome (ACS) when prasugrel is changed to clopidogrel. In this study, we evaluated the pharmacodynamic effects of this medication switch. Twenty-one consecutive ACS patients received prasugrel 20 mg as a loading dose before emergent percutaneous coronary intervention and 3.75 mg as a maintenance dose on days 2-7 (prasugrel phase). From day 8, prasugrel was switched to clopidogrel 75 mg/day (clopidogrel phase). P2Y12 reaction units (PRU) were measured 2-4 h after prasugrel loading, and on days 7, 11, 13, 15, and 42...
July 5, 2017: Cardiovascular Intervention and Therapeutics
https://www.readbyqxmd.com/read/28674929/frequency-of-a-large-drift-caused-by-pressure-wire-using-optical-fibers
#20
Yoshiaki Kawase, Toru Tanigaki, Akihiro Hirakawa, Hiroyuki Omori, Tetsuo Hirata, Syuuichi Okamoto, Hideaki Ota, Jun Kikuchi, Munenori Okubo, Hiroki Kamiya, Masanori Kawasaki, Takahiko Suzuki, Hitoshi Matsuo
The frequency of a large pressure signal drift (PDs) caused by pressure wire using optical fibers and its effect on fractional flow reserve (FFR)-based decision-making is not clear. We used pressure wires using optical fibers as "workhorse wires" for 95 consecutive lesions. The wire was normalized at the tip of the guiding catheter just before performing the percutaneous coronary intervention (PCI) and was used without re-normalization until the end of the PCI. The drift value at the end of the procedures was evaluated...
July 3, 2017: Cardiovascular Intervention and Therapeutics
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