A. Halapas, M. Chrissoheris, N. Bouboulis, J. Nicolaou, S. Pattakos, K. Spargias
{"title":"Update on current TAVI technology, indications, screening, and outcomes","authors":"A. Halapas, M. Chrissoheris, N. Bouboulis, J. Nicolaou, S. Pattakos, K. Spargias","doi":"10.1002/cce2.20","DOIUrl":"10.1002/cce2.20","url":null,"abstract":"<div>\u0000 \u0000 <p>Transcatheter aortic valve replacement (TAVI) is an established treatment for inoperable patients or patients at high surgical risk with severe aortic stenosis. Herein, we illustrate the key design features of the main new generation devices that are entering contemporary clinical practice, the labeled and off-labeled indications, the basic principles of screening process, and the clinical outcomes of the TAVI procedure.</p>\u0000 <p><b>Answer questions and earn CME:</b> https://wileyhealthlearning.com/Activity2/4193543/Activity.aspx</p>\u0000 </div>","PeriodicalId":100331,"journal":{"name":"Continuing Cardiology Education","volume":"2 1","pages":"37-46"},"PeriodicalIF":0.0,"publicationDate":"2016-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/cce2.20","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90557092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Iatrogenic atrial septal defect after implantation of MitraClip device: treatment to whom and when?","authors":"L. S. Lakkas","doi":"10.1002/cce2.14","DOIUrl":"10.1002/cce2.14","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <p>Successful MitraClip implantation, although deteriorates mitral regurgitation, leads inevitably to the presence of an iatrogenic atrial septal defect, because of the large guiding catheter used. Half of them will close immediately after implantation of the device, in the next 6 months, but the remaining may persist. Although the primary effect of their existence, is associated with a relatively small left to right shunt, relieving left atrium from chronic elevated pressure, there is not enough data in the literature concerning progression in time, leading to the question, whether they should be closed or not. This is a case report of a patient with severe ischemic mitral regurgitation, treated by implantation of two MitraClip devices, with concomitant iatrogenic atrial septal defect and left to right shunt.</p>\u0000 </section>\u0000 </div>","PeriodicalId":100331,"journal":{"name":"Continuing Cardiology Education","volume":"2 1","pages":"52-54"},"PeriodicalIF":0.0,"publicationDate":"2016-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/cce2.14","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90999467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cardiac CT for the Interventional Cardiologist","authors":"D. A. Jones, V. Cospite, F. Pugliese","doi":"10.1002/cce2.16","DOIUrl":"10.1002/cce2.16","url":null,"abstract":"<div>\u0000 \u0000 <p>Cardiac computed tomography (CT) is a rapidly evolving imaging modality that has developed quickly over the last decade, to establish itself as a robust non-invasive method to assess coronary artery disease. Qualitative and quantitative assessment of atherosclerotic coronary stenosis with cardiac CT has been favorably compared with invasive coronary angiography and intravascular ultrasound (IVUS) and importantly may help improve risk stratification and predict prognosis. Cardiac CT can visualize coronary artery bypass grafts with high diagnostic accuracy, with the evaluation of stents improving all the time. Importantly for the interventional cardiologist, it has evolved into a crucial tool assisting in the planning of both coronary and structural heart interventions, with transcatheter aortic valve implantation the most successful example. With its resemblance to IVUS in the capability to assess both the lumen and vessel wall, cardiac CT provides additional information on the composition of the lesion and reference segments which might allow accurate selection of devices, potentially leading to complete lesion coverage, less incomplete stent apposition, and larger postprocedural diameters. An understanding of the uses of CT and keeping up to date with evolving CT technology is critical for the interventional cardiologist as the use of CT continues to evolve and establish itself as an everyday adjunct to cardiac intervention.</p>\u0000 <p><b>Answer questions and earn CME:</b> https://wileyhealthlearning.com/Activity2/4193301/Activity.aspx</p>\u0000 </div>","PeriodicalId":100331,"journal":{"name":"Continuing Cardiology Education","volume":"2 1","pages":"13-24"},"PeriodicalIF":0.0,"publicationDate":"2016-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/cce2.16","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80265159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Halapas, M. Chrissoheris, A. Tzifa, N. Bouboulis, J. Nicolaou, K. Spargias, S. Pattakos
{"title":"Paravalvular leak closure: work-up, techniques and results","authors":"A. Halapas, M. Chrissoheris, A. Tzifa, N. Bouboulis, J. Nicolaou, K. Spargias, S. Pattakos","doi":"10.1002/cce2.21","DOIUrl":"10.1002/cce2.21","url":null,"abstract":"<div>\u0000 \u0000 <p>Paravalvular leak (PVL) is an uncommon, however, serious complication associated with prosthetic valve implantation. Although most PVLs are asymptomatic and have a benign clinical course, an estimated small percentage of patients with PVLs can lead to serious clinical consequences <span>1-3</span>. Until recently, surgery has been the only available therapy for the treatment of clinically significant PVLs despite the significant mortality associated with reoperation <span>4</span>. Percutaneous transcatheter closure, routinely applied in the management of various intracardiac defects, has been utilized for the treatment of PVLs using a variety of techniques <span>5</span>. As a result, percutaneous PVL closure has been slowly evolving and is now successfully performed in a number of Heart centers with significant experience in structural cardiac intervention. Herein, we discuss the current understanding of PVLs, the utilization of multi-modality imaging in PVL diagnosis, treatment, the clinical results, and our initial experience.</p>\u0000 <p><b>Answer questions and earn CME:</b> https://wileyhealthlearning.com/Activity2/4193617/Activity.aspx</p>\u0000 </div>","PeriodicalId":100331,"journal":{"name":"Continuing Cardiology Education","volume":"2 1","pages":"47-51"},"PeriodicalIF":0.0,"publicationDate":"2016-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/cce2.21","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74325871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Left atrial appendage occlusion for stroke prevention in patients with atrial fibrillation: indications diversity and future perspectives","authors":"A. Tzikas, T. Lewalter","doi":"10.1002/cce2.18","DOIUrl":"10.1002/cce2.18","url":null,"abstract":"<div>\u0000 \u0000 <p>Left atrial appendage occlusion (LAAO) is a promising alternative to oral anti-coagulation in patients with non-valvular atrial fibrillation. Recently, four-year results of PROTECT-AF demonstrated superiority of LAAO in all-cause mortality and stroke reduction compared to optimal medical treatment with warfarin. In this new era, it is important to identify the patients who would benefit more from LAAO and offer them priority for treatment.</p>\u0000 <p><b>Answer questions and earn CME:</b> https://wileyhealthlearning.com/Activity2/4193475/Activity.aspx</p>\u0000 </div>","PeriodicalId":100331,"journal":{"name":"Continuing Cardiology Education","volume":"2 1","pages":"32-36"},"PeriodicalIF":0.0,"publicationDate":"2016-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/cce2.18","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80539448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Role of cardiovascular magnetic resonance in interventional cardiology","authors":"S. Mavrogeni, G. Kolovou","doi":"10.1002/cce2.17","DOIUrl":"10.1002/cce2.17","url":null,"abstract":"Cardiovascular magnetic resonance (CMR) has the inherent capability to perform tissue characterization, assessment of disease severity, myocardial inflammation, ventricular function, perfusion and fibrosis without radiation exposure. All these advantages of CMR can be perfectly well applied in interventional cardiovascular magnetic resonance (iCMR) providing high‐quality images during interventional procedures. CMR, as an innovating imaging technique, can (1) provide reliable information about the pattern of myocardial perfusion‐fibrosis in both ischemic and non‐ischemic heart disease and (2) guide the traditional interventional procedures. iCMR, by using excellent tissue imaging, can create a surrogate for direct visualization and offer multiplanar views and real‐time functional imaging without ionizing radiation. These images can facilitate the utilization of interventional procedures and promote the innovation of new interventional approaches.","PeriodicalId":100331,"journal":{"name":"Continuing Cardiology Education","volume":"2 1","pages":"25-31"},"PeriodicalIF":0.0,"publicationDate":"2016-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/cce2.17","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84911970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Competing interests in continuing medical education – what should accreditors do?","authors":"R. Griebenow","doi":"10.1002/CCE2.15","DOIUrl":"https://doi.org/10.1002/CCE2.15","url":null,"abstract":"The issue of competing interests is pertinent to all areas of medicine – ranging from research to CME [1]. Transparency is considered to be a key prerequisite in order to identify and manage competing interests. Thus, all major accreditors make it mandatory that providers of accredited CME must have a strategy in place for how to declare and manage competing interests of program committee members and all faculties. Communication of interests has traditionally been facing several problems:","PeriodicalId":100331,"journal":{"name":"Continuing Cardiology Education","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83592136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The era of hybrid revascularization","authors":"G. Chang, T. Kofidis","doi":"10.1002/cce2.6","DOIUrl":"https://doi.org/10.1002/cce2.6","url":null,"abstract":"Coronary artery bypass graft (CABG) surgery has evolved over the last 50 years since the development of the cardiopulmonary bypass machine by Gibbons in the 1950s. The progress of percutaneous coronary intervention (PCI) research and development of stents with improved qualities and evolution of CABG led to the birth of the new concept of hybrid revascularization. In the past, median sternotomy to access the heart for CABG has been the gold standard. In recent years, modern technology has brought about the possibility of minimally invasive cardiac surgery, in particular minimally invasive direct coronary artery bypass surgery on selected accessible target coronary vessels and simultaneous PCI to other culprit lesions. This collaborative approach has led to cardiothoracic surgeons and cardiologists working hand in hand to improve overall patient care—the important role of the “heart team.” This paper shall aim to review the development of hybrid revascularization, its roots, the progress and the future.","PeriodicalId":100331,"journal":{"name":"Continuing Cardiology Education","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85134857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Continuing Cardiology Education. Do we really need another new cardiology journal?","authors":"L. Michalis","doi":"10.1002/cce2.12","DOIUrl":"https://doi.org/10.1002/cce2.12","url":null,"abstract":"","PeriodicalId":100331,"journal":{"name":"Continuing Cardiology Education","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82753445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}