{"title":"Intrastent Techniques in the ROLLER-COASTR-EPIC22 Trial: A Missing Piece of the Puzzle?","authors":"Marc Bonnet, Pierre Lantelme, Brahim Harbaoui","doi":"10.1016/j.jcin.2025.03.033","DOIUrl":"https://doi.org/10.1016/j.jcin.2025.03.033","url":null,"abstract":"","PeriodicalId":14688,"journal":{"name":"JACC. Cardiovascular interventions","volume":" ","pages":""},"PeriodicalIF":11.7,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144119405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Transcatheter Valve-in-Valve and \"Unicorn\" Leaflet Laceration Resulting in Late Left Main Occlusion.","authors":"Rachad Ghazal, Dounia Iskandarani, Ziyad Ghazzal, Fadi Sawaya","doi":"10.1016/j.jcin.2025.03.022","DOIUrl":"https://doi.org/10.1016/j.jcin.2025.03.022","url":null,"abstract":"","PeriodicalId":14688,"journal":{"name":"JACC. Cardiovascular interventions","volume":" ","pages":""},"PeriodicalIF":11.7,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143981830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Georgi Fram, Hussayn Alrayes, Leo Kar Lok Lai, John Dawdy, Bryan Zweig, Sachin Parikh, James Alter, Pedro Engel Gonzalez, Pedro Villablanca, Brian O'Neill, James Lee, Tiberio Frisoli
{"title":"Finishing the Job: Utilization of Amulet Device for 2 Prior Incomplete Left Atrial Appendage Occlusion.","authors":"Georgi Fram, Hussayn Alrayes, Leo Kar Lok Lai, John Dawdy, Bryan Zweig, Sachin Parikh, James Alter, Pedro Engel Gonzalez, Pedro Villablanca, Brian O'Neill, James Lee, Tiberio Frisoli","doi":"10.1016/j.jcin.2025.03.009","DOIUrl":"https://doi.org/10.1016/j.jcin.2025.03.009","url":null,"abstract":"","PeriodicalId":14688,"journal":{"name":"JACC. Cardiovascular interventions","volume":" ","pages":""},"PeriodicalIF":11.7,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144013683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mateo Marin-Cuartas MD , Jagdip Kang MD , Thilo Noack MD , Manuela de la Cuesta MD , Markus Krane MD , Volkmar Falk MD , Lenard Conradi MD , Christian Hagl MD , Maurizio Taramasso MD, PhD , Tom C. Nguyen MD , D. Scott Lim MD , Gorav Ailawadi MD , Michael J. Mack MD , Robert L. Smith MD , Anita W. Asgar MD , Kendra J. Grubb MD, MHA , Luigi Pirelli MD , Paolo Denti MD , Thomas Modine MD, PhD, MBA , Michael J. Reardon MD , Rebecca T. Hahn MD
{"title":"Surgical Mitral Valve Repair vs Replacement After Failed Mitral Transcatheter Edge-to-Edge Repair","authors":"Mateo Marin-Cuartas MD , Jagdip Kang MD , Thilo Noack MD , Manuela de la Cuesta MD , Markus Krane MD , Volkmar Falk MD , Lenard Conradi MD , Christian Hagl MD , Maurizio Taramasso MD, PhD , Tom C. Nguyen MD , D. Scott Lim MD , Gorav Ailawadi MD , Michael J. Mack MD , Robert L. Smith MD , Anita W. Asgar MD , Kendra J. Grubb MD, MHA , Luigi Pirelli MD , Paolo Denti MD , Thomas Modine MD, PhD, MBA , Michael J. Reardon MD , Rebecca T. Hahn MD","doi":"10.1016/j.jcin.2025.02.008","DOIUrl":"10.1016/j.jcin.2025.02.008","url":null,"abstract":"<div><h3>Background</h3><div>The impact of mitral valve (MV) surgery type after failed mitral transcatheter edge-to-edge repair (M-TEER) has not been well studied.</div></div><div><h3>Objectives</h3><div>The aim of this study was to compare the outcomes of MV repair vs replacement after failed M-TEER.</div></div><div><h3>Methods</h3><div>From 2009 to 2020, a total of 332 patients across 34 centers from the CUTTING-EDGE registry underwent MV surgery after M-TEER. Outcomes were compared between MV repair and replacement. Primary outcomes included 30-day mortality and 1-year survival after MV surgery.</div></div><div><h3>Results</h3><div>Among enrolled patients (mean age 73.8 ± 10.1 years, median Society of Thoracic Surgeons Predicted Risk of Mortality 3.9% [Q1-Q3: 2.2%-6.8%]), 25 (7.5%) underwent repair and 307 (92.5%) underwent replacement. The replacement group had a significantly higher rate of comorbidities, including atrial fibrillation, prior cardiac surgery, more secondary mitral regurgitation, and more devices implanted at index M-TEER (<em>P</em> < 0.05 for all). Replacement patients showed a trend toward higher 30-day mortality (17.7% [52 of 294] vs 4.0% [1 of 25]; <em>P</em> = 0.094). The observed-to-expected ratio of 30-day mortality was 3.6 (95% CI: 1.9-5.3) overall, 3.8 (95% CI: 2.1-5.5) in the replacement group, and 1.7 (95% CI: 0.7-3.3) in the repair group. Replacement patients had higher 1-year mortality (33.3% [65 of 195] vs 10.5% [2 of 19]; <em>P</em> = 0.041). Significantly lower survival rates were observed after replacement at 2 years (<em>P</em> = 0.033) and persisted in the risk-adjusted Cox regression analysis (HR for replacement: 4.24; 95% CI: 1.04-17.31; <em>P</em> = 0.044).</div></div><div><h3>Conclusions</h3><div>MV surgery after failed M-TEER is a high-risk procedure associated with higher than expected 30-day mortality, with higher mortality associated with MV replacement. Compared with repair, replacement is associated with higher 1-year mortality and a lower 2-year survival.</div></div>","PeriodicalId":14688,"journal":{"name":"JACC. Cardiovascular interventions","volume":"18 7","pages":"Pages 912-923"},"PeriodicalIF":11.7,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143828710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Laura Novelli MD, Jose Antonio Sorolla Romero MD, José Luis Diez Gil MD, PhD, Ignacio Amat-Santos MD, PhD, Emmanouil S. Brilakis MD, PhD, Jorge Sanz-Sanchez MD, PhD
{"title":"Guidewire Friction Following Super High-Pressure Balloon Percutaneous Coronary Intervention","authors":"Laura Novelli MD, Jose Antonio Sorolla Romero MD, José Luis Diez Gil MD, PhD, Ignacio Amat-Santos MD, PhD, Emmanouil S. Brilakis MD, PhD, Jorge Sanz-Sanchez MD, PhD","doi":"10.1016/j.jcin.2024.12.020","DOIUrl":"10.1016/j.jcin.2024.12.020","url":null,"abstract":"","PeriodicalId":14688,"journal":{"name":"JACC. Cardiovascular interventions","volume":"18 7","pages":"Pages 956-957"},"PeriodicalIF":11.7,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143476514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}