JACC. Cardiovascular interventions最新文献

{"title":"Hybrid TAV-in-TAV With Low Valve Implantation and Bilateral Snorkel Stenting","authors":"Yuta Kobayashi MD, PhD, Kiwamu Kamiya MD, PhD, Toshiyuki Nagai MD, PhD, Toshihisa Anzai MD, PhD","doi":"10.1016/j.jcin.2026.06.039","DOIUrl":"10.1016/j.jcin.2026.06.039","url":null,"abstract":"","PeriodicalId":14688,"journal":{"name":"JACC. Cardiovascular interventions","volume":"19 18","pages":"Pages 2532-2533"},"PeriodicalIF":12.7,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149067703","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":"Beyond the Grade","authors":"Benjamin Hibbert MD, PhD, Jason K. Lee MD","doi":"10.1016/j.jcin.2026.08.004","DOIUrl":"10.1016/j.jcin.2026.08.004","url":null,"abstract":"","PeriodicalId":14688,"journal":{"name":"JACC. Cardiovascular interventions","volume":"19 18","pages":"Pages 2487-2489"},"PeriodicalIF":12.7,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149067859","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":"Aortic Leaflet Modification","authors":"Mohamed Abdel-Wahab MD, Niklas Lankisch MD","doi":"10.1016/j.jcin.2026.06.037","DOIUrl":"10.1016/j.jcin.2026.06.037","url":null,"abstract":"","PeriodicalId":14688,"journal":{"name":"JACC. Cardiovascular interventions","volume":"19 18","pages":"Pages 2471-2473"},"PeriodicalIF":12.7,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149067857","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":"A Proposed Common Language to Harmonize Valve-in-Valve TAVR (TAV-in-SAV and TAV-in-TAV) Procedural Planning.","authors":"Syed Zaid, Radoslaw Parma, Ole De Backer, Miho Fukui, Vinayak N Bapat, Gilbert H L Tang","doi":"10.1016/j.jcin.2026.08.015","DOIUrl":"10.1016/j.jcin.2026.08.015","url":null,"abstract":"","PeriodicalId":14688,"journal":{"name":"JACC. Cardiovascular interventions","volume":" ","pages":""},"PeriodicalIF":12.7,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149012327","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":"Impact of Diabetes on Outcomes of Contemporary PCI Guided by OCT vs Angiography","authors":"Luise Gaede MD,&nbsp;Stephan Achenbach MD,&nbsp;Mohamed Marwan MD,&nbsp;Richard A. Shlofmitz MD,&nbsp;Franco Fabbiocchi MD,&nbsp;Fernando Alfonso MD,&nbsp;Paolo Canova MD,&nbsp;David Leistner MD,&nbsp;Jana Buccola MS,&nbsp;Robert McNutt PhD,&nbsp;Hong Nie PhD,&nbsp;Robert McGreevy PhD,&nbsp;Akiko Maehara MD,&nbsp;Ulf Landmesser MD,&nbsp;Ziad A. Ali MD, DPhil,&nbsp;Gregg W. Stone MD,&nbsp;ILUMIEN IV Investigators","doi":"10.1016/j.jcin.2026.06.028","DOIUrl":"10.1016/j.jcin.2026.06.028","url":null,"abstract":"<div><h3>Background</h3><div>Patients with diabetes are at higher risk for adverse events after percutaneous coronary intervention (PCI) compared with patients without diabetes.</div></div><div><h3>Objectives</h3><div>This study sought to assess the influence of diabetes and complex lesions on the outcomes of patients undergoing PCI with and without optical coherence tomography (OCT) guidance during a follow-up period of 2 years.</div></div><div><h3>Methods</h3><div>Patients in ILUMIEN IV randomized to OCT-guided vs angiography-guided PCI were grouped into those with (n = 1,044) and without diabetes (n = 1,443). Study endpoints were target vessel failure (TVF) and serious major adverse cardiovascular events (MACE).</div></div><div><h3>Results</h3><div>After adjustment for differences in clinical and angiographic characteristics, the 2-year rates of both TVF (9.9% vs 6.3%; adjusted HR: 1.48; 95% CI: 1.09-2.02; <em>P</em> = 0.01) and serious MACE (5.3% vs 2.7%; adjusted HR: 1.77; 95% CI: 1.14-2.76; <em>P</em> = 0.01) were increased in diabetic compared with nondiabetic patients, consistently in patients with and without complex lesions (P_interaction = 0.22 and 0.14, respectively), although the highest 2-year rates were in patients with diabetes and complex lesions. In all randomized patients, OCT guidance compared with angiography guidance did not reduce TVF or serious MACE. These effects were consistent in patients with and without diabetes (P_interaction = 0.41 and 0.20, respectively), and were not modified by treatment of complex lesions.</div></div><div><h3>Conclusions</h3><div>In the large-scale ILUMIEN IV trial, patients with diabetes remained at increased risk for adverse events after PCI compared with nondiabetic patients despite the use of OCT procedural guidance. Patients with diabetes and complex lesions were at particularly high risk for adverse outcomes after PCI.</div></div>","PeriodicalId":14688,"journal":{"name":"JACC. Cardiovascular interventions","volume":"19 17","pages":"Pages 2348-2359"},"PeriodicalIF":12.7,"publicationDate":"2026-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148961779","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":"Surgical Bailout During TAVR","authors":"Maxwell C. Braasch MD, MPH,&nbsp;Mary A. Siki MD,&nbsp;Yun Zhu Bai MD,&nbsp;Mehran Rahimi MD,&nbsp;June He MBBS, MS,&nbsp;Ahmed Hanafy MD,&nbsp;Saige Gulati BA,&nbsp;Alexander A. Brescia MD, MSc,&nbsp;Puja Kachroo MD,&nbsp;Nicholas Kouchoukos MD,&nbsp;Tsuyoshi Kaneko MD","doi":"10.1016/j.jcin.2026.06.030","DOIUrl":"10.1016/j.jcin.2026.06.030","url":null,"abstract":"<div><h3>Background</h3><div>Surgical bailout during transcatheter aortic valve replacement (TAVR) may be necessary to manage emergent TAVR complications. With discussions of performing TAVR in U.S. hospitals without in-hospital cardiac surgery support, analysis of TAVR bailout on a national level is needed.</div></div><div><h3>Objectives</h3><div>This study sought to analyze the annual trends and outcomes of TAVR bailout.</div></div><div><h3>Methods</h3><div>This study included Medicare beneficiaries who underwent TAVR between 2016 and 2024. Annual trends of bailout were analyzed. The primary outcome was 30-day mortality. Additionally, the impact of hospital surgical aortic valve replacement (SAVR) volume on TAVR bailout mortality was assessed with multivariable analysis.</div></div><div><h3>Results</h3><div>TAVR bailout occurred in 0.56% (2,240/400,862) of TAVRs. The annual incidence of TAVR bailout decreased from 0.92% (261/28,430) in 2016 to 0.40% (216/54,301) in 2024 (<em>P</em> &lt; 0.001). The median follow-up time after TAVR was 952 days (IQR: 414-1,615 days). The 30-day mortality rate of TAVR bailout was 26.3% (588/2,240). Landmark analysis demonstrated higher mortality of TAVR bailout compared to TAVR without bailout up to 1 year after TAVR (<em>P</em> &lt; 0.001), but similar mortality was seen after 1 year (<em>P</em> = 0.53). When compared across low-, intermediate-, and high-volume SAVR hospitals in a multilevel hierarchal model, 30-day mortality was similar (27% [102/383] vs 29% [163/566] vs 25% [322/1,291], respectively; <em>P</em> = 0.28).</div></div><div><h3>Conclusions</h3><div>In contemporary data, the annual incidence of TAVR surgical bailout is decreasing, but the short-term mortality remains high. However, patients who survived 1 year after TAVR had similar long-term mortality to patients without surgical bailout. These data support the need for continued cardiac surgical support in TAVR centers to manage emergent complications.</div></div>","PeriodicalId":14688,"journal":{"name":"JACC. Cardiovascular interventions","volume":"19 17","pages":"Pages 2364-2375"},"PeriodicalIF":12.7,"publicationDate":"2026-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148961781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-Term Outcomes of Contemporary Balloon-Expandable TAVR in Bicuspid Aortic Valve","authors":"Kazuki Suruga MD,&nbsp;Vivek Patel MS,&nbsp;Hidemasa Shitan MD,&nbsp;Guo Yuchao MD,&nbsp;Takashi Nagasaka MD,&nbsp;Daniel Ng,&nbsp;Jaideep Menda MD,&nbsp;Adishwar Singh MD,&nbsp;Ayush Goyal MD,&nbsp;Elijah Buss MD,&nbsp;Andjela Kremenovic MD,&nbsp;Emily Dermand MD,&nbsp;Harsh Jain MD,&nbsp;Dhairya Patel MPH,&nbsp;Aakriti Gupta MD,&nbsp;Tarun Chakravarty MD,&nbsp;Wen Cheng MD,&nbsp;Yuito Okada PhD,&nbsp;Hasan Jilaihawi MD,&nbsp;Mamoo Nakamura MD,&nbsp;Raj R. Makkar MD","doi":"10.1016/j.jcin.2026.06.015","DOIUrl":"10.1016/j.jcin.2026.06.015","url":null,"abstract":"<div><h3>Background</h3><div>Limited data are available comparing clinical outcomes between bicuspid and tricuspid patients following transcatheter aortic valve replacement (TAVR).</div></div><div><h3>Objectives</h3><div>This study sought to investigate 5-year clinical outcomes in patients with severe aortic stenosis following TAVR with contemporary balloon-expandable valves (BEVs) in patients with bicuspid vs tricuspid leaflet morphology.</div></div><div><h3>Methods</h3><div>From August 2015 to December 2023, a total of 3,393 patients with native aortic stenosis who underwent TAVR with contemporary BEVs were divided into bicuspid and tricuspid groups. A 1:1 propensity score–matched analysis was performed to adjust for baseline differences. The primary endpoint was all-cause mortality at 5-year follow-up.</div></div><div><h3>Results</h3><div>Among 515 matched pairs, over a median follow-up duration of 1,511 days (Q1-Q3: 937-1825 days), there were no significant differences in all-cause mortality (13.2% vs 13.7%; <em>P</em> = 0.384). Heart failure rehospitalization (8.5% vs 6.8%; <em>P</em> = 0.622), stroke (2.4% vs 2.6%; <em>P</em> = 0.618), or aortic valve reintervention (0.7% vs 1.6%; <em>P</em> = 0.706) at 5 years was not significantly different between the groups. Ascending aortic growth rates (0.37 mm/y vs 0.31 mm/y; <em>P</em> = 0.578), in-hospital death (0.8% vs 1.0%; <em>P</em> = 0.738), valve hemodynamics through 5 years, including mean transvalvular gradients (12.0 mm Hg vs 11.5 mm Hg; <em>P</em> = 0.863), effective orifice area (1.35 cm² vs 1.50 cm², <em>P</em> = 0.084), and moderate or greater paravalvular leak (3.9% vs 5.6%; <em>P</em> = 0.578) did not differ significantly between groups.</div></div><div><h3>Conclusions</h3><div>In propensity score–matched patients undergoing TAVR with contemporary BEVs, long-term clinical outcomes, valve performance, and ascending aortic growth rate showed no statistically significant differences between bicuspid and tricuspid groups.</div></div>","PeriodicalId":14688,"journal":{"name":"JACC. Cardiovascular interventions","volume":"19 17","pages":"Pages 2383-2396"},"PeriodicalIF":12.7,"publicationDate":"2026-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148961787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"On-Call Standby Compensation and Recovery Time After Emergency Procedure","authors":"Chang-Bum Park MD,&nbsp;Jin-Man Cho MD,&nbsp;In-Ho Yang MD,&nbsp;Narae Kim MD,&nbsp;Pranav M. Patel MD,&nbsp;Antonio H. Frangieh MD","doi":"10.1016/j.jcin.2026.07.022","DOIUrl":"10.1016/j.jcin.2026.07.022","url":null,"abstract":"","PeriodicalId":14688,"journal":{"name":"JACC. Cardiovascular interventions","volume":"19 17","pages":"Pages 2407-2411"},"PeriodicalIF":12.7,"publicationDate":"2026-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148961638","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":"The Rise of the Solo TAVR Operator","authors":"Benjamin Hibbert MD, PhD","doi":"10.1016/j.jcin.2026.08.001","DOIUrl":"10.1016/j.jcin.2026.08.001","url":null,"abstract":"","PeriodicalId":14688,"journal":{"name":"JACC. Cardiovascular interventions","volume":"19 17","pages":"Pages 2380-2382"},"PeriodicalIF":12.7,"publicationDate":"2026-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148961785","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":"Kissing Balloon Technique for a Protruded Left Main Stent During Transcatheter Aortic Valve Replacement","authors":"Daeung Ohn MD,&nbsp;Yeon-Jik Choi MD,&nbsp;Suk-Min Seo MD, PhD,&nbsp;Junghoon Lee MD","doi":"10.1016/j.jcin.2026.05.038","DOIUrl":"10.1016/j.jcin.2026.05.038","url":null,"abstract":"","PeriodicalId":14688,"journal":{"name":"JACC. Cardiovascular interventions","volume":"19 17","pages":"Pages 2417-2420"},"PeriodicalIF":12.7,"publicationDate":"2026-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148961788","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}