David G. Rizik MD, MSCAI, Nadia R. Sutton MD, MPH, FSCAI, Alexandra J. Lansky MD, MSCAI, Mirvat Alasnag MD, FSCAI, Gabriel Bartal MD, Mary Beth Brady MD, Megan Coylewright MD, MPH, FSCAI, James A. Goldstein MD, FSCAI, Scott M. Firestone MS, Andrew M. Goldsweig MD, MS, FSCAI, Dean J. Kereiakes MD, MSCAI, Melissa Kirkwood MD, Ryan D. Madder MD, FSCAI, Roxana Mehran MD, MSCAI, William J. Nicholson MD, Graciano Paulo PhD, Sunil V. Rao MD, MSCAI, Kenneth Rosenfield MD, MSCAI, Cheryl C. Schultz MS, Kamala P. Tamirisa MD, James B. Hermiller MD, MSCAI
{"title":"SCAI/ASE/HRS/SIR/SVS Expert Consensus Statement on Enhanced Radiation Protection","authors":"David G. Rizik MD, MSCAI, Nadia R. Sutton MD, MPH, FSCAI, Alexandra J. Lansky MD, MSCAI, Mirvat Alasnag MD, FSCAI, Gabriel Bartal MD, Mary Beth Brady MD, Megan Coylewright MD, MPH, FSCAI, James A. Goldstein MD, FSCAI, Scott M. Firestone MS, Andrew M. Goldsweig MD, MS, FSCAI, Dean J. Kereiakes MD, MSCAI, Melissa Kirkwood MD, Ryan D. Madder MD, FSCAI, Roxana Mehran MD, MSCAI, William J. Nicholson MD, Graciano Paulo PhD, Sunil V. Rao MD, MSCAI, Kenneth Rosenfield MD, MSCAI, Cheryl C. Schultz MS, Kamala P. Tamirisa MD, James B. Hermiller MD, MSCAI","doi":"10.1016/j.jcin.2026.06.011","DOIUrl":"10.1016/j.jcin.2026.06.011","url":null,"abstract":"<div><div>Health care professionals in fluoroscopic laboratories face significant occupational hazards, including cancer, cataracts, and reproductive concerns due to prolonged exposure to iodizing radiation, and orthopedic injuries stemming from long-term use of heavy aprons as protection from radiation. Despite substantial advancements in radiation protection technology, adoption of these advancements has been slow, hindered by the high upfront costs of implementation and the lag in revising institutional and regulatory radiation exposure thresholds to reflect the capabilities of contemporary enhanced radiation protection devices (ERPDs). This multisociety statement, endorsed by the Society for Cardiovascular Angiography & Interventions, American College of Cardiology, the American Society of Echocardiography, the Heart Rhythm Society, the Society of Interventional Radiology, and the Society for Vascular Surgery, calls for mandatory implementation of ERPDs to meet as low as reasonably achievable standards. This expert consensus statement outlines the ethical and legal responsibilities of government, fluoroscopy laboratory manufacturers, and health care institutions to protect all health care professionals from avoidable workplace hazards and the urgent need to implement ERPDs. The document does not promote or recommend any single ERPD system, and the choice of protection technology is left to department preference. It also addresses the importance of training, monitoring, and continuous research to optimize radiation safety practices. The document advocates for updated regulations and standardized practices across states to ensure comprehensive protection for all fluoroscopy laboratory personnel.</div></div>","PeriodicalId":14688,"journal":{"name":"JACC. Cardiovascular interventions","volume":"19 17","pages":"Pages 2295-2310"},"PeriodicalIF":12.7,"publicationDate":"2026-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148432945","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":"OCT-Guided PCI in Diabetes","authors":"José M. de la Torre-Hernández MD, PhD","doi":"10.1016/j.jcin.2026.07.013","DOIUrl":"10.1016/j.jcin.2026.07.013","url":null,"abstract":"","PeriodicalId":14688,"journal":{"name":"JACC. Cardiovascular interventions","volume":"19 17","pages":"Pages 2360-2363"},"PeriodicalIF":12.7,"publicationDate":"2026-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148961780","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}
Soo-Jin Kang, Akiko Maehara, Mitsuaki Matsumura, Ernest Spitzer, Joost Daemen, Hector M Garcia-Garcia, Yirga Kahsay, Daniel Chamie, Jihoon Kweon, Gary S Mintz
{"title":"Best Practices for Intravascular Ultrasound-Based Coronary Bifurcation Segmentation.","authors":"Soo-Jin Kang, Akiko Maehara, Mitsuaki Matsumura, Ernest Spitzer, Joost Daemen, Hector M Garcia-Garcia, Yirga Kahsay, Daniel Chamie, Jihoon Kweon, Gary S Mintz","doi":"10.1016/j.jcin.2026.07.017","DOIUrl":"https://doi.org/10.1016/j.jcin.2026.07.017","url":null,"abstract":"","PeriodicalId":14688,"journal":{"name":"JACC. Cardiovascular interventions","volume":" ","pages":""},"PeriodicalIF":12.7,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148963449","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}
Raj R Makkar, Wen Cheng, Ron Waksman, Tarun Chakravarty, Lowell F Satler, Mark Groh, William Abernethy, Mark J Russo, David Heimansohn, James Hermiller, Stephen Worthley, Bassem M Chehab, Ray Matthews, Ravi K Ramana, Gerald Yong, Chunguang Chen, Federico M Asch, Mamoo Nakamura, Hasan Jilaihawi, Rahul Sharma, Dhairya Patel, Samir Kapadia, Michael J Reardon, Deepak L Bhatt, Gregory P Fontana
{"title":"Five-Year Follow-Up of Transcatheter Aortic Valve Replacement With Self-Expanding Intra-Annular Versus Commercially Available Valves.","authors":"Raj R Makkar, Wen Cheng, Ron Waksman, Tarun Chakravarty, Lowell F Satler, Mark Groh, William Abernethy, Mark J Russo, David Heimansohn, James Hermiller, Stephen Worthley, Bassem M Chehab, Ray Matthews, Ravi K Ramana, Gerald Yong, Chunguang Chen, Federico M Asch, Mamoo Nakamura, Hasan Jilaihawi, Rahul Sharma, Dhairya Patel, Samir Kapadia, Michael J Reardon, Deepak L Bhatt, Gregory P Fontana","doi":"10.1016/j.jcin.2026.05.032","DOIUrl":"https://doi.org/10.1016/j.jcin.2026.05.032","url":null,"abstract":"<p><strong>Background: </strong>Long-term outcomes of the self-expanding intra-annular Portico transcatheter aortic valve are not known.</p><p><strong>Objectives: </strong>This study aimed to report the 5-year outcomes of the PORTICO IDE randomized controlled trial.</p><p><strong>Methods: </strong>This multicenter trial randomized (1:1) patients with severe symptomatic aortic stenosis at high/extreme surgical risk to transcatheter aortic valve replacement (TAVR) with the self-expanding intra-annular valve (study valve) or Food and Drug Administration-approved commercially available valves (CAVs; balloon-expandable or self-expanding supra-annular platforms). Assessments of the primary safety endpoint (30 days) and the primary efficacy endpoint (1 year) have been previously reported. Prespecified clinical outcomes and hemodynamic valve parameters are presented through 5 years.</p><p><strong>Results: </strong>We randomized 750 eligible patients (mean age: 83 years, 52.7% female) to the study valve (n = 381) or CAV (n = 369). Compared with CAV, the study valve showed similar 5-year all-cause mortality or stroke (55.6% vs 51.3%, P = 0.42). Cardiovascular mortality was numerically higher in the study valve group compared with the CAV group (33.4% vs 25.8%; P = 0.06). Naïve permanent pacemaker implantation was higher in the study valve group (36.6%) than the CAV group (20.3%; P < 0.0001) at 5 years. At 5 years, the study valve showed a lower mean transvalvular gradient (7.2 ± 3.0 vs 9.5 ± 6.5 mm Hg, P = 0.008), but similar valve area (1.78 ± 0.45 vs 1.71 ± 0.51 cm<sup>2</sup>, P = 0.40) compared to CAV.</p><p><strong>Conclusions: </strong>In patients at high or extreme surgical risk, TAVR with the self-expanding intra-annular transcatheter heart valve had similar 5-year overall survival, stroke rates, and valve function compared with commercially available valves.</p>","PeriodicalId":14688,"journal":{"name":"JACC. Cardiovascular interventions","volume":" ","pages":""},"PeriodicalIF":12.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148963436","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}