Journal of interventional cardiology最新文献

{"title":"Clinical Outcomes Following Atherectomy of Calcified Left Main Coronary","authors":"Mohamed Farag,&nbsp;Fatih Gungoren,&nbsp;Ayman Al-Atta,&nbsp;Ibrahem Abdalazeem,&nbsp;Bilal Bawamia,&nbsp;Mohammad Alkhalil,&nbsp;Mohaned Egred","doi":"10.1155/joic/9605550","DOIUrl":"https://doi.org/10.1155/joic/9605550","url":null,"abstract":"<div>\u0000 <p><b>Introduction:</b> Plaque modifying-debulking devices are the most effective initial strategy for percutaneous coronary intervention of severely calcified lesions including left main coronary artery. There are limited data comparing the short- and long-term clinical outcomes of these devices in left main lesions.</p>\u0000 <p><b>Methods:</b> A retrospective analysis of patients with calcified left main lesions treated with percutaneous intervention with adjunctive plaque modifying device at a large tertiary center between 2008 and 2021. The primary endpoint was long-term mortality at documented longest follow-up. Secondary endpoints included procedural complications and in-hospital clinical outcome.</p>\u0000 <p><b>Results:</b> A total of 302 patients with calcified left main lesions treated with rotational atherectomy (RA) (<i>n</i> = 240), intracoronary lithotripsy (<i>n</i> = 30), or excimer laser coronary atherectomy (<i>n</i> = 32) were included. Out of all patients, 55% presented with acute coronary syndromes. Technical success was achieved in 98.7% of the patients and procedural success was achieved in 95.4% of the patients. At a median follow-up of 42 (19–62) months, there was no difference in mortality between the 3 devices (RA 54/240 [23.4%] vs. lithotripsy 1/30 [3.3%] vs. laser 5/32 [15.6%], <i>p</i> = 0.128). Likewise, in-hospital clinical outcomes were similar. However, procedural complications were higher in the laser group.</p>\u0000 <p><b>Conclusions:</b> In patients with calcified left main lesions treated with percutaneous intervention, adjunctive plaque-modifying devices appear safe with survival exceeding 80% at long-term follow-up with no difference between the devices in relation to in-hospital clinical outcomes or long-term mortality risk.</p>\u0000 </div>","PeriodicalId":16329,"journal":{"name":"Journal of interventional cardiology","volume":"2025 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/joic/9605550","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144615457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Observational Single-Center Study: Comparison of the 29-mm Sapien 3 With the 34-mm Evolut-R in Patients With a Large Aortic Annulus","authors":"Ronan Canitrot,&nbsp;Vincent Bataille,&nbsp;Anthony Matta,&nbsp;Bertrand Marcheix,&nbsp;Etienne Grunenwald,&nbsp;Didier Carrie,&nbsp;Jérôme Roncalli,&nbsp;Frédéric Bouisset,&nbsp;Clément Servoz,&nbsp;Francisco Campelo-Parada,&nbsp;Thibault Lhermusier","doi":"10.1155/joic/5992132","DOIUrl":"https://doi.org/10.1155/joic/5992132","url":null,"abstract":"<div>\u0000 <p><b>Introduction:</b> Currently, there are 2 types of third generation bioprostheses that can be used in patients with aortic stenosis with a large aortic annulus (LAA): the 29-mm Sapien 3 (S3; Edwards Lifesciences LLC, Irvine, CA) and the 34-mm Evolut-R (ER; Medtronic, Inc, Dublin, Ireland). The objective of this trial was to compare long-term hemodynamic and clinical outcomes of these two valves in patients with LAA and to determine the effect of aortic annulus size on these two outcomes.</p>\u0000 <p><b>Method:</b> We conducted a retrospective, monocentric study (CHU Rangueil–Toulouse) in patients who underwent transcatheter aortic valve implantation (TAVI) for aortic stenosis between 04/01/2018 and 31/12/2020. We included all patients with severe aortic stenosis (SAS) who were diagnosed based on clinical and echocardiographic criteria. All clinical, anatomical, and procedural characteristics were recorded.</p>\u0000 <p><b>Results:</b> We included 172 patients: 110 received a 29-mm S3 prosthesis and 62 patients a 34-mm ER prosthesis. The average area of the aortic annulus was 595 ± 67 mm². The average aortic perimeter was 87.5 ± 5.1 cm for the S3 and 584 ± 72 mm² and 86.4 ± 6.3 cm for the ER. The aortic regurgitation (AR) rate was higher with the ER than with the S3 (18.3% vs. 3.9%; <i>p</i> = 0.002) but the mean transvalvular gradient was lower with the ER (7.1 ± 2.8 mmHg vs. 9.9 ± 3.8 mmHg; <i>p</i> &lt; 0.001). At Day 30, there were 4 deaths in the S3 group and 1 death in the ER group. The mean duration of follow-up was 22.7 months. No differences in cardiovascular mortality were observed between the two devices, with a rate of 2.7 deaths per 100 person-years for the ER vs. 3.9 deaths per person-years for the S3 group (<i>p</i> = 0.208). Subgroup analysis according to the LAA size showed a higher rate of AR in patients with the largest annulus dimensions.</p>\u0000 <p><b>Conclusion:</b> In patients with a LAA who require a TAVI, the 34-mm ER and 29-mm S3 prostheses demonstrate significant differences in hemodynamics with no impact on cardiovascular mortality.</p>\u0000 </div>","PeriodicalId":16329,"journal":{"name":"Journal of interventional cardiology","volume":"2025 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/joic/5992132","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144515119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Temporal Evolution of Left Main Coronary Artery Stenosis De Novo Presentation: Trends in Coronary Angiography and Clinical Characteristics (LM-EVOLUTION Study)","authors":"Jakub Chmiel,&nbsp;Kacper Miłosz Książek,&nbsp;Jagoda Dradrach,&nbsp;Grażyna Wnuk,&nbsp;Krzysztof Piotr Malinowski,&nbsp;Karol Musiał,&nbsp;Władysław Dąbrowski,&nbsp;Łukasz Czyż,&nbsp;Paweł Iwaszczuk,&nbsp;Kenneth Rosenfield,&nbsp;Piotr Musiałek","doi":"10.1155/joic/7872025","DOIUrl":"https://doi.org/10.1155/joic/7872025","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Cardiovascular diseases evolve over time; this may affect treatment. We investigated angiographic trends in patients presenting with de novo left main coronary artery (LM) stenosis over a decade.</p>\u0000 <p><b>Methods:</b> Clinical records and all consecutive coronary angiograms performed in our Institution between 2011 and 2020 were reviewed to identify subjects with newly diagnosed significant (≥ 50% lumen diameter reduction by quantitative angiography) LM stenosis. Values of the overall SYNTAX score (SS), LM lesion SS (LM-SS) and SS for lesion(s) beyond LM (non-LM-SS) were assessed as per angiographic core labolatory protocol.</p>\u0000 <p><b>Results:</b> Out of 12,524 coronary angiograms in de novo referrals, 372 (2.97%) showed significant LM stenosis; the proportion varied from 2.30% to 3.48% annually. LM patients’ mean age was 69.12 ± 9.75 years (22.95% women). No temporal age/gender trends could be identified. Overall, SS decreased from a mean value of 35 to 27 (Spearman correlation coefficient, SC = −0.17, <i>p</i> = 0.001). This was driven by reduction in non-LM-SS (SC = −0.18, <i>p</i> &lt; 0.001) while LM-SS was not changing in time (SC = 0.04, <i>p</i> = 0.40). No temporal trends were present in LM stenosis segmental location (ostial/mid/bifurcation, <i>p</i> &gt; 0.05 for all), its angiographic severity (&lt; 70% vs. ≥ 70%; <i>p</i> = 0.35) or in the number of LM segments affected (<i>p</i> = 0.19). Isolated LM stenosis presentations increased over time (<i>Z</i> = 2.07, <i>p</i> = 0.039). The reduction in non-LM-SS was associated primarily with a trend towards reduction in number of coexisting non-LM lesions requiring revascularization (SC = −0.09, <i>p</i> = 0.07).</p>\u0000 <p><b>Conclusions:</b> In consecutive patients presenting with <i>de novo</i> LM stenosis, angiographic SS showed a statistically significant negative trend over a decade, driven primarily by a reduction in non-LM-SS. Our findings are consistent with an increase in the proportion of patients presenting with LM stenosis amenable to first-line percutaneous (rather than surgical) management (LM-EVOLUTION study).</p>\u0000 </div>","PeriodicalId":16329,"journal":{"name":"Journal of interventional cardiology","volume":"2025 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/joic/7872025","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144336082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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 Safety and Feasibility of Delayed Left Atrial Appendage Closure After Catheter Ablation","authors":"Ruixue Guo,&nbsp;Yawei Bu,&nbsp;Qiang Zhao,&nbsp;Ruiqin Xie,&nbsp;Jidong Zhang","doi":"10.1155/joic/8813378","DOIUrl":"https://doi.org/10.1155/joic/8813378","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> This study aimed at comparing the safety and long-term outcomes pertaining to delayed left atrial appendage closure (LAAC) after catheter ablation (CA).</p>\u0000 <p><b>Methods:</b> The retrospective analysis in the study included 474 patients who received LAAC at our center between July 2017 and April 2024. Procedure- and device-related complications, major adverse events (MAEs), and recurrence of atrial fibrillation (AF) were compared among the CA + LAAC, Delayed-LAAC, and LAAC-only groups.</p>\u0000 <p><b>Results:</b> The Delayed-LAAC group did not report device-related thrombus (DRT) formation, and the CA + LAAC group presented obviously lower DRT incidence versus the LAAC-only group (0.7% vs. 7.1%, <i>p</i> = 0.02). Both CA + LAAC and Delayed-LAAC groups exhibited obviously lower stroke events rate versus the LAAC-only group (4.6% and 2% vs. 13.7%, <i>p</i> = 0.02). And all three groups demonstrated low rates of bleeding events (9.8% and 6% vs. 3.4%, <i>p</i> = 0.25) and all-cause death (1.9% and 2% vs. 5.2%, <i>p</i> = 0.23). The Delayed-LAAC group showed dramatically lower AF recurrence rate relative to the CA + LAAC group (16% vs. 35.2%, <i>p</i> = 0.006). In the multivariate Cox regression analysis, delayed LAAC (hazard ratio (HR) = 0.43, 95% confidence interval (CI): 0.20–0.93, and <i>p</i> = 0.03) and paroxysmal AF (HR = 0.56, 95% CI: 0.38–0.83, and <i>p</i> = 0.003) were protective factors. Patients with persistent AF and who once had been diagnosed with coronary heart disease (HR = 1.56, 95% CI: 1.11–2.21, and <i>p</i> = 0.01) were more likely to experience AF recurrence. Further subgroup analysis showed similar results.</p>\u0000 <p><b>Conclusions:</b> The Delayed-LAAC is as safe and feasible as the combination procedure. However, Delayed-LAAC was associated with lower AF recurrence rate.</p>\u0000 </div>","PeriodicalId":16329,"journal":{"name":"Journal of interventional cardiology","volume":"2025 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/joic/8813378","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144300116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Population-Based Study on Epidemiological Trends in Interventions for Congenital Heart Disease in Korea Using Nationwide Big Data","authors":"Jae Sung Son,&nbsp;Soo-Jin Kim,&nbsp;Kee Soo Ha,&nbsp;Jae Young Kim","doi":"10.1155/joic/8815137","DOIUrl":"https://doi.org/10.1155/joic/8815137","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Congenital heart disease (CHD) is one of the most common birth defects globally, and catheter-based interventions have become essential in its management. However, nationwide epidemiological data on CHD interventions remain limited. This study aims to analyze nationwide epidemiological trends in catheter-based CHD interventions among pediatric and adult populations in Korea.</p>\u0000 <p><b>Methods:</b> We analyzed the National Health Insurance Service database from 2002 to 2018 to identify patients who underwent catheter-based interventions for CHD.</p>\u0000 <p><b>Results:</b> A total of 18,800 CHD interventions were performed during the study period, with female patients accounting for 60.4% of cases. The most common intervention was atrial septal defect (ASD) device closure (35.3%), followed by patent ductus arteriosus (PDA) device closure (29.5%), balloon pulmonary valvuloplasty, and balloon pulmonary angioplasty. Intervention patterns varied by age, with PDA device closure being most frequent in infants and children, while ASD device closure dominated among adults. The overall number of CHD interventions increased significantly over the study period, with a marked rise among adults following the inclusion of ASD closure in national health insurance coverage in 2009.</p>\u0000 <p><b>Conclusions:</b> CHD interventions in Korea have increased substantially over time, with a notable shift toward adult patients. ASD device closure was the most frequently performed procedure, especially after its inclusion in national health insurance coverage. These findings highlight the growing need for adult CHD care and underscore the critical role of healthcare policies in shaping intervention trends.</p>\u0000 </div>","PeriodicalId":16329,"journal":{"name":"Journal of interventional cardiology","volume":"2025 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/joic/8815137","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144100929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Utility of SuperCross Microcatheter for Complex Coronary Artery Intervention","authors":"Long-Hao Yu,&nbsp;Zhao-Yan Song,&nbsp;Moo-Hyun Kim","doi":"10.1155/joic/6661660","DOIUrl":"https://doi.org/10.1155/joic/6661660","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Coronary lesions with significant angulation or tortuosity pose unique challenges during intervention due to limited access and maneuverability. The SuperCross microcatheter (SCM) is specifically designed to navigate through these angulated vessels and facilitate the successful crossing of side branches.</p>\u0000 <p><b>Objectives:</b> The objective of this article is to formulate and discuss recommendations for the primary use of SCM in coronary intervention involving complex coronary anatomy.</p>\u0000 <p><b>Methods:</b> From January 2021 to December 2023, a total of 43 patients underwent treatment at our single center utilizing SCM techniques. The duration of the treatment period was categorized into two distinct phases: primary use and secondary use of SCM.</p>\u0000 <p><b>Results:</b> The average age of the patients was 68.5 ± 10.6 years, with a predominance of male patients. The primary diagnosis consisted of unstable angina. Due to limited accessibility and maneuverability, there were frequent attempts made at the ostium of the left circumflex artery (30.2%), diagonal branch ostium (27.9%), and obtuse marginal branch ostium (14.0%). However, three cases failed to successfully navigate through highly angulated lesions.</p>\u0000 <p><b>Conclusions:</b> The utilization of SCM techniques offers distinct advantages in managing complex coronary anatomies, particularly when dealing with highly angulated vessels observed in bifurcation or chronic total occlusion scenarios, as well as facilitating antegrade dissection for re-entry into the true lumen.</p>\u0000 </div>","PeriodicalId":16329,"journal":{"name":"Journal of interventional cardiology","volume":"2025 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/joic/6661660","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143892870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Women in Interventional Cardiology: A Survey of Radiation Exposure and Breast Cancer Occurrence","authors":"Marzia Giaccardi,&nbsp;Caterina Bisceglia,&nbsp;Maria Lucia Narducci,&nbsp;Elisa Ebrille,&nbsp;Claudia Amellone,&nbsp;Giuliana Bricco,&nbsp;Valentina Schirripa,&nbsp;Martina Nesti,&nbsp;Michela Casella,&nbsp;Laura Vitali-Serdoz,&nbsp;Federico Ballacci,&nbsp;Gemma Pelargonio","doi":"10.1155/joic/5771672","DOIUrl":"https://doi.org/10.1155/joic/5771672","url":null,"abstract":"<div>\u0000 <p><b>Background and Aims:</b> Breast cancer (BC) is the leading cause of cancer in women. Female interventional cardiologists are potentially at a higher risk of developing BC due to occupational radiation exposure. This survey aimed at understanding radiation safety and awareness in current clinical practice, and the occurrence of BC, among female interventional cardiologists.</p>\u0000 <p><b>Methods:</b> A survey was conducted worldwide among 64 cardiac laboratories from September 2022 to December 2022.</p>\u0000 <p><b>Results:</b> 195 physicians (mean age 41.0 ± 7.4 years) completed the survey: 33 (16.9%) reported being exposed to X-ray for less than five years, 78 (40%) between five and ten years and 84 (43.1%) for more than ten years; 13 (6.7%) reported performing less than 50 interventional procedures/year, 52 (26.7%) between 50 and 100 and 130 (66.6%) more than 100 procedures/year. 126 physicians reported wearing three or more radiation dosimeters; 72 reported not using tableside X-ray shielding to protect themselves from direct and scattered radiation. BC occurred in four (2.1%) physicians, all of whom worked in the electrophysiology laboratory for a relatively long time (one with 5–10 years of exposure and three with more than ten years; mean age at cancer presentation was 46.5 ± 3.7 years). All tumours were left-sided BC.</p>\u0000 <p><b>Conclusions:</b> This survey provides a snapshot of occupational radiation exposure of female interventional cardiologists. BC is a possible professional threat in addition to its real-life epidemiology, with a negative impact on women’s lives in interventional laboratories. All possible efforts should be made to eliminate radiation exposure among interventional laboratory workers.</p>\u0000 </div>","PeriodicalId":16329,"journal":{"name":"Journal of interventional cardiology","volume":"2025 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/joic/5771672","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143880089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Coronary Artery Perforation: Insights and Outcomes From a 13-Year Experience at a District General Hospital","authors":"Ibrahim Antoun,&nbsp;Navid Munir,&nbsp;Falik Sher,&nbsp;Mueed Akram,&nbsp;Julia Baron,&nbsp;Kamal Chitkara,&nbsp;Manoj Bhandari","doi":"10.1155/joic/6792907","DOIUrl":"https://doi.org/10.1155/joic/6792907","url":null,"abstract":"<div>\u0000 <p><b>Introduction and Objectives:</b> Coronary artery perforation (CAP) is a rare but potentially fatal complication of percutaneous coronary intervention (PCI). Although its management is well-studied in tertiary care settings, little is known about the incidence and treatment patterns at district general hospitals (DGHs), which this study explored.</p>\u0000 <p><b>Materials and Methods:</b> A single-centre analysis of all PCI procedures in a DGH between January 2011 and December 2023 was performed. Patients’ records were examined for procedure details and endpoints, which included pericardiocentesis, emergency cardiac surgery and secondary coronary artery bypass grafting. The endpoints also included in-hospital and one-year mortalities.</p>\u0000 <p><b>Results:</b> During the study period, there were 13,480 PCIs, of which 31 (0.23%) were complicated by CAP. Males composed 65%, and the mean age was 69.9 ± 10 years. The most common perforation type was Ellis II in 45% of patients, and the left anterior ascending artery (LAD) was most affected in 55% of patients. An echocardiogram was done in all patients and showed tamponade physiology in 16%, in all of whom pericardiocentesis was performed. Other CAP treatments included balloon tamponade in 65%, covered stent in 42%, fat embolisation in 10% and emergency surgery and coiling in 6% each. Inpatient mortality occurred in three patients (10%), with no one-year mortalities. Long-term complications were not observed in the study.</p>\u0000 <p><b>Conclusion:</b> CAP remains a rare, potentially lethal complication of PCI in a DGH setting, with an incidence, pattern and treatments similar to those of high-volume PCI teaching centres. Early recognition and proper management are crucial.</p>\u0000 </div>","PeriodicalId":16329,"journal":{"name":"Journal of interventional cardiology","volume":"2025 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/joic/6792907","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143826781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Left Ventricular and Aortic Pressures Measured With Fluid-Filled and Solid-State Pressure Catheters: Similarities and Differences","authors":"Priscilla Machado,&nbsp;Ira S. Cohen,&nbsp;Brian Osler,&nbsp;Maureen E. McDonald,&nbsp;Cara Esposito,&nbsp;Marguerite Davis,&nbsp;David Fischman,&nbsp;Michael P. Savage,&nbsp;Praveen Mehrotra,&nbsp;Flemming Forsberg,&nbsp;Jaydev K. Dave","doi":"10.1155/joic/9359365","DOIUrl":"https://doi.org/10.1155/joic/9359365","url":null,"abstract":"<div>\u0000 <p><b>Objective:</b> To compare left ventricular (LV) and aortic (AO) pressures obtained using fluid-filled and high-fidelity solid-state pressure catheters in subjects undergoing left heart catheterization.</p>\u0000 <p><b>Materials and Methods:</b> Twenty subjects scheduled for a left heart catheterization were enrolled and 18 subjects completed this IRB-approved study. LV and AO pressures were obtained using fluid-filled pressure catheter (standard-of-care) and high-fidelity solid-state pressure catheter synchronously. Pressure tracings were analyzed to measure LV systolic (LVSP), LV minimum-diastolic (LVMDP), LV end-diastolic (LVEDP), AO systolic (AOSP), and AO diastolic (AODP) pressures. Isovolumic contraction and relaxation rates (peak ± dp/dt) were derived from the pressure waveforms. Repeated measures of variance, post hoc tests with Bonferroni corrections, and Bland–Altman plots were used for comparisons.</p>\u0000 <p><b>Results:</b> A significant main effect of the pressure catheter was noted for LVSP, LVMDP, and AOSP (<i>p</i> ≤ 0.025). The LVSP and AOSP measured with fluid-filled pressure catheters were higher by 6.6 ± 6.9 mmHg and 4.6 ± 5.2 mmHg in comparison to solid-state pressure catheter. In contrast, the LVMDP measurements were 3.5 ± 5.7 mmHg lower than the solid-state pressure catheter measurements. The isovolumic contraction (66.4 ± 116.0 mmHg/s) and relaxation rates (60.5 ± 113.5 mmHg/s) were not significantly different between catheter systems after Bonferroni corrections for multiple comparisons (<i>p</i> ≥ 0.06). The Bland–Altman analysis revealed a bias ranging from 0.8 to 6.6 mmHg.</p>\u0000 <p><b>Conclusions:</b> Differences in LVSP, LVMDP, and AOSP were noted between the catheter systems but not for other pressure values and contraction/relaxation rates. Fluid-filled catheters overestimated true systolic pressures in the left ventricle and aorta.</p>\u0000 <p><b>Trial Registration:</b> ClinicalTrials.gov identifier: NCT03245255</p>\u0000 </div>","PeriodicalId":16329,"journal":{"name":"Journal of interventional cardiology","volume":"2025 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/joic/9359365","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143717113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of Radial Artery Compression Techniques in Contemporary Cardiovascular Practice: The RAVE Trial","authors":"Muddasir Ashraf,&nbsp;Suhail Q. Allaqaband,&nbsp;Louis Kostopoulos,&nbsp;Babak Haddadian,&nbsp;Tanvir Bajwa,&nbsp;Tonga Nfor,&nbsp;Jayant Khitha,&nbsp;Khawaja Afzal Ammar,&nbsp;Ahmad Khraisat,&nbsp;Robert Richmond,&nbsp;Sara Walczak,&nbsp;Wendy Dunaj,&nbsp;Viviana Zlochiver,&nbsp;Kritika Garg,&nbsp;Ana Cristina Perez Moreno,&nbsp;Kirsten Tunink,&nbsp;Theresa Briggs,&nbsp;Jane Meitler,&nbsp;Michelle Bennett,&nbsp;M. Fuad Jan","doi":"10.1155/joic/1447277","DOIUrl":"https://doi.org/10.1155/joic/1447277","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> The shorter time to hemostasis in patients who undergo transradial cardiac catheterization may reduce the complications, cause less pain, facilitate early discharge, and improve patient satisfaction.</p>\u0000 <p><b>Objective:</b> This trial aimed to evaluate if SoftSeal-STF (Chitogen Inc., Plymouth, MN) with manual compression alone or in combination with a radial compression device (RCD) would reduce time to hemostasis compared to patients with RCD only (Vasc Band).</p>\u0000 <p><b>Methods:</b> We enrolled 300 patients in four arms, including SoftSeal-STF with manual compression, Vasc Band (standard of care), SoftSeal-STF with TR Band, and SoftSeal-STF with EasyClik. This study was analyzed as an observational study due to modification in the design of a randomized trial. The primary outcome was time to hemostasis; the secondary outcomes were complications before discharge, a 3 day follow-up, and a follow-up office visit (30–45 days postprocedure).</p>\u0000 <p><b>Results:</b> The median time to hemostasis (interquartile range [IQR]) was significantly lower in the SoftSeal-STF + TR Band group and the SoftSeal-STF + EasyClik group than in the Vasc Band group (45 [40–69] minutes vs. 120 [120–124] minutes, <i>p</i> &lt; 0.0001; 44 [40–58.5] minutes vs. 120 [120–124] minutes, <i>p</i> &lt; 0.0001, respectively). The median time to hemostasis (IQR) was not different between SoftSeal-STF + TR Band and SoftSeal-STF + EasyClik (45 [40–69] minutes vs. 44 [40–58.5] minutes, <i>p</i> = 0.3). The median time to hemostasis (IQR) was lowest in the SoftSeal-STF + manual compression group (19 [15–30] minutes), but these patients had more postoperative pain and bruising along with logistic issues within the catheterization lab.</p>\u0000 <p><b>Conclusion:</b> The SoftSeal-STF + RCD is a safe and time-efficient strategy in patients who undergo transradial cardiac catheterization. (Radial Artery Vascular Complication and Resource Utilization [RAVE]).</p>\u0000 <p><b>Trial Registration:</b> ClinicalTrials.gov identifier: NCT03522077</p>\u0000 </div>","PeriodicalId":16329,"journal":{"name":"Journal of interventional cardiology","volume":"2025 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/joic/1447277","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143707390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}