Journal of interventional cardiology最新文献

{"title":"Unveiling the Value of Contrast Transthoracic Echocardiography Over Enhanced Transcranial Doppler for Right-to-Left Shunt Diagnosis During Synchronous Provocation Testing","authors":"Lingyue Du,&nbsp;Fan Liu,&nbsp;Xiaoting Wu,&nbsp;Lin Luo,&nbsp;Xingxing Yuan,&nbsp;Yang Li,&nbsp;Zhanye Lin,&nbsp;Lixian Gu,&nbsp;Jian Zheng","doi":"10.1155/joic/4257495","DOIUrl":"https://doi.org/10.1155/joic/4257495","url":null,"abstract":"<div>\u0000 <p><b>Objective:</b> The results of right-to-left shunt (RLS) assessments are highly influenced by the methods used. This study aimed to compare the effectiveness of contrast transthoracic echocardiography (cTTE) and contrast transcranial Doppler (cTCD) in detecting RLS by conducting them simultaneously, employing the same provocations, timing, contrast-saline mixture, and posture.</p>\u0000 <p><b>Materials and Methods:</b> This study was conducted at the Second Affiliated Hospital, School of Medicine, the Chinese University of Hong Kong, Shenzhen. A total of 237 patients who underwent both cTTE and cTCD simultaneously were included. The differences in RLS detection rates and the degree of shunting between the two examinations were assessed using the chi-square test and Wilcoxon rank-sum test. In addition, the timing of RLS appearance was compared between cTTE and cTCD examinations.</p>\u0000 <p><b>Results:</b> The detection rate of RLS was higher with cTTE compared to cTCD (93.25% vs. 84.81%, <i>X</i>² = 8.64, <i>p</i> = 0.03); the difference was primarily observed in cases where RLS appeared after five cardiac cycles (<i>X</i>² = 17.496, <i>p</i> &lt; 0.001). Regarding the detection of moderate/large shunts, cTTE outperformed cTCD (66.67% vs. 30.38%, <i>X</i>² = 62.468, <i>p</i> &lt; 0.001); the difference in moderate/large shunt detection rates was primarily observed in cases where RLS appeared after five cardiac cycles (<i>X</i>² = 86.361, <i>p</i> &lt; 0.001).</p>\u0000 <p><b>Conclusion:</b> During the synchronous provocation testing, cTTE demonstrated superior performance over cTCD in detecting RLS and moderate/large RLS, particularly when RLS appeared after five cardiac cycles following full right atrial opacification.</p>\u0000 </div>","PeriodicalId":16329,"journal":{"name":"Journal of interventional cardiology","volume":"2025 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/joic/4257495","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143497356","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":"A Randomized Controlled Trial Comparing Elastic Compressive Dressing and the TR Band After Transradial Coronary Intervention","authors":"Yunis Daralammouri,&nbsp;Fateh Awwad,&nbsp;Murad Azamtta,&nbsp;Hamza A. Salim,&nbsp;Ghaith M. Zakaria,&nbsp;Basel Musmar,&nbsp;Yahya S. Mosleh,&nbsp;Aidah Alkaissi","doi":"10.1155/joic/2864005","DOIUrl":"https://doi.org/10.1155/joic/2864005","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Transradial coronary intervention has been shown to be both safe and effective, with several benefits, such as limited access to site complications and earlier patient discharge. Radial compression devices, on the other hand, add to the total expense of the procedure and have not been adequately compared to traditional compressive dressings. The purpose of this study is to compare the safety and efficacy of elastic compressive dressing with gauze swabs and crepe bandages to balloon compression devices with the TR Band (Terumo) for maintaining radial hemostasis following cardiac procedures.</p>\u0000 <p><b>Method:</b> A total of 402 patients were randomly assigned to receive either a TR band or an elastic compressive dressing for radial hemostasis following cardiac intervention in a prospective, partially blinded, randomized clinical study. The main outcome was the hemostasis time and the occurrence of hematoma. Patient satisfaction, postprocedure pain, vascular problems, and the cost of the compression device used were all secondary outcomes.</p>\u0000 <p><b>Results:</b> The two groups had similar baseline characteristics and procedural data. The majority of patients (79%) were very satisfied with both hemostasis techniques. The elastic dressing group achieved hemostasis significantly faster than the TR band group (83.8 ± 142.8 min vs. 116.3 ± 122.7, <i>p</i> = 0.017). Significant differences in the incidence of hematoma (8% elastic dressing vs. 18.4% TR band, <i>p</i> = 0.003) and postprocedural pain (0.84 ± 1.2 elastic dressing vs. 1.39 ± 1.4 TR band, <i>p</i> ≤ 0.001) were observed. The incidence of early radial artery occlusion was higher in the elastic dressing group (7 patients) than in the TR band group (2 patients), although the difference was not statistically significant (<i>p</i> = 0.09). Finally, the TR band was significantly more expensive than the elastic dressing used in the trial.</p>\u0000 <p><b>Conclusion:</b> Elastic compressive dressings are a safe, low-cost, and effective alternative to TR band. They decrease hemostasis time, enhance patient comfort, and reduce both the number and size of hematomas. When compared to the TR band, these dressings have a similar rate of radial artery patency at discharge.</p>\u0000 <p><b>Trial Registration:</b> ClinicalTrials.gov identifier: NCT05409716</p>\u0000 </div>","PeriodicalId":16329,"journal":{"name":"Journal of interventional cardiology","volume":"2025 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/joic/2864005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143446935","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":"Gender-Specific Effects on Quality of Life and Physical Activity After Pulmonary Vein Isolation: A Secondary Analysis of a Randomized Controlled Trial","authors":"Daniel Meretz,&nbsp;Martin Seifert,&nbsp;Anja Haase-Fielitz,&nbsp;Christian Georgi,&nbsp;Marwin Bannehr,&nbsp;Viviane Moeller,&nbsp;Hans-Heinrich Minden,&nbsp;Dirk Große Meininghaus,&nbsp;Gerhard Janßen,&nbsp;Christian Butter","doi":"10.1155/joic/3825972","DOIUrl":"https://doi.org/10.1155/joic/3825972","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Gender differences exist in atrial fibrillation (AF) regarding epidemiology, mechanisms, management, and outcomes. There are limited data regarding gender-specific outcomes after pulmonary vein isolation (PVI) including AF recurrence, physical activity, and health-related quality of life.</p>\u0000 <p><b>Methods:</b> In this secondary analysis of a randomized controlled trial (BE-ACTION study: investigating 200 patients with paroxysmal or persistent AF undergoing PVI), a gender-specific analysis of the primary endpoint (recurrence of atrial arrhythmia &gt; 30s, additional ablation procedure, or new onset of antiarrhythmic drugs) was performed. Quality of life was assessed using the AFEQT and SF-36 questionnaires, while physical activity was measured via step counts recorded at baseline, 6 months, and 12 months. The Mann–Whitney <i>U</i> test and Fisher exact test were used to compare continuous and categorical variables, respectively.</p>\u0000 <p><b>Results:</b> 33.5% were women. Women and men were comparable in demographics, comorbidities, and steps per day before and after PVI. There was no statistically significant difference in the primary composite endpoint between women (37.3%) and men (25.6%) (<i>p</i> = 0.085). Before PVI, women had lower quality of life scores than men (median AFEQT scores: 43.5 points [25^th to 75^th percentiles 25.9–63.9] vs. 62.0 points [47.2–76.4], respectively, <i>p</i> &lt; 0.001) as well as in the physical (40.22 points [33.98–46.69] vs. 46.30 points [39.21–51.60], <i>p</i> = 0.002) and mental domains (42.33 points [27.34–51.59] vs. 49.59 points [36.02–55.64], <i>p</i> = 0.001) of the SF-36 questionnaire. The overall improvement in the quality of life was significant for both men and women (<i>p</i> &lt; 0.001). Using AFEQT, women exhibited lower quality of life scores compared to men at 6 months post-PVI (<i>p</i> = 0.001); however, this difference was no longer statistically significant at 12 months (<i>p</i> = 0.077).</p>\u0000 <p><b>Conclusion:</b> These data emphasize the importance of AF recurrence after PVI and motivate future research to explore the causes and clinical consequences of a gender gap in quality of life in women after PVI.</p>\u0000 <p><b>Trial Registration:</b> BE-ACTION Study ClinicalTrials.gov identifier: DRKS00012914</p>\u0000 </div>","PeriodicalId":16329,"journal":{"name":"Journal of interventional cardiology","volume":"2025 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/joic/3825972","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143438914","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":"Spanish Registry of Pressure-Controlled Intermittent Coronary Sinus Occlusion (PiCSO) Balloon: Initial Experience and Short-Term Clinical Outcomes","authors":"Erick Dante Martínez Maldonado,&nbsp;Victor Alfonso Jiménez Díaz,&nbsp;Guillermo Bastos Fernández,&nbsp;Pablo Vidal Calés,&nbsp;Salvatore Brugaletta,&nbsp;Pablo Juan Salvadores,&nbsp;Andrés Íñiguez Romo","doi":"10.1155/joic/9652484","DOIUrl":"https://doi.org/10.1155/joic/9652484","url":null,"abstract":"<div>\u0000 <p><b>Objectives:</b> The mortality of ST elevation myocardial infarction (STEMI) has plateaued in the last decade, with a 30-day mortality of 3%-4%. Previous studies in patients with anterior STEMI treated by primary angioplasty and assisted with the pressure-controlled intermittent coronary sinus occlusion (PiCSO) system have shown a modest but significant absolute reduction of the infarct zone.</p>\u0000 <p><b>Methods:</b> Prospective, observational study were carried out in two hospitals in Spain. The study included patients with acute coronary syndrome and patients with high-risk percutaneous coronary intervention (PCI). PiCSO therapy was provided throughout the PCI (after achieving thrombolysis in myocardial infarction [TIMI] flow two or three in STEMI cases), with a minimum duration of 20 min from stent implantation until the completion of the procedure.</p>\u0000 <p><b>Results:</b> A total of 22 cases were performed. In 20 cases, PiCSO therapy could be successfully applied, and in 2 cases, it was not possible due to the inability to access the coronary sinus. In 95.45%, the PCI was performed in a single coronary artery. Baseline TIMI flow was 0-1 in &gt; 60% of patients, with final TIMI 3 flow achieved in &gt; 95%. There were no complications secondary to the use of the PiCSO system. At 6-month clinical follow-up, 100% of the patients were alive with significant improvement in functional class and angina status.</p>\u0000 <p><b>Conclusions:</b> The use of the PiCSO device during ACS was safe and may offer potential benefits to patients susceptible to reperfusion injury or in whom relevant distal microembolization is anticipated during primary angioplasty or high-risk PCI. More data are needed to validate its widespread clinical use.</p>\u0000 </div>","PeriodicalId":16329,"journal":{"name":"Journal of interventional cardiology","volume":"2025 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/joic/9652484","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143380787","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":"Corrigendum to “The “L-Sandwich” Strategy for True Coronary Bifurcation Lesions: A Randomized Clinical Trial”","authors":"Quan Guo,&nbsp;Liang Peng,&nbsp;Lixin Rao,&nbsp;Cao Ma,&nbsp;Kang Zhao,&nbsp;Zhenzhou Zhao,&nbsp;Haiyu Tang,&nbsp;Muwei Li","doi":"10.1155/joic/9764137","DOIUrl":"https://doi.org/10.1155/joic/9764137","url":null,"abstract":"<p>In the article titled “The “<i>L</i>-Sandwich” Strategy for True Coronary Bifurcation Lesions: A Randomized Clinical Trial” [<span>1</span>], authors “Quan Guo and Muwei Li” were affiliated to “Department of Cardiology, Henan Provincial People’s Hospital, People’s Hospital of Zhengzhou University, Zhengzhou, Henan, China” which is incorrect. The correct affiliation for these authors is as follows:</p><p>Department of Cardiology, People’s Hospital of Zhengzhou University, Henan Provincial People’s Hospital, Zhengzhou, Henan, China</p><p>The corrected list of affiliations is shown in the author information above.</p>","PeriodicalId":16329,"journal":{"name":"Journal of interventional cardiology","volume":"2025 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/joic/9764137","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143118604","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":"Complete Revascularization Techniques for Acute Myocardial Infarction: A Systematic Review and Meta-Analysis Comparing Angiography- and Coronary Physiology-Guided PCI","authors":"Yanyan Zhang,&nbsp;Zuoyi Zhou,&nbsp;Bo Zheng,&nbsp;Yanjun Gong","doi":"10.1155/joic/3815312","DOIUrl":"https://doi.org/10.1155/joic/3815312","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> It is generally accepted that for patients with multivessel disease and myocardial infarction, complete revascularization is preferable than culprit-only revascularization. However, existing studies comparing coronary physiology-guided versus angiography-guided complete revascularization percutaneous coronary intervention (PCI) present conflicting conclusions.</p>\u0000 <p><b>Methods:</b> The investigation involved a comprehensive search of PubMed/Medline, Embase, and the Cochrane library for studies comparing coronary physiology-guided with angiography-guided PCI in patients with MI-MVD. Clinical endpoints, including major adverse cardiovascular events, all-cause mortality, recurrent MI, major adverse cardiac and cerebral event, planned revascularization, repeated revascularization, average stent number per patient, heart failure, and contrast nephropathy during any follow-up period post PCI, were considered for analysis. Odds ratios (ORs) and mean differences with 95% confidence intervals (CIs) were calculated for binary and continuous variables, respectively. The analyses were conducted using Review Manager 5.1.</p>\u0000 <p><b>Results:</b> Our analysis included a total of 2493 patients from 5 studies. The physiology-guided PCI group exhibited a lower rate of planned revascularization (OR: 0.10, 95% CIs: 0.07–0.14, <i>p</i> ≤ 0.001, and <i>I</i>² = 96.6%) and average stent number per patient (mean difference: −0.47, 95% CIs: −0.56–−0.38, <i>p</i> ≤ 0.001, and <i>I</i>² = 58.6%). However, there were no significant differences between the two groups regarding major adverse cardiac event (MACE) (OR: 0.89, 95% CIs: 0.63–1.26, <i>p</i> = 0.520, and <i>I</i>² = 67.8%), all-cause mortality (OR: 0.65, 95% CIs: 0.38–1.12, <i>p</i> = 0.120, and <i>I</i>² = 50.5%), recurrent MI (OR: 0.74, 95% CIs: 0.28–2.00, <i>p</i> = 0.558, and <i>I</i>² = 77.2%), major adverse cardiac and cerebral event (MACCE) (OR = 0.77, 95% CIs: 0.43–1.37, <i>p</i> = 0.378, and <i>I</i>² = 0%), repeated revascularization (OR = 1.47, 95% CIs: 0.54–3.99, <i>p</i> = 0.452, and <i>I</i>² = 76.5%), heart failure (OR: 1.04, 95% CIs: 0.43–2.56, <i>p</i> = 0.924, and <i>I</i>² = 0%), and contrast nephropathy (OR: 1.26, 95% CIs: 0.27–5.81, <i>p</i> = 0.766, and <i>I</i>² = 0%).</p>\u0000 <p><b>Conclusions:</b> Among patients with MI-MVD, physiology-guided PCI appeared to reduce the need for planned revascularization without triggering repeated revascularization, leading to fewer stents compared with angiography-guided PCI. Other prespecified clinical outcomes including MACE, all-cause mortality, recurrent MI, MACCE, heart failure, and contrast nephropathy were not significantly different between these two approaches.</p>\u0000 </div>","PeriodicalId":16329,"journal":{"name":"Journal of interventional cardiology","volume":"2025 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/joic/3815312","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143115145","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":"Predictors for Sedation Failure in Mitral Transcatheter Edge-to-Edge Repair Procedures","authors":"Christian Frerker,&nbsp;Malte Mathern,&nbsp;Roza Saraei,&nbsp;Christoph Marquetand,&nbsp;Tobias Graf,&nbsp;Mulham Alhagi,&nbsp;Thomas Stiermaier,&nbsp;Florian Genske,&nbsp;Dominik Jurczyk,&nbsp;Elias Rawish,&nbsp;Momir Dejanovikj,&nbsp;Friederike Foth,&nbsp;Ingo Eitel,&nbsp;Tobias Schmidt","doi":"10.1155/joic/1589733","DOIUrl":"https://doi.org/10.1155/joic/1589733","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Mitral transcatheter-edge-to-edge-repair (M-TEER) is mostly done with using general anesthesia (GA). Limited data including specific risk factors exist for a deep sedation (DS) approach.</p>\u0000 <p><b>Methods and Results:</b> 464 M-TEER procedures were included for comparison of a DS approach versus those who required a conversion to GA. Specific predefined risk factors were analyzed to identify those patients who might not benefit from a DS strategy by the need of conversion to GA. The conversion rate from DS to GA was 6.7% (<i>n</i> = 433 successful DS and <i>n</i> = 31 conversion to GA). Mean age was 80 years. Classical surgical risk scores did not show any significant difference between the two groups. Patients with DS had a higher procedural success rate (96.1% versus 80.1%; <i>p</i> &lt; 0.001). The time on the intensive care unit (ICU) (3.9 h versus 126 h; <i>p</i> = 0.023) was shorter for patients with DS. Patients who were in the need for a conversion to GA had a lower 30-day and 1-year survival rate. A multivariate analysis for conversion to GA showed body mass index (<i>p</i> = 0.023), pre-existing kidney failure (<i>p</i> &lt; 0.001), obstructive sleep apnea syndrome (OSAS) (<i>p</i> = 0.031), systolic pulmonary pressure value (<i>p</i> = 0.013), and concomitant tricuspid regurgitation (<i>p</i> = 0.049) as risk factors.</p>\u0000 <p><b>Conclusions:</b> Using DS in M-TEER is feasible with a low conversion rate to GA. In case of a conversion, the procedure is less successful regarding reduction of MR and more complications occurred with a lower survival rate up to 12 months. These data suggest that conversion from DS to GA is high risk. Therefore, we could identify different predictors for the need of a conversion to GA. However, our results could only be hypothesis-generated and should be evaluated in a randomized study.</p>\u0000 </div>","PeriodicalId":16329,"journal":{"name":"Journal of interventional cardiology","volume":"2024 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/joic/1589733","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142862053","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":"Single Center Experience With Impella 5.5 for Escalation and De-Escalation of Cardiogenic Shock Patients","authors":"Ioana Dumitru,&nbsp;Debbie Rinde-Hoffman,&nbsp;Maria Sevillano,&nbsp;Leeandra Schnell,&nbsp;Elizabeth Quintilliani,&nbsp;Swaroop Bommareddi","doi":"10.1155/joic/7044608","DOIUrl":"https://doi.org/10.1155/joic/7044608","url":null,"abstract":"<div>\u0000 <p>Temporary mechanical circulatory support (tMCS) devices are a critical component for treating patients with cardiogenic shock (CS). We analyzed use of Impella 5.5 device for efficacy and safety in a single-center CS population from February 2022 and April 2023. Thirty-six CS patients received Impella 5.5 support for a median duration of 16 (2, 63) days, during a median hospital stay of 40 (4, 97) days, with an overall survival (OS) of 69%. While 18 patients received Impella 5.5 only, 11 patients received Impella 5.5 as part of a de-escalation strategy, and 7 patients escalated from Impella CP only to Impella 5.5. At the time of implant, creatinine was 1.5 (0.6, 5.2) mg/dL and normalized to 1.1 (0.6, 7.7) mg/dL at discharge. In a subset of CS transfer patients (<i>n</i> = 12), median duration of support was 16 (1, 31) days, duration of hospital stay was 43 (8, 88) days, and OS was 67% (8/12). Collectively, these data demonstrate that Impella 5.5 support is safe and effectively improves laboratory values and survival outcomes in both transfer and in-house patients with CS.</p>\u0000 </div>","PeriodicalId":16329,"journal":{"name":"Journal of interventional cardiology","volume":"2024 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/joic/7044608","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142860441","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":"Epidemiological Trends, Etiology, and Burden Study of Heart Failure in China, 1990–2019","authors":"Tao Ying,&nbsp;Han Wang,&nbsp;Qiong Nie,&nbsp;Wei Yan,&nbsp;Jing Wu","doi":"10.1155/2024/5139756","DOIUrl":"https://doi.org/10.1155/2024/5139756","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Despite the enormous impact of heart failure (HF) in China, there is a relative lack of research on its epidemiologic trends and burden. Therefore, there is an urgent need for a comprehensive and in-depth analysis of the epidemiologic patterns, underlying etiology, and overall burden of HF.</p>\u0000 <p><b>Objective:</b> This study aimed to elucidate the epidemiology, etiology, and burden of HF in China and provided a comprehensive and up-to-date analysis, including temporal trends from 1900 to 2019.</p>\u0000 <p><b>Methods:</b> The data for this study were derived from the Global Burden of Disease (GBD) study 2019. Descriptive analyses were conducted to examine the prevalence and years lived with disability (YLD) rates in China from 1990 to 2019, with variables including year, sex, and age. To illustrate the temporal trend spanning 1990 to 2019, estimated average annual percentage changes (AAPC) were calculated.</p>\u0000 <p><b>Results:</b> In 2019, the number of prevalent HF cases in China was 18.51 million (95% uncertainty interval [UI]: 14.97 to 23.02 million), representing 32.9% of the global prevalence. Between 1990 and 2019, the number of cases and the prevalence rates of HF in China showed an increasing trend. The age-standardized prevalence rates (ASPRs) demonstrated an overall declining trend (AAPC = −0.16, 95% confidence interval [CI]: −0.19 to −0.13, <i>p</i> &lt; 0.01), as did the age-standardized YLD rates (AAPC = −0.13, 95% CI: −0.16 to −0.1, <i>p</i> &lt; 0.01). However, from 2017 to 2019, a gradual increase was observed (AAPC = 1.72, 95% CI: 1.47 to 1.96, <i>p</i> &lt; 0.01). In the age-based analysis, individuals aged 55 years and older accounted for 88.3% of the prevalent cases. Women exhibited higher case numbers and ASPR compared to men. In the cause-based analysis, hypertensive heart disease emerged as the primary etiology of HF in China.</p>\u0000 <p><b>Conclusion:</b> From 1990 to 2019, the ASPR and age-standardized YLD rates for HF in China demonstrated an overall decreasing trend. Nevertheless, the trend increased from 2017 to 2019, with significant variations observed by gender and age. Therefore, continued attention to the disease burden of HF in China remains essential. Healthy lifestyles are important for minimizing the prevalence of HF. In addition, it is necessary to address and reduce the incidence of hypertension from all causes to mitigate the disease burden further.</p>\u0000 </div>","PeriodicalId":16329,"journal":{"name":"Journal of interventional cardiology","volume":"2024 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/5139756","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142707711","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":"A Comparative Analysis of Primary and Bailout ADR in CTO-PCI","authors":"Lirui Yang,&nbsp;Tao Zhang,&nbsp;Gang Wang,&nbsp;Leisheng Ru,&nbsp;Lin Zhao","doi":"10.1155/2024/4501880","DOIUrl":"https://doi.org/10.1155/2024/4501880","url":null,"abstract":"<div>\u0000 <p><b>Objective:</b> To compare the efficiency and safety of primary and bailout antegrade dissection and re-entry (ADR) during percutaneous coronary intervention (PCI) for chronic total occluded (CTO) lesions.</p>\u0000 <p><b>Methods:</b> Patients who underwent ADR procedures for CTO lesions were enrolled in this study and were divided into two groups (primary ADR and bailout ADR) based on the initiation of ADR during PCI. The success rate and major adverse cardiovascular and cerebrovascular events (MACCE) during hospitalization were assessed as the primary endpoints. Procedure time, fluoroscopy time, wire crossing time, radiation dose, and contrast volume were considered as secondary endpoints.</p>\u0000 <p><b>Results:</b> A total of 243 patients were enrolled in this study, with 127 patients receiving primary ADR and 116 receiving bailout ADR. No differences were found in baseline parameters between the two groups. The success rate was significantly higher in the primary ADR group compared to the bailout ADR group (89.0% versus 77.6%, respectively; <i>p</i> = 0.017). The incidence of in-hospital MACCE was low in both groups, with no significant differences observed between them. Procedure time, radiation dose, and contrast volume were lower in the primary ADR group compared to the bailout ADR group. Cox regression analysis revealed that primary ADR and J-CTO score ≥ 3 were independent predictors of technical success in CTO-PCI.</p>\u0000 <p><b>Conclusions:</b> Both primary and bailout ADR are safe strategies for CTO-PCI. Primary ADR significantly improves the success rate of PCI for CTO compared to bailout ADR, with shorter operation time, lower radiation dose, and reduced contrast volume.</p>\u0000 </div>","PeriodicalId":16329,"journal":{"name":"Journal of interventional cardiology","volume":"2024 1","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/2024/4501880","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142579615","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}