Interventional Cardiology: Reviews, Research, Resources最新文献

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Coronary Sinus Reducer Therapy for Refractory Angina and its Role in Modern Interventional Practice: A Contemporary Review 治疗难治性心绞痛的冠状动脉窦减压疗法及其在现代介入治疗中的作用:当代回顾
Interventional Cardiology: Reviews, Research, Resources Pub Date : 2024-07-09 DOI: 10.15420/icr.2023.45
Kevin Cheng, Jonathan M Hill, Ranil de Silva
{"title":"Coronary Sinus Reducer Therapy for Refractory Angina and its Role in Modern Interventional Practice: A Contemporary Review","authors":"Kevin Cheng, Jonathan M Hill, Ranil de Silva","doi":"10.15420/icr.2023.45","DOIUrl":"https://doi.org/10.15420/icr.2023.45","url":null,"abstract":"Coronary sinus reducer (CSR) implantation is an emerging treatment option for patients with refractory angina. This condition represents a major global cardiovascular healthcare challenge, with patients experiencing chronic anginal symptoms that significantly impair their quality of life and for whom few effective treatments exist. The clinical burden of refractory angina is only set to grow because of improved survival from coronary artery disease, increased life expectancy and the presence of residual angina after percutaneous or surgical coronary revascularisation. Therefore, new, effective, evidence-based therapies are urgently needed. In this review, we highlight the unmet clinical needs of patients with refractory angina, discuss the development of the CSR device and review the preclinical and clinical evidence base underlying CSR implantation. In addition, we discuss the current role of CSR implantation in contemporary interventional practice, highlighting knowledge gaps and discussing areas of on-going research.","PeriodicalId":339209,"journal":{"name":"Interventional Cardiology: Reviews, Research, Resources","volume":"41 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141665066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Transcatheter Treatment Options for Functional Mitral Regurgitation: Which Device for Which Patients? 功能性二尖瓣反流的经导管治疗选择:哪种设备适合哪种患者?
Interventional Cardiology: Reviews, Research, Resources Pub Date : 2024-07-03 DOI: 10.15420/icr.2021.29
Stephanie K. Tom, Kanika Kalra, Emily Perdoncin, Andy Tully, C. Devireddy, Errol K. Inci, Adam B Greenbaum, K. Grubb
{"title":"Transcatheter Treatment Options for Functional Mitral Regurgitation: Which Device for Which Patients?","authors":"Stephanie K. Tom, Kanika Kalra, Emily Perdoncin, Andy Tully, C. Devireddy, Errol K. Inci, Adam B Greenbaum, K. Grubb","doi":"10.15420/icr.2021.29","DOIUrl":"https://doi.org/10.15420/icr.2021.29","url":null,"abstract":"Mitral regurgitation is the most common valvular disease in the developed world, with approximately 24.2 million people being affected worldwide and a higher prevalence in older age groups. Surgical correction of degenerative mitral regurgitation is the standard of care and can restore cardiac function and provide a lasting result, especially when the mitral valve can be repaired. Secondary mitral regurgitation, or functional mitral regurgitation (FMR), describes atrial or ventricular factors leading to poor coaptation of an otherwise non-diseased valve. For FMR, traditional surgery has not produced the same level of benefit. Transcatheter mitral repair and replacement techniques that mimic surgical correction are under investigation. Transcatheter edge-to-edge repair is the only approved catheter-based therapy for FMR in the US. Here, the transcatheter treatment options for FMR are reviewed.","PeriodicalId":339209,"journal":{"name":"Interventional Cardiology: Reviews, Research, Resources","volume":"21 S1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141681467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
After RIPCORD 2, FAME 3, FLOWER-MI and FUTURE: Has the Pressure Wire had its Day? 继《RIPCORD 2》、《FAME 3》、《FLOWER-MI》和《FUTURE》之后:压力导线的时代到来了吗?
Interventional Cardiology: Reviews, Research, Resources Pub Date : 2024-07-01 DOI: 10.15420/icr.2023.17
Bhavik Modi, Subhabrata Dutta, D. Collison, Ioannis Lampadakis, Sayan Sen
{"title":"After RIPCORD 2, FAME 3, FLOWER-MI and FUTURE: Has the Pressure Wire had its Day?","authors":"Bhavik Modi, Subhabrata Dutta, D. Collison, Ioannis Lampadakis, Sayan Sen","doi":"10.15420/icr.2023.17","DOIUrl":"https://doi.org/10.15420/icr.2023.17","url":null,"abstract":"Recent years have seen the publication of several high-profile, negative trials about pressure wires. This has coincided with a consistent increase in the ratio of angioplasty for acute coronary syndromes versus percutaneous coronary intervention in stable coronary artery disease, a greater use of intracoronary imaging during percutaneous coronary intervention and the continued evolution of computational fluid dynamics-derived estimations of fractional flow reserve from both CT and invasive coronary angiography. Consequently, many interventional cardiologists now wonder if the pressure wire will soon become obsolete. This head-to-head article provides a critical appraisal of recent trial data, discusses a potential evolution in how pressure wires are used and debates the motion that the device (and by extension, invasive assessment of coronary physiology) has now had its day.","PeriodicalId":339209,"journal":{"name":"Interventional Cardiology: Reviews, Research, Resources","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141706133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Percutaneous Coronary Intervention of Left Main Disease: Outcome After 1-year Follow-up at a Tertiary Hospital in Vietnam 左心房疾病的经皮冠状动脉介入治疗:越南一家三甲医院的一年随访结果
Interventional Cardiology: Reviews, Research, Resources Pub Date : 2024-06-03 DOI: 10.15420/icr.2023.37
Duy Cao Phuong Le, Hoa The Bui, Quan Duy Vo
{"title":"Percutaneous Coronary Intervention of Left Main Disease: Outcome After 1-year Follow-up at a Tertiary Hospital in Vietnam","authors":"Duy Cao Phuong Le, Hoa The Bui, Quan Duy Vo","doi":"10.15420/icr.2023.37","DOIUrl":"https://doi.org/10.15420/icr.2023.37","url":null,"abstract":"Background: Left main (LM) coronary artery disease (CAD) is a severe condition that can lead to severe outcomes. Treatment options include medication, coronary artery bypass graft surgery (CABG) and percutaneous coronary intervention (PCI). Recent advancements in PCI techniques position it as a viable alternative to CABG for LM revascularisation. Methods: This prospective observational study evaluated outcomes after PCI for LM CAD, encompassing in-hospital and post-discharge mortality, in a single-centre registry in Vietnam. Results: Our research involved 59 patients who underwent PCI for LM lesions, with an average age of 66.7 ±1.5 years, who were divided into two groups based on presentation diagnosis – acute coronary syndrome or chronic coronary syndrome. After PCI, one individual was diagnosed with contrast-induced nephropathy and one with cardiac shock. There were two cases of in-hospital mortality in the acute coronary syndrome group and one in the chronic coronary syndrome group giving a rate of major adverse cardiac and cerebrovascular events (MACCE) of 5.1%. After a 12-month follow-up, the MACCE rate increased to 18.6%. Triple vessel coronary artery disease and troponin I elevation exhibited significant associations with adverse in-hospital outcomes (p<0.05). Conclusion: PCI for LM coronary artery disease is considered a safe treatment option, demonstrating relatively favourable in-hospital and mid-term outcomes. It presents a viable alternative for patients in need of revascularisation, particularly in cases where CABG is not the preferred choice. Clinical indicators, such as triple vessel coronary artery disease and elevated troponin I levels, may serve as predictors of adverse outcomes during hospitalisation.","PeriodicalId":339209,"journal":{"name":"Interventional Cardiology: Reviews, Research, Resources","volume":"14 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141388294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Individualising Antithrombotic Strategies for Acute and Chronic Coronary Syndromes 针对急性和慢性冠状动脉综合征的个性化抗血栓策略
Interventional Cardiology: Reviews, Research, Resources Pub Date : 2024-05-14 DOI: 10.15420/icr.2023.44
Robert F. Storey
{"title":"Individualising Antithrombotic Strategies for Acute and Chronic Coronary Syndromes","authors":"Robert F. Storey","doi":"10.15420/icr.2023.44","DOIUrl":"https://doi.org/10.15420/icr.2023.44","url":null,"abstract":"For patients presenting with acute or chronic coronary syndromes, current guideline recommendations and expert consensus provide a range of options for antithrombotic treatment. The European Society of Cardiology 2023 guidelines on the management of acute coronary syndrome emphasise the need to assess the risk of both ischaemic events and bleeding. Those with high bleeding risk warrant particular consideration of the duration and intensity of antithrombotic therapy combinations. A joint consensus of experts takes a similar approach, informed by two network meta-analyses that appraised all available antithrombotic treatments within or after the 12 months following coronary revascularisation and/or acute coronary syndrome and individual participant data from six trials. In this article, four case studies are used to illustrate how these guidelines and expert consensus recommendations can be applied in clinical practice.","PeriodicalId":339209,"journal":{"name":"Interventional Cardiology: Reviews, Research, Resources","volume":"37 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140981020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cardiac Sympathetic Denervation as a Treatment for Ventricular Arrhythmias Refractory to Conventional Treatment: A Case Series 以心脏交感神经去神经化治疗常规治疗难治的室性心律失常:病例系列
Interventional Cardiology: Reviews, Research, Resources Pub Date : 2024-05-09 DOI: 10.15420/icr.2023.09
Carolina Álvarez-Ortega, Josué Daniel Gómez-Martínez, María Alejandra Cardona-Gallardo, Nicolás Felipe Torres-España, Luis Fernando Pava-Molano, Álvaro Ignacio Sánchez-Ortiz, Mauricio Velásquez-Galvis
{"title":"Cardiac Sympathetic Denervation as a Treatment for Ventricular Arrhythmias Refractory to Conventional Treatment: A Case Series","authors":"Carolina Álvarez-Ortega, Josué Daniel Gómez-Martínez, María Alejandra Cardona-Gallardo, Nicolás Felipe Torres-España, Luis Fernando Pava-Molano, Álvaro Ignacio Sánchez-Ortiz, Mauricio Velásquez-Galvis","doi":"10.15420/icr.2023.09","DOIUrl":"https://doi.org/10.15420/icr.2023.09","url":null,"abstract":"Background: Ventricular arrhythmias are a leading cause of sudden death. The objective of this study was to characterise the results of patients with ventricular arrhythmias refractory to standard medical management, undergoing Video-assisted thoracoscopic cardiac sympathetic denervation (VAT-CSD) during 2012–2022 in Cali, Colombia. Methods: This was an observational retrospective study, using the Institutional General Thoracic Surgery Database for patient identification and retrospectively reviewing the clinical charts for data description and analysis. Results: Clinical records of 19 patients who underwent VAT-CSD for ventricular arrhythmia were analysed. The patients were predominantly male (73.7%) with an mean age of 62 years. Ischaemic heart disease was the main underlying condition (52.6%); all individuals had a diagnosis of heart failure, with comorbidities such as hypertension (63.1%), acute MI (57.8%) and diabetes (26.3%) also present. The procedure was performed bilaterally in 89.4% of cases and was successful with minimal perioperative complications. Postoperative follow-up showed improvement in symptoms, including a significant reduction in the number of ICD shocks and emergency department visits. Conclusion: VAT-CSD is a viable, safe and palliative therapeutic option for patients with ventricular arrhythmias who have not responded to conventional treatments, achieving a significant decrease in symptoms with low mortality and perioperative complications.","PeriodicalId":339209,"journal":{"name":"Interventional Cardiology: Reviews, Research, Resources","volume":" 32","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140995844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Procedural Results and Long-term Outcome of Chronic Total Occlusion Percutaneous Coronary Intervention in a UK Non-surgical Centre 英国非手术中心慢性全闭塞经皮冠状动脉介入治疗的手术结果和长期疗效
Interventional Cardiology: Reviews, Research, Resources Pub Date : 2024-05-09 DOI: 10.15420/icr.2023.23
Thomas R Gilpin, A. Maznyczka, B. Anantharam, Ali Dana
{"title":"Procedural Results and Long-term Outcome of Chronic Total Occlusion Percutaneous Coronary Intervention in a UK Non-surgical Centre","authors":"Thomas R Gilpin, A. Maznyczka, B. Anantharam, Ali Dana","doi":"10.15420/icr.2023.23","DOIUrl":"https://doi.org/10.15420/icr.2023.23","url":null,"abstract":"Background: Chronic total occlusion (CTO) percutaneous coronary intervention (PCI) has evolved a great deal over recent years, with increased procedural success and lower complication rates being reported. This study aims to evaluate the feasibility, safety and success of a dedicated CTO programme in a large UK PCI centre without on-site cardiothoracic surgery facilities. Methods: Clinical and procedural data were retrospectively collected for consecutive unselected patients undergoing CTO PCI between 2015 and 2019 from the local database and regional electronic patient records. In-hospital outcomes and long-term major adverse cardiovascular events (all-cause mortality, MI, stroke and target vessel revascularisation) were recorded. Results: A total of 170 patients underwent 191 CTO procedures during the study period. The mean age was 63 ± 10 years and 80.6% of patients were male (n=137). The clinical indications were: stable chronic coronary syndromes in 88.5% (n=169) of patients; staged procedures in the context of acute coronary syndromes in 1.6% (n=3); and presentation with acute coronary syndrome in 9.9% (n=19). The procedural success rate was 50.0% (n=25) for general interventional cardiologists and 90.1% (n=127) for dedicated CTO operators. In-hospital major adverse cardiovascular events occurred once (0.5%) and interhospital transfer for emergency salvage cardiac surgery was not required. Long-term follow-up data at a median duration of 3.8 years revealed 4 (2.4%) cardiac deaths, 14 (8.3%) spontaneous MI events and 10 (5.9%) target vessel revascularisations. Conclusion: These data suggest CTO PCI using contemporary techniques is both safe and effective when undertaken in a high-volume non-surgical centre by experienced operators.","PeriodicalId":339209,"journal":{"name":"Interventional Cardiology: Reviews, Research, Resources","volume":" 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140996769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Artificial Intelligence for the Interventional Cardiologist: Powering and Enabling OCT Image Interpretation 介入心脏病专家的人工智能:为 OCT 图像解读提供动力和支持
Interventional Cardiology: Reviews, Research, Resources Pub Date : 2024-03-11 DOI: 10.15420/icr.2023.13
Nitin Chandramohan, Jonathan Hinton, Peter O’Kane, Thomas W Johnson
{"title":"Artificial Intelligence for the Interventional Cardiologist: Powering and Enabling OCT Image Interpretation","authors":"Nitin Chandramohan, Jonathan Hinton, Peter O’Kane, Thomas W Johnson","doi":"10.15420/icr.2023.13","DOIUrl":"https://doi.org/10.15420/icr.2023.13","url":null,"abstract":"Intravascular optical coherence tomography (IVOCT) is a form of intra-coronary imaging that uses near-infrared light to generate high-resolution, cross-sectional, and 3D volumetric images of the vessel. Given its high spatial resolution, IVOCT is well-placed to characterise coronary plaques and aid with decision-making during percutaneous coronary intervention. IVOCT requires significant interpretation skills, which themselves require extensive education and training for effective utilisation, and this would appear to be the biggest barrier to its widespread adoption. Various artificial intelligence-based tools have been utilised in the most contemporary clinical IVOCT systems to facilitate better human interaction, interpretation and decision-making. The purpose of this article is to review the existing and future technological developments in IVOCT and demonstrate how they could aid the operator.","PeriodicalId":339209,"journal":{"name":"Interventional Cardiology: Reviews, Research, Resources","volume":"35 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140253483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Consequences and Management of Excessive Ostial Stent Protrusion: A Case Report 支架过度突出的后果与处理:病例报告
Interventional Cardiology: Reviews, Research, Resources Pub Date : 2024-03-11 DOI: 10.15420/icr.2023.34
A. Damarkusuma, Paula Mota, Billal Patel, Moncy Oommen
{"title":"Consequences and Management of Excessive Ostial Stent Protrusion: A Case Report","authors":"A. Damarkusuma, Paula Mota, Billal Patel, Moncy Oommen","doi":"10.15420/icr.2023.34","DOIUrl":"https://doi.org/10.15420/icr.2023.34","url":null,"abstract":"Aorto-ostial lesions, especially in the right coronary artery, may be challenging due to their morphological and anatomical features, more so when there is a previous stent which may be protruding. Little is known about the long-term safety of protruding stents and results of re-intervention. Presented here is a case of restenosis of a markedly protruding stent at the right coronary ostium. This case was unusual in its 10-year longevity. Intravascular ultrasound-guided in-stent restenosis intervention using wire bumper technique was performed. Literature review and management are presented.","PeriodicalId":339209,"journal":{"name":"Interventional Cardiology: Reviews, Research, Resources","volume":"48 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140253289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Factors Influencing Implantation Depth During Transcatheter Aortic Valve Replacement 影响经导管主动脉瓣置换术中植入深度的因素
Interventional Cardiology: Reviews, Research, Resources Pub Date : 2024-02-09 DOI: 10.15420/icr.2023.05
V. Veulemans, O. Maier, Tobias Zeus
{"title":"Factors Influencing Implantation Depth During Transcatheter Aortic Valve Replacement","authors":"V. Veulemans, O. Maier, Tobias Zeus","doi":"10.15420/icr.2023.05","DOIUrl":"https://doi.org/10.15420/icr.2023.05","url":null,"abstract":"Optimised implantation depth (OID) is crucial to obtain the best haemodynamic and clinical outcome during transcatheter heart valve (THV) deployment. OID ensures a better haemodynamic profile and is associated with a potential reduction in permanent pacemaker implantations, both of which are important during transcatheter aortic valve replacement (TAVR). Apart from patient-related anatomic conditions, many factors, such as THV and wire selection, as well as implantation strategies, can be controlled by the operator and facilitate the implantation process. However, there are only limited data dealing with predictors for OID. Therefore, the aim of this review was to outline factors and tools that might influence the final implantation depth during TAVR procedures, potentially influencing the outcome.","PeriodicalId":339209,"journal":{"name":"Interventional Cardiology: Reviews, Research, Resources","volume":"355 5-6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139848221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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