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Interventional Cardiology: Reviews, Research, Resources最新文献

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Shortened Duration of Dual Antiplatelet Therapy Following Percutaneous Coronary Intervention: A Contemporary Clinical Review 缩短经皮冠状动脉介入治疗后的双联抗血小板疗法持续时间：当代临床回顾
Interventional Cardiology: Reviews, Research, Resources Pub Date : 2023-12-11 DOI: 10.15420/icr.2023.19
Kevin S Tang, Shoujit Banerjee, George Tang, Pranav M. Patel, Antonio H Frangieh
{"title":"Shortened Duration of Dual Antiplatelet Therapy Following Percutaneous Coronary Intervention: A Contemporary Clinical Review","authors":"Kevin S Tang, Shoujit Banerjee, George Tang, Pranav M. Patel, Antonio H Frangieh","doi":"10.15420/icr.2023.19","DOIUrl":"https://doi.org/10.15420/icr.2023.19","url":null,"abstract":"Percutaneous coronary intervention with stent implantation is an integral aspect of minimally interventional cardiac procedures. The technology and techniques behind stent design and implantation have evolved rapidly over several decades. However, continued discourse remains around optimal peri- and post-interventional management with dual antiplatelet therapy to minimise both major cardiovascular or cerebrovascular events and iatrogenic bleeding risk. Standard guidelines around dual antiplatelet therapy historically recommended long-term dual antiplatelet therapy for 12 months (with consideration for >12 months in certain patients); however, emerging data and generational improvements in the safety of drug-eluting stents have ushered in a new era of short-term therapy to reduce the incidence of major bleeding events. This case review will provide an overview of the current state of guidelines around duration of dual antiplatelet therapy and examine recent updates and continued gaps in existing research.","PeriodicalId":339209,"journal":{"name":"Interventional Cardiology: Reviews, Research, Resources","volume":"20 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138981092","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
Latest Developments in Robotic Percutaneous Coronary Interventions 机器人经皮冠状动脉介入治疗的最新进展
Interventional Cardiology: Reviews, Research, Resources Pub Date : 2023-12-06 DOI: 10.15420/icr.2023.03
A. Khokhar, Andrea Marrone, Konstantinos Bermpeis, E. Wyffels, Maria Tamargo, Francisco Fernandez-Avilez, R. Ruggiero, A. Złahoda-Huzior, Francesco Giannini, Aleksander Zelias, Ryan Madder, Dariusz Dudek, Rafael Beyar
{"title":"Latest Developments in Robotic Percutaneous Coronary Interventions","authors":"A. Khokhar, Andrea Marrone, Konstantinos Bermpeis, E. Wyffels, Maria Tamargo, Francisco Fernandez-Avilez, R. Ruggiero, A. Złahoda-Huzior, Francesco Giannini, Aleksander Zelias, Ryan Madder, Dariusz Dudek, Rafael Beyar","doi":"10.15420/icr.2023.03","DOIUrl":"https://doi.org/10.15420/icr.2023.03","url":null,"abstract":"Since the first robotic-assisted percutaneous coronary intervention procedure (R-PCI) was performed in 2004, there has been a steady evolution in robotic technology, combined with a growth in the number of robotic installations worldwide and operator experience. This review summarises the latest developments in R-PCI with a focus on developments in robotic technology, procedural complexity, tele-stenting and training methods, which have all contributed to the global expansion in R-PCI.","PeriodicalId":339209,"journal":{"name":"Interventional Cardiology: Reviews, Research, Resources","volume":"69 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138594547","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
Validation of the MIRACLE2 Score for Prognostication After Out-of-hospital Cardiac Arrest 院外心脏骤停后预后的 MIRACLE2 评分验证
Interventional Cardiology: Reviews, Research, Resources Pub Date : 2023-11-29 DOI: 10.15420/icr.2023.08
Nicholas Sunderland, Francine Cheese, Zoe Leadbetter, Nikhil V Joshi, M. Mariathas, Ioannis Felekos, Sinjini Biswas, Geoff Dalton, A. Dastidar, Shahid Aziz, Dan McKenzie, R. Kandan, A. Khavandi, H. Rahbi, Christopher Bourdeaux, Kieron Rooney, Matt Govier, Matthew Thomas, S. Dorman, J. Strange, Thomas W Johnson
{"title":"Validation of the MIRACLE2 Score for Prognostication After Out-of-hospital Cardiac Arrest","authors":"Nicholas Sunderland, Francine Cheese, Zoe Leadbetter, Nikhil V Joshi, M. Mariathas, Ioannis Felekos, Sinjini Biswas, Geoff Dalton, A. Dastidar, Shahid Aziz, Dan McKenzie, R. Kandan, A. Khavandi, H. Rahbi, Christopher Bourdeaux, Kieron Rooney, Matt Govier, Matthew Thomas, S. Dorman, J. Strange, Thomas W Johnson","doi":"10.15420/icr.2023.08","DOIUrl":"https://doi.org/10.15420/icr.2023.08","url":null,"abstract":"Background: Out-of-hospital cardiac arrest (OHCA) is associated with very poor clinical outcomes. An optimal pathway of care is yet to be defined, but prognostication is likely to assist in the challenging decision-making required for treatment of this high-risk patient cohort. The MIRACLE2 score provides a simple method of neuro-prognostication but as yet it has not been externally validated. The aim of this study was therefore to retrospectively apply the score to a cohort of OHCA patients to assess the predictive ability and accuracy in the identification of neurological outcome. Methods: Retrospective data of patients identified by hospital coding, over a period of 18 months, were collected from a large tertiary-level cardiac centre with a mature, multidisciplinary OHCA service. MIRACLE2 score performance was assessed against three existing OHCA prognostication scores. Results: Patients with all-comer OHCA, of presumed cardiac origin, with and without evidence of ST-elevation MI (43.4% versus 56.6%, respectively) were included. Regardless of presentation, the MIRACLE2 score performed well in neuro-prognostication, with a low MIRACLE2 score (≤2) providing a negative predictive value of 94% for poor neurological outcome at discharge, while a high score (≥5) had a positive predictive value of 95%. A high MIRACLE2 score performed well regardless of presenting ECG, with 91% of patients receiving early coronary angiography having a poor outcome. Conclusion: The MIRACLE2 score has good prognostic performance and is easily applicable to cardiac-origin OHCA presentation at the hospital front door. Prognostic scoring may assist decision-making regarding early angiographic assessment.","PeriodicalId":339209,"journal":{"name":"Interventional Cardiology: Reviews, Research, Resources","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139209162","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
Peripartum Cardiogenic Shock and Mechanical Circulatory Support 围产期心源性休克和机械循环支持
Interventional Cardiology: Reviews, Research, Resources Pub Date : 2023-11-29 DOI: 10.15420/icr.2020.09
Giulia Botti, S. Thirunavukarasu, Francesca Ziviello, A. Chieffo
{"title":"Peripartum Cardiogenic Shock and Mechanical Circulatory Support","authors":"Giulia Botti, S. Thirunavukarasu, Francesca Ziviello, A. Chieffo","doi":"10.15420/icr.2020.09","DOIUrl":"https://doi.org/10.15420/icr.2020.09","url":null,"abstract":"Despite remarkable improvements in the past two decades, the annual cardiovascular mortality rate has remained higher for women than for men. Pregnant women represent an underinvestigated population in clinical research, and the mechanisms of long-term cardiovascular complications in women with obstetric complications remain to be elucidated. Regarding advanced heart failure during pregnancy, interventional approaches are effective but still underutilised. Percutaneous mechanical circulatory support is a valuable option for peripartum cardiogenic shock, although its use during pregnancy is still limited. Survival rates have improved in recent years, but further emphasis on the importance of early recognition and initiation of heart failure treatment in this patient group is warranted. The aims of this review are to summarise the current literature on the implementation of mechanical circulatory support in cardiogenic shock during pregnancy and delivery and to understand the role of percutaneous ventricular assist devices in the management of such conditions.","PeriodicalId":339209,"journal":{"name":"Interventional Cardiology: Reviews, Research, Resources","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139213908","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
Iatrogenic Dissection of the Left Internal Mammary Artery During Percutaneous Coronary Intervention of Jump Radial Artery Graft Bifurcation Disease: A Case Report 经皮冠状动脉介入治疗跳桡动脉移植分叉病时左侧乳内动脉先天性离断：病例报告
Interventional Cardiology: Reviews, Research, Resources Pub Date : 2023-11-23 DOI: 10.15420/icr.2023.14
Andrew Vanezis
{"title":"Iatrogenic Dissection of the Left Internal Mammary Artery During Percutaneous Coronary Intervention of Jump Radial Artery Graft Bifurcation Disease: A Case Report","authors":"Andrew Vanezis","doi":"10.15420/icr.2023.14","DOIUrl":"https://doi.org/10.15420/icr.2023.14","url":null,"abstract":"Guide-catheter-induced ostial coronary artery dissection is a feared complication of percutaneous coronary intervention, but thankfully the incidence is low. We describe a case of catheter-induced ostial dissection of the left internal mammary artery (LIMA) with multiple radial jump grafts during percutaneous coronary intervention of radial graft bifurcation disease via the LIMA. The dissection led to loss of flow and profound haemodynamic compromise and cardiac arrest as the LIMA supplied the majority of the myocardium in this patient. Intravascular ultrasound was not immediately available, so an Export AP thrombus aspiration catheter (Medtronic) was used over the coronary wire in place to allow the injection of contrast while simultaneously pulling back on the catheter to delineate the extent of the dissection and guide accurate drug-eluting stent placement. The report is a cautionary tale to the reader to treat the LIMA with respect and think long and hard before considering any interventional procedure that uses the LIMA as a conduit.","PeriodicalId":339209,"journal":{"name":"Interventional Cardiology: Reviews, Research, Resources","volume":"216 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139245170","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
Use of Optical Coherence Tomography in MI with Non-obstructive Coronary Arteries 光学相干断层扫描在非阻塞性冠状动脉心肌梗死中的应用
Interventional Cardiology: Reviews, Research, Resources Pub Date : 2022-01-01 DOI: 10.15420/icr.2021.31
G. Karamasis, Iosif Xenogiannis, C. Varlamos, S. Deftereos, D. Alexopoulos
{"title":"Use of Optical Coherence Tomography in MI with Non-obstructive Coronary Arteries","authors":"G. Karamasis, Iosif Xenogiannis, C. Varlamos, S. Deftereos, D. Alexopoulos","doi":"10.15420/icr.2021.31","DOIUrl":"https://doi.org/10.15420/icr.2021.31","url":null,"abstract":"MI with non-obstructive coronary arteries (MINOCA) comprises an important minority of cases of acute MI. Many different causes have been implicated in the pathogenetic mechanism of MINOCA. Optical coherence tomography (OCT) is an indispensable tool for recognising the underlying pathogenetic mechanism when epicardial pathology is suspected. OCT can reliably identify coronary lesions not apparent on conventional coronary angiography and discriminate the various phenotypes. Plaque rupture and plaque erosion are the most frequently found atherosclerotic causes of MINOCA. Furthermore, OCT can contribute to the identification of ischaemic non-atherosclerotic causes of MINOCA, such as spontaneous coronary artery dissection, coronary spasm and lone thrombus. Recognition of the exact cause will enable therapeutic management to be tailored accordingly. The combination of OCT with cardiac magnetic resonance can set a definite diagnosis in the vast majority of MINOCA patients.","PeriodicalId":339209,"journal":{"name":"Interventional Cardiology: Reviews, Research, Resources","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126622918","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: 3
Evaluating the Impact of COVID-19 on a Regional Primary Percutaneous Coronary Intervention Service During the First Wave of COVID-19 评估COVID-19对第一波冠状动脉介入治疗服务的影响
Interventional Cardiology: Reviews, Research, Resources Pub Date : 2022-01-01 DOI: 10.15420/icr.2021.22
A. Olusan, P. Devlin
{"title":"Evaluating the Impact of COVID-19 on a Regional Primary Percutaneous Coronary Intervention Service During the First Wave of COVID-19","authors":"A. Olusan, P. Devlin","doi":"10.15420/icr.2021.22","DOIUrl":"https://doi.org/10.15420/icr.2021.22","url":null,"abstract":"Background: Primary percutaneous coronary intervention (pPCI) is the preferred reperfusion strategy in ST-segment elevation MI (STEMI). This study evaluates the impact of COVID-19 on the authors' pPCI service. Methods: A retrospective study of referrals to the Belfast pPCI service between 23 March and 9 June 2020 – the period of the first full lockdown in the UK – was performed. All ECGs were reviewed alongside patient history. A pPCI turndown was deemed inappropriate if the review demonstrated that the criteria to qualify for pPCI had been met. The number of pPCIs was compared with 2019. Results: The unit had 388 referrals in 78 days, from which 134 patients were accepted for pPCI and 235 referrals were turned down. Of these, nine (4%) were deemed inappropriate. No referrals were turned down because of COVID-19. Of the nine inappropriate cases, six had pPCI following re-referral, two had routine PCI and one had takotsubo syndrome. From the accepted cohort, 85% had pPCI. In the appropriate turndown cohort, there was a final cardiovascular diagnosis in 53% (n=127) of patients, 1-year mortality was 16% (n=38), 55% (n=21) of which were due to a cardiovascular death. There was a 29% reduction in the number of pPCIs performed compared with 2019. Conclusion: During the first wave of COVID-19 there was a significant reduction in the number of pPCIs performed at the Department of Cardiology at Royal Victoria Hospital in Belfast. This was not due to an increase in referrals being inappropriately turned down. The majority of the cohort who had their referral turned down had a final cardiovascular diagnosis unrelated to STEMI; 1-year mortality in this group was significant.","PeriodicalId":339209,"journal":{"name":"Interventional Cardiology: Reviews, Research, Resources","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123472538","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
A Review of the Impella Devices Impella装置综述
Interventional Cardiology: Reviews, Research, Resources Pub Date : 2022-01-01 DOI: 10.15420/icr.2021.11
R. Zein, C. Patel, Adrian Mercado-Alamo, Theodore Schreiber, Amir Kaki
{"title":"A Review of the Impella Devices","authors":"R. Zein, C. Patel, Adrian Mercado-Alamo, Theodore Schreiber, Amir Kaki","doi":"10.15420/icr.2021.11","DOIUrl":"https://doi.org/10.15420/icr.2021.11","url":null,"abstract":"The use of mechanical circulatory support (MCS) to provide acute haemodynamic support for cardiogenic shock or to support high-risk percutaneous coronary intervention (HRPCI) has grown over the past decade. There is currently no consensus on best practice regarding its use in these two distinct indications. Impella heart pumps (Abiomed) are intravascular microaxial blood pumps that provide temporary MCS during HRPCI or in the treatment of cardiogenic shock. The authors outline technical specifications of the individual Impella heart pumps and their accompanying technology, the Automated Impella Controller and SmartAssist, their indications for use and patient selection, implantation techniques, device weaning and escalation, closure strategies, anticoagulation regimens, complications, future directions and upcoming trials.","PeriodicalId":339209,"journal":{"name":"Interventional Cardiology: Reviews, Research, Resources","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127103734","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: 13
Trends in Transcatheter Aortic Valve Implantation in Australia 澳大利亚经导管主动脉瓣植入术的发展趋势
Interventional Cardiology: Reviews, Research, Resources Pub Date : 2022-01-01 DOI: 10.15420/icr.2021.27
R. Gray, K. Sarathy
{"title":"Trends in Transcatheter Aortic Valve Implantation in Australia","authors":"R. Gray, K. Sarathy","doi":"10.15420/icr.2021.27","DOIUrl":"https://doi.org/10.15420/icr.2021.27","url":null,"abstract":"Aortic valve stenosis is the most common valvular lesion in Australia, with a rising prevalence in line with the ageing population. Recent trials have demonstrated the efficacy of transcatheter aortic valve implantation (TAVI) versus surgical aortic valve replacement in consecutively lower surgical risk patient cohorts. Despite this, the current indication for TAVI in Australia is for the treatment of severe symptomatic aortic stenosis in patients who are of prohibitive or high surgical risk and ultimately deemed suitable by a heart team. This article summarises the trends in TAVI in Australia over the last 5 years in terms of funding, accreditation and service delivery, as well as advances in technique, technology, patient selection and local outcomes.","PeriodicalId":339209,"journal":{"name":"Interventional Cardiology: Reviews, Research, Resources","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116674437","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: 1
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