Mohsen Mohandes, Alberto Pernigotti, Mauricio Torres, Cristina Moreno, Humberto Coimbra, Roberto Bejarano, Jordi Guarinos, Francisco Fernández, José Luis Ferreiro
{"title":"Safety and efficacy profile of excimer laser coronary angioplasty for thrombus removal in STEMI.","authors":"Mohsen Mohandes, Alberto Pernigotti, Mauricio Torres, Cristina Moreno, Humberto Coimbra, Roberto Bejarano, Jordi Guarinos, Francisco Fernández, José Luis Ferreiro","doi":"10.24875/RECICE.M25000537","DOIUrl":"https://doi.org/10.24875/RECICE.M25000537","url":null,"abstract":"<p><strong>Introduction and objectives: </strong>Thrombus removal in patients with ST-segment elevation myocardial infarction (STEMI) undergoing percutaneous coronary intervention (PCI) can be challenging in the presence of a large thrombus burden. Excimer laser coronary angioplasty (ELCA) is an adjuvant device capable of vaporizing thrombus. This study aimed to evaluate the safety and efficacy profile of ELCA in PCI.</p><p><strong>Methods: </strong>Patients with STEMI undergoing PCI with concomitant use of ELCA for thrombus removal were retrospectively identified at our center. Data were collected on the device efficacy and its contribution to overall procedural success. Additionally, ELCA-related complications and major adverse cardiovascular events were recorded at a 2-year follow-up.</p><p><strong>Results: </strong>ELCA was used in 130 STEMI patients, 124 (95.4%) of whom had a large thrombus burden. TIMI grade flow improved significantly after ELCA: before laser application, TIMI grade-0 flow was reported in 79 (60.8%) cases and TIMI grade-1 flow in 32 (24.6%) cases. After ELCA, TIMI grade-2 and 3 flows were achieved in 45 (34.6%) and 66 (50.8%) cases, respectively (<i>P</i> < .001). Technical and procedural success were achieved in 128 (98.5%) and 124 (95.4%) cases, respectively. The complications included 1 death at the cath lab (0.8%), 1 coronary perforation (0.8%), and 3 distal embolizations (2.3%). At the 2-years follow-up, major adverse cardiovascular events occurred in 18.3% of the population.</p><p><strong>Conclusions: </strong>In the context of STEMI, ELCA seems to be an effective device for thrombus dissolution, with adequate technical and procedural success rates. In the present cohort, ELCA use was associated with a low complication rate and favorable long-term outcomes.</p>","PeriodicalId":34295,"journal":{"name":"REC Interventional Cardiology","volume":"8 1","pages":"26-31"},"PeriodicalIF":1.1,"publicationDate":"2025-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13137346/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The role of angiography-derived physiological assessment techniques in the post-FAVOR III Europe era?","authors":"Adrián Jerónimo, Enrique Gutiérrez-Ibañes","doi":"10.24875/RECICE.M25000546","DOIUrl":"https://doi.org/10.24875/RECICE.M25000546","url":null,"abstract":"","PeriodicalId":34295,"journal":{"name":"REC Interventional Cardiology","volume":"8 1","pages":"5-7"},"PeriodicalIF":1.1,"publicationDate":"2025-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13137338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Miguel Á Martín-Arena, Guillermo Galeote-García, Alejandro Lara-García, Alfonso Jurado-Román, Santiago Jiménez-Valero, Ariana Gonzálvez-García, Daniel Tébar-Márquez, Borja Rivero-Santana, Jon Zubiaur, Mattia Basile, Silvia Valbuena-López, Lucía Fernández-Gassó, Regina Dalmau González-Gallarza, Raúl Moreno
{"title":"Embolization of left atrial appendage occluders: review of the current evidence.","authors":"Miguel Á Martín-Arena, Guillermo Galeote-García, Alejandro Lara-García, Alfonso Jurado-Román, Santiago Jiménez-Valero, Ariana Gonzálvez-García, Daniel Tébar-Márquez, Borja Rivero-Santana, Jon Zubiaur, Mattia Basile, Silvia Valbuena-López, Lucía Fernández-Gassó, Regina Dalmau González-Gallarza, Raúl Moreno","doi":"10.24875/RECIC.M25000553","DOIUrl":"https://doi.org/10.24875/RECIC.M25000553","url":null,"abstract":"<p><p>Percutaneous left atrial appendage closure has emerged as a promising procedure for patients with non-valvular atrial fibrillation with a very high or prohibitive bleeding risk. It is a safe technique, with a low rate of complications; however, complications, such as device embolization can be potentially serious, and decision-making as well as selecting the most appropriate strategy may be challenging due to the limited evidence available in this context. This review provides an overview of the most critical aspects of left atrial appendage closure device embolization focusing on its prevalence, management strategies, and treatment options.</p>","PeriodicalId":34295,"journal":{"name":"REC Interventional Cardiology","volume":"8 1","pages":"46-54"},"PeriodicalIF":1.1,"publicationDate":"2025-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13137347/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Akash Jain, Mario García-Gómez, Marcelo Rodríguez, Luc Verstraeten, Johan Vogelaar, Ignacio J Amat-Santos
{"title":"Usability and accuracy of a cloud-based sizing software for left atrial appendage closure.","authors":"Akash Jain, Mario García-Gómez, Marcelo Rodríguez, Luc Verstraeten, Johan Vogelaar, Ignacio J Amat-Santos","doi":"10.24875/RECICE.M25000536","DOIUrl":"https://doi.org/10.24875/RECICE.M25000536","url":null,"abstract":"","PeriodicalId":34295,"journal":{"name":"REC Interventional Cardiology","volume":"8 1","pages":"55-56"},"PeriodicalIF":1.1,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13137342/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
José M de la Torre-Hernández, Fernando Alfonso, Raúl Moreno, Soledad Ojeda, Armando Pérez de Prado, Rafael Romaguera
{"title":"REC: Interventional Cardiology is now indexed in PubMed Central, the ultimate indexing.","authors":"José M de la Torre-Hernández, Fernando Alfonso, Raúl Moreno, Soledad Ojeda, Armando Pérez de Prado, Rafael Romaguera","doi":"10.24875/RECICE.M25000541","DOIUrl":"10.24875/RECICE.M25000541","url":null,"abstract":"","PeriodicalId":34295,"journal":{"name":"REC Interventional Cardiology","volume":"7 4","pages":"195-201"},"PeriodicalIF":1.1,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12666642/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145662278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sirolimus-coated balloon in young versus old patients with coronary artery disease: a sub-analysis of the EASTBOURNE study.","authors":"Filippo Luca Gurgoglione, Alfonso Ielasi, Irene Bossi, Roberto Latini, Bernardo Cortese","doi":"10.24875/RECICE.M25000532","DOIUrl":"10.24875/RECICE.M25000532","url":null,"abstract":"","PeriodicalId":34295,"journal":{"name":"REC Interventional Cardiology","volume":"7 4","pages":"272-275"},"PeriodicalIF":1.1,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12666646/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145662262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Expanding the role of drug-coated balloons in native large coronary artery disease.","authors":"Antonio Colombo, Pier Pasquale Leone","doi":"10.24875/RECICE.M25000542","DOIUrl":"https://doi.org/10.24875/RECICE.M25000542","url":null,"abstract":"","PeriodicalId":34295,"journal":{"name":"REC Interventional Cardiology","volume":"8 1","pages":"1-4"},"PeriodicalIF":1.1,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13137341/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
José Antonio Sorolla Romero, Laura Novelli, Jorge Llau García, Sara Huélamo Montoro, Pablo Rubio, José Luis Díez Gil, Luis Martínez-Dolz, Ignacio J Amat Santos, Bernardo Cortese, Fernando Alfonso, Hector M Garcia-Garcia, Jorge Sanz-Sánchez
{"title":"Drug-coated balloons vs drug-eluting stents for the treatment of large native coronary artery disease. Meta-analysis of randomized controlled trials.","authors":"José Antonio Sorolla Romero, Laura Novelli, Jorge Llau García, Sara Huélamo Montoro, Pablo Rubio, José Luis Díez Gil, Luis Martínez-Dolz, Ignacio J Amat Santos, Bernardo Cortese, Fernando Alfonso, Hector M Garcia-Garcia, Jorge Sanz-Sánchez","doi":"10.24875/RECICE.M25000527","DOIUrl":"https://doi.org/10.24875/RECICE.M25000527","url":null,"abstract":"<p><strong>Introduction and objectives: </strong>To compare the effects of drug-coated balloon (DCB) vs drug-eluting stent (DES) in patients presenting with de novo large vessel coronary artery disease (CAD).</p><p><strong>Methods: </strong>We conducted a systematic research of randomized controlled trials comparing DCB vs DES in patients with de novo large vessel CAD. Data were pooled by meta-analysis using a random-effects model. The prespecified primary endpoint was target lesion revascularization (TLR).</p><p><strong>Results: </strong>A total of 7 trials enrolling 2961 patients were included. The use of DCB vs DES was associated with a similar risk of TLR (OR, 1.21; 95%CI, 0.44-3.30; I<sup>2</sup> = 48%), all-cause mortality (OR, 1.56; 95%CI, 0.942.57; I<sup>2</sup> = 0%), cardiac death (OR, 1.65; 95%CI, 0.90-3.05; I<sup>2</sup> = 0%), myocardial infarction (OR, 0.97; 95%CI, 0.58-1.61; I<sup>2</sup> = 0%), major adverse cardiovascular adverse (OR, 1.19; 95%CI, 0.74-1.90; I<sup>2</sup> = 13.5%) and late lumen loss (standardized mean difference [SMD], -0.35; 95%CI, -0.74 to 0.04; I<sup>2</sup> = 81.4%). However, the DCB was associated with a higher risk of target vessel revascularization (OR, 2.47; 95%CI, 1.52-4.03; I<sup>2</sup> = 0%) and smaller minimal lumen diameter during late follow-up (SMD, -0.36; 95%CI, -0.56 to -0.15; I<sup>2</sup> = 34.5%). Nevertheless, prediction intervals included the value of no difference for both outcomes.</p><p><strong>Conclusions: </strong>In patients with de novo large vessel CAD the use of DCB vs DES is associated with a similar risk of TLR. However, the DES achieves better late angiographic results.</p>","PeriodicalId":34295,"journal":{"name":"REC Interventional Cardiology","volume":"8 1","pages":"8-16"},"PeriodicalIF":1.1,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13137348/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}