Interventional Cardiology Review最新文献_第3页

Intracoronary Imaging for Calcium Modification: Intravascular Ultrasound and Optical Coherence Tomography. 钙修饰的冠状动脉内成像：血管内超声和光学相干断层扫描。

IF 2.8

Interventional Cardiology Review Pub Date : 2025-10-20 eCollection Date: 2025-01-01 DOI: 10.15420/icr.2024.01

Doosup Shin, Sarah Malik, Mandeep Singh, Ali Dakroub, Koshiro Sakai, Allen Jeremias, Evan Shlofmitz, Richard A Shlofmitz, Ziad A Ali

引用次数: 0

The Role of Non-invasive Tests in Pulmonary Embolism. 无创检查在肺栓塞中的作用

IF 2.8

Interventional Cardiology Review Pub Date : 2025-10-14 eCollection Date: 2025-01-01 DOI: 10.15420/icr.2025.07

Ana Torremocha, Daniel Tébar, Alfonso Jurado

{"title":"The Role of Non-invasive Tests in Pulmonary Embolism.","authors":"Ana Torremocha, Daniel Tébar, Alfonso Jurado","doi":"10.15420/icr.2025.07","DOIUrl":"10.15420/icr.2025.07","url":null,"abstract":"Pulmonary embolism represents a major cause of morbidity and mortality worldwide, and remains a diagnostic challenge due to its highly nonspecific clinical presentation. Early recognition is critical because timely diagnosis not only improves prognosis but also guides risk stratification, which is essential for therapeutic decision-making. Non-invasive diagnostic modalities - including clinical prediction rules, biomarkers, imaging techniques and bedside assessments - have become indispensable tools for rapid and accurate identification of patients with suspected pulmonary embolism. These methods enable clinicians to stratify risk, predict outcomes and tailor treatment strategies to individual patients, reducing both underdiagnosis and overtreatment. Despite their significant impact, limitations persist, such as access disparities, overdiagnosis of subsegmental events and interpretation challenges in special populations. Ongoing advances, including artificial intelligence and novel biomarkers, hold promise for refining diagnostic accuracy and personalised risk assessment. Ultimately, the integration of non-invasive tests into structured algorithms ensures earlier detection, better prognostic evaluation and improved clinical outcomes for patients with acute pulmonary embolism.","PeriodicalId":38586,"journal":{"name":"Interventional Cardiology Review","volume":"20 ","pages":"e26"},"PeriodicalIF":2.8,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12590396/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483396","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}

引用次数: 0

Transcatheter Heart Valves with Labelling for Aortic Regurgitation. 经导管心脏瓣膜标记主动脉瓣返流。

IF 2.8

Interventional Cardiology Review Pub Date : 2025-10-07 eCollection Date: 2025-01-01 DOI: 10.15420/icr.2024.53

Pier Pasquale Leone, Azeem Latib

引用次数: 0

Importance of Pulmonary Embolism Anatomy in Ventilatory Distress and Haemodynamics. 肺栓塞解剖在通气窘迫和血流动力学中的重要性。

IF 2.8

Interventional Cardiology Review Pub Date : 2025-10-07 eCollection Date: 2025-01-01 DOI: 10.15420/icr.2024.46

Alfredo Páez-Carpio, Juan J Ciampi-Dopazo, Sebastian Mafeld, Javier Puerma-Jiménez, Gilbert Maroun, José A Guirola

{"title":"Importance of Pulmonary Embolism Anatomy in Ventilatory Distress and Haemodynamics.","authors":"Alfredo Páez-Carpio, Juan J Ciampi-Dopazo, Sebastian Mafeld, Javier Puerma-Jiménez, Gilbert Maroun, José A Guirola","doi":"10.15420/icr.2024.46","DOIUrl":"10.15420/icr.2024.46","url":null,"abstract":"Pulmonary embolism (PE) is a leading cause of morbidity and mortality, with clinical outcomes strongly influenced by the anatomical distribution of emboli. This review explores the impact of PE anatomy on ventilatory distress and haemodynamics, emphasising the distinction between proximal and distal emboli. Proximal emboli, located in the main or lobar pulmonary arteries, significantly impairing pulmonary flow, increase pulmonary artery pressure and cause severe right ventricular dysfunction, necessitating prompt intervention. Distal emboli, while less severe, still pose risks, especially in patients with cardiopulmonary comorbidities, potentially leading to localised ventilation-perfusion mismatch and hypoxaemia. Therapeutic approaches vary by clinical status and embolus location, with systemic thrombolysis or catheter-directed therapy preferred for unstable patients with usually proximal PE, while anticoagulation suffices in stable cases, most of which involve distal emboli. Understanding PE anatomy and its relationship with PE haemodynamic and ventilatory failure is critical for risk stratification, treatment guidance and improvement of patient outcomes.","PeriodicalId":38586,"journal":{"name":"Interventional Cardiology Review","volume":"20 ","pages":"e24"},"PeriodicalIF":2.8,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12590388/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483368","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}

引用次数: 0

Introduction to Pulmonary Embolism Treatment: An Evolving Paradigm. 肺栓塞治疗简介：一个不断发展的范例。

IF 2.8

Interventional Cardiology Review Pub Date : 2025-09-09 eCollection Date: 2025-01-01 DOI: 10.15420/icr.2025.14

José M Montero-Cabezas

引用次数: 0

Novel Technique in Retrieving a Completely Fractured Guiding Catheter Retained in the Ascending Aorta During Transradial Percutaneous Coronary Intervention: A Case Report. 新技术在经桡动脉经皮冠状动脉介入治疗中取出保留在升主动脉内完全断裂的导管：1例报告。

IF 2.8

Interventional Cardiology Review Pub Date : 2025-08-14 eCollection Date: 2025-01-01 DOI: 10.15420/icr.2025.15

Jia Min Chua, Paul Jau Lueng Ong, Randal Jun Bang Low

引用次数: 0

Management of Coronary Artery Disease in the Context of Transcatheter Aortic Valve Implantation: A Systematic Review and Meta-analysis of Percutaneous Coronary Intervention Timing and an Algorithmic Approach to Management. 经导管主动脉瓣植入术中冠状动脉疾病的管理：经皮冠状动脉介入时机的系统回顾和荟萃分析以及管理的算法方法。

IF 0.2

Interventional Cardiology Review Pub Date : 2025-06-19 eCollection Date: 2025-01-01 DOI: 10.15420/icr.2024.51

Cian Murray, Caoimhe Ryan, Michael Cronin, Hugo Temperley, Niall O'Sullivan, Stephen O'Connor, Andrew Maree, Mark Hensey

{"title":"Management of Coronary Artery Disease in the Context of Transcatheter Aortic Valve Implantation: A Systematic Review and Meta-analysis of Percutaneous Coronary Intervention Timing and an Algorithmic Approach to Management.","authors":"Cian Murray, Caoimhe Ryan, Michael Cronin, Hugo Temperley, Niall O'Sullivan, Stephen O'Connor, Andrew Maree, Mark Hensey","doi":"10.15420/icr.2024.51","DOIUrl":"10.15420/icr.2024.51","url":null,"abstract":"Background: Transcatheter aortic valve implantation (TAVI) is widely performed for severe aortic stenosis (AS), often accompanied by coronary artery disease (CAD). The optimal management of CAD in TAVI patients remains uncertain. This study reviews the evidence on percutaneous coronary intervention (PCI) timing in TAVI, and proposes an algorithmic approach for CAD management.Methods: A comprehensive search of PubMed, EMBASE and Cochrane identified studies comparing PCI timing strategies in TAVI patients.Results: Thirteen studies with 15,412 participants were included. Mortality at 30 days (OR 5.70; 95% CI [1.34-24.36]) and 2 years (OR 4.40; 95% CI [2.60-7.44]) were significantly higher in the combined pre-TAVI and concomitant PCI group than in the post-TAVI cohort. Rates of other periprocedural complications, such as stroke and bleeding, varied across studies.Conclusion: There is no clear consensus on PCI timing in TAVI due to a lack of high-quality randomised data. An individualised, algorithmic approach is proposed for managing CAD in patients undergoing TAVI.","PeriodicalId":38586,"journal":{"name":"Interventional Cardiology Review","volume":"20 ","pages":"e21"},"PeriodicalIF":0.2,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12215414/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555254","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}

引用次数: 0

Transcatheter Aortic Valve Implantation Indications and Patient Selection. 经导管主动脉瓣植入术指征及患者选择。

IF 0.2

Interventional Cardiology Review Pub Date : 2025-06-10 eCollection Date: 2025-01-01 DOI: 10.15420/icr.2024.44

Jonathan Curio, Henning Guthoff, Stephan Nienaber, Hendrik Wienemann, Stephan Baldus, Matti Adam, Victor Mauri

{"title":"Transcatheter Aortic Valve Implantation Indications and Patient Selection.","authors":"Jonathan Curio, Henning Guthoff, Stephan Nienaber, Hendrik Wienemann, Stephan Baldus, Matti Adam, Victor Mauri","doi":"10.15420/icr.2024.44","DOIUrl":"10.15420/icr.2024.44","url":null,"abstract":"Transcatheter aortic valve implantation (TAVI) has evolved from an alternative therapy for high-surgical risk patients with symptomatic severe aortic stenosis (AS) into the main treatment modality for most patients with severe AS. The indication for TAVI was initially based mainly on surgical risk profiles, but following positive trial results in intermediate- and low-risk patients, clinical decision pathways regarding the optimal treatment modality for AS patients, either TAVI or surgical valve replacement, changed considerably and a lifetime management approach incorporating several other additional patient characteristics evolved. This review aims to elucidate the evolution of TAVI and surgical valve replacement indications over the past two decades. Relevant clinical aspects beyond surgical risk including age, life expectancy, comorbidities, aortic anatomy and patient preference influencing decision-making regarding the modality of intervention in patients with severe AS, will be discussed in the context of lifetime management of AS.","PeriodicalId":38586,"journal":{"name":"Interventional Cardiology Review","volume":"20 ","pages":"e19"},"PeriodicalIF":0.2,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12186165/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486399","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}

引用次数: 0

Evaluation of the UK Intervention Subspecialty Programme: The Trainees' Experience. 英国干预亚专业项目的评估：学员的经验。

IF 0.2

Interventional Cardiology Review Pub Date : 2025-06-10 eCollection Date: 2025-01-01 DOI: 10.15420/icr.2024.54

Samuel McGrath, Holly Morgan, Douglas Muir, David Hildick-Smith

{"title":"Evaluation of the UK Intervention Subspecialty Programme: The Trainees' Experience.","authors":"Samuel McGrath, Holly Morgan, Douglas Muir, David Hildick-Smith","doi":"10.15420/icr.2024.54","DOIUrl":"10.15420/icr.2024.54","url":null,"abstract":"Background: Interventional cardiology (IC) is a competitive and oversubscribed subspecialty. The UK cardiology programme is currently in a state of transition of curricula, and concerns have arisen about the impact of this change on the standard of training. This study aimed to provide a snapshot of UK IC training at present.Methods: A 68-question survey was disseminated through the British Cardiovascular Interventional Society mailing list in November 2023 to all UK intervention trainees across both curricula. Questions included procedural numbers, exposure to adjunct techniques and confidence in the transition to consultancy.Results: The survey was completed by 60 participants, providing a response rate of 38% for training grades. A total of 87% of participants were men, and 78% remained on the 2010 curriculum. For the 2010 curriculum trainees, the median number of first-operator percutaneous coronary intervention was 101-200 in their first year. Confidence levels were higher for radial (98%) than femoral (62%) access. A total of 83% felt comfortable or confident using intravascular lithotripsy (83%) compared with 23% for rotational atherectomy. Comfort was higher with intravascular ultrasound (82%) compared with optical coherence tomography (53%). Half felt unprepared for consultancy, citing insufficient procedural experience. To address this, 65% plan to extend training with a fellowship year. Overall, 72% rated the programme as excellent or good, and 10% as poor.Conclusion: While many trainees report a positive experience with UK IC training, several areas need improvement, including procedural volume and requirement for extended training. Moving forward, it will be crucial to monitor the impact of the 2022 curriculum on IC training.","PeriodicalId":38586,"journal":{"name":"Interventional Cardiology Review","volume":"20 ","pages":"e20"},"PeriodicalIF":0.2,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12186163/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486398","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}

引用次数: 0

Role of Transcatheter Treatment in Intermediate-to High-risk Pulmonary Embolism. 经导管治疗在中高危肺栓塞中的作用。

IF 0.2

Interventional Cardiology Review Pub Date : 2025-05-23 eCollection Date: 2025-01-01 DOI: 10.15420/icr.2024.47

Federica Fumarola, Francesco Colombo, Claudio Corsaro, Lucia Savi, Riccardo Mangione, Daniele Savio, Giacomo Boccuzzi, Mario Iannaccone

{"title":"Role of Transcatheter Treatment in Intermediate-to High-risk Pulmonary Embolism.","authors":"Federica Fumarola, Francesco Colombo, Claudio Corsaro, Lucia Savi, Riccardo Mangione, Daniele Savio, Giacomo Boccuzzi, Mario Iannaccone","doi":"10.15420/icr.2024.47","DOIUrl":"10.15420/icr.2024.47","url":null,"abstract":"Pulmonary embolism (PE) is the third major cause of cardiovascular death in western countries. High-risk PE, defined by haemodynamic instability, necessitates immediate reperfusion therapy. Intermediate-high-risk patients, although stable, are vulnerable to rapid deterioration and therefore require intensive monitoring. To accurately stratify these patients, predict mortality and identify those who may benefit from more aggressive therapies, it is essential to consider various clinical and imaging parameters. Catheter-directed therapy (CDT) has been shown to reduce clot burden and right ventricle overload with fewer bleeding complications than systemic thrombolysis. CDT's clinical utility in the management of PE continues to expand, guided by the expertise of pulmonary embolism response teams, ensuring a multidisciplinary approach tailored to each patient's risk and clinical profile. As PE management advances, ongoing research and large-scale trials are essential for validating CDT's role in reducing morbidity and mortality in intermediate-high-risk PE cases. This review aims to provide a more in-depth perspective on intermediate-high-risk PE.","PeriodicalId":38586,"journal":{"name":"Interventional Cardiology Review","volume":"20 ","pages":"e17"},"PeriodicalIF":0.2,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12159862/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286669","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}

引用次数: 0