Interventional Cardiology Review最新文献

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Calcium Challenge - Tackling Rings, Nodules and Plates: How Can We Get More from Intravascular Lithotripsy Technology? 钙的挑战-解决环,结节和板:我们如何从血管内碎石技术中获得更多?
IF 2.8
Interventional Cardiology Review Pub Date : 2025-11-18 eCollection Date: 2025-01-01 DOI: 10.15420/icr.2025.09
Anirban Choudhury, Majd B Protty, Hussain Hussain, Sandeep Basavarajaiah, Peter O'Kane, Ahmed Hailan
{"title":"Calcium Challenge - Tackling Rings, Nodules and Plates: How Can We Get More from Intravascular Lithotripsy Technology?","authors":"Anirban Choudhury, Majd B Protty, Hussain Hussain, Sandeep Basavarajaiah, Peter O'Kane, Ahmed Hailan","doi":"10.15420/icr.2025.09","DOIUrl":"10.15420/icr.2025.09","url":null,"abstract":"<p><p>Calcific coronary artery disease presents unique challenges in achieving optimal stent deployment, which is crucial for long-term procedural success. Intravascular lithotripsy (IVL), introduced to the UK in 2018, has revolutionised the treatment of calcific lesions through its simplicity of use and ability to modify calcium safely and effectively. This expert opinion explores the evolution of IVL technology, its mechanism of action, and suggested refinement in its application based on the evidence and experience of the authors. Emphasis is placed on optimising IVL usage across various calcific scenarios, including concentric, nodular and eccentric calcium, and large bifurcations. Lessons from peripheral vascular studies, such as balloon oversizing strategies, are discussed to enhance the optimal usage of IVL in coronary interventions. By proposing new iterations in IVL usage, and emphasising its safety and efficacy, this article aims to refine the interventional community's approach to tackling calcific coronary disease with IVL.</p>","PeriodicalId":38586,"journal":{"name":"Interventional Cardiology Review","volume":"20 ","pages":"e30"},"PeriodicalIF":2.8,"publicationDate":"2025-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12673490/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145679052","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
Emergency Bedside Transoesophageal Echocardiography-guided Atrial Septal Defect Closure Without Fluoroscopy after Left Ventricular Assist Device Implantation. 急诊床边经食管超声心动图引导下无透视左心室辅助装置植入后房间隔缺损闭合。
IF 2.8
Interventional Cardiology Review Pub Date : 2025-11-04 eCollection Date: 2025-01-01 DOI: 10.15420/icr.2025.19
Hamza Naveed, Laith M Haj-Ahmad, Pranav Loyalka
{"title":"Emergency Bedside Transoesophageal Echocardiography-guided Atrial Septal Defect Closure Without Fluoroscopy after Left Ventricular Assist Device Implantation.","authors":"Hamza Naveed, Laith M Haj-Ahmad, Pranav Loyalka","doi":"10.15420/icr.2025.19","DOIUrl":"10.15420/icr.2025.19","url":null,"abstract":"<p><p>Implantation of a left ventricular assist device in the presence of a pre-existing patent foramen ovale or an iatrogenic atrial septal defect (ASD) may predispose patients to significant right-to-left shunting, resulting in critical hypoxaemia. In such cases, the appropriate treatment modality has been intervention with transoesophageal echocardiography-guided ASD closure using fluoroscopy. ASD closure without fluoroscopy to reduce radiation exposure has been discussed but not properly explored. We present a case of a 72-year-old patient with a history of left ventricular assist device placement complicated by critical hypoxaemia secondary to a large residual ASD who underwent emergency bedside treatment using transoesophageal echocardiography without fluoroscopy. Although ASD closure without fluoroscopy is not well established, this case highlights a novel technique to promptly and successfully treat critical hypoxaemia in patients with significant shunting.</p>","PeriodicalId":38586,"journal":{"name":"Interventional Cardiology Review","volume":"20 ","pages":"e29"},"PeriodicalIF":2.8,"publicationDate":"2025-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12606458/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145514456","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
Sex Differences in Stroke Following Transcatheter Aortic Valve Replacement and the Role of Embolic Protection Devices in Women. 经导管主动脉瓣置换术后卒中的性别差异及栓塞保护装置在女性中的作用
IF 2.8
Interventional Cardiology Review Pub Date : 2025-11-03 eCollection Date: 2025-01-01 DOI: 10.15420/icr.2024.29
Mirvat Alasnag, Giulia Masiero, Chiara de Biase, Valeria Paradies, Marta Kałużna-Oleksy
{"title":"Sex Differences in Stroke Following Transcatheter Aortic Valve Replacement and the Role of Embolic Protection Devices in Women.","authors":"Mirvat Alasnag, Giulia Masiero, Chiara de Biase, Valeria Paradies, Marta Kałużna-Oleksy","doi":"10.15420/icr.2024.29","DOIUrl":"10.15420/icr.2024.29","url":null,"abstract":"<p><p>Several historical studies reported a higher rate of complications following transcatheter aortic valve replacement (TAVR) in women compared with men, especially major bleeding, vascular complications and stroke. More recent publications have demonstrated lower stroke rates following TAVR. The growing experience of modern TAVR operators played a crucial role in the reduction of early postprocedural stroke events. In addition, the improved transcatheter heart valve technology, the emphasis on a heart team-based selection process, and the inclusion of intermediate- and low-risk patients in the latest landmark randomised trials have all contributed to the lower stroke rates in contemporary trials. It is important to note, however, that at an individual level, stroke can significantly affect both quality of life and overall prognosis. Certain factors that increase the risk of periprocedural stroke include the distribution of calcification of native aortic valves, small aortic valve annuli, left ventricular dysfunction and fibrosis, and AF. These tend to occur more frequently in women. However, the role of cerebral embolic protection devices has not been shown to reduce procedure-related strokes in men or women. The overall incidence of factors predisposing to late-onset stroke is higher in women. Currently, there are no trials that have identified sex differences in the incidence and management of stroke following TAVR. This review aims to examine potential sex differences in the pathophysiology, preventive strategies and therapeutic options for stroke following TAVR.</p>","PeriodicalId":38586,"journal":{"name":"Interventional Cardiology Review","volume":"20 ","pages":"e28"},"PeriodicalIF":2.8,"publicationDate":"2025-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12606453/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145514408","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
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
{"title":"Intracoronary Imaging for Calcium Modification: Intravascular Ultrasound and Optical Coherence Tomography.","authors":"Doosup Shin, Sarah Malik, Mandeep Singh, Ali Dakroub, Koshiro Sakai, Allen Jeremias, Evan Shlofmitz, Richard A Shlofmitz, Ziad A Ali","doi":"10.15420/icr.2024.01","DOIUrl":"10.15420/icr.2024.01","url":null,"abstract":"<p><p>Coronary artery calcification (CAC) remains one of the greatest challenges in percutaneous coronary interventions, since it adversely affects procedural and long-term clinical outcomes. Compared with angiography, intravascular imaging increases diagnostic accuracy of CAC and enables assessment of morphological features of CAC, which help determine the need for advanced calcium modification therapies, including speciality balloons, atherectomy and intravascular lithotripsy. Since the ultimate goal of the advanced calcium modification therapies is to induce calcium fracture and facilitate subsequent stent implantation, intravascular imaging can be used to confirm calcium fracture and optimise percutaneous coronary interventions. Being able to interpret and understand the role of intravascular imaging in the diagnosis and management of CAC is valuable in attempting to improve outcomes after percutaneous coronary interventions.</p>","PeriodicalId":38586,"journal":{"name":"Interventional Cardiology Review","volume":"20 ","pages":"e27"},"PeriodicalIF":2.8,"publicationDate":"2025-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12590397/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483313","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
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":"<p><p>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.</p>","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
{"title":"Transcatheter Heart Valves with Labelling for Aortic Regurgitation.","authors":"Pier Pasquale Leone, Azeem Latib","doi":"10.15420/icr.2024.53","DOIUrl":"10.15420/icr.2024.53","url":null,"abstract":"<p><p>Treatment of pure aortic regurgitation (AR) has historically been addressed via surgical aortic valve repair or replacement. A less invasive option for patients affected by AR has been attempted with the advent of transcatheter aortic valve replacement (TAVR). Here, we review the rationale, benefits and challenges of TAVR for the treatment of native pure AR. In particular, we explore upcoming dedicated technologies with labelling for transcatheter treatment of AR, detailing both device and procedural specifics. Finally, evidence from recent studies conducted in patients with pure AR is appraised in light of available evidence from TAVR with non-dedicated devices in this setting.</p>","PeriodicalId":38586,"journal":{"name":"Interventional Cardiology Review","volume":"20 ","pages":"e25"},"PeriodicalIF":2.8,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12590394/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483323","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
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":"<p><p>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.</p>","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
{"title":"Introduction to Pulmonary Embolism Treatment: An Evolving Paradigm.","authors":"José M Montero-Cabezas","doi":"10.15420/icr.2025.14","DOIUrl":"10.15420/icr.2025.14","url":null,"abstract":"","PeriodicalId":38586,"journal":{"name":"Interventional Cardiology Review","volume":"20 ","pages":"e23"},"PeriodicalIF":2.8,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12481361/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208080","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
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
{"title":"Novel Technique in Retrieving a Completely Fractured Guiding Catheter Retained in the Ascending Aorta During Transradial Percutaneous Coronary Intervention: A Case Report.","authors":"Jia Min Chua, Paul Jau Lueng Ong, Randal Jun Bang Low","doi":"10.15420/icr.2025.15","DOIUrl":"10.15420/icr.2025.15","url":null,"abstract":"<p><p>Complete fracture of a guiding catheter is a rare, but potentially serious, complication of percutaneous coronary intervention. Options for removal include endovascular retrieval devices or surgery. A rare case of a fractured guiding catheter with its tip in the ascending aorta and its successful retrieval using a combination of home-made snare, kissing guiding catheter and balloon trekking technique is reported.</p>","PeriodicalId":38586,"journal":{"name":"Interventional Cardiology Review","volume":"20 ","pages":"e22"},"PeriodicalIF":2.8,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12400171/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144993819","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
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":"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>A comprehensive search of PubMed, EMBASE and Cochrane identified studies comparing PCI timing strategies in TAVI patients.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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
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