Interventional Cardiology Review最新文献_第5页

Sex-specific Inequalities in the Treatment of Severely Calcified Coronary Lesions: A Sub-analysis of the PREPARE-CALC Trial. 严重钙化冠状动脉病变治疗中的性别不平等:prep - calc试验的亚分析

Interventional Cardiology Review Pub Date : 2023-02-01 DOI: 10.15420/icr.2022.07

Sean Fitzgerald, Maria Rubini Gimenez, Abdelhakim Allali, Ralph Toelg, Dmitriy S Sulimov, Volker Geist, Adnan Kastrati, Holger Thiele, Gert Richardt, Mohamed Abdel-Wahab

{"title":"Sex-specific Inequalities in the Treatment of Severely Calcified Coronary Lesions: A Sub-analysis of the PREPARE-CALC Trial.","authors":"Sean Fitzgerald, Maria Rubini Gimenez, Abdelhakim Allali, Ralph Toelg, Dmitriy S Sulimov, Volker Geist, Adnan Kastrati, Holger Thiele, Gert Richardt, Mohamed Abdel-Wahab","doi":"10.15420/icr.2022.07","DOIUrl":"https://doi.org/10.15420/icr.2022.07","url":null,"abstract":"Background: Coronary vessels in women may have anatomical and histological particularities. The aim of this study was to investigate sex-specific characteristics and outcomes of patients with calcified coronary arteries in the Prepare-CALC (Comparison of Strategies to Prepare Severely Calcified Coronary Lesions) trial. Methods: The Prepare-CALC trial randomised patients with severe coronary calcification to coronary lesion preparation either using modified balloons (MB; cutting or scoring) or rotational atherectomy (RA). Results: Of 200 randomised patients, 24% were women. Strategy success in general was similar between women (93.8%) and men (88.2%; p=0.27). For men, strategy success was significantly more common with an RA-based strategy than an MB-based strategy (98.7% in the RA group versus 77.3% in the MB group, p<0.001), whereas for women there was no evidence of a significant difference in strategy success between RA and MB (95.7% in the RA group versus 92% in the MB group, p>0.99, p for interaction between sex and treatment strategy=0.03). Overall, significant complications such as death, MI, stent thrombosis, bypass operation and perforations were rare and did not differ significantly by gender or treatment strategy. Plaque rupture and disrupted calcified nodules were more common in women. Conclusion: In a well-defined patient population with severely calcified coronary arteries, lesion preparation with an RA-strategy was superior to an MB-strategy in men. For women, both RA and MB strategies appear to have a similar success rate, although definitive conclusions are limited due to the small number of women in the trial.","PeriodicalId":38586,"journal":{"name":"Interventional Cardiology Review","volume":"18 ","pages":"e02"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1d/9f/icr-18-e02.PMC9987508.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9089990","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

Dovetailing Intra-coronary Imaging and Physiology … the True Gold Standard. 冠状动脉内成像和生理学——真正的黄金标准。

Interventional Cardiology Review Pub Date : 2023-02-01 DOI: 10.15420/icr.2022.29

Kalpa De Silva

引用次数: 0

Lead Cap Use in Interventional Cardiology: Time to Protect Our Head in the Cardiac Catheterisation Laboratory? 铅帽在介入心脏病学中的应用:是时候在心导管实验室保护我们的头部了?

Interventional Cardiology Review Pub Date : 2023-01-01 DOI: 10.15420/icr.2023.10

Yasar Sattar, Prasanna M Sengodan, Mustafa Sajjad Cheema, Nismat Javed, Shoaib Ashraf, Sadaf Fakhra, Anas Alharbi, Moinuddin Syed, Mahboob Alam, Islam Y Elgendy, Affan Haleem, Akram Kawsara, M Chadi Alraies, Ramesh Daggubati

{"title":"Lead Cap Use in Interventional Cardiology: Time to Protect Our Head in the Cardiac Catheterisation Laboratory?","authors":"Yasar Sattar, Prasanna M Sengodan, Mustafa Sajjad Cheema, Nismat Javed, Shoaib Ashraf, Sadaf Fakhra, Anas Alharbi, Moinuddin Syed, Mahboob Alam, Islam Y Elgendy, Affan Haleem, Akram Kawsara, M Chadi Alraies, Ramesh Daggubati","doi":"10.15420/icr.2023.10","DOIUrl":"https://doi.org/10.15420/icr.2023.10","url":null,"abstract":"Background: Radiation exposure is an occupational hazard for interventional cardiologists and cardiac catheterisation laboratory staff that can manifest with serious long-term health consequences. Personal protective equipment, including lead jackets and glasses, is common, but the use of radiation protective lead caps is inconsistent. Methods: A systematic review qualitative assessment of five observational studies using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines protocol was performed. Results: It was concluded that lead caps significantly reduce radiation exposure to the head, even when a ceiling-mounted lead shield was present. Conclusion: Although newer protective systems are being studied and introduced, tools, such as lead caps, need to be strongly considered and employed in the catheterisation laboratory as mainstay personal protective equipment.","PeriodicalId":38586,"journal":{"name":"Interventional Cardiology Review","volume":"18 ","pages":"e18"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4d/99/icr-18-e18.PMC10331561.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9812932","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

Sudden Cardiac Death in Ischaemic Cardiomyopathy and the Primary Prevention ICD: Time for a More a Personalised Approach? 缺血性心肌病的心源性猝死和一级预防:是时候采取更个性化的方法了?

Interventional Cardiology Review Pub Date : 2023-01-01 DOI: 10.15420/icr.2022.14

Saad M Ezad, Girish Babu, Peter O'Kane

{"title":"Sudden Cardiac Death in Ischaemic Cardiomyopathy and the Primary Prevention ICD: Time for a More a Personalised Approach?","authors":"Saad M Ezad, Girish Babu, Peter O'Kane","doi":"10.15420/icr.2022.14","DOIUrl":"https://doi.org/10.15420/icr.2022.14","url":null,"abstract":"Guidelines recommend primary prevention implantable cardioverter defibrillator (PPICD) for left ventricular ejection fraction (LVEF) <35% only after 3 months of optimal medical therapy (OMT) or 6 weeks after acute MI with persistent LVEF dysfunction. A 73-year-old woman presented with decompensated heart failure secondary to ischaemic cardiomyopathy. Severe coronary disease with sufficient dysfunctional myocardial segments on cardiac MRI suggested potential benefit from revascularisation. Following discussion with the heart team, she underwent percutaneous coronary intervention (PCI). PPICD implantation was deferred as per guideline recommendations. However, 20 days post-PCI, the patient died from malignant ventricular arrhythmia captured on a Holter monitor. This case demonstrates that some high-risk patients may not receive a potentially life-saving PPICD if guidelines are stringently adhered to. We highlight evidence that LVEF alone is of limited value in a risk assessment of arrhythmogenic death, and postulate that a more personalised ICD prescription should be considered using scar characteristics on cardiac MRI to prompt upstream ICD implantation in high-risk patients.","PeriodicalId":38586,"journal":{"name":"Interventional Cardiology Review","volume":"18 ","pages":"e11"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/12/c6/icr-18-e11.PMC10311393.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9737630","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

An Update on Anti-thrombotic Therapy Following Transcatheter Aortic Valve Implantation: Expert Cardiologist Opinion from a UK and Ireland Delphi Group. 经导管主动脉瓣植入术后抗血栓治疗的最新进展:来自英国和爱尔兰德尔菲集团的心脏病专家意见。

Interventional Cardiology Review Pub Date : 2023-01-01 DOI: 10.15420/icr.2022.11

Azfar Zaman, Bernard Prendergast, David Hildick-Smith, Daniel Blackman, Richard Anderson, Mark S Spence, Darren Mylotte, David Smith, Ben Wilding, Chris Chapman, Kirsty Atkins, Kevin G Pollock, Ayesha C Qureshi, Adrian Banning

{"title":"An Update on Anti-thrombotic Therapy Following Transcatheter Aortic Valve Implantation: Expert Cardiologist Opinion from a UK and Ireland Delphi Group.","authors":"Azfar Zaman, Bernard Prendergast, David Hildick-Smith, Daniel Blackman, Richard Anderson, Mark S Spence, Darren Mylotte, David Smith, Ben Wilding, Chris Chapman, Kirsty Atkins, Kevin G Pollock, Ayesha C Qureshi, Adrian Banning","doi":"10.15420/icr.2022.11","DOIUrl":"https://doi.org/10.15420/icr.2022.11","url":null,"abstract":"Transcatheter aortic valve implantation (TAVI) is an effective and established treatment for symptomatic aortic stenosis. However, there is a lack of consensus concerning the need for peri- and post-procedural anti-thrombotic medication. Contemporary guidelines recommend that anti-thrombotic therapy is balanced against a patient's bleeding risk following TAVI, but do not fully consider the evolving evidence base. The purpose of the Delphi panel recommendations presented here is to provide a consensus elicited from a panel of experts who regularly prescribe anti-thrombotic therapy post-TAVI. The goal was to address evidence gaps across four key topics: anti-thrombotic therapy (anti-platelet and/or anti-coagulant) in TAVI patients in sinus rhythm; anti-thrombotic therapy in TAVI patients with AF; direct oral anti-coagulants versus vitamin K antagonists; and the need for UK/Ireland specific guidance. This consensus statement aims to inform clinical decision-making by providing a concise, evidence-based summary of best practice for prescribing anti-thrombotic therapies following TAVI and highlights areas where further research is needed.","PeriodicalId":38586,"journal":{"name":"Interventional Cardiology Review","volume":"18 ","pages":"e13"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/83/39/icr-18-e13.PMC10311398.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9743969","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: 1

Clinical and Radiographic Predictors of Successful Coronary Angiography Through Right Radial Artery Access. 通过右桡动脉通道成功进行冠状动脉造影的临床和影像学预测因素。

Interventional Cardiology Review Pub Date : 2023-01-01 DOI: 10.15420/icr.2023.04

Sohil Elfar, Ahmed Onsy, Mohamed Amr Farouk

{"title":"Clinical and Radiographic Predictors of Successful Coronary Angiography Through Right Radial Artery Access.","authors":"Sohil Elfar, Ahmed Onsy, Mohamed Amr Farouk","doi":"10.15420/icr.2023.04","DOIUrl":"https://doi.org/10.15420/icr.2023.04","url":null,"abstract":"Background: One of the limitations of the right radial access approach is complex vessel anatomy, such as subclavian tortuosity. Several clinical predictors have been proposed for tortuosities, such as older age, female sex and hypertension. In this study, we hypothesised that chest radiography would add predictive value to the traditional predictors. Methods: This prospective blinded study included patients who underwent transradial access coronary angiography. They were classified into four groups according to difficulty: Group I, Group II, Group III and Group IV. Different groups were compared according to clinical and radiographic characteristics. Results: The study included 108 patients (54, 27, 17 and 10 patients in Groups I, II, III and IV, respectively). The rate of crossover to transfemoral access was 9.26%. Age, hypertension and female sex were associated with a greater difficulty and failure rates. Regarding radiographic parameters, a higher failure rate was associated with a higher diameter of the aortic knuckle (Group IV, 4.09 ± 1.32 cm versus Groups I, II and III combined, 3.26 ± 0.98 cm; p=0.015) and the width of the mediastinum (Group IV, 8.96 ± 2.88 cm versus Groups I, II and III combined, 7.28 ± 1.78 cm; p=0.009). The cut-off value for prominent aortic knuckle was 3.55 cm (sensitivity 70% and specificity 67.35%) and the width of mediastinum was 6.59 cm (sensitivity 90% and specificity 42.86%). Conclusion: Radiographic prominent aortic knuckle and wide mediastinum are valuable clinical parameters and useful predictors for transradial access failure caused by tortuosity of the right subclavian/brachiocephalic arteries or aorta.","PeriodicalId":38586,"journal":{"name":"Interventional Cardiology Review","volume":"18 ","pages":"e21"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9d/6c/icr-18-e21.PMC10331560.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9815518","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

Antithrombotic Management in AF Patients Following Percutaneous Coronary Intervention: A European Perspective. 房颤患者经皮冠状动脉介入治疗后的抗血栓管理:欧洲视角。

Interventional Cardiology Review Pub Date : 2023-01-01 DOI: 10.15420/icr.2021.30

Antonio Greco, Claudio Laudani, Carla Rochira, Davide Capodanno

{"title":"Antithrombotic Management in AF Patients Following Percutaneous Coronary Intervention: A European Perspective.","authors":"Antonio Greco, Claudio Laudani, Carla Rochira, Davide Capodanno","doi":"10.15420/icr.2021.30","DOIUrl":"https://doi.org/10.15420/icr.2021.30","url":null,"abstract":"AF is a highly prevalent disease, often requiring long-term oral anticoagulation to prevent stroke or systemic embolism. Coronary artery disease, which is common among AF patients, is often referred for myocardial revascularisation by percutaneous coronary intervention (PCI), which requires dual antiplatelet therapy to minimise the risk of stent-related complications. The overlap of AF and PCI is a clinical conundrum, especially in the early post-procedural period, when both long-term oral anticoagulation and dual antiplatelet therapy are theoretically indicated as a triple antithrombotic therapy. However, stacking drugs is not a desirable option because of the increased bleeding risk. Several strategies have been investigated to mitigate this concern, including shortening triple antithrombotic therapy duration and switching to a dual antithrombotic regimen. This review analyses the mechanisms underlying thrombotic complications in AF-PCI, summarises evidence surrounding antithrombotic therapy regimens and reports and comments on the latest European guidelines.","PeriodicalId":38586,"journal":{"name":"Interventional Cardiology Review","volume":"18 ","pages":"e05"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/14/d9/icr-18-e05.PMC10433110.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10424835","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: 2

Transcatheter Mitral Valve Repair via MitraClip in Patients Aged <65 Years: Multicentre 2-year Outcomes. 年龄<65岁患者经导管二尖瓣MitraClip修复:多中心2年结果

Interventional Cardiology Review Pub Date : 2023-01-01 DOI: 10.15420/icr.2021.28

Hassan Mh Mohammed, Ahmed Farah, Bjoern Plicht, Mohammad El-Garhy, Ilse Janicke, Amr Yousef, Mohammad Abdelkader AbdelWahab, Nasser M Taha, Wolfgang Schoels, Thomas Buck

{"title":"Transcatheter Mitral Valve Repair via MitraClip in Patients Aged <65 Years: Multicentre 2-year Outcomes.","authors":"Hassan Mh Mohammed, Ahmed Farah, Bjoern Plicht, Mohammad El-Garhy, Ilse Janicke, Amr Yousef, Mohammad Abdelkader AbdelWahab, Nasser M Taha, Wolfgang Schoels, Thomas Buck","doi":"10.15420/icr.2021.28","DOIUrl":"https://doi.org/10.15420/icr.2021.28","url":null,"abstract":"Background: Transcatheter mitral valve repair (TMVR) using the MitraClip has become a well-established interventional therapy and is usually performed in elderly patients. The objective of this study was to assess 2-year clinical outcomes of TMVR in patients aged <65 years at three heart centres with severe mitral regurgitation (MR) and no surgical options.Methods: A retrospective study analysed data of 36 patients aged <65 years treated with TMVR . All patients were refused surgery by Heart Team decision. Baseline MR was assessed by biplane vena contracta width in two perpendicular views (mean 8.35 ± 1.87 mm). Degenerative MR was detected in 11 patients (30.6%); functional MR was detected in 25 patients (69.4%).Results: Acute procedural success was accomplished in 88.9% of patients. No procedure-related mortality during the first 30 days was detected. Over an average of 2 years of follow-up, all-cause mortality was 19.4% and cardiovascular death was 11.1% owing to advanced heart failure. The average follow-up period was 25.8 months (median was 20 months). Statistically significant difference (p-value <0.01) was detected for N-terminal prohormone of brain natriuretic peptide (pg/ml) at baseline (mean 9,870 ± 10,819; median 7,748) compared to follow-up visits (mean 7,645 ± 11,292; median 3,263). New York Heart Association functional class improvement was achieved in 69% of patients. A second intervention (reclipping) was required in two patients to correct recurrent significant MR.Conclusion: TMVR in patients aged <65 years refused surgical repair provides satisfactory clinical outcomes at 2 years. Future studies should evaluate the outcomes of MitraClip in this population in a larger cohort.","PeriodicalId":38586,"journal":{"name":"Interventional Cardiology Review","volume":"18 ","pages":"e03"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/28/15/icr-18-e03.PMC10433109.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10040377","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

Coronary Artery Disease in Patients with Severe Mental Illness. 严重精神疾病患者的冠状动脉疾病。

Interventional Cardiology Review Pub Date : 2023-01-01 DOI: 10.15420/icr.2022.31

Brian Tam To, Roman Roy, Narbeh Melikian, Fiona P Gaughran, Kevin O'Gallagher

引用次数: 1

Combination of Laser Atherectomy and Super High-pressure Non-compliant Balloon to Treat Stent Under-expansion in Cases of Failed Interventional Options. 激光动脉粥样硬化切除术联合超高压非顺应球囊治疗介入失败的支架扩张不足。

Interventional Cardiology Review Pub Date : 2023-01-01 DOI: 10.15420/icr.2022.36

Viktor Sasi, Gyula Szántó, Alexandru Achim, Imre Ungi, Albert Varga, Zoltán Ruzsa

{"title":"Combination of Laser Atherectomy and Super High-pressure Non-compliant Balloon to Treat Stent Under-expansion in Cases of Failed Interventional Options.","authors":"Viktor Sasi, Gyula Szántó, Alexandru Achim, Imre Ungi, Albert Varga, Zoltán Ruzsa","doi":"10.15420/icr.2022.36","DOIUrl":"https://doi.org/10.15420/icr.2022.36","url":null,"abstract":"Patients with calcified, fibrotic native coronary vessels with prior suboptimal stenting outcomes are at major risk of stent thrombosis and could face serious consequences if untreated. In cases of multiple layers of under-expanded stents, the risk is multiplied. If conventional balloon post-dilatation is unsuccessful after stent implantation without proper lesion preparation, few interventional options remain. The authors report on a patient with prior numerous right coronary unsuccessful coronary interventions resulting in partially crushed multiple layers of stent material with critical lumen narrowing caused by stent under-expansion. Balloon angioplasty and stent rotational atherectomy (ROTA) had been attempted to overcome stent under-expansion but were unsuccessful. The authors investigated a new combination therapy of laser atherectomy (ELCA) and super high-pressure balloon (OPN non-compliant balloon) to treat single or multiple layers of stent with severe under-expansion due to fibrotic, calcified tissue surrounding the under-expanded stent structure.","PeriodicalId":38586,"journal":{"name":"Interventional Cardiology Review","volume":"18 ","pages":"e23"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ff/77/icr-18-e23.PMC10394584.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9935795","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