{"title":"Percutaneous coronary intervention of chronic total occlusion in patients with prior coronary artery bypass graft: the current situation.","authors":"Soichiro Ebisawa, Etsuo Tsuchikane, Koichi Kishi, Yoshiaki Ito, Hisayuki Okada, Satoru Sumitsuji, Yuji Oikawa, Ryohei Yoshikawa, Hiroyuki Tanaka","doi":"10.25270/jic/24.00301","DOIUrl":"10.25270/jic/24.00301","url":null,"abstract":"<p><strong>Objectives: </strong>The equipment and strategies used for percutaneous coronary intervention (PCI) for chronic total occlusion (CTO) have been improved. However, CTO-PCI for patients with prior coronary artery bypass graft (CABG) remains challenging. This study aimed to compare the strategies and initial success rates of CTO-PCI in patients with and without prior CABG.</p><p><strong>Methods: </strong>The authors extracted data from the Japanese CTO-PCI expert registry for this study. They enrolled 11 605 patients who underwent CTO-PCI by Japanese operators from 2014 to 2022. The cohort was divided into 2 groups: post-CABG (n = 830) and no-CABG patients (n = 10775).</p><p><strong>Results: </strong>The post-CABG patients were older than the no-CABG patients (70.3 ± 9.2 vs 67.5 ± 11.1 years, P less than .01). The post-CABG group exhibited more prevalent long, tortuous, and calcified lesions, as well as higher Japanese Multicenter CTO Registry scores than the no-CABG group (1.8 ± 1.1 vs 1.4 ± 1.1, P less than .01). The post-CABG patients opted for the primary and rescue retrograde approaches more frequently than the no-CABG patients (52.4% vs 40.7%, P less than .02), and the post-CABG patients exhibited a lower success rate than the no-CABG patients (82.2% vs 90.2%, P less than .01). However, an improvement in success rates was observed in the post-CABG patients compared with that of Japanese data from 1999 to 2011 (71%-82.2%). Additionally, the procedure time decreased from 210 to 191 minutes.</p><p><strong>Conclusions: </strong>Compared with no-CABG patients, the initial success rate of CTO-PCI for post-CABG patients remains low, and the retrograde approach is more commonly chosen. However, the success rate has improved over previous data.</p>","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Skyrocketing troponin after a motor vehicle crash: a traumatic dilemma.","authors":"Rahul Annabathula, Rohit Menon, Justin Brilliant, Xin Wei, Mukta Srivastava","doi":"10.25270/jic/25.00009","DOIUrl":"10.25270/jic/25.00009","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Giulia Passaniti, Parasuram M Krishnamoorthy, Rajeev R Samtani, Supawat Ratanapo, Annapoorna S Kini, Gilbert H L Tang, Lucy M Safi
{"title":"Mitral transcatheter-edge-to-edge-repair after failed Alfieri stitch: an effective alternative to re-do surgery.","authors":"Giulia Passaniti, Parasuram M Krishnamoorthy, Rajeev R Samtani, Supawat Ratanapo, Annapoorna S Kini, Gilbert H L Tang, Lucy M Safi","doi":"10.25270/jic/24.00235","DOIUrl":"10.25270/jic/24.00235","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aref El Nasasra, Artyom Star, Sergio L Kobal, Carlos Cafri, Hilmi Alnsasra
{"title":"Mitral transcatheter-edge-to-edge repair in failed mitral valve repair.","authors":"Aref El Nasasra, Artyom Star, Sergio L Kobal, Carlos Cafri, Hilmi Alnsasra","doi":"10.25270/jic/25.00008","DOIUrl":"10.25270/jic/25.00008","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rafey Feroze, Alexander Cove, Yusef Saeed, Waqas Ullah, Nawaf Alhabdan, Marco Frazzetto, Nour Tashtish, Luis Augusto Palma Dallan, Steven J Filby
{"title":"Percutaneous left atrial appendage occlusion in heart failure: a nationwide readmission database analysis.","authors":"Rafey Feroze, Alexander Cove, Yusef Saeed, Waqas Ullah, Nawaf Alhabdan, Marco Frazzetto, Nour Tashtish, Luis Augusto Palma Dallan, Steven J Filby","doi":"10.25270/jic/24.00274","DOIUrl":"10.25270/jic/24.00274","url":null,"abstract":"<p><strong>Objectives: </strong>Left atrial appendage occlusion (LAAO) has emerged as an alternative to anticoagulation for reducing stroke risk in patients with atrial fibrillation (AF). However, patients with heart failure (HF) may have an enhanced risk of stroke and elevated risk for this procedure. To further investigate this population, the authors present a retrospective analysis on LAAO in patients with HF.</p><p><strong>Methods: </strong>The authors performed a retrospective review of all hospitalizations for LAAO using the National Readmissions Database between September 2015 and November 2019. From these, patients with ICD-10 codes for HF were identified. Propensity matched (PSM) analysis was used to compare matched samples of patients with and without HF. Outcomes assessed included all-cause mortality, stroke, major bleeding, pericardial effusion, tamponade, and acute kidney injury (AKI).</p><p><strong>Results: </strong>After PSM, HF was associated with higher odds of mortality (odds ratio [OR] 2.79 [1.68-4.60]), major bleeding (OR 1.26 [1.08-1.46]), and AKI (OR 2.11 [1.84-2.41]) at index admission. Mortality (OR 1.45 [1.12-1.89]), major bleeding (OR 1.53 [1.13-2.07]), and AKI (OR 2.24 [1.81-2.79]) were also significantly higher at 30-day readmission. There was no significant increase in pericardial effusion, tamponade, or stroke after PSM at index admission or 30-day readmission.</p><p><strong>Conclusions: </strong>The findings suggest LAAO use in HF is not associated with an increased risk of pericardial effusion, tamponade, and stroke in the periprocedural period when compared with those without HF. Mortality, major bleeding, and AKI were found to be modestly higher in patients with HF. Further investigation is warranted to evaluate the long-term risk of stroke in patients with HF with LAAO.</p>","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Familial hypercholesteremia with left main ostial disease in a young male.","authors":"Krishna Prasad Akkineni, Mohan Prasad Akkineni, Maithili Charan Gattu, Goutam Kintada, Souvik Sardar","doi":"10.25270/jic/25.00169","DOIUrl":"https://doi.org/10.25270/jic/25.00169","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bernard Wong, Guy Armstrong, Timothy Glenie, Ali Khan, Ruth Newcombe, Hector Gonzales, Seif El-Jack
{"title":"Balloon angioplasty versus Shockwave intravascular lithotripsy in calcified coronary arteries: the BASIL study.","authors":"Bernard Wong, Guy Armstrong, Timothy Glenie, Ali Khan, Ruth Newcombe, Hector Gonzales, Seif El-Jack","doi":"10.25270/jic/24.00310","DOIUrl":"10.25270/jic/24.00310","url":null,"abstract":"<p><strong>Objectives: </strong>Severe coronary calcification is a predictor for procedural failure during percutaneous coronary intervention (PCI). Intravascular lithotripsy (IVL) delivers acoustic pressure waves to modify coronary calcification to optimize stent results. The efficacy of IVL compared to conventional balloon angioplasty (BA) prior to drug-eluting stent (DES) implantation is largely unknown. This study aimed to compare pretreatment with IVL vs BA for severely calcified coronary lesions prior to DES implantation.</p><p><strong>Methods: </strong>A total of 60 patients with severely calcified coronary disease undergoing PCI were randomly assigned (1:1 ratio) to conventional BA or IVL pretreatment groups. The primary efficacy endpoint was procedural success (successful stent implantation without bailout calcium modification devices, no major angiographic complications, and residual stenosis less than 20%). The primary safety endpoint was freedom from in-hospital major adverse cardiovascular events (MACE) including death, periprocedural myocardial infarction, stroke, and target vessel revascularization/target lesion failure.</p><p><strong>Results: </strong>Procedural success was achieved in 15 (55.6%) patients in the BA group and 24 (72.7%) patients in the IVL group (P = .165). Requirement for bailout calcium modification was higher in the BA group (22.2% vs 0.0%; P = .004). The primary safety endpoint was achieved in 26 (96.3%) patients in the BA group and 30 (90.9%) patients in the IVL group (P = .405).</p><p><strong>Conclusions: </strong>In PCI of severely calcified coronary disease, no significant differences in procedural success or in-hospital MACE were identified when comparing IVL to conventional BA pretreatment. There was a higher need for additional dedicated calcium modification observed with conventional BA.</p>","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chor-Cheung Frankie Tam, Simon Lam, Michael Sze, Eric Chan, Chun Ka Wong, Chin Lung Wong, Christian Fang
{"title":"Recreating the crime scene: a three-dimensional model to analyze the mechanism of orbital atherectomy-related coronary perforation.","authors":"Chor-Cheung Frankie Tam, Simon Lam, Michael Sze, Eric Chan, Chun Ka Wong, Chin Lung Wong, Christian Fang","doi":"10.25270/jic/25.00010","DOIUrl":"10.25270/jic/25.00010","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Massimo Baudo, Serge Sicouri, Yoshiyuki Yamashita, Dimitrios Magouliotis, Francesco Cabrucci, Scott M Goldman, Roberto Rodriguez, Eric M Gnall, Paul M Coady, William A Gray, Sandro Gelsomino, Basel Ramlawi
{"title":"Transcatheter aortic valve-in-valve implantation in failed stentless valves: a single-center experience.","authors":"Massimo Baudo, Serge Sicouri, Yoshiyuki Yamashita, Dimitrios Magouliotis, Francesco Cabrucci, Scott M Goldman, Roberto Rodriguez, Eric M Gnall, Paul M Coady, William A Gray, Sandro Gelsomino, Basel Ramlawi","doi":"10.25270/jic/25.00006","DOIUrl":"10.25270/jic/25.00006","url":null,"abstract":"<p><strong>Objectives: </strong>Valve-in-valve transcatheter aortic valve implantation (ViV-TAVI) offers an alternative to repeat cardiac surgery in selected patients. However, ViV-TAVI in previously implanted stentless valves is more challenging than in a stented valve. This single-center study aimed to analyze the outcomes of ViV-TAVI in stentless valves.</p><p><strong>Methods: </strong>Data were retrospectively collected from 1476 patients undergoing TAVI between January 2018 and December 2023. The primary study endpoint was 30-day and follow-up mortality. Secondary outcomes included Valve Academic Research Consortium (VARC)-3 technical success, VARC-3 device success, and VARC-3 early safety.</p><p><strong>Results: </strong>A total of 15 patients underwent ViV-TAVI within previously implanted stentless valves. The mean age of the patients was 78.1 ± 9.3 years, with a median STS-PROM score of 4.30 (3.05, 6.75). The mean time between SAVR and TAVI was 14.7 ± 3.9 years. Eight (53.3%) patients presented with severe aortic regurgitation, while 5 (33.3%) patients had severe aortic stenosis. There were no surgical conversions, but a single case of transcatheter heart valve malposition required the deployment of a second valve. One patient died within 30 days. VARC-3 technical success was achieved in 87.6% (n = 13) of patients, device success in 80% (n = 12), and early safety in 73.3% (n = 11). The median follow-up period was 2.9 (range, 1.3-4.3) years, during which 4 patients died.</p><p><strong>Conclusions: </strong>Careful patient selection is critical for ViV-TAVI procedures because of the high risk of complications, which is increased with stentless valves in addition to the standard risks associated with the ViV procedure. Larger studies are warranted to confirm these findings.</p>","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}