Journal of Invasive Cardiology最新文献

{"title":"Blocked: a curious case of recurrent syncope following coronary intervention.","authors":"Shivam Goel, Nayani Makkar, Satyavir Yadav","doi":"10.25270/jic/25.00281","DOIUrl":"https://doi.org/10.25270/jic/25.00281","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253477","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":"Distal transradial coronary procedures in chronic versus acute coronary syndromes: insights from the DISTRACTION registry.","authors":"Marcos Danillo Oliveira, Adriano Caixeta","doi":"10.25270/jic/25.00201","DOIUrl":"https://doi.org/10.25270/jic/25.00201","url":null,"abstract":"<p><strong>Objectives: </strong>The benefits of distal (dTRA) over proximal transradial access (pTRA), mainly faster hemostasis and fewer radial artery occlusion, have been highlighted. Nevertheless, data addressing chronic vs acute coronary syndromes peculiarities are lacking; thus this study aimed to assess those differences.</p><p><strong>Methods: </strong>The authors conducted a retrospective analysis of 6871 consecutive and all-comers patients from a real-world, large-scale registry of routine coronary angiography and/or percutaneous coronary intervention (PCI) via dTRA.</p><p><strong>Results: </strong>Mean patient ages were 63.8 ± 15.7, 64.8 ± 15.7, and 62.9 ± 16 years for total, chronic, and acute coronary syndromes groups, respectively. In the chronic coronary syndromes group (n = 2,767, 40.3%) there was predominance of hypertension (83.5% vs 72.9%; P less than .001), diabetes (46.2% vs 37.4%; P less than .001), previous PCI (37.2% vs 20.2%; P less than .001) or coronary bypass surgery (4.9% vs 2.7%; P less than .001), previous ipsilateral pTRA (13.9% vs 8.5%; P less than .001) or dTRA (21.7% vs 8.9%; P less than 0.001) sheath insertion, and ultra-low contrast procedures (66.5% vs 61.2%; P less than .001). In the acute coronary syndromes group, there was predominance of male patients (66.9% vs 63.3%; P = .002), smokers (53.9% vs 45.6%; P less than .001), total amount of PCI (72.3% vs 48.5%; P less than .001), and right dTRA (85.3% vs 70.3%; P less than .001). No major adverse events directly related to dTRA were recorded.</p><p><strong>Conclusions: </strong>When performed by proficient operators, routine coronary procedures via dTRA appear to be safe and feasible in both chronic and acute coronary syndromes, with similar low rates of access-site crossovers and complications.</p>","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253488","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":"The hidden threat: masked coronary artery perforation due to coronary no-reflow.","authors":"Burcu Kodal, Tahir Bezgin, Aziz Inan Celik","doi":"10.25270/jic/25.00107","DOIUrl":"10.25270/jic/25.00107","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128698","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":"Extensive coronary artery vasospasm due to exercise and cold exposure.","authors":"Murat Akçay, Muhammed Cemallioglu, Esra Temiz Lafcı","doi":"10.25270/jic/25.00093","DOIUrl":"10.25270/jic/25.00093","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128491","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":"Rotational atherectomy for calcified coronary lesions in severe aortic stenosis before transcatheter aortic valve implantation.","authors":"Sultan Alotaibi, Abdelhakim Allai, Hajo Heyer, Nader Mankerious, Martin Landt, Mohamed Abdel-Wahab, Volker Geist, Ralph Tölg, Mohamed Samy, Gert Richardt, Karim Elbasha","doi":"10.25270/jic/25.00007","DOIUrl":"10.25270/jic/25.00007","url":null,"abstract":"<p><strong>Objectives: </strong>Calcified coronary artery disease (CAD) is prevalent in elderly patients with degenerative severe aortic stenosis (AS). Preparation of such calcified CAD using rotational atherectomy (RA) in those patients with severe AS is controversial and may carry a high risk of complications. The authors aimed to compare in-hospital outcomes following RA in patients with severe AS before transcatheter aortic valve implantation (TAVI) vs patients without AS.</p><p><strong>Methods: </strong>The authors retrieved data from the Prospective Segeberg TAVI Registry from January 2016 to October 2021. All AS patients who underwent RA within 6 months prior to TAVI were included for our analysis and compared with patients without AS. In-hospital MACE, defined as cardiac mortality, myocardial infarction, and target lesion revascularization was evaluated in both groups.</p><p><strong>Results: </strong>From a total of 472 patients who underwent RA, 38 (8.1%) patients had severe AS. The group with AS was older than the group without AS (84.4 ± 6.19 vs 75.2 ± 8.31; P less than .001). About one-fourth of the RA procedures in the patients with AS were performed for aorto-ostial lesions (26.3%). Slow flow was reported in 1 (2.6%) patient in AS group, but no perforation or trapped burr was reported. In-hospital major adverse cardiovascular events (MACE) occurred in 41 (8.7%) patients and was comparable in both groups (7.9% in AS group vs 8.8% in non-AS group; P = .857). Furthermore, the presence of severe AS was not associated with occurrence of more in-hospital MACE following RA (OR 1.12: 95% CI, 0.33-3.81; P = .857). The cumulative rate of all-cause and cardiac mortality was higher in the AS group than in the non-AS group ((44.6% vs 22.2%, P = .002; 31.9% vs 17.2%, P = .017, respectively).</p><p><strong>Conclusions: </strong>RA for preparing heavily calcified coronary lesions in patients with severe AS showed comparable in-hospital outcomes to patients without severe AS.</p>","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143811804","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":"Artificial intelligence for chronic total occlusion percutaneous coronary interventions.","authors":"Athanasios Rempakos, Pranathi Pilla, Michaella Alexandrou, Deniz Mutlu, Dimitrios Strepkos, Pedro E P Carvalho, Ozgur Selim Ser, Ali Bahbah, Amit Amin, Anand Prasad, Lorenzo Azzalini, Luiz F Ybarra, Olga C Mastrodemos, Bavana V Rangan, Ahmed Al-Ogaili, Sandeep Jalli, M Nicholas Burke, Yader Sandoval, Emmanouil S Brilakis","doi":"10.25270/jic/25.00089","DOIUrl":"10.25270/jic/25.00089","url":null,"abstract":"<p><p>Artificial intelligence (AI) has become pivotal in advancing medical care, particularly in interventional cardiology. Recent AI developments have proven effective in guiding advanced procedures and complex decisions. The authors review the latest AI-based innovations in the diagnosis of chronic total occlusions (CTO) and in determining the probability of success of CTO percutaneous coronary intervention (PCI). Neural networks and deep learning strategies were the most commonly used algorithms, and the models were trained and deployed using a variety of data types, such as clinical parameters and imaging. AI holds great promise in facilitating CTO PCI.</p>","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049037","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":"Aortic stent migration and aneurysmal rupture after thoracic endovascular aortic repair.","authors":"Leizhi Ku, Shengpeng Guo, Ming Qi","doi":"10.25270/jic/25.00114","DOIUrl":"10.25270/jic/25.00114","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182623","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":"Orbital atherectomy for calcified nodules following insufficient deformation by intravascular lithotripsy.","authors":"Toru Misawa, Tetsumin Lee, Takashi Ashikaga, Toshihiro Nozato, Taishi Yonetsu, Tetsuo Sasano","doi":"10.25270/jic/25.00072","DOIUrl":"10.25270/jic/25.00072","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128751","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":"Aortic dissection presenting as inferior wall myocardial infarction.","authors":"Lavina Chandwani, Anwar Hussain Ansari, Devesh Kumar","doi":"10.25270/jic/25.00109","DOIUrl":"10.25270/jic/25.00109","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129412","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":"Polidocanol ablation in midventricular obstructive cardiomyopathy: novel approach and early outcomes.","authors":"Ahmet Hakan Ates, Ahmet Kivrak, Ugur Canpolat, Can Menemencioglu, Mert Dogan, Cem Coteli, Mehmet Levent Sahiner, Ergun Barıs Kaya, Necla Ozer, Kudret Aytemir","doi":"10.25270/jic/25.00035","DOIUrl":"10.25270/jic/25.00035","url":null,"abstract":"<p><strong>Objectives: </strong>Midventricular obstructive hypertrophic cardiomyopathy (MVOHCM) poses significant challenges in diagnosis and treatment because of its unique anatomical and hemodynamic characteristics. Traditional interventions, such as alcohol septal ablation and surgical myectomy, are associated with complications and technical difficulties, prompting the search for alternative options. This study aimed to assess the safety, feasibility, and efficacy of polidocanol ablation in patients with symptomatic MVOHCM.</p><p><strong>Methods: </strong>Polidocanol was utilized as a novel ablation agent to achieve septal reduction in a retrospective cohort of 11 patients. Procedural success was defined as a reduction of at least 50% in the midventricular gradient. Echocardiography, computed tomography, and cardiac magnetic resonance imaging guided the selection of patients and the planning of procedures.</p><p><strong>Results: </strong>The procedure significantly reduced midventricular gradients in all patients, with no reports of polidocanol leakage. The New York Heart Association (NYHA) functional class improved notably (P = .003), and interventricular septum thickness decreased from 22.73 ± 3.9 mm to 20.09 ± 3.7 mm (P = .022). Conduction defects occurred in 54.5% of patients, necessitating the placement of an implantable cardioverter-defibrillator in 27.3% of cases. There was no peri-procedural mortality. During a median follow-up period of 14 months, significant and persistent improvements in midventricular gradient and NYHA functional class were observed.</p><p><strong>Conclusions: </strong>Polidocanol ablation was safe and effective as a minimally invasive option for managing MVOHCM, providing noteworthy procedural advantages. However, additional multicenter trials are needed to validate its use and establish standardized protocols.</p>","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812830","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}