Journal of Invasive Cardiology最新文献_第10页

Ruptured intra-aortic balloon pump balloon entrapment successfully removed percutaneously without vascular repair. 破裂的主动脉内球囊泵球囊夹持经皮切除成功，没有血管修复。

IF 1.4 4区医学

Journal of Invasive Cardiology Pub Date : 2026-06-01 DOI: 10.25270/jic/25.00357

Kwok-Ho Yau, Tin Wah Christopher Lau, Justin Ka-Ho Wong, Samuel Tsoon-Wuan Lo, Kin-Lam Tsui

引用次数: 0

SWITCHing to Distal RaiL: a tracking technique for rotational atherectomy procedures-short-term outcomes and impact on clinical practice (the SWITCH D-RIL registry). 切换到远端轨道：旋转动脉粥样硬化切除术的跟踪技术-短期结果和对临床实践的影响（SWITCH D-RIL注册）。

IF 1.6 4区医学

Journal of Invasive Cardiology Pub Date : 2026-06-01 DOI: 10.25270/jic/25.00355

Giuseppe Colletti, Gregory A Sgueglia, Adrien Jossart, Caroline Lepièce, Olivier Gach, Alexandre Natalis, Laura Peter, Silviu Dumitrascu, Claudiu Ungureanu

{"title":"SWITCHing to Distal RaiL: a tracking technique for rotational atherectomy procedures-short-term outcomes and impact on clinical practice (the SWITCH D-RIL registry).","authors":"Giuseppe Colletti, Gregory A Sgueglia, Adrien Jossart, Caroline Lepièce, Olivier Gach, Alexandre Natalis, Laura Peter, Silviu Dumitrascu, Claudiu Ungureanu","doi":"10.25270/jic/25.00355","DOIUrl":"10.25270/jic/25.00355","url":null,"abstract":"Objectives: Despite the preference for transradial access (TRA) in percutaneous coronary interventions (PCI), many operators still use large-bore guiding catheters through the transfemoral approach (TFA), especially in complex cases. This study evaluated the feasibility, safety, and efficacy of the Distal RailTracking (DRT) technique, a sheathless approach via distal radial access (DRA), and investigated its impact on clinical practice.Methods: The multicenter SWITCH D-RIL study enrolled patients who required treatment of severely calcified coronary disease by rotational atherectomy, and compared those who underwent PCI before (pre-DRT, n = 97) and after (post-DRT, n = 99) DRT was adopted as the primary approach.Results: Procedural success rates without access site crossover were similar between groups. No significant differences were found in periprocedural complications, in-hospital and 30-day major adverse cardiovascular events, and access- and non-access-related major bleedings. The post-DRT group exhibited a significantly higher use of large-bore guiding catheters (97.1% vs 31.7%). Overall, DRA was used in 90.5% of cases in the post-DRT group, with TFA accounting for 9.5%; the pre-DRT group primarily employed conventional TRA (82.2%), with the remaining cases involving TFA and 1 transbrachial access. The post-DRT group demonstrated increased usage of burrs larger than 1.5 mm (51.4% vs 13.9%) and additional calcium modifying tools (42.9% vs 24.8%).Conclusions: The DRT technique demonstrated feasibility, safety, and efficacy in treating severely calcified coronary disease. This study highlights the reliability of DRA, even when large bore guiding catheters are necessary, emphasizing its potential to provide a safer approach while ensuring radial artery preservation.","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146068174","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}

引用次数: 0

Laser application in severe stent underexpansion. 激光在严重支架欠膨胀中的应用。

IF 1.4 4区医学

Journal of Invasive Cardiology Pub Date : 2026-06-01 DOI: 10.25270/jic/25.00360

Iosif Xenogiannis, Efthymia Varytimiadi, Aggeliki Rigatou, Michael Koutouzis

引用次数: 0

Sex disparities in coronary angiography findings of out-of-hospital cardiac arrest complicating acute coronary syndromes. 院外心脏骤停并发急性冠状动脉综合征冠状动脉造影结果的性别差异

IF 1.4 4区医学

Journal of Invasive Cardiology Pub Date : 2026-06-01 DOI: 10.25270/jic/25.00359

Manveer Singh, Fabien Picard, Alain Cariou, Olivier Varenne, Vincent Pham

{"title":"Sex disparities in coronary angiography findings of out-of-hospital cardiac arrest complicating acute coronary syndromes.","authors":"Manveer Singh, Fabien Picard, Alain Cariou, Olivier Varenne, Vincent Pham","doi":"10.25270/jic/25.00359","DOIUrl":"10.25270/jic/25.00359","url":null,"abstract":"Objectives: Sex-based disparities have been widely reported in the management and outcomes of out-of-hospital cardiac arrest (OHCA), often complicating acute coronary syndromes (ACS). While previous studies have demonstrated that female patients are less likely to undergo invasive coronary angiography (ICA) or percutaneous coronary intervention (PCI), little is known about potential differences in coronary anatomy or PCI strategies in this context. The authors sought to evaluate sex-related differences in ICA findings and PCI management among OHCA survivors with angiographically confirmed ACS.Methods: The authors conducted a retrospective, single-center study including consecutive OHCA patients admitted to the intensive care unit of a tertiary center between 2007 and 2024 who underwent emergent PCI. Propensity score matching was used to compare female and male based on key baseline characteristics. Coronary lesion characteristics, procedural data, and clinical outcomes were analyzed.Results: Among 486 patients (mean age 60.6 ± 12.2 years), 105 (21.6%) were female patients. After matching, 210 patients (105 female, 105 male) were included. No significant differences were observed in the extent of coronary artery disease, lesion complexity, or PCI strategies. Female patients had more frequent right coronary artery culprit lesions and less left circumflex involvement. Thrombus aspiration was more common in female patients (33.3% vs 21.0%, P = .04). Adjusted in-hospital and 3-month mortality rates were not significantly different.Conclusions: In OHCA survivors with ACS undergoing PCI, females and males had similar angiographic profiles and PCI approaches. These findings suggest that coronary and procedural factors do not explain sex-based differences in OHCA outcomes, underlining the need for equitable access to early invasive management.","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147291542","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}

引用次数: 0

Real-time intravascular ultrasound-assisted wiring of a subtotal left anterior descending artery ostial lesion to achieve percutaneous coronary intervention with minimal contrast. 超声辅助下实时血管内线对左前降支口次全病变进行经皮冠状动脉介入治疗。

IF 1.4 4区医学

Journal of Invasive Cardiology Pub Date : 2026-06-01 DOI: 10.25270/jic/25.00358

Kwok-Ho Yau, Justin Ka-Ho Wong, Tin-Yau Chan, Kin-Lam Tsui

引用次数: 0

Sex specificities of patients undergoing coronary procedures and experiencing transradial approach failures. 冠状动脉手术和经桡动脉入路失败患者的性别特异性

IF 1.4 4区医学

Journal of Invasive Cardiology Pub Date : 2026-06-01 DOI: 10.25270/jic/25.00354

Carmine Musto, Luca Paolucci, Giulia Nardi, Enrico Romagnoli, Flavia Belloni, Giovanni Farraiuoli, Giuseppe Talanas, Attilio Placanica, Massimo Mancone, Enrico Occhiuzzi, Francesco De Felice, Alessandro Sciahbasi

{"title":"Sex specificities of patients undergoing coronary procedures and experiencing transradial approach failures.","authors":"Carmine Musto, Luca Paolucci, Giulia Nardi, Enrico Romagnoli, Flavia Belloni, Giovanni Farraiuoli, Giuseppe Talanas, Attilio Placanica, Massimo Mancone, Enrico Occhiuzzi, Francesco De Felice, Alessandro Sciahbasi","doi":"10.25270/jic/25.00354","DOIUrl":"10.25270/jic/25.00354","url":null,"abstract":"Objectives: Failed transradial approach (TRA) in patients undergoing percutaneous coronary procedures is associated with higher rates of vascular complications. While female sex is associated with an increased risk of failed TRA, it is unknown if females are also exposed to an increased risk of adverse events after access crossover. The authors compared the outcomes of males and females experiencing crossover following a failed TRA.Methods: The REPEAT study prospectively enrolled patients undergoing coronary procedures through TRA with access failure. In this subanalysis, patients were stratified according to sex. Propensity score matching for major confounders was used to generate comparable groups. The primary outcome was a composite of vascular complication and significant bleeding.Results: Of 462 patients experiencing TRA failure, 245 were male and 217 female. Female patients were older and showed fewer comorbidities. TRA failure was more commonly related to radial tortuosity in females and subclavian tortuosity in males. After propensity score matching, 123 pairs were selected. Females showed higher rates of femoral crossover compared with males, in whom a contralateral radial access is mostly preferred. The incidence of the primary outcome was comparable between the 2 groups (males: 8.1% vs females: 12.2%; odds ratio [OR], 1.57; 95% CI, 0.68-3.64; P = .294). Consistent results were evident in a sensitivity analysis on patients undergoing cross over to femoral access (males: 14.5% vs females: 13.0%; OR, 0.8; 8 95% CI, 0.33-2.33; P = .805).Conclusions: In patients experiencing a failed TRA, no statistically significant differences were evident in terms of vascular complications or bleeding between females and males.","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147291618","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}

引用次数: 0

"War on shock" redux: a decade of progress, promise, and potential. 《反恐战争》重放版：十年的进步、希望和潜力。

IF 1.4 4区医学

Journal of Invasive Cardiology Pub Date : 2026-06-01 DOI: 10.25270/jic/26.00001

Alexander G Truesdell, Megan Terek, Ramesh Singh, Michelle Ferri, Shashank S Sinha

引用次数: 0

Severe coronary vasospasm mimicking STEMI after drug-coated balloon angioplasty. 药物包被球囊血管成形术后模拟STEMI的严重冠状血管痉挛。

IF 1.4 4区医学

Journal of Invasive Cardiology Pub Date : 2026-06-01 DOI: 10.25270/jic/26.00129

Kit Yee Chu, Zain Abidi, Ghassan Dalloul

引用次数: 0

When spasm mimics STEMI: a post-PCI surprise. 当痉挛模仿STEMI: pci后惊喜。

IF 1.4 4区医学

Journal of Invasive Cardiology Pub Date : 2026-05-28 DOI: 10.25270/jic/26.00154

Keshav Sachdeva, Vandeep Basra, Suraj Kumar, Bhupinder Singh, Tejinder Singh Malhi

引用次数: 0

When the left ventricle dances: ballerina foot appearance in hypertrophic cardiomyopathy. 当左心室跳舞时：肥厚性心肌病的芭蕾舞足样。

IF 1.4 4区医学

Journal of Invasive Cardiology Pub Date : 2026-05-27 DOI: 10.25270/jic/26.00152

Mohit Gupta, Anwar Hussan Ansari, Puneet Gupta, Anunay Gupta, Devesh Kumar

引用次数: 0