Clara Ugueto Rodrigo, Lucía Fernández Gassó, Santiago Jiménez Valero
{"title":"Cardiac lymphoma as a cause of dyspnea in an immunosuppressed patient: the importance of the endomyocardial biopsy.","authors":"Clara Ugueto Rodrigo, Lucía Fernández Gassó, Santiago Jiménez Valero","doi":"10.25270/jic/24.00071","DOIUrl":"10.25270/jic/24.00071","url":null,"abstract":"<p><p>A 69-year-old man who underwent a liver transplant in 2014 due to hepatitis C virus hepatopathy was evaluated for dyspnea on exertion and chest pain.</p>","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140190273","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}
Chenguang Li, Jing Wu, Jiayan Lin, Yizhe Wu, Rende Xu, Juying Quian, William Kongto Hau, Emanuele Barbato, Nils J Johnson, Barry Hennigan, Colin Berry, Keith G Oldroyd, Liang Song, Junbo Ge
{"title":"Validation of a new non-hyperemic physiological index: the constant-resistance ratio (cRR).","authors":"Chenguang Li, Jing Wu, Jiayan Lin, Yizhe Wu, Rende Xu, Juying Quian, William Kongto Hau, Emanuele Barbato, Nils J Johnson, Barry Hennigan, Colin Berry, Keith G Oldroyd, Liang Song, Junbo Ge","doi":"10.25270/jic/24.00047","DOIUrl":"10.25270/jic/24.00047","url":null,"abstract":"<p><strong>Objectives: </strong>The instantaneous wave-free ratio (iwFR) has limited availability. A new resting index called the constant-resistance ratio (cRR), which dynamically identifies cardiac intervals with constant and minimum resistance, has been developed; however, its diagnostic performance is unknown. The aim of this study was to validate the cRR by retrospectively calculating the cRR values from raw pressure waveforms of 2 publicly available datasets and compare them with those of the iwFR.</p><p><strong>Methods: </strong>Waveform data from the CONTRAST and VERIFY 2 studies were used. The primary endpoint was Bland-Altman bias between cRR and iwFR. Secondary endpoints included diagnostic agreement, correlation, receiver operating characteristic (ROC) analysis, and success rates of cRR and iwFR.</p><p><strong>Results: </strong>Among the 1036 waveforms, 871 were successful in determining paired cRR and iwFR values, while cRR was 6% more successful than iwFR (P less than .0001). The mean bias between cRR and iwFR was 0.003, with 95% limits of agreement [-0.021,0.028]. These 2 indices were highly correlated (r = 0.991; P less than .0001). Using an iwFR of 0.89 or less as the reference standard, the optimal cRR cutoff was 0.89, with an area under the ROC curve of 0.991 (P less than .001) and a diagnostic accuracy of 96.9% (95% CI [96%, 98%]).</p><p><strong>Conclusions: </strong>The cRR, a new resting index for identifying dynamic cardiac intervals with constant and minimum resistance, demonstrated high numerical agreement, diagnostic consistency, and a higher success rate than the iwFR based on the 2 publicly available datasets.</p>","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140319627","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}
Ariana Gonzálvez-García, Alfonso Jurado-Román, Daniel Tébar-Márquez, Santiago Jiménez-Valero, Guillermo Galeote, Borja Rivero-Santana, Raúl Moreno
{"title":"Role of dynamic road-mapping in renal denervation procedures.","authors":"Ariana Gonzálvez-García, Alfonso Jurado-Román, Daniel Tébar-Márquez, Santiago Jiménez-Valero, Guillermo Galeote, Borja Rivero-Santana, Raúl Moreno","doi":"10.25270/jic/24.00064","DOIUrl":"10.25270/jic/24.00064","url":null,"abstract":"<p><p>Dynamic road-mapping (DRM) (Dynamic Coronary Roadmap; Philips) offers a real-time, dynamic overlay of the coronary tree on fluoroscopy.</p>","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140190275","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}
Alberto Alperi, Cesar Moris, Raquel Del Valle, Isaac Pascual, Paula Antuna, Marcel Almendárez, Daniel Hernández-Vaquero, Jose Luis Betanzos, Josep Rodés-Cabau, Pablo Avanzas
{"title":"Hemodynamic performance of self-expandable transcatheter aortic valve replacement systems during valve deployment.","authors":"Alberto Alperi, Cesar Moris, Raquel Del Valle, Isaac Pascual, Paula Antuna, Marcel Almendárez, Daniel Hernández-Vaquero, Jose Luis Betanzos, Josep Rodés-Cabau, Pablo Avanzas","doi":"10.25270/jic/23.00286","DOIUrl":"10.25270/jic/23.00286","url":null,"abstract":"<p><strong>Objectives: </strong>Little is known about valve hemodynamic performance during the Evolut and Neo deployment course. We aimed to evaluate transvalvular mean and peak-to-peak gradients over several intraprocedural timepoints during TAVR with Evolut PRO+ (Medtronic) and Neo (Boston Scientific) systems.</p><p><strong>Methods: </strong>This was single-center pilot sub-study from the SavvyWire EFficacy and SafEty in Transcatheter Aortic Valve Implantation Procedures (SAFE-TAVI) trial. Participants received either the Evolut PRO+ or Neo for native valve severe aortic stenosis and the SavvyWire (OpSens Medical) was used for device delivery, pacing, and continuous left ventricular and aortic pressure measurements. For the Evolut, evaluation was done for baseline, two-thirds of valve deployment (still recapturable), 90% of valve deployment (no longer recapturable), and post-deployment hemodynamics. For the Neo, analysis was done at baseline, after the first step (top-crown deployment), and at final status.</p><p><strong>Results: </strong>Nineteen patients were included (Evolut = 15; Neo = 4). There were no statistically significant changes in peak-to-peak gradients (44 mm Hg [IQR:33-69] vs 43 mm Hg [IQR:26-62], P = .41) between baseline and two-thirds of valve deployment in the Evolut patients. There was a significant decrease in mean (40 mm Hg [IQR:32-54] vs 14 mm Hg [IQR:10-18], P less than .001) and peak-to-peak (43 mmHg [IQRS:26-62] vs 9 mm Hg [IQR:8-13], P less than .001) transvalvular gradients between two-thirds and 90% of valve deployment for Evolut. Neo patients exhibited a decrease in transvalvular gradients after top-crown deployment (42.5 mm Hg baseline vs 13 mm Hg).</p><p><strong>Conclusions: </strong>Transvalvular gradients did not vary between the point of \"no-recapture\" compared to baseline values in patients receiving the Evolut, whereas a significant reduction in transvalvular gradients was observed when the valve was deployed at 90% and fully deployed. The Neo valve was slightly obstructive after the first step of deployment.</p>","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140137332","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":"Images of an ectopic balloon expandable valve deployed at the aortic arch level following valve embolization.","authors":"Georgios Chalikias, Soultana Foutzitzi, Dimitrios Stakos, Dimitrios Tziakas","doi":"10.25270/jic/24.00062","DOIUrl":"10.25270/jic/24.00062","url":null,"abstract":"<p><p>An 83-year-old man with severe aortic stenosis underwent implantation of a 29-mm SAPIEN-3 (Edwards Lifesciences) transcatheter aortic valve (TAV) appropriately sized for an aortic annulus area of 543.6 mm2.</p>","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140190274","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}
Waqas Qureshi, Summer Aldrugh, Jeffrey Rade, Craig Smith, Alvaro Alonso, Youssef Rahban, Kurt G Barringhaus, Nikolaos Kakouros
{"title":"Technical success and long-term experience of a novel radial guide-catheter shape: the JCLRAD.","authors":"Waqas Qureshi, Summer Aldrugh, Jeffrey Rade, Craig Smith, Alvaro Alonso, Youssef Rahban, Kurt G Barringhaus, Nikolaos Kakouros","doi":"10.25270/jic/24.0114","DOIUrl":"https://doi.org/10.25270/jic/24.0114","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142562956","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}
J Dawn Abbott, George Adams, Nicholas Amoroso, Herbert Aronow, Itsik Ben-Dor, Sam Conaway, Megan Coylewright, Eric Dippel, Dmitriy Feldman, Kirk Garratt, Adam Greenbaum, George Hanzel, Jimmy Kerrigan, Ayman Magd, Sundeep Mishra, Piotr Musialek, Jihad Mustapha, Sigrid Nikol, William O'Neill, Rajan Patel, Charanjit Rihal, Michael Rinaldi, Toby Rogers, Souheil Saddekni, Jonathan Schwartz, Richard Smalling, Molly Szerlip, Jacqueline Tamis-Holland, Alexander Truesdell, Bonnie Weiner, David Wood
{"title":"Clinical conference proceedings: 17th biennial International Andreas Gruentzig Society meeting.","authors":"J Dawn Abbott, George Adams, Nicholas Amoroso, Herbert Aronow, Itsik Ben-Dor, Sam Conaway, Megan Coylewright, Eric Dippel, Dmitriy Feldman, Kirk Garratt, Adam Greenbaum, George Hanzel, Jimmy Kerrigan, Ayman Magd, Sundeep Mishra, Piotr Musialek, Jihad Mustapha, Sigrid Nikol, William O'Neill, Rajan Patel, Charanjit Rihal, Michael Rinaldi, Toby Rogers, Souheil Saddekni, Jonathan Schwartz, Richard Smalling, Molly Szerlip, Jacqueline Tamis-Holland, Alexander Truesdell, Bonnie Weiner, David Wood","doi":"10.25270/jic/24.10000","DOIUrl":"10.25270/jic/24.10000","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141499422","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}
Kewel Kanabar, Rujuta Parikh, Pooja Vyas, Vishal Sharma, Apoorva M
{"title":"Retrieval of a severely double-kinked catheter in the right brachial artery by internal fixation with a peripheral angioplasty balloon.","authors":"Kewel Kanabar, Rujuta Parikh, Pooja Vyas, Vishal Sharma, Apoorva M","doi":"10.25270/jic/24.00003","DOIUrl":"10.25270/jic/24.00003","url":null,"abstract":"<p><p>A 55-year-old female patient with unstable angina and accelerated hypertension was planned for invasive coronary and renal angiogram.</p>","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140040705","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":"Transcatheter management of acquired atresia of aorta.","authors":"Sourabh Agstam, Zia Abdullah, Shitij Chaudhary, Satyavir Yadav, Sivasubramanian Ramakrishnan","doi":"10.25270/jic/23.00298","DOIUrl":"10.25270/jic/23.00298","url":null,"abstract":"<p><p>A 24-year-old man was referred to our tertiary care center for the management of uncontrolled hypertension secondary to severe coarctation of aorta.</p>","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139998045","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}
Luis Fernandez Gonzalez, Koldobika Garcia San Román, Alejandro Crespo Hubsch, Roberto Blanco Mata
{"title":"Percutaneous treatment of an early complication after endocarditis surgery with Cabrol type repair.","authors":"Luis Fernandez Gonzalez, Koldobika Garcia San Román, Alejandro Crespo Hubsch, Roberto Blanco Mata","doi":"10.25270/jic/24.00017","DOIUrl":"10.25270/jic/24.00017","url":null,"abstract":"<p><p>We present a 70-year-old man with rheumatic mitral valve disease who had undergone 3 previous open-heart surgeries, the last of which was a new mitral valve replacement for a mechanical prosthesis due to early bioprosthetic endocarditis.</p>","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140040703","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}