Journal of Invasive Cardiology最新文献_第2页

Double culprit lesion: a challenging case of simultaneous coronary thrombotic occlusion. 双重罪魁祸首病变：一个具有挑战性的病例，同时冠状动脉血栓闭塞。

IF 1.4 4区医学

Journal of Invasive Cardiology Pub Date : 2025-10-01 DOI: 10.25270/jic/25.00110

Giovanni Lorenzoni, Cristiana Denurra, Pierluigi Merella, Giuseppe Talanas, Gavino Casu

引用次数: 0

Acute allergic blepharoconjunctivitis during percutaneous coronary intervention. 经皮冠状动脉介入治疗中的急性过敏性眼睑结膜炎。

IF 1.4 4区医学

Journal of Invasive Cardiology Pub Date : 2025-10-01 DOI: 10.25270/jic/25.00097

Devesh Kumar, Sourabh Agstam

引用次数: 0

Clinical, procedural, and follow-up outcomes of percutaneous coronary intervention-related stroke: insight from the PROGRESS-COMPLICATIONS registry. 经皮冠状动脉介入治疗相关中风的临床、手术和随访结果：来自进展-并发症登记的见解

IF 1.4 4区医学

Journal of Invasive Cardiology Pub Date : 2025-10-01 DOI: 10.25270/jic/25.00157

Ozgur Selim Ser, Deniz Mutlu, Dimitrios Strepkos, Pedro E Carvalho, Michaella Alexandrou, Eleni Kladou, Olga Mastrodemos, Silvia Moscardelli, Primero Ng, Bavana V Rangan, Jas D Sara, Sandeep Jalli, Konstantinos Voudris, Lorenzo Azzalini, Yader Sandoval, M Nicholas Burke, Emmanouil S Brilakis

{"title":"Clinical, procedural, and follow-up outcomes of percutaneous coronary intervention-related stroke: insight from the PROGRESS-COMPLICATIONS registry.","authors":"Ozgur Selim Ser, Deniz Mutlu, Dimitrios Strepkos, Pedro E Carvalho, Michaella Alexandrou, Eleni Kladou, Olga Mastrodemos, Silvia Moscardelli, Primero Ng, Bavana V Rangan, Jas D Sara, Sandeep Jalli, Konstantinos Voudris, Lorenzo Azzalini, Yader Sandoval, M Nicholas Burke, Emmanouil S Brilakis","doi":"10.25270/jic/25.00157","DOIUrl":"10.25270/jic/25.00157","url":null,"abstract":"Background: Stroke is an infrequent but potentially severe complication of percutaneous coronary intervention (PCI).Methods: The authors describe the clinical features, angiographic characteristics, and procedural and follow-up outcomes of PCI-related stroke in the PROGRESS-COMPLICATIONS registry.Results: Of 22 503 patients who underwent PCI at 2 tertiary care centers between 2016 and 2023, 157 (0.7%) had PCI-related stroke: 10 (6.4%) had hemorrhagic stroke while 147 (93.6%) had ischemic stroke. The mean age of the stroke patients was 70 ± 11 years; 63.1% were men, 25.2% had prior heart failure, 71.0% had diabetes mellitus, 85.4% had hypertension, and 36.6% had chronic kidney disease. Radial access was used in 39.5% of the patients; 31.1% of stroke patients presented with ST-segment elevation myocardial infarction (STEMI), 49.7% with non-STEMI, and 14.6% with stable angina. The target lesions were complex: 47.1% were bifurcations, 63.7% had moderate to severe calcification, and 56.0% had thrombus. The mean minimum activated clotting time of the stroke patients was 214 (165, 245) seconds. Technical success was 93%. A mechanical circulatory support device was utilized in 31 (20%) of the patients, and 17 (10.8%) presented with cardiogenic shock. Hypotension during the procedure occurred in 36 patients (22.9%), bleeding occurred in 37 (23.6), and in-hospital mortality was 13.7%. During a median follow-up of 32 months, 48.3% of the patients had follow-up major adverse cardiovascular events (MACE) and 24.5% died.Conclusions: Stroke is an infrequent but severe complication of PCI, associated with high mortality and MACE. Most periprocedural strokes were ischemic.","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":"144859843","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

Ocular radiation exposure of the primary operator performing selective coronary angiography from a radial artery approach. 从桡动脉入路进行选择性冠状动脉造影的主要操作者的眼部辐射暴露。

IF 1.4 4区医学

Journal of Invasive Cardiology Pub Date : 2025-10-01 DOI: 10.25270/jic/25.00074

Richard Casazza, Bilal Malik, Arsalan Hashmi, Joshua Fogel, Enrico Montagna, Darren Gibson, Andres Palacio, Habiba Beginyazova, Robert Frankel, Jacob Shani

{"title":"Ocular radiation exposure of the primary operator performing selective coronary angiography from a radial artery approach.","authors":"Richard Casazza, Bilal Malik, Arsalan Hashmi, Joshua Fogel, Enrico Montagna, Darren Gibson, Andres Palacio, Habiba Beginyazova, Robert Frankel, Jacob Shani","doi":"10.25270/jic/25.00074","DOIUrl":"10.25270/jic/25.00074","url":null,"abstract":"Background: Radiation exposure is one of the most adverse occupational hazards faced by interventional cardiologists. The lens of the eye is considered highly radiosensitive. The left eye (LE) is at considerably more risk of radiation-induced cataracts than the right eye (RE) due to its proximity to the radiation source during cardiac catheterization.Methods: This single-center retrospective study (n = 534) assessed the cumulative radiation (CR) exposure in microsieverts (μSv) and the normalized radiation exposure (CR/DAP) to the LE and RE of the primary operator when using a radial artery approach.Results: In the whole sample, median CR (LE: 3 vs RE: 1, P less than .001) and median CR/DAP (LE: 0.11 vs RE: 0.03, P les than .001) were higher for the LE than the RE. This same pattern occurred in separate analyses of both radial artery approaches, regardless of patient sex, height, or body mass index.Conclusions: Radiation exposure to the LE compared with the RE of interventional cardiologists is significantly more during selective coronary angiography using a radial artery approach. The authors recommend the use of radioprotective glasses in conjunction with an optimally placed ceiling-mounted shield to minimize ocular radiation exposure.","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":"144009391","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

Coronary intravascular lithotripsy for acute stent underexpansion: a case series. 冠状动脉血管内碎石术治疗急性支架扩张不足：一个病例系列。

IF 1.4 4区医学

Journal of Invasive Cardiology Pub Date : 2025-09-30 DOI: 10.25270/jic/25.00293

Pooja Mishra, Jonathan Rosenberg, Verghese Mathew, Justin Levisay, Mark J Ricciardi, Arman Qamar

引用次数: 0

Leadless pacemaker placement through the subclavian vein: an alternative to the femoral route. 通过锁骨下静脉放置无铅起搏器：股骨路径的另一种选择。

IF 1.4 4区医学

Journal of Invasive Cardiology Pub Date : 2025-09-26 DOI: 10.25270/jic/25.00257

Leili Pourafkari, Jeong Hwan J Kim, Ali Sovari

引用次数: 0

Aortic valve calcification alone identifies transcatheter aortic valve replacement benefit in classical low-flow, low-gradient aortic stenosis. 主动脉瓣钙化单独确定经导管主动脉瓣置换术对经典低流量、低梯度主动脉瓣狭窄的益处。

IF 1.4 4区医学

Journal of Invasive Cardiology Pub Date : 2025-09-25 DOI: 10.25270/jic/25.00290

Yash Prakash, Eric J Kim, Ranbir Singh, Lakshay Chopra, Akarsh Sharma, Eileen Galvani, Thomas Hanlon, Ankita Naraparaju, Carlo Mannina, Oludamilola Akinmolayemi, Annapoorna S Kini, Samin K Sharma, Stamatios Lerakis

引用次数: 0

Plug-based vascular closure device in transfemoral transcatheter aortic valve implantation. 经股主动脉瓣置入术中导管塞式血管关闭装置的应用。

IF 1.4 4区医学

Journal of Invasive Cardiology Pub Date : 2025-09-08 DOI: 10.25270/jic/25.00181

Carlo Briguori, Luca Paolucci, Mario Scarpelli, Antonietta Di Iorio, Valeria Cavaliere, Amelia Focaccio, Francesca De Micco, Daniele Maselli

{"title":"Plug-based vascular closure device in transfemoral transcatheter aortic valve implantation.","authors":"Carlo Briguori, Luca Paolucci, Mario Scarpelli, Antonietta Di Iorio, Valeria Cavaliere, Amelia Focaccio, Francesca De Micco, Daniele Maselli","doi":"10.25270/jic/25.00181","DOIUrl":"https://doi.org/10.25270/jic/25.00181","url":null,"abstract":"Objectives: Failure of vascular closure device (VCD) is the most common cause of access-site vascular complications in transfemoral transcatheter aortic valve implantation (TAVI). The authors sought to determine if the systematic use of arteriotomy-site ballooning with concomitant manual compression following the delivery of a plug-based VCD (MANTA, Teleflex) can optimize toggle-plug assembly apposition to the common femoral artery (CFA) wall and improve the final hemostatic efficacy.Methods: In this prospective, observational, single-center study, 323 consecutive patients undergoing transfemoral TAVI from October 2021 to December 2024 underwent access closure with the MANTA VCD. The primary endpoints were VCD failure rate, predictors of VCD failure, and access-site and access-related major and minor vascular complications, according to the Valve Academic Research Consortium-3 definition.Results: VCD failure occurred in 12 (3.7%) patients (Failure group). The independent predictors of failure were minimum CFA diameter and patient risk as assessed by the Society of Thoracic Surgeons Predicted Risk of Mortality score. Receiver operating characteristic analysis showed CFA minimum diameter with an area under the curve of 0.77 (0.69-0.86, P less than .001); the best cutoff was 6.30 mm (sensitivity 83%; specificity 59%; positive predictive value 7%; negative predictive value 99%). Access-site vascular complications occurred in 21 (6.5%) patients.Conclusions: The systematic use of arteriotomy-site ballooning plus concomitant manual compression following MANTA VCD delivery should be considered to improve the final hemostatic efficacy. This device should be avoided when dealing with small (less than 6.3 mm) CFA diameters.","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034490","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

Drug-coated balloon strategy following intravascular lithotripsy to treat coronary de novo lesion: mid-term clinical outcomes of a preliminary experience. 血管内碎石后药物包被球囊策略治疗冠状动脉新生病变：初步经验的中期临床结果。

IF 1.4 4区医学

Journal of Invasive Cardiology Pub Date : 2025-09-08 DOI: 10.25270/jic/25.00183

Fabien Picard, Vincent Pham, Sophia El Harrrouchi, Pierre Brami, Vincent Millien, Ludovic Meunier

{"title":"Drug-coated balloon strategy following intravascular lithotripsy to treat coronary de novo lesion: mid-term clinical outcomes of a preliminary experience.","authors":"Fabien Picard, Vincent Pham, Sophia El Harrrouchi, Pierre Brami, Vincent Millien, Ludovic Meunier","doi":"10.25270/jic/25.00183","DOIUrl":"https://doi.org/10.25270/jic/25.00183","url":null,"abstract":"Objectives: The management of patients with calcified de novo lesions remains a major clinical challenge even in the era of drug-eluting stents (DES). Drug-coated balloon (DCB) therapy has emerged as an alternative to DES to treat de novo lesions. Nevertheless, the management of calcified lesions using intravascular lithotripsy (IVL) combined with DCB to treat de novo lesions has not been investigated. The authors report the short-term results of our preliminary experience with this novel approach.Methods: The authors conducted a multicenter retrospective study of 14 patients who underwent percutaneous coronary intervention for de novo lesions treated with IVL followed by DCB in 3 centers between September 2023 and July 2024.Results: The mean age of the patients was 69 years, and 71% were male. At 30 days, 1 patient experienced non-cardiac death. No lesion site thrombosis, target lesion revascularization (TLR), or cardiac death occurred at the 30-day follow-up. At the 6-month follow-up, 2 (14.3%) patients experienced TLR.Conclusions: This real-world data using IVL followed by DCB (in cases of acceptable lesion preparation) in patients with de novo calcified coronary lesions suggest that this strategy is feasible and appears to have an acceptable target lesion failure rate at mid-term follow-up. This proof of concept could be hypothesis-generating for larger studies.","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034382","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

Walls within walls: a tale of twin aortic stenosis in type II familial hypercholesterolemia. 壁内壁：II型家族性高胆固醇血症患者双主动脉狭窄的故事。

IF 1.4 4区医学

Journal of Invasive Cardiology Pub Date : 2025-09-08 DOI: 10.25270/jic/25.00267

Anbhigya Kumar Arya, Krishna Prasad Akkineni, Shrividya Rao, Saurabh Kumar Singh, Souvik Sardar, Anwar Hussain Ansari, Devesh Kumar

引用次数: 0