Journal of Invasive Cardiology最新文献

{"title":"Emergency repair of stent misplacement in a false lumen.","authors":"Jingjing Chen, Li Zhu","doi":"10.25270/jic/24.00333","DOIUrl":"10.25270/jic/24.00333","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787425","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":"Ultra-low contrast strategy for routine coronary procedures via distal transradial access: real-world experience with consecutive all-comers patients from the DISTRACTION registry.","authors":"Marcos Danillo Oliveira, Adriano Caixeta","doi":"10.25270/jic/24.00276","DOIUrl":"10.25270/jic/24.00276","url":null,"abstract":"<p><strong>Objectives: </strong>The association of contrast volume to the risk of contrast-related acute kidney injury (CR-AKI) appears to have resulted in a change in daily practice toward using lower contrast volume for all patients. Distal transradial access (dTRA) has advantages in terms of faster haemostasis and lower rates of proximal radial artery occlusion. The present study aimed to describe the authors' experience with the combination of ultra-low contrast (ULC) strategy and dTRA for routine coronary procedures in a real-world and broad population of all-comers patients.</p><p><strong>Methods: </strong>Of 6852 patients consecutively included into the DISTRACTION registry from February 2019 to July 2024, successful ULC coronary procedures via dTRA were achieved in 4328 (63.2%). Related data were retrospectively assessed.</p><p><strong>Results: </strong>Most patients were male with acute coronary syndromes, and the mean patient age was 63.6 ± 15 years. Access-site crossover occurred in only 3% of cases. Right dTRA was the most frequently utilized primary access site, and was almost always performed with standard 6-French radial sheaths. ULC strategy was feasible for every scenario, with the overall contrast volume less than or equal to 40 mL for 96.4% of all patients, regardless of coronary bypass surgical grafts presence, percutaneous coronary intervention immediately following coronary angiography, anatomical or clinical complexity, or unavailability of intravascular ultrasound guidance. Neither major complications nor major adverse cerebrovascular and cardiac events directly related to dTRA were recorded. The rates of CR-AKI were very low (1.1%).</p><p><strong>Conclusions: </strong>When performed by experienced operators, the minimalist combination of ULC strategy and dTRA for routine coronary procedures, regardless of baseline creatinine clearance, appears to be safe and feasible.</p>","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683087","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":"Giant traumatic external iliac artery-femoral arteriovenous fistula.","authors":"Leizhi Ku, Yuhang Wang, Zheng Liu, Xiaojing Ma","doi":"10.25270/jic/24.00298","DOIUrl":"10.25270/jic/24.00298","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142682910","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":"Intravascular lithotripsy-assisted intervention in patients with congenital heart disease.","authors":"Zachary L Steinberg, Lauren N Carlozzi, Brian H Morray","doi":"10.25270/jic/24.00272","DOIUrl":"10.25270/jic/24.00272","url":null,"abstract":"<p><strong>Objectives: </strong>The use of intravascular lithotripsy (IVL) in patients with calcified coronary and peripheral arterial disease is now commonplace; however, its use in procedures specific to congenital heart disease is rare, with a very limited published case-based experience to date. The authors report the outcomes of 4 patients with congenital heart disease who underwent IVL-assisted transcatheter procedures in the effort to inform future operators as to the potential benefits and risks of this technology in this patient population.</p><p><strong>Methods and results: </strong>Four patients underwent IVL-assisted transcatheter procedures including branch pulmonary artery stenting, aortic coarctation stenting, and transcatheter pulmonary valve replacement. All 4 patients underwent successful IVL-assisted implantation of large stents in highly calcified native or surgically implanted biological conduits without significant complications.</p><p><strong>Conclusions: </strong>The use of IVL-assisted interventions in patients with severe native or surgical calcified vascular conduits is feasible and may be a useful adjunct in conduit stent implantation and dilation. Vascular injury during angioplasty of calcified vessels and conduits remains a concern despite the use of lithotripsy, and covered stent implantation should be considered prior to aggressive dilation in order to reduce the risk of catastrophic rupture.</p>","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683063","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":"Heart rate variability of interventional cardiology fellows and attendings and changes over time.","authors":"Michaella Alexandrou, Pedro E P Carvalho, Dimitrios Strepkos, Deniz Mutlu, Athanasios Rempakos, Olga Mastrodemos, Bavana V Rangan, Sandeep Jalli, Mario Goessl, Ahmed Al Ogaili, Konstantinos Vourdris, Özgür Selim Ster, Muhammad Hamza Saad Shaukat, Gauravpal Singh Gill, Joe Jensen, Jaskanwal Deep Singh Sara, Maksymilian P Opolski, Yader Sandoval, M Nicholas Burke, Mark Linzer, Emmanouil S Brilakis","doi":"10.25270/jic/25.00011","DOIUrl":"https://doi.org/10.25270/jic/25.00011","url":null,"abstract":"<p><strong>Objectives: </strong>The levels of stress experienced by interventional cardiologists (IC) while performing procedures are not well known. The study examined the IC fellow and attending stress levels using both objective (heart rate variability [HRV]) and subjective (State Trait Anxiety Inventory [STAI]) metrics across the IC fellowship.</p><p><strong>Methods: </strong>Six ICs participated in a study conducted over 2 periods, each lasting 10 to 14 days. Participants recorded their HRV using a Polar H10 chest strap (Polar Electro, Inc.) and a WHOOP 4.0 wrist band (WHOOP). The low frequency/high frequency (LF/HF) ratio, biomarker of sympathetic system activation, and related metrics were calculated using Kubios HRV Scientific software (Kubios Oy).</p><p><strong>Results: </strong>A total of 217 procedures were analyzed. The median LF/HF ratio during procedures was significantly higher than at baseline (6.2 vs 4.1, P less than .001). Complex procedures had higher LF/HF ratio difference (procedural minus baseline LH/HF ratio) compared with non-complex procedures (2.55 vs 1.73, P less than .001), as did procedures with complications compared with uncomplicated procedures (3.01 vs 1.82, P less than .001) and emergent compared with non-emergent (3.51 vs 1.84, P less than .001) procedures. Procedures performed during period 2 (end of IC fellowship) had a lower LF/HF ratio difference (2.96 vs 1.10, P less than .001) but higher daily resting HRV (52 vs 46, P less than .001) compared with period 1 (beginning of IC fellowship). No correlation was detected between the pre- and post-procedural LF/HF ratio difference and the STAI score difference.</p><p><strong>Conclusions: </strong>Interventional cardiologists experience significant stress, as measured by the LF/HF ratio, during complex, emergency, and complicated procedures; however, stress levels decrease later in the IC fellowship.</p>","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812822","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":"Uncommon etiology of ST-elevation myocardial infarction: Behçet's disease-induced coronary aneurysm.","authors":"Deniz Mutlu, Zafer Akman, Mehmet Semih Belpinar, Cezar A Iliescu, Konstantinos Marmagkiolis, Mehmet Cilingiroglu","doi":"10.25270/jic/24.00352","DOIUrl":"10.25270/jic/24.00352","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916003","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":"Procedural and long-term thromboembolic outcomes after left atrial appendage closure: comparison of patients with reduced and preserved left ventricular ejection fraction.","authors":"Nicolas Majunke, Hamza El Hadi, Steffen Desch, Tobias Kister, Maria Buske, Natalie Fischer, Katharina Kirsch, Janine Pöss, Holger Thiele, Marcus Sandri","doi":"10.25270/jic/24.00347","DOIUrl":"https://doi.org/10.25270/jic/24.00347","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the impact of left ventricular ejection fraction (LVEF) on periprocedural complications and long-term thromboembolic events in patients with non-valvular atrial fibrillation (NVAF) treated with interventional left atrial appendage closure (LAAC).</p><p><strong>Methods: </strong>In a retrospective single-center study, a total of 612 patients who underwent successful interventional LAAC were divided into 2 groups: 139 patients with reduced LVEF (less than 50%) and 473 patients with preserved LVEF (≥ 50%). Baseline characteristics, in-hospital procedural complications, and long-term thromboembolic events were compared between the 2 groups.</p><p><strong>Results: </strong>Patients with reduced LVEF were more likely to be female with a higher CHA2DS2-VA-Score (median 5 vs 4; P less than .0001) and had higher rates of diabetes mellitus (54% vs. 40%; P = .003) and coronary/peripheral artery disease (68% vs 41%; P less than .0001). There was no significant difference in procedure-related complications (major or minor bleeding [2.1% vs 4.2%; P = .44], access site complications [0% vs 4.2%; P = .08], cardiac tamponade [0.7% vs. 0.6%; P = .91], transient ischemic attack (TIA) [1.4% vs. 0.4%; P = .19], stroke [0% vs 0%], and in-hospital death [0% vs 0%]) between the 2 groups. Both groups had a similar median duration of long-term follow-up (20 vs 19 months, respectively; P = .15). During follow-up, there was no significant difference in the rates of TIA (2.2% vs 1.1%; P = .32), stroke (0.7% vs 1.9%; P = .33), or systemic thromboembolic events (0.7% vs 0.4%; P = .66) between the 2 groups.</p><p><strong>Conclusions: </strong>In patients with reduced LVEF, the procedural safety of LAAC and the long-term rate of thromboembolic events were consistently low and comparable to patients with preserved LVEF.</p>","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143736257","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":"Enhancing productivity: how AI chatbots can benefit cardiologists.","authors":"Michaella Alexandrou, Dimitrios Strepkos, Arun Mahtani, Yader Sandoval, Emmanouil S Brilakis","doi":"10.25270/jic/25.00052","DOIUrl":"10.25270/jic/25.00052","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143736255","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":"Closure devices versus manual compression to achieve hemostasis post-patent foramen ovale closure.","authors":"Saif Zako, David Naguib, Kathrin Klein, Asena Öz, Carolin Helten, Philipp Mourikis, Daniel Metzen, Malte Kelm, Tobias Zeus, Amin Polzin","doi":"10.25270/jic/25.00021","DOIUrl":"https://doi.org/10.25270/jic/25.00021","url":null,"abstract":"<p><strong>Objectives: </strong>Venous access plays a crucial role in various interventional cardiology procedures, including percutaneous patent foramen ovale (PFO) closure. Traditionally, manual compression has been the standard method for achieving hemostasis following venous access. However, this approach may be associated with potential complications such as puncture site bleedings. The aim of the study was to compare the safety and efficacy of different venous closure techniques.</p><p><strong>Methods: </strong>The authors conducted a single-center observational study of 220 patients undergoing PFO closure. The study quasi-randomized participants to 1 of 3 methods: Z-suture closure, Perclose ProGlide suture-mediated closure (Abbott), and manual compression. The primary outcome was the occurrence of bleeding events, classified according to the standardized Bleeding Academic Research Consortium (BARC) classification system.</p><p><strong>Results: </strong>Bleeding events were not significantly different between the closure groups. Of the patients who received manual compression, 14.2% (n = 17) experienced BARC bleeding events of 2 or higher. In the Z-suture group, 14.5% (n = 7) of patients had BARC bleeding events of 2 or higher. In the ProGlide group, 15% (n = 8) of patients experienced such events (P = .9). Only 1 patient in the manual compression group experienced a severe bleeding event (BARC 3). However, no cases of BARC 4 or 5 occurred in any of the closure groups.</p><p><strong>Conclusions: </strong>The Z-suture and ProGlide methods are safe and efficient for venous occlusion after percutaneous PFO closure compared with manual compression.</p>","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143736253","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":"Intravascular brachytherapy for the management of drug-eluting in-stent restenosis.","authors":"Atul D Bali, Sadrine Lebrun, Abduljabar Adi, Varinder Singh, Michael C Kim, Arber Kodra","doi":"10.25270/jic/24.00341","DOIUrl":"https://doi.org/10.25270/jic/24.00341","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to evaluate the utilization and clinical outcomes of coronary intravascular brachytherapy (IVBT) as a treatment modality for multilayer in-stent restenosis (ISR).</p><p><strong>Methods: </strong>This multicenter study retrospectively analyzed 101 patients who presented for percutaneous intervention of recurrent drug-eluting stent ISR using IVBT from 2019 to 2023. The primary outcome assessed was target lesion revascularization (TLR) at 1 year. Secondary endpoints were aimed to establish procedural safety. All lesions had evaluation by either angiography, intravascular ultrasound, or both.</p><p><strong>Results: </strong>The majority of ISR was related to neointimal hyperplasia (61.4%), with stent underexpansion (11.9%) being the second most common cause. The average layer of stents in the sample was 1.90 layers. Prior to delivery of IVBT, lesions were prepared with balloon angioplasty, laser atherectomy, intravascular lithotripsy, or a combination of pretreatment strategies. The average time of the IVBT dwell period was 11 minutes, with an average dose of 21.76 Gy. Of the 101 patients evaluated, TLR occurred in 10.9% of patients at 1 year. Readmission at 30 days was 4.9% and vascular complications occurred in 3.9% of the patients. Major adverse cardiac events were limited to 0.9% of the patients, and no peri-procedural myocardial infarctions, urgent need for revascularization within 24 hours, need for mechanical support, nor cardiac arrest were observed.</p><p><strong>Conclusions: </strong>In this study, IVBT proved to be a safe and effective treatment modality for multilayer ISR. The study generates the hypothesis for the routine use of IVBT in this commonly encountered clinical scenario. Larger and prospective randomized studies are needed.</p>","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574351","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}