Journal of Invasive Cardiology最新文献_第2页

Randomized comparison of a Gladius first versus standard antegrade wiring strategy for crossing coronary chronic total occlusions: the Gladius first trial.

IF 1.6 4区医学

Journal of Invasive Cardiology Pub Date : 2024-12-30 DOI: 10.25270/jic/24.00316

Maksymilian P Opolski, Antoni Zysk, Wojciech J Skorupski, Artur Debski, Adam Witkowski

{"title":"Randomized comparison of a Gladius first versus standard antegrade wiring strategy for crossing coronary chronic total occlusions: the Gladius first trial.","authors":"Maksymilian P Opolski, Antoni Zysk, Wojciech J Skorupski, Artur Debski, Adam Witkowski","doi":"10.25270/jic/24.00316","DOIUrl":"https://doi.org/10.25270/jic/24.00316","url":null,"abstract":"Objectives: Antegrade wiring (AW) is the most common coronary chronic total occlusion (CTO) crossing strategy and usually relies upon stepwise guidewire escalation starting from the low tip-load polymer-jacketed wire (standard guidewire escalation). The authors aimed to investigate whether the upfront use of intermediate tip-load polymer-jacketed guidewire translates into improved procedural outcomes of CTO percutaneous coronary intervention (PCI).Methods: The Gladius First trial was a single-center, investigator-initiated, randomized, prospective trial. The primary endpoint was the time of AW strategy, while the secondary endpoints included CTO crossing success, procedural success, contrast volume, radiation dose, total procedural time, safety parameters, equipment use, and cost.Results: Between 2021 and 2023, 69 patients with 70 CTO lesions (J-CTO score ≥ 1) were randomized to either upfront Gladius EX (Asahi Intecc) AW (n = 33) or standard guidewire escalation AW (n = 37). The clinical and angiographic characteristics of 2 groups were similar. Overall, CTO crossing and procedural success were 92.9% and 90%, respectively, and similar between groups. Although the AW time was significantly shorter in the Gladius AW group (10 minutes; IQR: 4-16 minutes) than in the standard AW group (21 minutes; IQR: 11-28 minutes, P = .001), the total procedural time, procedural success, safety parameters, resource use, and equipment cost were similar between groups.Conclusions: Compared with standard guidewire escalation, the upfront use of the Gladius guidewire was associated with a shorter AW time but similar total procedural time, procedural success, safety, and cost.","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916079","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

Percutaneous coronary intervention during the shortage of iodinated contrast.

IF 1.6 4区医学

Journal of Invasive Cardiology Pub Date : 2024-12-30 DOI: 10.25270/jic/24.00242

Zachary Gertz, Brian K Mitchell, Michael C Kontos, Nicholas R Teman, Anthony Norman, Raza Ahmad, Raymond J Strobel, Abdulla A Damluji, Robert A Shor, Alan Spier, Mohammed A Qauder

{"title":"Percutaneous coronary intervention during the shortage of iodinated contrast.","authors":"Zachary Gertz, Brian K Mitchell, Michael C Kontos, Nicholas R Teman, Anthony Norman, Raza Ahmad, Raymond J Strobel, Abdulla A Damluji, Robert A Shor, Alan Spier, Mohammed A Qauder","doi":"10.25270/jic/24.00242","DOIUrl":"https://doi.org/10.25270/jic/24.00242","url":null,"abstract":"Objectives: A recent coronavirus-related factory shutdown led to a global shortage of iodinated contrast. The authors evaluated how the contrast shortage impacted percutaneous coronary interventions (PCI).Methods: Using a statewide database incorporating CathPCI registry data from 19 hospitals, the authors evaluated 2 time periods: pre-shortage (May 1, 2021 - April 30, 2022) and during the shortage (May 1, 2022 - October 31, 2022). They compared procedure volumes, patient and procedure characteristics, and short-term outcomes, including acute kidney injury (AKI). Of primary interest was the difference in contrast volume per PCI and the incidence of AKI between periods.Results: There were 8980 patients treated pre-shortage and 4046 during the shortage. Procedure volumes per hospital remained similar, as did patient characteristics. Multivessel procedures declined during the shortage (45.3% vs 42.8%, P = .007). There was a significant decline in contrast per procedure (149.9 ± 68.1 mL to 137.5 ± 62.4 mL per case, P less than .0001) that began at the start of the shortage and continued throughout. There were no differences in patient outcomes, including AKI (7.9% vs 7.4%, P = .40), between study periods. When limited to patients at increased risk of AKI, there remained no difference in AKI between the study periods, despite a similar decrease in contrast volume in that cohort. Multivariable analysis showed a strong correlation between baseline risk of AKI and subsequent AKI (P less than .0001), but no impact of procedure characteristics or time period.Conclusions: The global shortage of iodinated contrast led to a significant decline in contrast use during PCI, with no impact on patient outcomes.","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916076","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

Uncommon etiology of ST-elevation myocardial infarction: Behçet's disease-induced coronary aneurysm.

IF 1.6 4区医学

Journal of Invasive Cardiology Pub Date : 2024-12-30 DOI: 10.25270/jic/24.00352

Deniz Mutlu, Zafer Akman, Mehmet Semih Belpinar, Cezar A Iliescu, Konstantinos Marmagkiolis, Mehmet Cilingiroglu

引用次数: 0

Coronary access after ascending aorta repair.

IF 1.6 4区医学

Journal of Invasive Cardiology Pub Date : 2024-12-30 DOI: 10.25270/jic/24.00348

Rimmy Farrakhan, Puja Parikh, John P Reilly, Maroun Yammine, On Chen

引用次数: 0

Transcatheter closure of a complex paravalvular leak associated with a large ventricular pseudoaneurysm.

IF 1.6 4区医学

Journal of Invasive Cardiology Pub Date : 2024-12-30 DOI: 10.25270/jic/24.00351

Craig Basman, Ryan Kaple, Sung-Han Yoon, Vladimir Jelnin, Jessica Willert, Perry Wengrofsky, George Stoupakis

引用次数: 0

Coronary-pulmonary artery fistula with aneurysm formations.

IF 1.6 4区医学

Journal of Invasive Cardiology Pub Date : 2024-12-23 DOI: 10.25270/jic/24.00345

Zhenzhen Xiao, Li Zhu

引用次数: 0

Emergency repair of stent misplacement in a false lumen.

IF 1.6 4区医学

Journal of Invasive Cardiology Pub Date : 2024-12-03 DOI: 10.25270/jic/24.00333

Jingjing Chen, Li Zhu

引用次数: 0

Guide catheter extension use in chronic total occlusion percutaneous coronary intervention: insights from the PROGRESS CTO registry. 慢性全闭塞经皮冠状动脉介入治疗中导引导管延伸的使用：PROGRESS CTO 登记的启示。

IF 1.6 4区医学

Journal of Invasive Cardiology Pub Date : 2024-12-01 DOI: 10.25270/jic/24.00117

Ahmed Al-Ogaili, Deniz Mutlu, Michaella Alexandrou, Athanasios Rempakos, Bavana V Rangan, Olga C Mastrodemos, Yader Sandoval, M Nicholas Burke, Emmanouil S Brilakis

{"title":"Guide catheter extension use in chronic total occlusion percutaneous coronary intervention: insights from the PROGRESS CTO registry.","authors":"Ahmed Al-Ogaili, Deniz Mutlu, Michaella Alexandrou, Athanasios Rempakos, Bavana V Rangan, Olga C Mastrodemos, Yader Sandoval, M Nicholas Burke, Emmanouil S Brilakis","doi":"10.25270/jic/24.00117","DOIUrl":"10.25270/jic/24.00117","url":null,"abstract":"There are limited data on the use of guide catheter extensions (GCE) during chronic total occlusion (CTO) percutaneous coronary intervention (PCI). We examined the frequency and temporal trends of GCE use in a large multicenter CTO-PCI registry and compared the clinical and angiographic characteristics and outcomes of cases with vs without GCE use. A GCE was used in 4106 of 14 521 CTO PCIs (28%) with increasing frequency from 18.8% in 2012 to 29.9% in 2023. The most used GCE size was 6 French (Fr) (45%), followed by 7 Fr (34%), and 8 Fr (21%). CTOs that required GCE use were more likely to have unfavorable lesion characteristics such as moderate-to-severe calcification (59% vs 40%, P less than .0001), moderate-to-severe tortuosity (35% vs 28%, P less than .0001), proximal cap ambiguity (39% vs 33%, P less than .0001), and had higher J-CTO scores (2.78 ± 1.15 vs 2.20 ± 1.27, P less than .0001). Advanced techniques like the retrograde approach (44% vs 24%, P less than .0001) and antegrade dissection and re-entry (28% vs 17%, P less than .0001) were more likely to be used in GCE cases. Technical success (86.6% vs 86.8%, P = .816) was similar between the 2 groups. However, major adverse cardiovascular events (MACE) (3.8% vs 2.4%, P less than .0001) and procedural complications (11.2% vs 8.7%, P less than .0001) were more frequent in the GCE group. In summary, GCE use in CTO PCI significantly increased between 2012 and 2023. Cases that required GCEs were more complex and had similar technical success, but higher incidence of MACE compared with cases that did not require GCEs.","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141910149","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

Correction to: same-day discharge after elective percutaneous coronary intervention for chronic total occlusion in the UK.

IF 1.6 4区医学

Journal of Invasive Cardiology Pub Date : 2024-12-01 DOI: 10.25270/jic/21.00036.cx

Paraskevi Taxiarchi, Evangelos Kontopantelis, Tim Kinnaird, Nick Curzen, Javed Ahmed, Azfar Zaman, Peter Ludman, Ahmad Shoaib, Glen P Martin, Mamas A Mamas

引用次数: 0

Gas wala pain: an unusual association of acute gastric dilatation and myocardial infarction. 胃痛：急性胃扩张与心肌梗死的不寻常关联。

IF 1.6 4区医学

Journal of Invasive Cardiology Pub Date : 2024-12-01 DOI: 10.25270/jic/24.00167

Neelam Dahiya, Somyata Somendra

引用次数: 0