Journal of Invasive Cardiology最新文献

{"title":"Right coronary artery takeoff plane and implications for brachiocephalic interventions and next generation transcatheter aortic valve intervention embolic protection devices.","authors":"Umair Bajwa, Mohammad Chaudhry, Danielle Retcho, Sohira Idrees, Lukasz Partyka, Rajiv Tayal, Arash Salemi, Sergio Waxman, Najam Wasty","doi":"10.25270/jic/25.00140","DOIUrl":"https://doi.org/10.25270/jic/25.00140","url":null,"abstract":"<p><strong>Objectives: </strong>The authors hypothesized that the origin of the right coronary artery (RCA) is a direct continuation of the major aortic arch branches (MAAB) takeoff plane, which may have implications for brachiocephalic interventions and next generation transcatheter aortic valve intervention (TAVI) embolic protection devices (EPDs).</p><p><strong>Methods: </strong>In this single-center, retrospective, cross-sectional study, the authors analyzed computed tomographic angiography (CTA) images from 92 patients undergoing TAVI evaluation to determine the spatial relationship between the origin of the RCA and the MAAB takeoff plane. Patients with prior cardiothoracic or aortic interventions and those with anomalous RCA origin were excluded. Using double oblique imaging planes, the authors assessed whether the RCA and MAAB takeoffs were visualized within the same sagittal plane.</p><p><strong>Results: </strong>The mean age of the patients was 76.4 years; 52% were female. Most patients had hypertension (90%), coronary artery disease (65%), or a history of smoking (47%). The RCA origin aligned with the forward and downward continuation of the MAAB plane in 77.1% of the patients.</p><p><strong>Conclusions: </strong>This novel anatomical relationship, not previously described in literature, may be clinically useful during cardiac catheterization when cannulating brachiocephalic vessels to visualize right and left internal mammary arteries and during brachiocephalic interventions such as subclavian and carotid stenting. Additionally, the findings suggest that some third generation TAVI EPDs with anchoring probes resting in the aortic root may lie in close proximity to the RCA ostium. This proximity could hinder urgent RCA cannulation during TAVI procedures. As new EPD designs gain traction globally, it is essential for TAVI operators to understand this anatomical nuance.</p>","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":"145034519","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":"Live three-dimensional multiplanar-reconstruction for advanced guidance of transcatheter tricuspid valve-in-valve procedure.","authors":"Giulia Passaniti, Sahil Khera, Rajeev R Samtani, Stamatios Lerakis, Gilbert H L Tang, Lucy M Safi","doi":"10.25270/jic/25.00194","DOIUrl":"https://doi.org/10.25270/jic/25.00194","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034404","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":"One- versus two-stent stenting strategies in coronary bifurcation lesions.","authors":"Zachary Chan, Michaella Alexandrou, Dimitrios Strepkos, Deniz Mutlu, Pedro E P Carvalho, Oleg Krestyaninov, Dimitri Khelimskii, Barkin Kultursay, Ali Karagoz, Ufuk Yildirim, Korhan Soylu, Mahmut Uluganyan, Ozgur Selim Ser, Olga Mastrodemos, Bavana V Rangan, Sandeep Jalli, Konstantinos Voudris, Yader Sandoval, M Nicholas Burke, Emmanouil S Brilakis","doi":"10.25270/jic/25.00096","DOIUrl":"https://doi.org/10.25270/jic/25.00096","url":null,"abstract":"<p><strong>Objectives: </strong>Additional studies are needed on the follow-up outcomes of 1- vs 2-stent techniques in bifurcation percutaneous coronary interventions (PCI).</p><p><strong>Methods: </strong>The authors examined the angiographic and procedural characteristics, and outcomes of 1306 bifurcation PCIs (1139 patients) performed at 6 centers between 2014 and 2024 from the PROGRESS-BIFURCATION registry.</p><p><strong>Results: </strong>Upfront 1-stent PCI (96.2% provisional stenting, 2% mini crush with 1 stent, 1.7% side branch [SB] stent only) was used in 75.5% of lesions; upfront 2-stent PCI was used in 24.5% (48.1% double kissing crush, 16.9% culotte, 35% other). Patients treated with an upfront 2-stent strategy were older (68 ± 12 vs 66 ± 12 years; P = .011) and more likely to have dyslipidemia (82.7% vs 76.0%; P = .019) and a history of heart failure (27.6% vs 20.3%; P = .011). An upfront 2-stent strategy was more common in left main bifurcations and lesions with moderate/severe calcification or larger SB diameter. Upfront 2-stent strategies required longer procedure and fluoroscopy times and higher patient radiation dose but similar contrast volume. Two-stent strategies were associated with higher technical success (98.4% vs 94.4%; P = .003), but similar procedural success (93.5% vs 90.4%; P = .116) and in-hospital major adverse cardiac events (MACE) (5.2% vs 3.9%; P = .355) compared with 1-stent strategies. Follow-up data was available for 783 patients. During a median follow-up of 1095 days, patients treated with an upfront 2-stent strategy had similar incidence of MACE, target vessel revascularization, myocardial infarction, and all-cause mortality (hazard ratio, 0.99; 95% CI, 0.61-1.62; P = .98).</p><p><strong>Conclusions: </strong>Upfront 1- vs 2-stent bifurcation PCI was associated with similar procedural success and follow-up outcomes during a median follow-up of 3 years.</p>","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034438","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":"\"Olive sign\" during transcatheter aortic valve implantation.","authors":"Dawei Lin, Lei Zhang, Wei Li, Wenzhi Pan, Daxin Zhou","doi":"10.25270/jic/25.00219","DOIUrl":"https://doi.org/10.25270/jic/25.00219","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034401","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":"Counterproductive counterpulsation.","authors":"Michelle Dimza, Omowunmi Adedeji, Mark H Drazner, Faris G Araj","doi":"10.25270/jic/25.00115","DOIUrl":"10.25270/jic/25.00115","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128080","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 closure of right coronary cusp aneurysm-to-right ventricle paravalvular leak in a patient with complex congenital heart disease.","authors":"Tsun-Ho Lam, Chun-Ka Wong, Cheuk-Wing Jonathan Lee, Hay-Son Robin Chen, Ka-Chun Un","doi":"10.25270/jic/25.00106","DOIUrl":"10.25270/jic/25.00106","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144002935","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":"Coronary artery aneurysm: treat it easily with a stent?","authors":"Wojciech Żakiewicz, Mariusz Łebek, Maciej T Wybraniec, Grzegorz Smolka","doi":"10.25270/jic/25.00064","DOIUrl":"10.25270/jic/25.00064","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129413","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":"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":1.4,"publicationDate":"2025-09-01","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":"Coronary artery aneurysm with thrombosis.","authors":"Di Huang, Xiaojing Ma, Li Zhu","doi":"10.25270/jic/25.00090","DOIUrl":"10.25270/jic/25.00090","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039324","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":"Tenecteplase-assisted transapical drainage of tuberculous pyopericardium.","authors":"Venkatakrishnan Ramakumar, Durlabhesh Rawat, Sourabh Agstam","doi":"10.25270/jic/25.00071","DOIUrl":"10.25270/jic/25.00071","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143811971","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}