Journal of Invasive Cardiology最新文献

{"title":"Transient hemolysis following transcatheter mitral valve replacement with a simplified BATMAN technique.","authors":"Kwong-Yue Eric Chan, Daniel Tai-Leung Chan, Simon Cheung-Chi Lam, Michael Shu-Yue Sze, Ka-Chun Un, Yui-Ming Lam, Ricky Wang-Hei Leung, Jamilla Li, Helen Wong, Harinder Gill, Chun-Ka Wong","doi":"10.25270/jic/25.00037","DOIUrl":"https://doi.org/10.25270/jic/25.00037","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494319","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":"Use of microcatheters for side-branch protection during rotational atherectomy.","authors":"Veronica Lio, Emmanouil S Brilakis, Federico Beqaraj, Stefano Drago, Massimo Giammaria, Andrea Gagnor","doi":"10.25270/jic/24.00344","DOIUrl":"10.25270/jic/24.00344","url":null,"abstract":"<p><strong>Objectives: </strong>Side branch protection during rotational atherectomy is an issue when treating bifurcations, particularly left main one. The authors investigated the effectiveness of side-branch protection with a microcatheter.</p><p><strong>Methods: </strong>On a simulator we evaluated the behavior of different microcatheters left in place into the side branch during rotational atherectomy.</p><p><strong>Results: </strong>All microcatheters were variously damaged.</p><p><strong>Conclusions: </strong>The authors discourage the practice of side-branch protection with a microcatheter, due to distal embolization of non-biological materials.</p>","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494367","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":"Iatrogenic atrial septal defect closure with PASCAL guide system post-mitral valve transcatheter edge-to-edge repair.","authors":"Leo Kar Lok Lai, Hussayn Alrayes, Georgi Fram, James C Lee, Bryan Zweig, Brian P O'Neill, Tiberio M Frisoli, Pedro Engel Gonzalez, William W O'Neill, Pedro A Villablanca","doi":"10.25270/jic/25.00031","DOIUrl":"https://doi.org/10.25270/jic/25.00031","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494068","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":"Cerebrovascular events with self-expanding versus balloon-expandable valves in patients with or without peripheral arterial disease.","authors":"Tullio Palmerini, Francesco Saia, Antonio Giulio Bruno, Won-Keun Kim, Alessandro Iadanza, Gabriele Ghetti, Ole De Backer, Francesco Burzotta, Nicholas M Van Mieghem, Elena Nardi, Mateusz Orzalkiewicz, Thomas Pilgrim, Tiziana Claudia Aranzulla, Max M Meertens, Nevio Taglieri, Michael Joner, Giulia Nardi, Stefan Toggweiler, Enrico Gallitto, Mauro Gargiulo, Luca Testa, Sergio Berti, Matteo Montorfano, Alessandro Leone, Davide Pacini, Daniel Braun, Fausto Castriota, Marco De Carlo, Marco Barbanti, Pier Pasquale Leone, Georg Nickenig, Tommaso Piva, Azeem Latib, Matteo Vercellino, Pablo Codner, Antonio L Bartorelli, Chiara Fraccaro, Mohamed Abdel-Wahab, Gregg W Stone","doi":"10.25270/jic/25.00020","DOIUrl":"https://doi.org/10.25270/jic/25.00020","url":null,"abstract":"<p><strong>Objectives: </strong>The authors compared the risk of cerebrovascular events (CVE) with self-expanding vales (SEV) vs balloon-expandable valves (BEV) in patients with or without peripheral artery disease (PAD), stratified by the access route and the complexity of PAD (Hostile score).</p><p><strong>Methods: </strong>The PAD-related risk of CVE between SEV vs BEV was investigated using data from the HOSTILE Registry, an observational study including 1707 patients with severe PAD undergoing transcatheter aortic valve replacement (TAVR) via different access routes. The relative risk of CVE with SEV vs BEV in patients without PAD was investigated in a meta-analysis of randomized controlled transfemoral access (TFA)-TAVR trials of patients with normal femoral arteries. The primary endpoint was the risk of 30-day CVE.</p><p><strong>Results: </strong>Among the 1021 patients undergoing TAVR through TFA or transaxillary access (TAxA), 674 (66.0%) received SEVs and 329 (32.2%) received BEVs. The 30-day propensity-adjusted risk of CVE was higher for SEV compared with BEV (adjusted hazard ratio [HR], 2.70; 95% CI, 1.16-6.23), with no significant interaction between the transcatheter heart valve and either the access route or the Hostile score. Similar results were apparent at 1 year (adjusted HR, 2.98; 95% CI, 1.30-6.83). In contrast, in a meta-analysis of 4 RCTs and 2131 patients with femoral arteries suitable for TAVR, there were no significant differences in the 30-day rates of CVE between SEV and BEV (odds ratio, 0.58; 95% CI, 0.24-1.40).</p><p><strong>Conclusions: </strong>Compared with BEVs, SEVs were associated with higher 30-day and 1-year rates of CVE in patients with PAD, a finding not apparent in patients with suitable femoral arteries enrolled in RCTs.</p>","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494054","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":"Mechanical circulatory support for high-risk cardiac patients: a case of tumor embolism and stress cardiomyopathy.","authors":"Kaitlyn Krebushevski, Allison K Cabalka, Suraj Yalamuri, Arashk Motiei, William J Mauermann, Jeffrey R Weatherhead, Jason H Anderson","doi":"10.25270/jic/25.00017","DOIUrl":"https://doi.org/10.25270/jic/25.00017","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494306","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":"Stents to the rescue: battling a ruptured abdominal aneurysm.","authors":"Jie Wang, Ping Hu, Ming Qi, Xiao-Jing Ma","doi":"10.25270/jic/25.00034","DOIUrl":"https://doi.org/10.25270/jic/25.00034","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494311","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":"Combined atherectomy and intravascular lithotripsy in calcified coronary lesions: a meta-analysis.","authors":"Sahib Singh, Aakash Garg, Ukaya S Tantry, Kevin Bliden, Paul A Gurbel, Ajay Kochar, Michael G Nanna, Abdulla A Damluji","doi":"10.25270/jic/24.00312","DOIUrl":"10.25270/jic/24.00312","url":null,"abstract":"<p><strong>Objectives: </strong>Studies exploring the feasibility and safety of combined atherectomy and intravascular lithotripsy (IVL) for treatment of severely calcified coronary lesions are limited. The authors aimed to study the pooled evidence for the safety and efficacy of this combined approach in severely calcified coronary lesions and evaluate its clinical and procedural outcomes.</p><p><strong>Methods: </strong>Online databases were searched for studies using combined atherectomy (rotational, orbital, or excimer laser) and IVL during PCI for calcified coronary lesions. The outcomes of interest were acute procedural success, periprocedural complications, and cardiovascular (CV) events. Pooled proportions with 95% CI were calculated using a random-effects model.</p><p><strong>Results: </strong>A total of 12 observational studies with 720 patients were included. The mean age was 73 years, 76% were men, and 48% of the patients had an acute coronary syndrome. The pooled procedural success rate of combined atherectomy and IVL was 93% (95% CI, 89.56-96.25). Coronary perforation occurred in 2.9% (95% CI, 1.76-4.36) of the cases. Over a mean follow-up of 111 days, the incidence of CV outcomes was myocardial infarction 2.0% (95% CI, 0.67-3.93), stroke 1.4% (95% CI, 0.36-3.14), target vessel revascularization 2.2% (95% CI, 1.01-3.79), stent thrombosis 1.1% (95% CI, 0.21-2.84), major bleeding 5.8% (95% CI, 0.00-21.40), CV death 3.6% (95% CI, 1.53-6.42), and all-cause death 4.8% (95% CI, 2.75-7.33).</p><p><strong>Conclusions: </strong>Combined atherectomy and IVL for calcified coronary lesions is feasible with a high procedural success rate. However, there is a low but meaningful risk of procedural complications including coronary perforations, and a low risk of adverse CV events.</p>","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494055","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 aortic valve-in-valve implantation in failed stentless valves: a single-center experience.","authors":"Massimo Baudo, Serge Sicouri, Yoshiyuki Yamashita, Dimitrios Magouliotis, Francesco Cabrucci, Scott M Goldman, Roberto Rodriguez, Eric M Gnall, Paul M Coady, William A Gray, Sandro Gelsomino, Basel Ramlawi","doi":"10.25270/jic/25.00006","DOIUrl":"https://doi.org/10.25270/jic/25.00006","url":null,"abstract":"<p><strong>Objectives: </strong>Valve-in-valve transcatheter aortic valve implantation (ViV-TAVI) offers an alternative to repeat cardiac surgery in selected patients. However, ViV-TAVI in previously implanted stentless valves is more challenging than in a stented valve. This single-center study aimed to analyze the outcomes of ViV-TAVI in stentless valves.</p><p><strong>Methods: </strong>Data were retrospectively collected from 1476 patients undergoing TAVI between January 2018 and December 2023. The primary study endpoint was 30-day and follow-up mortality. Secondary outcomes included Valve Academic Research Consortium (VARC)-3 technical success, VARC-3 device success, and VARC-3 early safety.</p><p><strong>Results: </strong>A total of 15 patients underwent ViV-TAVI within previously implanted stentless valves. The mean age of the patients was 78.1 ± 9.3 years, with a median STS-PROM score of 4.30 (3.05, 6.75). The mean time between SAVR and TAVI was 14.7 ± 3.9 years. Eight (53.3%) patients presented with severe aortic regurgitation, while 5 (33.3%) patients had severe aortic stenosis. There were no surgical conversions, but a single case of transcatheter heart valve malposition required the deployment of a second valve. One patient died within 30 days. VARC-3 technical success was achieved in 87.6% (n = 13) of patients, device success in 80% (n = 12), and early safety in 73.3% (n = 11). The median follow-up period was 2.9 (range, 1.3-4.3) years, during which 4 patients died.</p><p><strong>Conclusions: </strong>Careful patient selection is critical for ViV-TAVI procedures because of the high risk of complications, which is increased with stentless valves in addition to the standard risks associated with the ViV procedure. Larger studies are warranted to confirm these findings.</p>","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494315","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":"Percutaneous left atrial appendage occlusion in heart failure: a nationwide readmission database analysis.","authors":"Rafey Feroze, Alexander Cove, Yusef Saeed, Waqas Ullah, Nawaf Alhabdan, Marco Frazzetto, Nour Tashtish, Luis Augusto Palma Dallan, Steven J Filby","doi":"10.25270/jic/24.00274","DOIUrl":"https://doi.org/10.25270/jic/24.00274","url":null,"abstract":"<p><strong>Objectives: </strong>Left atrial appendage occlusion (LAAO) has emerged as an alternative to anticoagulation for reducing stroke risk in patients with atrial fibrillation (AF). However, patients with heart failure (HF) may have an enhanced risk of stroke and elevated risk for this procedure. To further investigate this population, the authors present a retrospective analysis on LAAO in patients with HF.</p><p><strong>Methods: </strong>The authors performed a retrospective review of all hospitalizations for LAAO using the National Readmissions Database between September 2015 and November 2019. From these, patients with ICD-10 codes for HF were identified. Propensity matched (PSM) analysis was used to compare matched samples of patients with and without HF. Outcomes assessed included all-cause mortality, stroke, major bleeding, pericardial effusion, tamponade, and acute kidney injury (AKI).</p><p><strong>Results: </strong>After PSM, HF was associated with higher odds of mortality (odds ratio [OR] 2.79 [1.68-4.60]), major bleeding (OR 1.26 [1.08-1.46]), and AKI (OR 2.11 [1.84-2.41]) at index admission. Mortality (OR 1.45 [1.12-1.89]), major bleeding (OR 1.53 [1.13-2.07]), and AKI (OR 2.24 [1.81-2.79]) were also significantly higher at 30-day readmission. There was no significant increase in pericardial effusion, tamponade, or stroke after PSM at index admission or 30-day readmission.</p><p><strong>Conclusions: </strong>The findings suggest LAAO use in HF is not associated with an increased risk of pericardial effusion, tamponade, and stroke in the periprocedural period when compared with those without HF. Mortality, major bleeding, and AKI were found to be modestly higher in patients with HF. Further investigation is warranted to evaluate the long-term risk of stroke in patients with HF with LAAO.</p>","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400391","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":"Skyrocketing troponin after a motor vehicle crash: a traumatic dilemma.","authors":"Rahul Annabathula, Rohit Menon, Justin Brilliant, Xin Wei, Mukta Srivastava","doi":"10.25270/jic/25.00009","DOIUrl":"https://doi.org/10.25270/jic/25.00009","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400468","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}