{"title":"Calcium is not an issue for transcatheter therapy in the mitral valve: the role of independent leaflet grasping.","authors":"Kyriakos Dimitriadis, Eirini Beneki, Konstantinos Aznaouridis, Constantina Aggeli, Konstantinos Tsioufis","doi":"10.25270/jic/24.00213","DOIUrl":"10.25270/jic/24.00213","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141861377","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}
Alexander C Egbe, William R Miranda, C Charles Jain, Heidi M Connolly
{"title":"Relationship between obesity, cardiac hemodynamics, and heart failure in adults with coarctation of aorta.","authors":"Alexander C Egbe, William R Miranda, C Charles Jain, Heidi M Connolly","doi":"10.25270/jic/24.00163","DOIUrl":"10.25270/jic/24.00163","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141861380","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}
Richard Tanner, Francesca R Prandi, Gilbert H L Tang, Ismail El-Hamamsy, Barry A Love, Lucy M Safi, Samin K Sharma, Stamatios Lerakis, Annapoorna S Kini
{"title":"Redo transcatheter aortic valve replacement in a young patient with congenital aortic valve disease.","authors":"Richard Tanner, Francesca R Prandi, Gilbert H L Tang, Ismail El-Hamamsy, Barry A Love, Lucy M Safi, Samin K Sharma, Stamatios Lerakis, Annapoorna S Kini","doi":"10.25270/jic/24.00229","DOIUrl":"10.25270/jic/24.00229","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141910151","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}
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":"<p><strong>Objectives: </strong>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).</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","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}
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":"<p><strong>Objectives: </strong>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).</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>The global shortage of iodinated contrast led to a significant decline in contrast use during PCI, with no impact on patient outcomes.</p>","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}
Deniz Mutlu, Zafer Akman, Mehmet Semih Belpinar, Cezar A Iliescu, Konstantinos Marmagkiolis, Mehmet Cilingiroglu
{"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":"https://doi.org/10.25270/jic/24.00352","url":null,"abstract":"","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":"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}
Rimmy Farrakhan, Puja Parikh, John P Reilly, Maroun Yammine, On Chen
{"title":"Coronary access after ascending aorta repair.","authors":"Rimmy Farrakhan, Puja Parikh, John P Reilly, Maroun Yammine, On Chen","doi":"10.25270/jic/24.00348","DOIUrl":"https://doi.org/10.25270/jic/24.00348","url":null,"abstract":"","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":"142916070","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}
Craig Basman, Ryan Kaple, Sung-Han Yoon, Vladimir Jelnin, Jessica Willert, Perry Wengrofsky, George Stoupakis
{"title":"Transcatheter closure of a complex paravalvular leak associated with a large ventricular pseudoaneurysm.","authors":"Craig Basman, Ryan Kaple, Sung-Han Yoon, Vladimir Jelnin, Jessica Willert, Perry Wengrofsky, George Stoupakis","doi":"10.25270/jic/24.00351","DOIUrl":"https://doi.org/10.25270/jic/24.00351","url":null,"abstract":"","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":"142916080","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-pulmonary artery fistula with aneurysm formations.","authors":"Zhenzhen Xiao, Li Zhu","doi":"10.25270/jic/24.00345","DOIUrl":"https://doi.org/10.25270/jic/24.00345","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916072","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":"Emergency repair of stent misplacement in a false lumen.","authors":"Jingjing Chen, Li Zhu","doi":"10.25270/jic/24.00333","DOIUrl":"https://doi.org/10.25270/jic/24.00333","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-12-03","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}