Journal of Invasive Cardiology最新文献

{"title":"Real-time IVUS-guided Minimal CRUSH for bifurcation stenting: the IM-CRUSH technique.","authors":"Cheuk Bong Ho, Calvin Leung, Michael Chi Shing Chiang, Esmond Yan Hang Fong, Shing Fung Chui, Ka Chun Chan, Chi Yuen Wong, Michael Kang Yin Lee","doi":"10.25270/jic/25.00087","DOIUrl":"10.25270/jic/25.00087","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":"144044974","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":"Can iodixAnol ReducE the incidence of adverse renal or cardiac events in chronic total occlusion interventions (CARE-CTO): a substudy of the PROGRESS-CTO registry.","authors":"Dimitrios Strepkos, Athanasios Rempakos, Michaella Alexandrou, Deniz Mutlu, Pedro E P Carvalho, Ozgur Selim Ser, Khaldoon Alaswad, Mir B Basir, Dmitrii Khelimskii, Oleg Krestyaninov, Jaikirshan J Khatri, Laura Young, Omer Goktekin, Paul Poommipanit, Farouc Jaffer, Sevket Gorgulu, Ahmed M ElGuindy, Nidal Abi Rafeh, Olga Mastrodemos, Bavana V Rangan, Sandeep Jalli, Konstantinos Voudris, Yader Sandoval, M Nicholas Burke, Emmanouil S Brilakis","doi":"10.25270/jic/25.00004","DOIUrl":"10.25270/jic/25.00004","url":null,"abstract":"<p><strong>Objectives: </strong>The impact of contrast type in chronic total occlusion (CTO) percutaneous coronary intervention (PCI) remains controversial. The authors sought to evaluate the impact of contrast medium selection on patients undergoing CTO PCI.</p><p><strong>Methods: </strong>The authors examined the outcomes of patients who underwent CTO PCI using iso-osmolar (iodixanol) vs pooled low-osmolar contrast media (LOCM) using data from the PROGRESS-CTO registry.</p><p><strong>Results: </strong>Iodixanol was used in 1007 (18.1%) of 5558 CTO PCIs. Compared with pooled LOCM, iodixanol-treated patients were more likely to be women, were older, and more likely to have diabetes, dyslipidemia, hypertension, history of heart failure, myocardial infarction, coronary artery bypass graft surgery, and stroke. Iodixanol cases had higher complexity, with longer lesion length (35.25 ± 25.16 vs 28.91 ± 19.46 mm, P less than .001), higher prevalence of moderate or severe calcification (43% vs 37%, P less than .001) and moderate or severe proximal tortuosity (30% vs 24%, P less than .001), and higher Japanese-CTO (2.52 vs 2.17, P less than .001) and PROGRESS-CTO scores (1.30 vs 1.16, P less than .001). Iodixanol cases required longer procedure times but similar contrast volumes. Technical (85.3% vs 89.2%, P = .001) and procedural success (83.4% vs 87.3%, P = .001) were lower in iodixanol cases. Acute kidney injury (AKI) occurred in 6.4% of cases. After propensity score matching, the patients who received iodixanol had lower incidence of AKI (odds ratio [OR]: 0.67; 95% CI, 0.47, 0.97; P = .032) and a trend for lower incidence of major adverse renal or cardiovascular events (OR: 0.75; 95% CI, 0.56, 1.0; P = .061).</p><p><strong>Conclusions: </strong>AKI occurred in approximately 6% of CTO PCI cases. Iodixanol use was associated with a lower incidence of AKI, despite being used in more complex patients.</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":"143812819","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 Ser, 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":"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":1.4,"publicationDate":"2025-09-01","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":"Intravascular lithotripsy for in-stent calcified neoatherosclerosis.","authors":"Keima Wayama, Kota Murai, Teruo Noguchi","doi":"10.25270/jic/25.00073","DOIUrl":"10.25270/jic/25.00073","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":"144022430","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":"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":1.4,"publicationDate":"2025-09-01","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":"Collateral clarity: balloon occlusion of an epicardial right coronary artery branch to map left anterior descending artery perfusion.","authors":"Dimitris Karelas, Konstantinos Filippou, Panagiotis Varelas, Konstantinos Manousopoulos, Ioannis Papadopoulos, Ioannis Tsiafoutis","doi":"10.25270/jic/25.00243","DOIUrl":"https://doi.org/10.25270/jic/25.00243","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976069","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 ultrasound-detected intimal flap predicts acute diagonal branch occlusion after drug-eluting stent implantation.","authors":"Tatsuo Yokomine, Yuito Enokida, Takashi Kajiya, Tatsuro Takei, Toshiko Ninomiya, Nobuhiko Atsuchi, Mitsuru Ohishi","doi":"10.25270/jic/25.00230","DOIUrl":"https://doi.org/10.25270/jic/25.00230","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976085","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":"Bonapace's branch.","authors":"Konstantinos Antoniades, Agoritsa M Pervana, Georgios Sotiris, Ifigeneia Kiki, Christos Kostopoulos, Sotirios C Kotoulas, Ignatios Ikonomidis, Leonidas E Poulimenos, Andreas S Triantafyllis","doi":"10.25270/jic/25.00240","DOIUrl":"https://doi.org/10.25270/jic/25.00240","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976089","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":"Cinematic rendering of single ventricle congenital heart disease and body-pulmonary collateral circulation.","authors":"Qian Wang, Yao Ma, Xuepeng Yan, Rui Guo","doi":"10.25270/jic/25.00228","DOIUrl":"https://doi.org/10.25270/jic/25.00228","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976137","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 tricuspid valve replacement for rheumatic tricuspid valve disease.","authors":"Craig Basman, Perry Wengrofsky, Polydoros Kampaktsis, Vandan Upadhyaya, Rachel Spallone, Sung-Han Yoon, Ryan Kaple","doi":"10.25270/jic/25.00249","DOIUrl":"https://doi.org/10.25270/jic/25.00249","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976054","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}