Journal of Invasive Cardiology最新文献

{"title":"Success rate and proposed mechanism of balloon rupture in hemostasis with MYNX CONTROL.","authors":"Kaido Kobayashi, Kei Ichihashi, Kazuhiro Dan","doi":"10.25270/jic/26.00184","DOIUrl":"https://doi.org/10.25270/jic/26.00184","url":null,"abstract":"<p><strong>Objectives: </strong>Real-world data regarding the efficacy and safety of the MYNX CONTROL vascular closure device (Cordis) remain limited. The authors evaluated the efficacy and safety of MYNX CONTROL in routine clinical practice.</p><p><strong>Methods: </strong>This single-center retrospective observational study included 127 consecutive patients who underwent femoral artery closure with MYNX CONTROL between August and December 2025.</p><p><strong>Results: </strong>The primary endpoint was immediate hemostasis success, which was achieved in 120 patients (94.5%). Secondary endpoints included device-related complications, with a total of 7 events: balloon rupture (n = 2), minor bleeding (n = 2), hematoma (n = 2), and pseudoaneurysm (n = 1). Both cases of balloon rupture occurred during antegrade puncture in severely calcified vessels.</p><p><strong>Conclusions: </strong>Balloon rupture was an infrequent but notable complication and occurred only in cases involving antegrade access and severe vascular calcification. Careful consideration of puncture direction and vascular calcification may further improve procedural safety when using MYNX CONTROL.</p>","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148800338","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":"Recurrent acute pericarditis in a patient with history of acute rheumatic fever: the role of cardiac magnetic resonance in diagnosis and management.","authors":"Sirisha Vuppalapati, Nicole Zhang, Angelos Tsekos, Muhammad Ali, Sooyun Caroline Tavolacci, Marcos Ferrandez-Escarabajal, Stamatios Lerakis","doi":"10.25270/jic/26.00259","DOIUrl":"https://doi.org/10.25270/jic/26.00259","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148800373","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":"Congenital double orifice mitral valve.","authors":"Ankit Kumar Sahu, Aditya Srivastava, Arpita Katheria","doi":"10.25270/jic/26.00261","DOIUrl":"https://doi.org/10.25270/jic/26.00261","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714451","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":"Melody valve embolization during transcatheter pulmonary valve replacement.","authors":"Charalampos Kakderis, Matthaios Didagelos, Antonios Kouparanis, Stylianos Daios, Konstantinos C Theodoropoulos, Antonios Ziakas","doi":"10.25270/jic/26.00252","DOIUrl":"10.25270/jic/26.00252","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714411","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":"Large language models in interventional cardiology: current evidence and future directions.","authors":"Ioannis Skalidis, Lisa Simioni, Giulia S Beretta, Giacomo Maria Cioffi, Julius Jelisejevas, Peter Wenaweser, Pascal Meier, Philippe Garot, Thomas Hovasse, Mariama Akodad, Serban Puricel, Stéphane Cook, Mario Togni","doi":"10.25270/jic/26.00176","DOIUrl":"10.25270/jic/26.00176","url":null,"abstract":"<p><p>Large language models (LLMs) have rapidly emerged as a transformative class of artificial intelligence systems capable of understanding and generating human-like text from vast corpora of clinical and scientific literature. While their use in general cardiology has been extensively reviewed, their specific role in interventional cardiology and within the catheterization laboratory (cath lab) environment remains less well characterized. This narrative review synthesizes the current evidence on LLM applications across the interventional cardiology workflow, including coronary revascularization decision-making, multidisciplinary Heart Team support, structural heart intervention planning, periprocedural communication, and acute cath lab decision support. Recent studies suggest that contemporary LLMs such as ChatGPT-4 (OpenAI), Claude (Anthropic), and Gemini (Alphabet, Inc.) can achieve clinically meaningful concordance with expert Heart Team recommendations for percutaneous coronary intervention vs coronary artery bypass grafting, and that their outputs may approach or even match those of early-career interventional cardiologists in simulated emergency scenarios. However, important limitations persist, including variable accuracy across prompt formats, susceptibility to hallucinations, lack of multimodal integration with angiographic and intravascular imaging, opacity of training sources, and unresolved medicolegal issues. The authors discuss the current evidence base, highlight promising avenues such as multimodal LLMs and retrieval-augmented generation tools that leverage current guidelines, and outline regulatory and ethical considerations that must accompany clinical adoption. LLMs are unlikely to replace interventional cardiologists in the foreseeable future, but they may meaningfully support decision-making, education, and patient communication in a domain where speed, complexity, and risk converge.</p>","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714405","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":"Clinical conference proceedings: IAGS 2026 summary document.","authors":"J Dawn Abbott, Nicholas Amoroso, Herbert Aronow, Steve Bailey, Itsik Ben-Dor, Larry Dean, Eric Dippel, Lawrence Garcia, Adam Greenbaum, Cindy Grines, George Hanzel, Tim Henry, Jimmy Kerrigan, Ayman Magd, Piotr Musialek, Jihad Mustapha, Sigrid Nikol, William O'Neill, Mitul Patel, Rajan Patel, Gus Pichard, Robert Riley, Michael Rinaldi, Jonathan Schwartz, Kristen Skelton, Molly Szerlip, Jacqueline Tamis-Holland, Alexander Truesdell, Bryan Wilson, David Wood","doi":"10.25270/jic/26.10000","DOIUrl":"10.25270/jic/26.10000","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671148","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":"A challenging case of left main chronic total occlusion and the reverse T-stenting and small protrusion (TAP) technique: success with the investment strategy.","authors":"Konstantinos Filippou, Konstantinos Manousopoulos, Panagiotis Varelas, Dimitrios Karelas, Ioannis Kouloulias, Alexandros Zaraggas, Ioannis Papadopoulos, Ioannis Nenekidis, Ioannis Tsiafoutis","doi":"10.25270/jic/26.00009","DOIUrl":"10.25270/jic/26.00009","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146068101","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":"Fibrillatory left atrial appendage with tip clot.","authors":"Rakavi Rathinasamy, Sunil Solan, Gautam Sharma, Sourabh Agstam","doi":"10.25270/jic/26.00015","DOIUrl":"10.25270/jic/26.00015","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146229531","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 cardiac surgery after percutaneous coronary intervention: insights from the PROGRESS-Complications Registry.","authors":"Harmanpreet Kaur, Michaella Alexandrou, Ozgur Selim Ser, Deniz Mutlu, Dimitrios Strepkos, Pedro E P Carvalho, Eleni Kladou, Syed Ahmad, Olga Mastrodemos, Bavana V Rangan, Noah Nick Williford, Silvia Moscardelli, Lorenzo Azzalini, M Nicholas Burke, Yader Sandoval, Emmanouil S Brilakis","doi":"10.25270/jic/25.00383","DOIUrl":"10.25270/jic/25.00383","url":null,"abstract":"<p><strong>Objectives: </strong>Emergency surgery is an infrequent but severe complication of percutaneous coronary intervention (PCI). The authors sought to examine clinical characteristics, procedural features, and outcomes of patients undergoing emergency cardiac surgery after PCI.</p><p><strong>Methods: </strong>The authors analyzed the clinical characteristics and outcomes of 15 patients who underwent emergency surgery after PCI from the PROGRESS-COMPLICATIONS registry.</p><p><strong>Results: </strong>Of 18 691 patients who underwent PCI at 2 tertiary care centers between 2016 and 2023, 15 (0.08%) required emergency surgery: 14 underwent coronary artery bypass graft surgery (CABG) and 1 underwent aortic valve replacement and CABG. Patients had high prevalence of comorbidities such as hypertension (93.3%), diabetes mellitus (73.3%), dyslipidemia (93.3%), and prior heart failure (53.3%). The most common presentations included non-ST segment elevation acute myocardial infarction (40.0%) and stable angina (33.3%). Target lesions were complex and often had moderate/severe calcification (60.0%) or involved a bifurcation (40.0%). Mechanical circulatory support was used in 53.3% (intra-aortic balloon pump 12.5%; Impella 2.5 [Abiomed] 12.5%; Impella 5.0 37.5%; Impella CP 12.5%; venoarterial extracorporeal membrane oxygenation 25.0%). In-hospital mortality was 33.3%. The most common indications for emergent CABG were coronary dissection (46.7%), aortocoronary dissection (26.7%), and coronary perforation (26.7%). Post-CABG complications included death (33.3%), arrhythmia (33.3%), hemodynamic instability (26.7%), and cardiogenic shock (13.3%). The median hospital stay was 10.0 days (6.0-18.5). During a median follow-up of 24 months, 53.3% of patients experienced major adverse cardiovascular events (MACE), 46.7% died, and 26.7% required target vessel revascularization.</p><p><strong>Conclusions: </strong>Patients who underwent emergency surgery after PCI had multiple comorbidities, complex coronary anatomy, and high incidence of MACE.</p>","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787178","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":"Not all kisses are the same: kissing balloon inflation in the left main coronary artery with ultra high-pressure noncompliant balloons.","authors":"Gregory Offiah, John P Birrane, Ian Pearson, John Cosgrave","doi":"10.25270/jic/26.00033","DOIUrl":"10.25270/jic/26.00033","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146229522","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}