Konstantinos Filippou, Konstantinos Manousopoulos, Panagiotis Varelas, Dimitrios Karelas, Ioannis Papadopoulos, Ioannis Tsiafoutis
{"title":"Opening the way! Fenestration of a malpositioned ostial right coronary artery stent.","authors":"Konstantinos Filippou, Konstantinos Manousopoulos, Panagiotis Varelas, Dimitrios Karelas, Ioannis Papadopoulos, Ioannis Tsiafoutis","doi":"10.25270/jic/25.00199","DOIUrl":"https://doi.org/10.25270/jic/25.00199","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800728","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}
David J Schneider, Sean R McMahon, Dominick J Angiolillo, Alexander C Fanaroff, Homam Ibrahim, Patrick K Hohl, Brett L Wanamaker, Mark B Effron, Peter M DiBattiste
{"title":"Prognostic implications over time of platelet FcɣRIIa expression in patients with myocardial infarction: a secondary analysis.","authors":"David J Schneider, Sean R McMahon, Dominick J Angiolillo, Alexander C Fanaroff, Homam Ibrahim, Patrick K Hohl, Brett L Wanamaker, Mark B Effron, Peter M DiBattiste","doi":"10.25270/jic/25.00102","DOIUrl":"10.25270/jic/25.00102","url":null,"abstract":"<p><p>Objectives. In patients with myocardial infarction (MI), quantifying platelet FcɣRIIa (pFCG) stratifies the risk of subsequent MI, stroke, and death. The authors conducted a secondary analysis to assess the prognostic implications of the pFCG test over the course of 1 year after MI.\u0000\u0000Methods. Patients (n = 764) hospitalized for type 1 MI (ST elevation and non-ST elevation) were enrolled in a prospective non-interventional trial. Inclusion criteria included at least 2 of the following: age 65 years or older, multi-vessel coronary artery disease, prior MI, chronic kidney disease, and diabetes mellitus. Flow cytometry was used to quantify pFCG at a core laboratory. High and low pFCG were defined by a prespecified threshold. The primary endpoint (n = 98) was the composite of MI, stroke, and death.\u0000\u0000Results. The time-to-first-event analysis demonstrated that the pFCG test had the greatest prognostic power early after MI. The hazard ratio (HR) for the primary composite endpoint in all subjects was greatest during the first month (3.84, P = .0009), and the HR for the first 6 months was 2.90 (P = .00005). Similar trends were apparent for patients treated with percutaneous coronary intervention and those treated with medical therapy alone. Analysis of components of the primary endpoint, the composite of MI and death, as well as MI alone, showed similar trends.\u0000\u0000Conclusions. The pFCG test is a powerful prognostic marker of ischemic risk during the first 6 months after MI. The prognostic information provided by the pFCG test should be useful to clinicians as they balance risk of ischemic events with that of bleeding to define a treatment strategy.</p>","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700199","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}
Oscar Lagos Degrande, Carmen Lluch Requerey, Miguel Angel Montilla, Santiago Camacho Freire, Jessica Roa Garrido, Elena Izaga, Antonio Gomez Menchero
{"title":"Plaque modification using the new LithiX hertz contact lithotripsy balloon and a super high-pressure OPN NC balloon in a severely calcified coronary artery with undilatable plaque: a case report.","authors":"Oscar Lagos Degrande, Carmen Lluch Requerey, Miguel Angel Montilla, Santiago Camacho Freire, Jessica Roa Garrido, Elena Izaga, Antonio Gomez Menchero","doi":"10.25270/jic/25.00195","DOIUrl":"https://doi.org/10.25270/jic/25.00195","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700198","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}
Aleksander Olejnik, Monika Słaba, Michał Majewski, Ainars Rudzitis, Benoit Gerardin, Wojciech Wojakowski, Grzegorz Smolka
{"title":"Balloon-assisted paravalvular leakage crossing for transcatheter closure: a pilot study.","authors":"Aleksander Olejnik, Monika Słaba, Michał Majewski, Ainars Rudzitis, Benoit Gerardin, Wojciech Wojakowski, Grzegorz Smolka","doi":"10.25270/jic/25.00080","DOIUrl":"10.25270/jic/25.00080","url":null,"abstract":"<p><p>Objectives. Transcatheter closure of paravalvular leaks (PVL) is an established treatment method. However, because of the frequent anatomical complexity of the PVL channel and lack of dedicated equipment, PVL crossing remains challenging. This study aims to provide an initial assessment of the safety and efficacy of using an angioplasty balloon to facilitate PVL passage.\u0000\u0000Methods. The authors describe 12 cases of predilatation of the PVL tract using a coronary balloon after an attempt to pass the sheath was unsuccessful.\u0000\u0000Results. In each case, the procedure was successful with final implantation of the occluder. No adverse events directly related to the technique were observed.\u0000\u0000Conclusions. The technique of traversing the PVL channel using small coronary balloons may be an effective alternative method. Results of this registry are a preview of further research into the development and improvement of the described technique.</p>","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700196","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":"Long-term study of patients undergoing transcatheter paravalvular leak closure for hemolysis.","authors":"Thekla Lytra, Konstantinos Kalogeras, Vlasis Ninios, Konstantinos Spargias, Petros Dardas, Manolis Vavuranakis","doi":"10.25270/jic/25.00123","DOIUrl":"10.25270/jic/25.00123","url":null,"abstract":"<p><p>Objectives. Paravalvular leak (PVL) is a complication of valve replacement that may result in hemolytic anemia. This study evaluated the long-term impact of transcatheter PVL closure (TPVLC) on hemolysis markers in affected patients.\u0000\u0000Methods. This multicenter study included 39 patients who underwent TPVLC for hemolysis from February 2013 to March 2024. Lactate dehydrogenase (LDH), hemoglobin (Hb) and indirect bilirubin were assessed at baseline and at 1, 6, 12, and 24 months. A subgroup of patients who had received preprocedural blood transfusions was also analyzed. Secondary endpoints included procedure-related hemolysis and preprocedural predictors of hemolysis compared with a cohort treated for heart failure.\u0000\u0000Results. In the overall cohort (n = 39), TPVLC resulted in a significant improvement in hemolysis markers. Indirect bilirubin levels significantly decreased from the first month (P = .001), while LDH levels showed a significant reduction from 6 months onwards (P = .02). Hb levels significantly increased from the first month (P = .009). In transfused patients, both LDH and indirect bilirubin levels significantly decreased from the first month (P = .006 and P = .005, respectively), whereas Hb levels demonstrated a significant increase from 6 months onwards (P = .011). Procedure-related hemolysis occurred in 3 (7.7%) patients. Predictors of hemolysis included mechanical prostheses (P = .008), mitral PVL (P = .002), and chronic kidney disease (P = .001). \u0000\u0000Conclusions. TPVLC significantly improves hemolysis markers over long-term follow-up.</p>","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700197","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}
Panagiotis Varelas, Konstantinos Manousopoulos, Konstantinos Filippou, Dimitrios Karelas, Ioannis Papadopoulos, Alexandre Avran, Ioannis Tsiafoutis
{"title":"Thrombotic complication after a double-barrel configuration percutaneous coronary intervention in a chronic total occlusion.","authors":"Panagiotis Varelas, Konstantinos Manousopoulos, Konstantinos Filippou, Dimitrios Karelas, Ioannis Papadopoulos, Alexandre Avran, Ioannis Tsiafoutis","doi":"10.25270/jic/25.00168","DOIUrl":"https://doi.org/10.25270/jic/25.00168","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700201","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 coronary intervention of chronic total occlusion in patients with prior coronary artery bypass graft: the current situation.","authors":"Soichiro Ebisawa, Etsuo Tsuchikane, Koichi Kishi, Yoshiaki Ito, Hisayuki Okada, Satoru Sumitsuji, Yuji Oikawa, Ryohei Yoshikawa, Hiroyuki Tanaka","doi":"10.25270/jic/24.00301","DOIUrl":"10.25270/jic/24.00301","url":null,"abstract":"<p><strong>Objectives: </strong>The equipment and strategies used for percutaneous coronary intervention (PCI) for chronic total occlusion (CTO) have been improved. However, CTO-PCI for patients with prior coronary artery bypass graft (CABG) remains challenging. This study aimed to compare the strategies and initial success rates of CTO-PCI in patients with and without prior CABG.</p><p><strong>Methods: </strong>The authors extracted data from the Japanese CTO-PCI expert registry for this study. They enrolled 11 605 patients who underwent CTO-PCI by Japanese operators from 2014 to 2022. The cohort was divided into 2 groups: post-CABG (n = 830) and no-CABG patients (n = 10775).</p><p><strong>Results: </strong>The post-CABG patients were older than the no-CABG patients (70.3 ± 9.2 vs 67.5 ± 11.1 years, P less than .01). The post-CABG group exhibited more prevalent long, tortuous, and calcified lesions, as well as higher Japanese Multicenter CTO Registry scores than the no-CABG group (1.8 ± 1.1 vs 1.4 ± 1.1, P less than .01). The post-CABG patients opted for the primary and rescue retrograde approaches more frequently than the no-CABG patients (52.4% vs 40.7%, P less than .02), and the post-CABG patients exhibited a lower success rate than the no-CABG patients (82.2% vs 90.2%, P less than .01). However, an improvement in success rates was observed in the post-CABG patients compared with that of Japanese data from 1999 to 2011 (71%-82.2%). Additionally, the procedure time decreased from 210 to 191 minutes.</p><p><strong>Conclusions: </strong>Compared with no-CABG patients, the initial success rate of CTO-PCI for post-CABG patients remains low, and the retrograde approach is more commonly chosen. However, the success rate has improved over previous data.</p>","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574352","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}