Journal of Invasive Cardiology最新文献_第9页

Right coronary artery takeoff plane and implications for brachiocephalic interventions and next generation transcatheter aortic valve intervention embolic protection devices. 右冠状动脉起飞平面及其对头臂介入和下一代经导管主动脉瓣介入栓塞保护装置的意义。

IF 1.4 4区医学

Journal of Invasive Cardiology Pub Date : 2026-02-01 DOI: 10.25270/jic/25.00140

Umair Bajwa, Mohammad Chaudhry, Danielle Retcho, Sohira Idrees, Lukasz Partyka, Rajiv Tayal, Arash Salemi, Sergio Waxman, Najam Wasty

{"title":"Right coronary artery takeoff plane and implications for brachiocephalic interventions and next generation transcatheter aortic valve intervention embolic protection devices.","authors":"Umair Bajwa, Mohammad Chaudhry, Danielle Retcho, Sohira Idrees, Lukasz Partyka, Rajiv Tayal, Arash Salemi, Sergio Waxman, Najam Wasty","doi":"10.25270/jic/25.00140","DOIUrl":"10.25270/jic/25.00140","url":null,"abstract":"Objectives: The authors hypothesized that the origin of the right coronary artery (RCA) is a direct continuation of the major aortic arch branches (MAAB) takeoff plane, which may have implications for brachiocephalic interventions and next generation transcatheter aortic valve intervention (TAVI) embolic protection devices (EPDs).Methods: In this single-center, retrospective, cross-sectional study, the authors analyzed computed tomographic angiography (CTA) images from 92 patients undergoing TAVI evaluation to determine the spatial relationship between the origin of the RCA and the MAAB takeoff plane. Patients with prior cardiothoracic or aortic interventions and those with anomalous RCA origin were excluded. Using double oblique imaging planes, the authors assessed whether the RCA and MAAB takeoffs were visualized within the same sagittal plane.Results: The mean age of the patients was 76.4 years; 52% were female. Most patients had hypertension (90%), coronary artery disease (65%), or a history of smoking (47%). The RCA origin aligned with the forward and downward continuation of the MAAB plane in 77.1% of the patients.Conclusions: This novel anatomical relationship, not previously described in literature, may be clinically useful during cardiac catheterization when cannulating brachiocephalic vessels to visualize right and left internal mammary arteries and during brachiocephalic interventions such as subclavian and carotid stenting. Additionally, the findings suggest that some third generation TAVI EPDs with anchoring probes resting in the aortic root may lie in close proximity to the RCA ostium. This proximity could hinder urgent RCA cannulation during TAVI procedures. As new EPD designs gain traction globally, it is essential for TAVI operators to understand this anatomical nuance.","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034519","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}

引用次数: 0

Early outcomes of the Myval Octacor transcatheter heart valve in transcatheter aortic valve implantation: a single-center study from Serbia. 经导管主动脉瓣植入术中Myval八瓣经导管心脏瓣膜的早期结果：塞尔维亚的一项单中心研究。

IF 1.4 4区医学

Journal of Invasive Cardiology Pub Date : 2026-01-30 DOI: 10.25270/jic/25.00264

Valentina Balint, Mihajlo Farkic, Jovan Petrovic, Matija Furtula, Milos D Babic, Dragan Topic, Ida Subotic, Vladimir Zobenica, Alfonso Ielasi, Luca Testa, Milovan Bojic, Aleksandra Nikolic

{"title":"Early outcomes of the Myval Octacor transcatheter heart valve in transcatheter aortic valve implantation: a single-center study from Serbia.","authors":"Valentina Balint, Mihajlo Farkic, Jovan Petrovic, Matija Furtula, Milos D Babic, Dragan Topic, Ida Subotic, Vladimir Zobenica, Alfonso Ielasi, Luca Testa, Milovan Bojic, Aleksandra Nikolic","doi":"10.25270/jic/25.00264","DOIUrl":"https://doi.org/10.25270/jic/25.00264","url":null,"abstract":"Objectives: Aortic stenosis (AS) is the most common valvular heart disease, with transcatheter aortic valve implantation (TAVI) now preferred for select severe cases. This study evaluated the early safety and performance of the new Myval Octacor Transcatheter Heart Valve (THV) (Meril Life Sciences), for which limited clinical data exist.Methods: The authors retrospectively analyzed 43 consecutive patients with severe AS who underwent TAVI using the Myval Octacor THV at a tertiary cardiac center. Primary outcomes included all-cause mortality, stroke, major vascular complications, conduction abnormalities, new pacemaker implantation, paravalvular leak, and valve failure at 30 days follow-up.Results: The median age was 81 years (IQR: 7), and 22 patients (51.2%) were female. Coronary artery disease was present in 24 (55.8%). Technical success rate was 100%. Mean pressure gradient decreased significantly post-procedure (55 mm Hg [IQR: 24] vs 5 mm Hg [IQR: 2]; P ≤ .001). No in-hospital deaths occurred. Two patients (4.7%) received permanent pacemakers during hospitalization, and 3 (7.0%) required pacemakers within a week because of conduction issues. Two patients (4.7%) experienced Bleeding Academic Research Consortium Type 3a bleeding. At 30 days, 42 patients remained in follow-up (98%), with 55% improved to New York Heart Association Class I. No vascular complications, stroke, acute kidney injury, valve thrombosis, or endocarditis occurred. One patient had valve failure from a significant paravalvular leak and 1 noncardiac death occurred 2 weeks post-discharge.Conclusions: Early outcomes suggest that the Myval Octacor THV is a safe and effective option for TAVI in severe AS; however, larger studies with longer follow-up are required.","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146094655","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}

引用次数: 0

Right internal jugular pulsed field ablation for atrial fibrillation in a patient with an inferior vena cava filter. 右颈内脉冲场消融治疗伴有下腔静脉滤过的心房颤动1例。

IF 1.4 4区医学

Journal of Invasive Cardiology Pub Date : 2026-01-29 DOI: 10.25270/jic/26.00023

Jeong Hwan J Kim, Leili Pourafkari, Jonathan Lalezari, Ali Sovari

引用次数: 0

Septal coronary artery fistula after implantation of a left bundle branch area pacemaker. 左束支区起搏器植入后的冠状动脉间隔瘘。

IF 1.4 4区医学

Journal of Invasive Cardiology Pub Date : 2026-01-28 DOI: 10.25270/jic/26.00017

Nicolas Bradt, Maxim Verlee, Christophe Borin, Hans Vandekerckhove, Laurens De Vos

引用次数: 0

Mechanical reperfusion of subocclusive plaque erosion: 30-month outcome of an optical coherence tomography-guided stentless strategy. 亚封闭斑块侵蚀的机械再灌注：光学相干断层扫描引导下无支架策略的30个月结果。

IF 1.4 4区医学

Journal of Invasive Cardiology Pub Date : 2026-01-27 DOI: 10.25270/jic/26.00020

Kaïs Ouerghi, Tahar Lazizi, Victor Mateus

引用次数: 0

A challenging case of left main chronic total occlusion and the reverse T-stenting and small protrusion (TAP) technique: success with the investment strategy. 左主干慢性全闭塞和反向t型支架置入及小突出（TAP）技术的一个具有挑战性的案例：成功的投资策略。

IF 1.4 4区医学

Journal of Invasive Cardiology Pub Date : 2026-01-26 DOI: 10.25270/jic/26.00009

Konstantinos Filippou, Konstantinos Manousopoulos, Panagiotis Varelas, Dimitrios Karelas, Ioannis Kouloulias, Alexandros Zaraggas, Ioannis Papadopoulos, Ioannis Nenekidis, Ioannis Tsiafoutis

引用次数: 0

SWITCHing to Distal RaiL: a tracking technique for rotational atherectomy procedures-short-term outcomes and impact on clinical practice (the SWITCH D-RIL registry). 切换到远端轨道：旋转动脉粥样硬化切除术的跟踪技术-短期结果和对临床实践的影响（SWITCH D-RIL注册）。

IF 1.4 4区医学

Journal of Invasive Cardiology Pub Date : 2026-01-26 DOI: 10.25270/jic/25.00355

Giuseppe Colletti, Gregory A Sgueglia, Adrien Jossart, Caroline Lepièce, Olivier Gach, Alexandre Natalis, Laura Peter, Silviu Dumitrascu, Claudiu Ungureanu

{"title":"SWITCHing to Distal RaiL: a tracking technique for rotational atherectomy procedures-short-term outcomes and impact on clinical practice (the SWITCH D-RIL registry).","authors":"Giuseppe Colletti, Gregory A Sgueglia, Adrien Jossart, Caroline Lepièce, Olivier Gach, Alexandre Natalis, Laura Peter, Silviu Dumitrascu, Claudiu Ungureanu","doi":"10.25270/jic/25.00355","DOIUrl":"https://doi.org/10.25270/jic/25.00355","url":null,"abstract":"Objectives: Despite the preference for transradial access (TRA) in percutaneous coronary interventions (PCI), many operators still use large-bore guiding catheters through the transfemoral approach (TFA), especially in complex cases. This study evaluated the feasibility, safety, and efficacy of the Distal RailTracking (DRT) technique, a sheathless approach via distal radial access (DRA), and investigated its impact on clinical practice.Methods: The multicenter SWITCH D-RIL study enrolled patients who required treatment of severely calcified coronary disease by rotational atherectomy, and compared those who underwent PCI before (pre-DRT, n = 97) and after (post-DRT, n = 99) DRT was adopted as the primary approach.Results: Procedural success rates without access site crossover were similar between groups. No significant differences were found in periprocedural complications, in-hospital and 30-day major adverse cardiovascular events, and access- and non-access-related major bleedings. The post-DRT group exhibited a significantly higher use of large-bore guiding catheters (97.1% vs 31.7%). Overall, DRA was used in 90.5% of cases in the post-DRT group, with TFA accounting for 9.5%; the pre-DRT group primarily employed conventional TRA (82.2%), with the remaining cases involving TFA and 1 transbrachial access. The post-DRT group demonstrated increased usage of burrs larger than 1.5 mm (51.4% vs 13.9%) and additional calcium modifying tools (42.9% vs 24.8%).Conclusions: The DRT technique demonstrated feasibility, safety, and efficacy in treating severely calcified coronary disease. This study highlights the reliability of DRA, even when large bore guiding catheters are necessary, emphasizing its potential to provide a safer approach while ensuring radial artery preservation.","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146068174","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}

引用次数: 0

Intravascular ultrasound-guided management of early stent thrombosis secondary to coronary intramural hematoma. 超声引导下冠状动脉壁内血肿继发于支架内早期血栓形成的处理。

IF 1.4 4区医学

Journal of Invasive Cardiology Pub Date : 2026-01-26 DOI: 10.25270/jic/26.00019

Mireia Martínez, Paula Vela, Juan Casanova-Sandoval, Kristian Rivera

引用次数: 0

Very late thrombosis of a hemi-Cabrol coronary graft: a rare cause of cardiogenic shock. 半cabrol冠状动脉移植极晚期血栓形成：心源性休克的罕见原因。

IF 1.4 4区医学

Journal of Invasive Cardiology Pub Date : 2026-01-09 DOI: 10.25270/jic/25.00390

Miguel A Martín-Arena, Joaquín Vila-García, Clara Ugueto-Rodrigo, Cristina Contreras-Lorenzo, Ricardo Martínez-González, Carmen Labarta-Bello, Guadalupe Buitrago Weiland, Sandra Rosillo-Rodríguez, Santiago Jiménez-Valero, Raúl Moreno

引用次数: 0

"War on shock" redux: a decade of progress, promise, and potential. 《反恐战争》重放版：十年的进步、希望和潜力。

IF 1.4 4区医学

Journal of Invasive Cardiology Pub Date : 2026-01-07 DOI: 10.25270/jic/26.00001

Alexander G Truesdell, Megan Terek, Ramesh Singh, Michelle Ferri, Shashank S Sinha

引用次数: 0