Sandeep Arunothayaraj, Timothy Williams, James Cockburn, David Hildick-Smith
{"title":"Acurate Neo Implantation to Treat Degenerative Regurgitation of Surgical Bioprostheses.","authors":"Sandeep Arunothayaraj, Timothy Williams, James Cockburn, David Hildick-Smith","doi":"10.1016/j.carrev.2020.09.020","DOIUrl":"https://doi.org/10.1016/j.carrev.2020.09.020","url":null,"abstract":"<p><p>Valve-in-valve transcatheter aortic valve replacement (VIV-TAVR) provides a safe and effective treatment option for failing surgical aortic bioprostheses. Self-expanding supra-annular valves offer optimal haemodynamics for this clinical application. The Acurate Neo transcatheter heart valve (THV) offers further unique advantages with stabilisation arches to assist with alignment, upper crowns to restrain bioprosthetic valve leaflets, rapid final opening coaxial to the left ventricular outflow tract and an open design that optimises future coronary access. We report our procedural technique and experience using the Acurate Neo THV in four VIV-TAVR implantations for patients aged between 70 and 81 yrs. All patients presented with severe symptomatic valvular aortic regurgitation (AR), one of whom was in cardiogenic shock. The patients had malfunctioning surgical bioprostheses (stented n = 3; stentless n = 1) ranging in size from 21 to 25 mm. The Acurate Neo THV was successfully implanted in all patients without any complications, residual AR, coronary compromise or need for permanent pacing. Length of stay was 2 to 7 days. Follow-up to 12 months revealed no adverse events. The Acurate Neo THV is an attractive self-expanding option for patients with AR due to degeneration of a surgical aortic valve bioprosthesis.</p>","PeriodicalId":519492,"journal":{"name":"Cardiovascular revascularization medicine : including molecular interventions","volume":" ","pages":"105-108"},"PeriodicalIF":1.7,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.carrev.2020.09.020","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38524970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Efficacy of Long Inflation Balloon Angioplasty for Acute Myocardial Infarction Due to Thrombotic Lesions.","authors":"Shingo Watanabe, Michio Usui","doi":"10.1016/j.carrev.2020.12.003","DOIUrl":"https://doi.org/10.1016/j.carrev.2020.12.003","url":null,"abstract":"<p><strong>Background: </strong>Distal embolism is a frequent complication in percutaneous coronary intervention (PCI) for acute myocardial infarction (AMI) due to thrombotic lesions. Distal embolism causes no reflow phenomenon, which leads to worse patient prognosis after AMI. There is no established treatment to prevent distal embolism in PCI for thrombotic lesions. The aim of this study is to investigate the usefulness of long inflation balloon angioplasty (LIBA) with perfusion balloon in PCI for AMI due to thrombotic lesions.</p><p><strong>Methods and results: </strong>This is a case series study. We investigated 10 cases treated with LIBA for cases with massive thrombus remaining after thrombus aspiration therapy in primary PCI for acute myocardial infarction. We investigated the success rate of the procedure, residual stenosis rate, TIMI flow grade, TIMI frame count, and myocardial blush score in 10 cases of primary PCI with LIBA at our hospital. In all 10 cases, distal embolism was not observed by angiogram after LIBA. In 9 cases, residual stenosis was improved to less than 25% and the procedure was completed without a stent. Before PCI, all cases had TIMI flow grade 0, but in all 10 cases, TIMI flow grade 3 was obtained after PCI. The mean TIMI frame count was 19.6 ± 2.50 for RCA lesions and 27.5 ± 1.5 for LAD lesions. Regarding myocardial blush score, grade 3 was obtained in 8 cases and grade 2 was obtained in 2 cases.</p><p><strong>Conclusion: </strong>LIBA using a perfusion balloon is a useful technique in thrombus lesion to prevent distal embolism.</p>","PeriodicalId":519492,"journal":{"name":"Cardiovascular revascularization medicine : including molecular interventions","volume":" ","pages":"249-252"},"PeriodicalIF":1.7,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.carrev.2020.12.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38703492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Intravascular Lithotripsy Enabled Transfemoral Transcatheter Aortic Valve Implantation via Percutaneous Axillary Access Approach.","authors":"Rajiv Tayal, Sumit Sohal, Alexis Okoh, Najam Wasty, Sergio Waxman, Arash Salemi","doi":"10.1016/j.carrev.2020.12.018","DOIUrl":"https://doi.org/10.1016/j.carrev.2020.12.018","url":null,"abstract":"<p><p>Transfemoral (TF) access for transcatheter aortic valve implantation (TAVI) is the most commonly used site, however its use may be limited by prohibitive peripheral arterial disease. Although a number of alternative access techniques have been well described, each has been shown to be associated with increased risks when compared to a TF approach. Recently, planned treatment of iliofemoral artery disease using intravascular lithotripsy (IVL) has emerged as a means of preserving TF access. Ipsilateral or contralateral femoral artery access has been routinely used to perform IVL but its use may be limited in certain conditions. Here we describe the novel technique of using percutaneous axillary artery access to perform IVL of iliofemoral artery to facilitate its use for large bore access. We present a 78-year-old high surgical risk female with severe aortic stenosis who was found to have a prior stent in the contralateral iliac artery protruding into the aorta which limited a traditional 'up and over' approach, and thus axillary artery access was used to perform IVL. This is the first case in literature to describe the use of percutaneous axillary access to perform IVL of the iliac and common femoral artery to facilitate TF TAVI. Based on our previous experience we feel this technique holds promise for a routine use when use of other access sites is limited.</p>","PeriodicalId":519492,"journal":{"name":"Cardiovascular revascularization medicine : including molecular interventions","volume":" ","pages":"89-93"},"PeriodicalIF":1.7,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.carrev.2020.12.018","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38747293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Post-Myocardial Infarction Complications During the COVID-19 Pandemic - A Case Series.","authors":"Waqas T Qureshi, Summer Al-Drugh, Adedotun Ogunsua, Colleen Harrington, Wahaj Aman, Leora Balsam, Biswajit Kar, Gerald Aurigemma, Amartya Kundu, Nirmal Kaur, Craig Smith, Daniel Fisher, Jeffrey Rade, Nikolaos Kakouros","doi":"10.1016/j.carrev.2020.08.005","DOIUrl":"https://doi.org/10.1016/j.carrev.2020.08.005","url":null,"abstract":"<p><p>We report 4 cases of post myocardial infarction complications due to the delay in presentation during COVID-19 era. We highlighted the need for auscultating the chest for early diagnosis. Through this case series, we urge to raise awareness among cardiac patients to access healthcare despite the fear of COVID-19.</p>","PeriodicalId":519492,"journal":{"name":"Cardiovascular revascularization medicine : including molecular interventions","volume":" ","pages":"253-258"},"PeriodicalIF":1.7,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.carrev.2020.08.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38325680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Transvenous Retrieval of a Pulmonary Artery Catheter Knot Around Pacing Leads: A Case Report.","authors":"Obiora Egbuche, Kenechukwu Nwagbara, Kenechukwu N Mezue, Temidayo Abe, Shirley Nwokike","doi":"10.1016/j.carrev.2020.09.037","DOIUrl":"https://doi.org/10.1016/j.carrev.2020.09.037","url":null,"abstract":"<p><strong>Background: </strong>Pulmonary Artery Catheter (PAC) knotting is a rare complication of PAC insertion. In patients with dilated right heart chambers, blind insertion of PAC significantly increases the risk of catheter knotting. We demonstrate a safe and successful approach to resolving a PAC knot around pacing leads of a cardiac resynchronization device.</p><p><strong>Case presentation: </strong>A 63-year-old African American male with dilated cardiomyopathy and a cardiac resynchronization therapy (CRT) device for severe left ventricular systolic dysfunction required PAC insertion for hemodynamic management of acute heart failure. PAC insertion was complicated by catheter knotting around the pacing leads. The PAC was successfully retrieved using a transvenous technique.</p><p><strong>Conclusion: </strong>Fluoroscopy-guided insertion of PAC is advisable and preferred over blind insertion in patients with high risk of PAC entanglement.</p><p><strong>Learning objective: </strong>To highlight a potential complication of blind pulmonary artery catheter insertion and provide a safe technique to resolve catheter knots.</p>","PeriodicalId":519492,"journal":{"name":"Cardiovascular revascularization medicine : including molecular interventions","volume":" ","pages":"144-146"},"PeriodicalIF":1.7,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.carrev.2020.09.037","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38507612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Matteo Casenghi, Miroslava Stolcova, Francesco Meucci, Alessio Mattesini, Francesca Ristalli, Carlo Di Mario, Francesco Bedogni, Federico De Marco
{"title":"Supra-Aortic Vessel Stenting to Stabilize an Embolized Acurate NEOTranscatheter Heart Valve: The Chandelier Technique.","authors":"Matteo Casenghi, Miroslava Stolcova, Francesco Meucci, Alessio Mattesini, Francesca Ristalli, Carlo Di Mario, Francesco Bedogni, Federico De Marco","doi":"10.1016/j.carrev.2020.10.017","DOIUrl":"https://doi.org/10.1016/j.carrev.2020.10.017","url":null,"abstract":"<p><p>THV aortic embolization can be managed percutaneously by snaring the prosthesis in a stable position in ascending aorta. We report two cases of embolized Acurate NEO with extreme mobility of devices in ascending aorta in which a bailout supra-aortic trunk stenting with consistent aortic protrusion were performed stabilizing the devices.</p>","PeriodicalId":519492,"journal":{"name":"Cardiovascular revascularization medicine : including molecular interventions","volume":" ","pages":"102-104"},"PeriodicalIF":1.7,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.carrev.2020.10.017","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38605803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alfonso Ielasi, Andrea Buono, Massimo Medda, Francesco Casilli, Marta Bande, Mariano Pellicano, Mattia Glauber, Francesco Donatelli, Maurizio Tespili
{"title":"Transcatheter Valve-in-Valve Implantation With a Novel Balloon-Expandable Device in Patients With Bioprosthetic Heart Valve Failure: A Case Series.","authors":"Alfonso Ielasi, Andrea Buono, Massimo Medda, Francesco Casilli, Marta Bande, Mariano Pellicano, Mattia Glauber, Francesco Donatelli, Maurizio Tespili","doi":"10.1016/j.carrev.2020.11.018","DOIUrl":"https://doi.org/10.1016/j.carrev.2020.11.018","url":null,"abstract":"<p><p>Trans-catheter valve-in-valve (ViV) is a treatment option for patients affected by bioprosthetic heart valve (BHV) failure. Both aortic and mitral ViV procedures present several challenges compared to native valve replacement. To date, no data concerning the balloon-expandable MyVal (Meril, Vapi, India) trans-catheter heart valve (THV) use in ViV procedure have been provided. In this case series, we described for the first time its use in five different BHV failures.</p>","PeriodicalId":519492,"journal":{"name":"Cardiovascular revascularization medicine : including molecular interventions","volume":" ","pages":"98-101"},"PeriodicalIF":1.7,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.carrev.2020.11.018","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38655378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Steven J Filby, Luis Augusto Palma Dallan, Anthony Cochet, Akihiro Kobayashi, Mauricio Arruda
{"title":"Novel Technique for Transseptal Passage of Intracardiac Echocardiogram Probe During Left Atrial Appendage Closure.","authors":"Steven J Filby, Luis Augusto Palma Dallan, Anthony Cochet, Akihiro Kobayashi, Mauricio Arruda","doi":"10.1016/j.carrev.2021.04.021","DOIUrl":"https://doi.org/10.1016/j.carrev.2021.04.021","url":null,"abstract":"","PeriodicalId":519492,"journal":{"name":"Cardiovascular revascularization medicine : including molecular interventions","volume":" ","pages":"150-152"},"PeriodicalIF":1.7,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.carrev.2021.04.021","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38871902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}