Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions最新文献

{"title":"Radial Wall Strain and μQFR as Complementary Predictors of Risk After Myocardial Infarction.","authors":"Ioannis Skalidis, Mauro Boiago, Gaetano Liccardo, Philippe Garrot","doi":"10.1002/ccd.31707","DOIUrl":"https://doi.org/10.1002/ccd.31707","url":null,"abstract":"","PeriodicalId":520583,"journal":{"name":"Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144370057","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":"Personalizing Mechanical Circulatory Support for Cardiogenic Shock: A Review and Comparison of Current Devices.","authors":"Bradley Fujiuchi, Kevin Benavente, Hafeez Ul Hassan Virk, Mahboob Alam, Jacob C Jentzer, Ryan J Tedford, Sean Van Diepen, Chayakrit Krittanawong","doi":"10.1002/ccd.31698","DOIUrl":"10.1002/ccd.31698","url":null,"abstract":"<p><p>Cardiogenic shock (CS) remains a high morbidity and mortality condition worldwide frequently complicating acute myocardial infarction (AMI) and decompensated heart failure (HF). Within the management of CS, mechanical circulatory support (MCS) devices play a critical role in maintaining hemodynamic stability, preserving end-organ perfusion and bridging patients through to recovery, implantation of durable support or transplantation. Despite their use, optimal timing of initiation, as well as patient and device selection remain unclear. This review explores the current landscape of MCS devices, surrounding evidence and key distinctions between devices. With increasing acknowledgment for the heterogeneity of CS, understanding the strengths and limitations of each device remains crucial to improving outcomes in this high-risk population.</p>","PeriodicalId":520583,"journal":{"name":"Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144370056","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":"Scaffold Versus Repeat Drug-Coated Balloon Therapy for Early and Late Drug-Coated Balloon Restenosis in Femoropopliteal Arteries: Results of the RECURRENCE-2 Study.","authors":"Takashi Yanagiuchi, Takahiro Tokuda, Akiko Tanaka, Shunsuke Kojima, Kohei Yamaguchi, Tatsuro Takei, Naoki Yoshioka, Kenji Ogata, Tatsuya Nakama, Hirokazu Yokoi","doi":"10.1002/ccd.31703","DOIUrl":"10.1002/ccd.31703","url":null,"abstract":"<p><strong>Background: </strong>The current study aimed to investigate whether scaffolds or repeat drug-coated balloons (DCBs) were more effective in preventing recurrent restenosis after repeat endovascular therapy (EVT) for early (within 12 months) and late (after 12 months) DCB restenosis.</p><p><strong>Methods: </strong>This study retrospectively analyzed 234 limbs from 213 consecutive patients who underwent repeat EVT using scaffold (n = 52) or DCB only (n = 182) for primary DCB restenosis in femoropopliteal lesions at eight cardiovascular centers across Japan. Repeat EVT for early and late DCB restenosis was performed in 123 and 111 limbs, respectively.</p><p><strong>Results: </strong>Following repeat EVT, the freedom from recurrent restenosis rate was significantly higher with scaffolds than with DCBs for early DCB restenosis (81.6% vs. 62.3% at 12 months; p = 0.038), whereas no difference between treatment strategies was observed for late restenosis (80.0% vs. 85.9% at 12 months; p = 0.629). Among those who underwent repeat EVT for early restenosis, age ≤ 75 years (hazard ratio [HR], 2.05; 95% confidence interval [CI], 1.06-3.96; p = 0.031), male sex (HR, 2.12; 95% CI, 1.08-4.20; p = 0.029), and lesion length ≥ 150 mm (HR, 2.43; 95% CI, 1.31-4.52; p = 0.005) were significantly associated with recurrent restenosis, while scaffold use during repeat EVT was significantly associated with decreased recurrent restenosis (HR, 0.38; 95% CI, 0.17-0.81; p = 0.012).</p><p><strong>Conclusion: </strong>Given the decreased rates of recurrent restenosis, scaffold implantation for DCB restenosis might be an acceptable strategy, particularly for early DCB restenosis after initial DCB.</p>","PeriodicalId":520583,"journal":{"name":"Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334788","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":"Troubleshooting Vascular Tortuosity in High Risk Percutaneous Coronary Intervention: Managing Impella Sheath Challenges.","authors":"AlMothana Manasrah, Tamer Akel, Firas Qaqa","doi":"10.1002/ccd.31695","DOIUrl":"10.1002/ccd.31695","url":null,"abstract":"<p><p>Transfemoral Impella placement can be technically challenging in patients with severe iliofemoral tortuosity and calcification, often leading to sheath kinking, failed device advancement and vascular complications. In this complex, high-risk percutaneous coronary intervention (PCI) case, Impella CP insertion was impeded by severe tortuosity. The issue was successfully addressed by exchanging the standard Impella 14 French sheath with a 16 French Gore DrySeal sheath, which enabled smooth device delivery and completion of PCI. The Gore DrySeal sheath, originally designed for complex aortic procedures, offers enhanced flexibility, kink resistance, and hydrophilic coating that improve trackability in tortuous anatomy. Review of the literature supports its off-label use in similar challenging vascular access scenarios. This case highlights the potential role of the Gore DrySeal sheath as a valuable tool in facilitating large-bore device placement through complex arterial pathways.</p>","PeriodicalId":520583,"journal":{"name":"Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334790","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":"Ultra-Low Contrast Balloon-Embedded PCI for Acute LMCA Occlusion With Quadrifurcation Anatomy in a Resource-Constrained Setting.","authors":"Kapil Rajendran, Arun Jude Alphonse, Vinayakumar Desabandhu","doi":"10.1002/ccd.31706","DOIUrl":"10.1002/ccd.31706","url":null,"abstract":"<p><p>Acute thrombotic occlusion of the left main coronary artery with quadrifurcation anatomy is exceptionally rare, confers a high risk of early mortality, and poses substantial management challenges. We describe a case of acute left main coronary artery occlusion, successfully treated using an ultra-low contrast (25 mL) provisional single-stent strategy with a balloon-embedded technique. Six-month follow-up angiography confirmed a patent stent in the left main coronary artery, with angiographically unchanged lesions in the diagonal branch, left circumflex artery, and obtuse marginal branch. The patient demonstrated improved left ventricular function and sustained clinical stability, highlighting the feasibility of provisional stenting in quadrifurcation lesions even in resource-constrained settings.</p>","PeriodicalId":520583,"journal":{"name":"Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334791","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":"What Is the Role for TAVI in Failing Surgical Aortic Valves? A Review on Valve-in-Valve Interventions.","authors":"Krupal Reddy, Sara Malakouti, Luis Augusto Palma Dallan, Guilherme F Attizzani, William W O'Neill, Bernardo Cortese","doi":"10.1002/ccd.31694","DOIUrl":"10.1002/ccd.31694","url":null,"abstract":"<p><p>Bioprosthetic surgical aortic valve failure represents a significant clinical challenge that necessitates timely and effective intervention to restore valve function and ensure patient well-being. Use of valve-in-valve transcatheter aortic valve implantation (ViV-TAVI) has emerged as a feasible alternative to reoperation surgical aortic valve replacement (SAVR). By providing a less invasive option, this approach offers the opportunity to reduce the potential risks of a reoperation surgery. However, it is important to note that implementing ViV-TAVI requires careful preparation. This review outlines a thorough approach to ViV-TAVI, encompassing preprocedural planning, valve selection, implantation procedure, and its complications. With the availability of updated clinical data supporting long-term outcomes, this particular strategy is an excellent choice for the treatment of failed surgical aortic bioprostheses.</p>","PeriodicalId":520583,"journal":{"name":"Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334792","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":"An Euroheart-Based Percutaneous Coronary Intervention Registry in Vietnam: Design, Rationale, and Preliminary Results.","authors":"Vu Hoang Vu, Khang Duong Nguyen, Bao Thien Duong, Ngoc Minh Pham, Christopher M Reid, Binh Quang Truong, Richard Norman","doi":"10.1002/ccd.31700","DOIUrl":"https://doi.org/10.1002/ccd.31700","url":null,"abstract":"<p><strong>Background: </strong>As a cardiac interventional procedure, percutaneous coronary intervention (PCI) is increasingly becoming the most widely adopted across the globe. With increasing implementation in practice, the use of PCI registries to evaluate safety and effectiveness has grown internationally. Standardization across registries in relation to common data elements will allow comparison between outcomes in different populations.</p><p><strong>Aims: </strong>This study is to enhance the understanding of PCI practices and outcomes in a developing country context. This registry is among the first of its kind in Vietnam, providing an unprecedented level of detail on procedural characteristics, patient outcomes, and quality metrics in a population that has been underrepresented in global cardiovascular research.</p><p><strong>Methods: </strong>This protocol reports a prospective, single-center, PCI registry based on the EuroHeart data set standards for acute coronary syndrome/PCI, conducted at University Medical Center Ho Chi Minh City, Vietnam. It describes the data collection and analysis process and presents baseline characteristics of the first enrollees.</p><p><strong>Results: </strong>From December 2023 to October 2024, we enrolled 1168 PCI patients, with a mean age of 64.1% ± 11.7% and 68.8% being male. Hypertension emerged as the most prominent risk factor. In addition, 27.8% of the population received a final diagnosis of ST-elevation myocardial infarction. The mean baseline Seattle Angina Questionnaire-7 summary score was 60.8 ± 16.4.</p><p><strong>Conclusion: </strong>Establishing a registry is an important step in assuring quality and safety in the provision of PCI. A PCI registry based on EuroHeart data set standards will align with international efforts. In-hospital results also demonstrate early success in implementing the PCI registry management.</p>","PeriodicalId":520583,"journal":{"name":"Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328344","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":"The Evolution of Upper Extremity Vascular System for the Interventional Cardiologist: A 400-Million-Year Tale for Arm-Based Interventions.","authors":"Emre K Aslanger","doi":"10.1002/ccd.31701","DOIUrl":"10.1002/ccd.31701","url":null,"abstract":"<p><p>From the delicate fish fins to the highly specialized human arm, the vascular architecture of the \"upper\" extremity has undergone significant remodeling throughout vertebrate evolution. This fascinating journey leaves behind a complex anatomy and sometimes puzzling vascular variants that are difficult to interpret without evolutionary insight. With the rise of transradial interventions and antebrachial venous access for right heart catheterization, understanding this evolutionary context can offer the interventional cardiologist valuable awareness about the anatomical constraints and potentially hazardous variants encountered during procedures. This paper provides a reconstruction of the upper limb vascular anatomy from an evolutionary perspective, with a focus on its relevance to modern catheterization strategies.</p>","PeriodicalId":520583,"journal":{"name":"Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334789","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":"Bioprosthetic Valve Fracturing in Valve-in-Valve TAVI: Clinical and Echocardiographic Outcomes in Failing Perimount Aortic Bioprostheses-A Multicenter Registry.","authors":"Hendrik Ruge, Melchior Burri, Julia Schreyer, Teodora-Cristiana Georgescu, Derk Frank, Won-Keun Kim, Ole de Backer, Martin Beyer, Andreas Schäfer, Chiara Fraccaro, Giuseppe Tarantini, Erion Xhepa, Michael Joner, Markus Krane, Héctor Alfonso Alvarez Covarrubias","doi":"10.1002/ccd.31686","DOIUrl":"10.1002/ccd.31686","url":null,"abstract":"<p><strong>Background: </strong>Data comparing clinical and hemodynamic outcomes of bioprosthetic valve fracturing (BVF) and \"standard\"-postdilatation during valve-in-valve transcatheter heart valve implantation (ViV-TAVI) are lacking. The authors aimed to analyze hemodynamic and clinical outcomes of BVF compared to \"standard\"-postdilatation during ViV-TAVI.</p><p><strong>Methods: </strong>The REDUCE registry included patients who underwent ViV-TAVI within a Perimount surgical aortic valve bioprosthesis (Edwards Lifesciences, USA). Procedures were categorized to no postdilatation, \"standard\"-postdilatation and BVF. Hemodynamic and clinical outcomes at 30 days were collected and compared. A linear regression model was built to predict mean aortic gradient after ViV-TAVI.</p><p><strong>Results: </strong>A total of 240 patients from six European sites were included. Median age was 78 years [IQR 70; 83], logistic EuroSCORE calculated 20.0%[IQR 12.2; 33.1] and 159 patients (66%) were male. One hundred fourty-four Perimount valves (60%) had a true internal diameter (ID) ≤ 21 mm. Self-expanding valves (SEV) and ballon-expandable valves (BEV) were used in 60% and 40% of cases, respectively. One hundred sixteen procedures (48%) were executed without postdilatation, in 88 procedures (37%) \"standard\"-postdilatation and in 36 procedures (15%) BVF was used. 30-day survival was 93.3%. VARC-3 device success at 30 days was 71%. A multivariable regression analysis of the mean aortic gradient after ViV-TAVI showed a significant association with surgical valve size (-0.84 mmHg, p = 0.001; per 1 mm surgical valve size increase), execution of postdilatation (-3.25 mmHg, p = 0.007) and type of transcatheter heart valve (SEV: -7.31 mmHg, p < 0.001).</p><p><strong>Conclusions: </strong>When performing ViV-TAVI within a Perimount surgical aortic bioprosthesis with a true ID ≤ 21 mm, the hemodynamic valve performance is most optimal when implanting a SEV-TAV and when postdilating the TAV-in-SAV complex. BVF did not result in superior hemodynamics compared to \"standard\"-postdilatation.</p>","PeriodicalId":520583,"journal":{"name":"Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334787","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":"A Case of Calcified Nodule in the Saphenous Vein Graft Successfully Treated by Guide Extension Catheter-Supported Orbital Atherectomy System.","authors":"Yoshiki Kawai, Jiro Ando, Takayuki Warisawa","doi":"10.1002/ccd.31688","DOIUrl":"https://doi.org/10.1002/ccd.31688","url":null,"abstract":"<p><p>The use of debulking devices in saphenous vein graft (SVG) interventions is generally contraindicated due to the risk of vascular injury, making the treatment of heavily calcified lesions challenging. We report the case of a 73-year-old man who developed unstable angina 26 years after coronary artery bypass grafting. Urgent coronary angiography revealed severe calcification and critical stenosis at the SVG-to-left anterior descending artery (LAD) anastomosis. Intravascular ultrasound demonstrated a calcified nodule at the anastomosis and circumferential calcification in the mid-LAD. Balloon angioplasty was attempted but failed due to inadequate lesion dilation. To facilitate lesion modification, an orbital atherectomy system (OAS) was delivered using a guide extension catheter (GEC). Multiple ablations were performed, followed by successful balloon angioplasty and application of a drug-coated balloon. The patient was discharged 3 days later without complications. This case suggests that GEC-supported OAS may be a safe and effective option for treating heavily calcified SVG lesions.</p>","PeriodicalId":520583,"journal":{"name":"Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328343","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}