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

{"title":"The Prognostic Value of Troponin in Acute Pulmonary Embolism: A Systematic Review and Meta-Analysis.","authors":"Ahmed T Elmewafy, James Waller, Priyanth Alaguraja, Kishan Desor, Ibrahim Antoun","doi":"10.1002/ccd.70243","DOIUrl":"https://doi.org/10.1002/ccd.70243","url":null,"abstract":"<p><p>Acute pulmonary embolism (PE) is a major cause of cardiovascular morbidity and mortality. Troponin elevation is increasingly used for risk stratification, but its prognostic utility remains variably reported across studies. To evaluate the prognostic value of troponin elevation in patients with acute PE, concerning short-term mortality and adverse clinical outcomes. A systematic review and meta-analysis were conducted according to PRISMA 2020 guidelines. PubMed was searched from January 2000 to the present, using terms such as \"pulmonary embolism,\" \"troponin,\" and \"prognosis.\" Eligible studies reported associations between troponin elevation and mortality or adverse events in adult patients with PE. Data were synthesised quantitatively and narratively. The Quality in Prognosis Studies (QUIPS) tool was used to assess risk of bias. Sixty studies (n = 25,282) were included. Meta-analysis showed that elevated troponin was significantly associated with increased in-hospital mortality (OR: 5.42; 95% CI: 4.35-6.83), 30-day mortality (OR: 4.35; 95% CI: 3.30-5.74), right ventricular dysfunction (OR: 3.42; 95% CI: 2.69-4.31), haemodynamic instability (OR: 3.29 95% CI: 2.48-4.39), and intensive care unit admission (OR: 5.81 95% CI: 3.52-9.68). Non-meta-analysed mortality data were similar to the meta-analysed data, showing an association between elevated troponin levels and worse outcomes in PE. These associations were observed across both conventional and high-sensitivity assays, as well as normotensive or low-risk patients. Elevated troponin is a strong and consistent predictor of short-term mortality and clinical deterioration in acute PE. With further research, it has the potential to be more widely integrated into risk stratification frameworks.</p>","PeriodicalId":520583,"journal":{"name":"Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145351264","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":"Clinical Impact of Concordant and Discordant Physiology Parameters Post-Percutaneous Coronary Intervention in the EASY-PREDICT Study.","authors":"Paola Ulacia Flores, Tomas Cieza, Safia Ouarrak, Andrés Ruhl, Siddhartha Mengi, Robert De Larochellière, David Garcia-Labbé, Jean-Pierre Déry, Anthony Poulin, Éric Larose, Bernard Noël, Can Manh Nguyen, Jean-Michel Paradis, Olivier F Bertrand","doi":"10.1002/ccd.70266","DOIUrl":"https://doi.org/10.1002/ccd.70266","url":null,"abstract":"<p><strong>Background: </strong>In the EASY-PREDICT Study, patients were randomized to angiography-guidance or post-percutaneous coronary intervention (PCI) physiology-guidance. Discordance between resting and hyperemic physiology post-PCI might have a different relationship with clinical outcomes.</p><p><strong>Aims: </strong>The EASY-PREDICT study showed that routine post-PCI physiology assessment was not associated with improved outcomes compared to angiography-guidance only. We aimed to assess whether resting and hyperemic post-PCI physiology had a different clinical impact.</p><p><strong>Methods: </strong>All-comer patients referred for diagnostic angiography and possible PCI were recruited in a high-volume university hospital and randomized after uncomplicated PCI to angiography-only or target vessel physiology. We studied the concordance and discordance between resting (dPR) and hyperemic (FFR) physiologic parameters post-PCI using ischemic thresholds (dPR ≤ 0.89 and FFR ≤ 0.80) and clinical outcomes up to 18 months post-PCI.</p><p><strong>Results: </strong>A total of 221 patients (325 lesions) with successful PCI were randomized to either group, 219 of which were included in the per protocol analysis. In the physiology group, 132 lesions with available post-PCI physiology were included and 109 (82.6%) had final concordant physiology results post-PCI. Discordance was observed in 15.15% of lesions, 2.3% FFR ischemic (dPR-|FFR+) and 12.9% dPR ischemic (dPR+|FFR-) respectively. At 18 months clinical follow-up, Target Vessel Failure (TVF) was 12.3% in the concordant sub-group whereas TVF was 40.0% in the discordant subgroup.</p><p><strong>Conclusions: </strong>After PCI, physiology discordance between dPR and FFR occurred in ~15% of the cases. Patients with discordant physiology results post-PCI appeared to have higher TVF rates compared to concordant physiology sub-groups.</p>","PeriodicalId":520583,"journal":{"name":"Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145310632","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":"pREdicting Long-Term Major advErse carDiac and Cerebrovascular Events After Percutaneous coronarY Intervention: The REMEDY Score.","authors":"Jiaxi Cheng, Chenxi Song, Hao-Yu Wang, Zhangyu Lin, Zheng Qiao, Xiaohui Bian, Lei Feng, Chenggang Zhu, Min Yang, Guofeng Gao, Dong Yin, Kefei Dou","doi":"10.1002/ccd.70244","DOIUrl":"https://doi.org/10.1002/ccd.70244","url":null,"abstract":"<p><strong>Background: </strong>A clinically applicable tool incorporating comprehensive risk factors to evaluate long-term hard endpoints post-percutaneous coronary intervention (PCI) is currently lacking.</p><p><strong>Aims: </strong>This study aims to develop a risk score from a large contemporary cohort to assess and stratify long-term risk of major adverse cardiac and cerebrovascular events (MACCEs) post-PCI, enabling proactive management and monitoring in high-risk patients.</p><p><strong>Methods: </strong>The study prospectively enrolled 28,683 consecutive patients undergoing PCI from 2017 to 2018, assigning the first 70% for score derivation and the remaining 30% for validation. The primary endpoint was 3-year MACCEs, including cardiovascular death, myocardial infarction, and stroke. A LASSO-Cox model identified 10 independent predictors, from which a weighted integer scoring system was developed.</p><p><strong>Results: </strong>Within 3 years post-PCI, 1013 MACCEs (3.5%) were observed. A risk score incorporating three demographic factors (age, severe coronary artery disease history, hypertension duration), two clinical characteristics (left ventricular ejection fraction, clinical presentation), two angiographic features (affected vessels, calcification severity), and three laboratory results (glycated hemoglobin, N-terminal pro-B-type natriuretic peptide, estimated glomerular filtration rate) demonstrated strong predictive performance (c-index 0.764, AUC 0.831, goodness-of-fit p = 0.34). Patients were stratified into low (score 0-4, risk ≤ 2%), moderate (score 5-8, 2% < risk ≤ 5%), and high risk (score ≥ 9, risk > 5%), with corresponding 3-year MACCE incidences of 1.6%, 4.0%, and 10.1%.</p><p><strong>Conclusions: </strong>A contemporary simple risk score integrating 10 readily available variables accurately predicts long-term hard outcomes in PCI patients, facilitating personalized risk assessment and informed treatment decisions.</p>","PeriodicalId":520583,"journal":{"name":"Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145314454","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":"Letter to the Editor: \"Dissection Techniques in Chronic Total Occlusion Percutaneous Coronary Intervention\".","authors":"Suleman Arshad, Taha Yahya, Syed Ali Raza Zaidi, Mian Zain Hayat","doi":"10.1002/ccd.70278","DOIUrl":"https://doi.org/10.1002/ccd.70278","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":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145314418","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":"Comment on \"The Impact of Target Vessel Diameter on the Outcomes of Chronic Total Occlusion Percutaneous Coronary Intervention: Insights from the PROGRESS-CTO Registry\".","authors":"Mian Zain Hayat, Suleman Arshad, Muhammad Ahmad, Taha Yahya","doi":"10.1002/ccd.70275","DOIUrl":"https://doi.org/10.1002/ccd.70275","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":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145314479","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":"Utilizing Fusion Imaging Technology in Aspiration Thrombectomy and Transcatheter PFO Closure: A Novel Approach.","authors":"Ali J Ebrahimi, Mustafa Alkhawam, Ekaterina Bakradze, Mustafa I Ahmed","doi":"10.1002/ccd.70202","DOIUrl":"https://doi.org/10.1002/ccd.70202","url":null,"abstract":"<p><p>Impending paradoxical embolism (IPDE) through a patent foramen ovale (PFO) is extraordinarily rare, requiring rapid recognition and treatment to save lives. We present the case of a 45-year-old female with postthrombectomy IPDE through PFO. A multidisciplinary team decided to proceed with percutaneous aspiration thrombectomy followed by transcatheter PFO closure, guided by fusion imaging (FI) technology (EchoNavigator). The outcome was highly successful, with no further thrombosis and a well-seated occluder after the procedure, and demonstrated excellent results. To our knowledge, this is the first case reported using FI technology in a combined procedure of aspiration thrombectomy and PFO closure. We strongly encourage further research to explore the management of IPDE through PFO and assess the benefits of FI technology in comparison to conventional interventions for such procedures.</p>","PeriodicalId":520583,"journal":{"name":"Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145310624","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":"Spontaneous Coronary Artery Dissection: Cardiovascular Events Incidence and Quality of Life Evaluation in a Single-Center 10 Years' Experience.","authors":"Noemi Cenni, Piercarlo Ballo, Tania Chechi, Gabriele Rosso, Jacopo Vivalda, Carlo Di Mario","doi":"10.1002/ccd.70232","DOIUrl":"https://doi.org/10.1002/ccd.70232","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Despite recent advancements in the recognition and diagnosis of spontaneous coronary artery dissection (SCAD), pathophysiologic mechanisms, predisposing and precipitating factors, risk of recurrences remain poorly understood and evidence-based treatment strategies are still unavailable.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Aims: &lt;/strong&gt;The goals of the study are to assess the characteristics of SCAD patients highlighting the predisposing and precipitating factors, to analyse the therapeutic management in the acute phase, to evaluate the incidence of SCAD recurrence and cardiovascular events during the follow-up and to assess the factors influencing the quality of life of patients after a SCAD event. We also aim to introduce our experience about the use of intra-aortic balloon pump in acute SCAD setting in order to support the percutaneous coronary intervention (PCI) or its use as part of a conservative management.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;We performed a retrospective, single-center, observational cohort study of patients with non-atherosclerotic, non-iatrogenic SCAD presenting to our Cath Lab in Santa Maria Annunziata Hospital (Bagno a Ripoli, Florence, Italy) with acute coronary syndrome (ACS). We enrolled 84 patients who presented with acute coronary syndrome and SCAD documented by coronary angiography or intracoronary imaging, from January 2015 to December 2024. We excluded patients with iatrogenic dissection and coronary atherosclerotic disease.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Mean age was 56.2 ± 11.6 years and 79 (94%) patients were women. At baseline, 40% had hypertension, 38.8% dyslipidaemia, 29.4% was current smoker, only 2.4% had diabetes mellitus. The most frequent hospital presentation was NSTEMI (70,6%), followed by STEMI (28,2%) and ventricular tachycardia or ventricular fibrillation (3.5%). Majority of SCAD involved a single coronary artery territory (89.3%), and the most common coronary artery dissected was the left anterior descending artery and its branches (40.5%). Majority of patients (82%) were treated conservatively as initial strategy; 15 patients (18%) underwent myocardial revascularization with PCI or coronary artery bypass grafting (CABG). In nine cases (10.6%) IABP was implanted to perform a protect PCI (4.8%), as bridge to emergency CABG in course of hemodynamic instability (2.4%) or as part of conservative management (3.6%) avoiding coronary instrumentation and PCI with positive long-term outcome. During the follow-up period (median follow-up 2.6 years with interquartile range 1.1-5.4 years) the primary endpoint, defined as major adverse cardiovascular events (MACE) incidence and new onset or recurrence of atrial fibrillation (AF), occurred in 18 patients (21.4%). Hypertension emerged as independent predictor of primary outcome (p 0.001, HR 7.965) and low-dosage aspirin at discharge appeared to be protective reducing risk of primary outcome (p &lt; 0.001, HR 0.0034). The secondary outcome was to evaluate","PeriodicalId":520583,"journal":{"name":"Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145310642","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":"Expect the Unexpected, Acute Left Main Coronary Artery Occlusion During TAVI: A Case Series.","authors":"Mohammed Saad, Abdelrahman Elhakim, Georg Lutter, Mohamed Elsoudi, Mohammed Fawzi, Mohamed Elhakim, Bassim Zarif, Derk Frank","doi":"10.1002/ccd.70274","DOIUrl":"https://doi.org/10.1002/ccd.70274","url":null,"abstract":"<p><p>Transcatheter aortic valve implantation (TAVI) is the gold standard therapy for high-risk patients with severe, symptomatic aortic valve stenosis, particularly in patients with impaired left ventricular systolic function or those with previous cardiac surgery. However, TAVI with non-dedicated devices in patients with native severe AR is challenging. Patients frequently have a bicuspid aortic valve, large dimensions of the aortic annulus, and a low aortic valve calcification load. These features increase the risk of significant paravalvular regurgitation and prosthesis migration. We present two cases of severe aortic valve regurgitation due to cusp migration of previously implanted surgical aortic valves and flail cusps. After discussion with the Heart team based on the patient's clinical profile and the high risk of surgical repair, self-expandable-TAVI was performed using the Navitor trans-catheter heart valve in the first case and the Accurate Neo 2 in the second case. During TAVI and before valve release, acute LM coronary artery occlusion was noted. Successful further TAVI implantation and PCI was a lifesaving strategy. The 3-month follow-up was uneventful. Transcatheter valve implantation expands its indications for more complex anatomy, off-label use in severe aortic regurgitation and patient's comorbidity. In the case of flail cusp during TAVI, LM coronary artery obstruction must be considered an expected complication, and LM protection maneuvers should be considered in difficult anatomies.</p>","PeriodicalId":520583,"journal":{"name":"Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145310645","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":"Utility of Long Radial Artery Sheaths for Left Heart Catheterization.","authors":"Aarash Roshandel, Danielle Shields, Ehab Abaza, Louai Razzouk, Sunil V Rao, Joey Junarta","doi":"10.1002/ccd.70267","DOIUrl":"https://doi.org/10.1002/ccd.70267","url":null,"abstract":"<p><strong>Background: </strong>Increased vessel tortuosity may hinder the success of transradial procedures. Longer thin-walled, hydrophilic sheaths ≥ 75 cm can be placed into the ascending aorta and have the potential to avoid femoral access crossover.</p><p><strong>Methods: </strong>We studied consecutive cases of patients undergoing left heart catheterization (LHC) where a 75 cm long thin-walled, hydrophilic sheath was used from 1/1/22 to 9/30/24. Patient and procedural characteristics were collected. Procedural data included indication, contrast load, radiation dose, procedural time, procedural complications, and the need to convert to femoral access.</p><p><strong>Results: </strong>Our study sample included 71 patients (mean age 69, 45% male). Comorbidities included hypertension (82%), hyperlipidemia (76%), and congestive heart failure (30%). Previous coronary artery disease was present in 31% of patients, and 20% of patients had undergone previous percutaneous coronary intervention (PCI). Indications for LHC included symptoms of stable ischemic heart disease (21%), abnormal non-invasive ischemic testing (52%), acute coronary syndrome (18%), and pre-operative evaluation for surgery (8%). The reason to switch to the long thin-walled, hydrophilic sheath was inability to engage the coronaries due to subclavian/brachiocephalic artery tortuosity (86%) or radial artery spasm (14%). After switching to the long thin-walled, hydrophilic sheath, 62/71 (87%) cases successfully engaged the coronaries without converting to femoral access. The mean procedure time was 36 min for diagnostic LHC cases (n = 46) and 72 min for PCI cases (n = 25). No procedural complications occurred.</p><p><strong>Conclusion: </strong>This case series suggests that use of the long thin-walled, hydrophilic radial sheaths can avoid femoral access crossover in selected cases.</p>","PeriodicalId":520583,"journal":{"name":"Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145305221","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":"Interventional Cardiologists' Perspectives on Percutaneous Coronary Intervention at Ambulatory Surgical Centers.","authors":"Thomas R Basala, Michaella Alexandrou, Dimitrios Strepkos, Athanasios Rempakos, Salman Allana, Lorenzo Azzalini, Lyndon Box, William Lombardi, Sunil V Rao, Binita Shah, Arnold H Seto, Devraj Sukul, Bahadir Simsek, Deniz Mutlu, Pedro E P Carvalho, Sandeep Jalli, Ozgur Selim Ser, Olga Mastrodemos, Yader Sandoval, Bavana V Rangan, Emmanouil S Brilakis","doi":"10.1002/ccd.70263","DOIUrl":"https://doi.org/10.1002/ccd.70263","url":null,"abstract":"<p><strong>Background: </strong>The volume of percutaneous coronary intervention (PCI) at ambulatory surgical centers (ASC) is expected to increase.</p><p><strong>Methods: </strong>We surveyed US interventional cardiologists with a 58-question, anonymous online survey to evaluate their knowledge of and perspectives on ASC PCI.</p><p><strong>Results: </strong>A total of 114 interventional cardiologists (9 fellows) responded. Participants were most commonly between 45 and 54 years old (33%). Most participants identified as male (95%), white (58%), non-Hispanic (95%), and with an academic affiliation (61%); 13 participants (11%) were PCI operators at an ASC. Most participants (59%) were in support of ASC PCI, 63% were very confident in their ability to decide if a patient is well-suited for ASC PCI, and 43% were not familiar with national and state-level laws/regulations of ASC PCI. Perceived benefits of ASC PCI included positive patient experience (69%), greater efficiency (79%), and lower costs for patients (50%) and institutions (53%). Participants reported a high level of concern about private equity involvement in ASC PCI (58%), occurrence of adverse events away from the hospital (47%), lower quality of care (39%), inappropriate patient selection (40%), inadequate regulatory standards (35%), and institutional pressures (47%). Supporters of ASC PCI reported a better self-assessed knowledge of it and perceived more benefits with fewer concerns.</p><p><strong>Conclusions: </strong>Most survey participants expressed support for ASC PCI, citing benefits such as improved patient experience, greater efficiency, and reduced costs. However, participants expressed concern for private equity involvement and the risk of adverse events occurring away from the hospital setting.</p>","PeriodicalId":520583,"journal":{"name":"Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145295001","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}