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

{"title":"First, Do No Harm: Implications of CHIP-BCIS3 for Interventional Cardiology Training.","authors":"Gaspar Del Rio Pertuz, Jaskanwal Deep Sara","doi":"10.1002/ccd.70795","DOIUrl":"10.1002/ccd.70795","url":null,"abstract":"","PeriodicalId":520583,"journal":{"name":"Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions","volume":" ","pages":"1425-1427"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671768","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":"Internal Inconsistency in the EASY Hematoma Classification in a Report of Distal Transradial Access for Out-of-Hospital Cardiac Arrest.","authors":"Ömer Bedir","doi":"10.1002/ccd.70829","DOIUrl":"10.1002/ccd.70829","url":null,"abstract":"","PeriodicalId":520583,"journal":{"name":"Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions","volume":" ","pages":"1607-1608"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148764522","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":"Remodel the Failed Trifecta or Not: That Is a Question.","authors":"Yi-Lin Tsai, Ching-Wei Lee, Su-Chan Chen, Chun-Chin Chang, Tai-Wei Chen, Chiao-Po Hsu, Shih-Hsien Sung","doi":"10.1002/ccd.70830","DOIUrl":"10.1002/ccd.70830","url":null,"abstract":"<p><p>Using a high-pressure balloon to do bioprosthetic valve remodeling (BVR) for a failed surgical non-fracturable aortic valve is thought to improve the expansion of a transcatheter heart valve (THV) during valve-in-valve transcatheter aortic valve replacement (ViV-TAVR). However, the risks and benefits of this approach remain under debate. We present two cases of failed bioprosthetic aortic valves (Trifecta 19 mm and 21 mm, Abbott Vascular) receiving ViV-TAVR using balloon-expandable valves (Sapien 3 20-mm, Edwards Lifesciences). In one patient, an ATLAS GOLD balloon catheter (20 mm, BD, Franklin Lakes, New Jersey, USA) was used to do BVR. In the other patient, a double-tap technique with the same volume balloon post-dilatation was performed without BVR. Both procedures were successful, with notable clinical improvement. The post-TAVR computed tomography and transthoracic echocardiogram were performed 1 month after the procedure which demonstrated comparable hemodynamic results; however, the THV deformation was more pronounced in the patient who underwent BVR. Importantly, the THV-to-coronary ostium distance in this patient decreased unexpectedly from 5 mm to near 0 mm over right coronary artery. These cases illustrate that using a high-pressure balloon to perform BVR in a non-fracturable surgical valve had limited impact on THV expansion at the annular level. Conversely, unpredictable over-expansion of the THV in the outflow portion may pose an increased risk to the coronaries, even when the valve-to-coronary distance is long prior to the valve-in-valve TAVR procedure.</p>","PeriodicalId":520583,"journal":{"name":"Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions","volume":" ","pages":"1712-1716"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148809741","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":"Coronary Perforation During Excimer Laser Angioplasty in a Patient With Prior Thoracic Radiotherapy.","authors":"Francesco Maria Sparasci, Alessandro Cafaro, Dionigi Fischetti, Alessandro Mandurino-Mirizzi","doi":"10.1002/ccd.70792","DOIUrl":"10.1002/ccd.70792","url":null,"abstract":"<p><strong>Background: </strong>Management of heavily calcified coronary lesions remains challenging despite advances in plaque-modifying technologies. Excimer laser coronary angioplasty (ELCA) is an effective adjunctive strategy with a low risk of no-reflow.</p><p><strong>Case summary: </strong>A 75-year-old woman with non-ST-segment elevation acute coronary syndrome and severe left ventricular dysfunction, previously treated with thoracic radiotherapy, underwent percutaneous coronary intervention of a calcified left anterior descending artery lesion. Optical coherence tomography revealed an eruptive calcified nodule with thrombus and a concentric stenosis. ELCA was selected to minimize distal embolization; however, the procedure was complicated by multiple coronary perforations requiring covered stent implantation.</p><p><strong>Discussion: </strong>This case suggests that coronary perforation during ELCA may result from the interplay between lesion complexity, procedural factors, and radiation-related vessel wall remodeling.</p>","PeriodicalId":520583,"journal":{"name":"Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions","volume":" ","pages":"1337-1343"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13667333/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148623685","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":"Transcatheter Tricuspid Valve Replacement for Residual Tricuspid Regurgitation After TEER.","authors":"Fabian Voß, Philipp Mourikis, Fabian Nienhaus, Jafer Haschemi, Alexander Hoss, Tobias Zeus, Hanna Kowalski, Maximilian Spieker, Christian Jung, Patrick Horn, Hug Aubin, Artur Lichtenberg, Richard Truse, Malte Kelm, Amin Polzin","doi":"10.1002/ccd.70797","DOIUrl":"10.1002/ccd.70797","url":null,"abstract":"<p><strong>Background: </strong>Residual or recurrent tricuspid regurgitation (TR) after prior transcatheter tricuspid edge-to-edge (T-TEER) repair occurs in about 12% of patients within 1 year. Since surgical tricuspid valve repair or replacement is of high risk, treatment options remain scarce. Data regarding the feasibility, safety, and treatment strategies using transcatheter valve replacement (TTVR) after T-TEER are sparse.</p><p><strong>Aims: </strong>Here, we aimed to summarize our early experience in TTVR after failed T-TEER, analyze its feasibility and summarize the results in a distinct algorithm.</p><p><strong>Methods: </strong>Patients undergoing TTVR (n = 21) at the University Hospital of Duesseldorf were prospectively analyzed and stratified according prior T-TEER procedures with implanted devices. Groups were compared in terms of procedural success, periprocedural complications, and patient outcomes. Individual treatment decisions for patients after T-TEER were analyzed.</p><p><strong>Results: </strong>Five patients had residual/recurrent severe to torrential TR and underwent TTVR after T-TEER, whereas 16 patients were primarily referred for TTVR. Preprocedural wire-based intentional clip excision (WICE) was performed in 60% of these patients. Patients did not differ regarding procedural success (100% in both groups, p = 0.99) and periprocedural complications (0 [TTVR after TEER] vs. 5.6% [primary TTVR], p = 0.99 for the combined endpoint of in-hospital death, stroke, myocardial infarction, re-intervention or surgery, and major bleeding). A pacemaker was required in one patient of each group, p = 0.4). Procedural times were higher among patients with prior T-TEER. Treatment decisions for patients after T-TEER were integrated into a treatment algorithm.</p><p><strong>Conclusion: </strong>The valve after clip concept is feasible and the proposed algorithm may support procedural planning.</p>","PeriodicalId":520583,"journal":{"name":"Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions","volume":" ","pages":"1380-1385"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13667314/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148665467","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":"Comparative Outcomes of Novel Small Balloon Low-Pressure Pullback and Traditional Management for Coronary Intramural Hematoma Complicating PCI.","authors":"Chen Chen, Ziyi Ni, Juetong Zhu, Yaoxue Zang, Qianli Zhu, Guangze Xiang, Li-You Lian, Yinuo Lin","doi":"10.1002/ccd.70771","DOIUrl":"10.1002/ccd.70771","url":null,"abstract":"<p><strong>Background and aims: </strong>The management of percutaneous coronary intervention (PCI)-related coronary intramural hematoma (CIMH) is debated. Conventional strategies-additional stenting with/without cutting balloon (AS/CB) or conservative management (CM)-have limitations. The small balloon low-pressure pullback technique (SBLP) is a newer option, but comparative evidence is limited. This study compared in-hospital and long-term outcomes among AS/CB, CM, and SBLP.</p><p><strong>Methods: </strong>In this retrospective cohort study, 181 patients who developed CIMH during PCI between January 2022 and December 2025 were enrolled. Patients were managed with AS/CB (n = 109), CM (n = 20), or SBLP (n = 52). Primary endpoints included myocardial injury biomarkers (troponin I), cardiac function recovery (LVEF), stent utilization, hospitalization stay and costs, and major adverse cardiovascular events (MACEs).</p><p><strong>Results: </strong>Post-procedural troponin I levels decreased significantly in the AS/CB and SBLP groups (all p < 0.05) but increased significantly in the CM group (p < 0.05). LVEF improved postoperatively in the AS/CB and SBLP groups (all p < 0.05) but decreased in the CM group (p < 0.05). Hospital stay was shortest with SBLP (median 5.0 days) versus CM (10.0) and AS/CB (7.0). Stent use was highest with AS/CB (total length 77.0 mm; 3.0 stents) versus others (p < 0.05). Over 15.1 months, MACE incidence was lowest with SBLP (7.7%) versus AS/CB (29.4%) and CM (50%; p < 0.001). Adjusted hazard ratios confirmed lower MACE risk: SBLP versus CM, HR 0.060, 95% CI 0.018-0.210, p < 0.001; AS/CB versus CM, HR 0.385, 95% CI 0.174-0.853, p = 0.019.</p><p><strong>Conclusion: </strong>SBLP shows potential benefits over conventional CIMH management, with improved cardiac function, shorter hospitalization, fewer stents, and better long-term outcomes.</p>","PeriodicalId":520583,"journal":{"name":"Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions","volume":" ","pages":"1397-1404"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148665497","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":"Feasibility of Distal Radial Artery Interventions and Impact of Radial Artery Diameter on Puncture Failure.","authors":"Yuan Du, Can Li, Minghao Liu, Jinwei Zhai, Hongmei Liu, Dan Liu, Yiying Song, Haiyue Li, Yuxi Dong, Youxuan Gong, Lei Wang, Huanhuan Wang, Cheng Cui, Ying Song, Jue Chen, Zhan Gao, Lei Song, Weixian Yang, Yongjian Wu, Jinqing Yuan, Hui Li, Yuanlin Guo, Lijian Gao","doi":"10.1002/ccd.70826","DOIUrl":"10.1002/ccd.70826","url":null,"abstract":"<p><strong>Background: </strong>The widespread adoption of distal radial artery (DRA) interventions has been limited by the relatively higher puncture difficulty compared to conventional radial artery access.</p><p><strong>Aims: </strong>Evaluate the feasibility of DRA access and explore relationship between radial artery diameter and puncture failure.</p><p><strong>Methods: </strong>A total of 733 patients proposed for DRA access were enrolled at the Department of Cardiology, Fuwai Hospital, between 2021 and 2024. All patients underwent preoperative ultrasound evaluation to measure the radial artery diameter at the snuffbox, and at 5 cm, 10 cm, and 15 cm proximal to the styloid process of the radius. The primary outcome was DRA puncture failure.</p><p><strong>Results: </strong>The overall DRA puncture success rate among these patients was 96.6%. PCI was performed in 74.0% of cases, with a procedural success rate of 92.7%. Multivariate logistic regression analysis showed that DRA diameter at the snuffbox was significantly associated with puncture failure (OR = 0.24; 95% CI: 0.09-0.61). Restricted cubic spline analysis (RCS) demonstrated a nonlinear association between DRA diameter at the snuffbox and puncture failure, with an increased risk observed as DRA diameter decreased below approximately 2.40 mm. Notably, segmented logistic regression identified an inflection point at 1.67 mm, below which the risk of puncture failure increased significantly.</p><p><strong>Conclusion: </strong>The feasibility of DRA access was demonstrated in our study. DRA diameter was identified as an important predictor of puncture success. These findings provide an anatomical consideration for patient selection and may assist clinicians in optimizing the use of DRA access in future interventions.</p>","PeriodicalId":520583,"journal":{"name":"Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions","volume":" ","pages":"1652-1661"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148805256","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":"Hospital-Level Variations in Outcomes and Readmissions Among Patients With STEMI and Cardiogenic Shock Receiving Mechanical Circulatory Support: Insights From a National Cohort.","authors":"Mukunthan Murthi, Andres Quevedo, Shubhashis Saha, Anisha Memdani, Naveen Baskaran, Aviral Vij","doi":"10.1002/ccd.70782","DOIUrl":"10.1002/ccd.70782","url":null,"abstract":"<p><strong>Background: </strong>The utilization of mechanical circulatory support (MCS) in patients presenting with ST-elevation myocardial infarction (STEMI) complicated by cardiogenic shock (CS) has increased substantially in recent years. However, it remains unclear whether the spectrum of MCS devices available and the type of hospital in which patients are treated influence clinical outcomes.</p><p><strong>Aim: </strong>To assess the outcomes of patients with STEMI and CS based on availability of MCS devices.</p><p><strong>Methods: </strong>We utilized the National Readmission Database 2021 to identify STEMI patients with CS. Hospitals were categorized based on MCS device availability into four groups: intra-aortic balloon pump (IABP) centers, Impella centers, veno-arterial extracorporeal membrane oxygenation (VA-ECMO) centers, and transplant centers. Patients were stratified by the level of MCS received, and comparisons were made across hospital types. Our primary aim was to evaluate in-hospital outcomes and 30-day readmission stratified by the type of MCS utilized.</p><p><strong>Results: </strong>A total of 19, 260 patients with STEMI and CS were identified during the study period. Among patients who received IABP only, those admitted in centers with only IABP had the shortest time to MCS initiation compared to other centers. Similarly, among those who received Impella, time to MCS was shortest in centers with Impella only compared to those with VA-ECMO and transplant centers. Among patients who received IABP only, there was no significant difference in mortality based on the location of hospitalization. Patients who received Impella at transplant centers had lower mortality (aOR 0.65, 95% CI 0.43-0.99; p = 0.045) and lower 30-day readmission rates compared with those treated at centers offering only Impella support.</p><p><strong>Conclusion: </strong>In patients with STEMI complicated by CS, outcomes vary not only by the type of MCS utilized but also by the MCS capabilities of the treating hospital. These findings suggest that institutional expertise and resource availability may play a significant role in influencing both in-hospital and short-term outcomes, even among patients receiving the same level of circulatory support.</p>","PeriodicalId":520583,"journal":{"name":"Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions","volume":" ","pages":"1408-1416"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13667320/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148665434","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":"Long-Term Stroke Recurrence and Safety After Percutaneous Patent Foramen Ovale Closure: Results From the Lucerne Registry.","authors":"David F Möller, Federico Moccetti, Nina Conrad, Matthias Bossard, Adrian Attinger-Toller, Florim Cuculi, Stefan Toggweiler, Mathias Wolfrum","doi":"10.1002/ccd.70818","DOIUrl":"10.1002/ccd.70818","url":null,"abstract":"<p><strong>Background: </strong>Percutaneous patent foramen ovale (PFO) closure is established for selected patients with PFO-associated cryptogenic stroke and other dedicated indications; however, long-term outcome data remain limited.</p><p><strong>Aims: </strong>Evaluate procedural, echocardiographic, and long-term clinical outcomes after percutaneous PFO closure.</p><p><strong>Methods: </strong>Consecutive patients undergoing PFO closure at Heart Center Lucerne between February 2017 and December 2024 were analyzed. The primary endpoint was a combined endpoint of recurrent cerebrovascular events and death. Follow-up included 6-month echocardiography and clinical follow-up up to 8 years using electronic health records and structured telephone interviews.</p><p><strong>Results: </strong>A total of 331 patients (mean age 51 ± 12 years, 39% women, 80% prior cryptogenic stroke) were analyzed. Atrial septal aneurysm was present in 31%, grade 3 shunt in 72%, and the median RoPE score was 7 (IQR 6-7). Technical success was 99%. Devices used were Amplatzer (52%), Figulla Flex (42%), NobleStitch (6%), and Gore (1%). Double-disc devices achieved higher effective closure (residual shunt ≤ grade 1) than suture-based closure (97% vs. 68%; p < 0.001); a double-disc closure for relevant residual shunt was required after 7/21 suture-based closures. During a median follow-up of 3.7 years (IQR 2.1-5.7) 12 patients had a primary outcome (three ischemic strokes, two hemorrhagic strokes, five transient-ischemic-attacks, and two deaths). The primary outcome rate was 0.93/100 patient-years and stroke recurrence rate was 0.39 per 100 patient-years. Residual shunt grade ≥ 2 showed a trend toward increased cerebrovascular risk (HR 4.3, 95% CI 0.9-20.9; p = 0.068). Atrial fibrillation was documented in 5.4% of patients during long-term follow-up.</p><p><strong>Conclusions: </strong>Percutaneous PFO closure showed high technical success and low long-term ischemic stroke recurrence. Double-disc devices provided higher effective closure than suture-based closure, and residual shunt may indicate increased cerebrovascular risk. A considerable proportion of patients developed atrial fibrillation following PFO closure.</p>","PeriodicalId":520583,"journal":{"name":"Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions","volume":" ","pages":"1754-1761"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148868585","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":"Balloon Rupture During Myval TAVI: A Rare Complication and Successful Bailout Strategy.","authors":"Ali Rıza Akyüz, Niyazi Alp Peker, Mustafa Öztürk, Selim Kul","doi":"10.1002/ccd.70778","DOIUrl":"10.1002/ccd.70778","url":null,"abstract":"<p><p>​Balloon rupture during transcatheter aortic valve implantation (TAVI) is a rare but life-threatening complication. We report a successful bailout strategy following TAVI balloon rupture during the deployment of a 24.5 mm Myval valve. Upon partial inflation failure, the valve and ruptured balloon were retracted into the descending aorta. To overcome friction, diluted propofol (1 mg in 10 mL saline) was injected through the balloon lumen as a chemical lubricant, facilitating safe balloon disengagement. Following en bloc removal of the damaged system and placement of a new sheath, the first valve was intentionally deployed in the descending aorta using a sequential balloon expansion strategy (20 mm followed by 27.5 mm). A second 24.5 mm Myval valve was subsequently implanted at the native annulus without complications. This case highlights the novel use of propofol lubrication as a rapid, effective endovascular bailout technique.</p>","PeriodicalId":520583,"journal":{"name":"Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions","volume":" ","pages":"1276-1278"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148612245","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}