Journal of the Society for Cardiovascular Angiography & Interventions最新文献

{"title":"Blueprint for Building and Sustaining a Cardiogenic Shock Program: Qualitative Survey of 12 US Programs","authors":"Raymond M. Yau MD ,&nbsp;Robyn Mitchell ACNP ,&nbsp;Aasim Afzal MD ,&nbsp;Timothy J. George MD ,&nbsp;Syed Siddiqullah MD ,&nbsp;Aditya S. Bharadwaj MBBS ,&nbsp;Alexander G. Truesdell MD ,&nbsp;Carolyn Rosner MSN, NP-C, MBA ,&nbsp;Mir B. Basir DO ,&nbsp;Ruth Fisher MBA ,&nbsp;Allison Dupont MD ,&nbsp;Carlos Leon Alviar MD ,&nbsp;Haval Chweich MD ,&nbsp;Navin K. Kapur MD ,&nbsp;Rajan A.G. Patel MD ,&nbsp;Scott Silvestry MD ,&nbsp;Sandeep M. Patel MD ,&nbsp;Jacob Abraham MD","doi":"10.1016/j.jscai.2024.102288","DOIUrl":"10.1016/j.jscai.2024.102288","url":null,"abstract":"<div><h3>Background</h3><div>Multidisciplinary cardiogenic shock (CS) programs have been associated with improved outcomes, yet practical guidance for developing a CS program is lacking.</div></div><div><h3>Methods</h3><div>A survey on CS program development and operational best practices was administered to 12 institutions in diverse sociogeographic regions and practice settings. Common steps in program development were identified.</div></div><div><h3>Results</h3><div>Key steps for program development were identified: measuring baseline outcomes; identifying subspecialty champions; gaining leadership and team buy-in; developing institution-specific CS protocols; educating staff and referring providers; consulting with external experts; and developing quality assessment and process improvement.</div></div><div><h3>Conclusions</h3><div>An assessment of 12 US CS programs highlights a blueprint for establishing and maintaining a successful, multidisciplinary shock program.</div></div>","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"3 11","pages":"Article 102288"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142704224","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":"Intraprocedural and Delayed Plaque Protrusion in Carotid Artery Stenting Using a Dual-Layer Metallic Stent","authors":"Kaoru Myouchin MD ,&nbsp;Katsutoshi Takayama MD ,&nbsp;Takeshi Wada MD ,&nbsp;Yuto Chanoki MD ,&nbsp;Hayato Kishida MD ,&nbsp;Takahiro Masutani MD ,&nbsp;Yumi Ko MD ,&nbsp;Yoshitomo Uchiyama MD ,&nbsp;Ichiro Nakagawa MD ,&nbsp;Toshihiro Tanaka MD","doi":"10.1016/j.jscai.2024.102285","DOIUrl":"10.1016/j.jscai.2024.102285","url":null,"abstract":"<div><h3>Background</h3><div>Intravascular ultrasound–determined plaque protrusion (PP) during carotid artery stenting (CAS) using conventional stents is reported in 7.6% to 12% of cases and is associated with periprocedural cerebral embolism. The Casper/Roadsaver stent (CRS) is a dual-layer micromesh stent designed to reduce the risk of PP, with a mesh cell diameter 4-fold smaller size than that of conventional stents. This study investigated the incidence of PP with CRS CAS.</div></div><div><h3>Methods</h3><div>We prospectively analyzed 89 consecutive arteriosclerotic carotid artery stenoses in 82 patients (64 men; mean age, 76.8 years; 43 symptomatic) who underwent CAS with CRS under intravascular ultrasound. The main end points were the technical success rate, incidences of intraprocedural PP and at 1 week after CAS (delayed PP), incidence of new ipsilateral diffusion-weighted imaging lesion within 48 hours post CAS, and major adverse events (myocardial infarction, stroke, death) within 30 days. Secondary end points were the rate of in-stent restenosis and ipsilateral stroke at 30 days and 12 months.</div></div><div><h3>Results</h3><div>The technical success rate was 100%. Intraprocedural PP occurred in 2 patients (2.2%). Delayed PP occurred in 3 additional patients (3.4%). Diffusion-weighted imaging positivity was 24.7%. Major adverse events (minor stroke) occurred in 1 patient (1.1%). In-stent restenosis occurred in 5 patients (6.0%) by 12 months. No ipsilateral stroke occurred during the follow-up.</div></div><div><h3>Conclusions</h3><div>The incidence of intraprocedural PP with CRS CAS was 2.2%, indicating a significant reduction compared to conventional stents. However, at 7 days new PP had occurred in 3.4% of patients, indicating that patients with CRS should be followed up for delayed PP.</div></div>","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"3 11","pages":"Article 102285"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142704230","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":"Retraction notice to \"E-39 | Association Between Sodium-Glucose Co-Transporter 2 Inhibitor Use and 30-Day Outcomes after Transcatheter Aortic Valve Replacement: A Retrospective Matched Cohort Analysis\" [JSCAI 3 (2024) 101800]","authors":"Pamela S. Ropski MD ,&nbsp;Graham Peigh MD ,&nbsp;James D. Flaherty MD, FSCAI ,&nbsp;S. Chris Malaisrie MD ,&nbsp;Ranya Sweis MD, FSCAI ,&nbsp;Christopher K. Mehta MD ,&nbsp;Charles J. Davidson MD, FSCAI ,&nbsp;Duc T. Pham MD ,&nbsp;Zhiying Meng MS ,&nbsp;Abigail S. Baldridge MS ,&nbsp;Heather Byrd MS ,&nbsp;Laura Jean Davidson MD, MS, FSCAI","doi":"10.1016/j.jscai.2024.102243","DOIUrl":"10.1016/j.jscai.2024.102243","url":null,"abstract":"","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"3 11","pages":"Article 102243"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142703747","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":"Optimizing Primary PCI Care for STEMI Patients: Key Messages From the SCAI Expert Consensus Statement","authors":"Marc-André d’Entremont MD, MPH ,&nbsp;Sanjit S. Jolly MD, MSc","doi":"10.1016/j.jscai.2024.102393","DOIUrl":"10.1016/j.jscai.2024.102393","url":null,"abstract":"","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"3 11","pages":"Article 102393"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142704223","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":"The Role of Cardiac Computed Tomography Angiography in Risk Stratification for Coronary Artery Disease","authors":"Sophie E. van Rosendael MD, PhD ,&nbsp;Arthur Shiyovich MD ,&nbsp;Rhanderson N. Cardoso MD ,&nbsp;Camila Veronica Souza Freire MD ,&nbsp;Alexander R. van Rosendael MD, PhD ,&nbsp;Fay Y. Lin MD ,&nbsp;Gina Larocca MD ,&nbsp;Solomon W. Bienstock MD ,&nbsp;Ron Blankstein MD ,&nbsp;Leslee J. Shaw PhD","doi":"10.1016/j.jscai.2024.102230","DOIUrl":"10.1016/j.jscai.2024.102230","url":null,"abstract":"<div><div>Coronary computed tomography angiography (CCTA) allows the assessment of the presence and severity of obstructive and nonobstructive atherosclerotic coronary artery disease. With software developments incorporating artificial intelligence-based automated image analysis along with improved spatial resolution of CT scanners, volumetric measurements of atherosclerotic plaque, detection of high-risk plaque features, and delineation of pericoronary adipose tissue density can now be readily and accurately evaluated for a given at-risk patient. Many of these expanded diagnostic measures have been shown to be prognostically useful for prediction of major adverse cardiac events. The incremental value of plaque quantification over diameter stenosis has yet to be thoroughly discovered in current studies. Furthermore, the physiological significance of lesions can also be assessed with CT-derived fractional flow reserve, myocardial CT perfusion, and more recently shear stress, potentially leading to selective invasive coronary angiography and revascularization. Along with these technological advancements, there has been additional high-quality evidence for CCTA including large randomized clinical trials supporting high-level recommendations from many international clinical practice guidelines. Current trials largely compare a CCTA vs functional testing strategy, yet there is minimal evidence on CCTA plaque-guided therapeutic trials to measure regression of atherosclerosis and prevention of major coronary artery disease events. In this review, we summarize current evidence on comprehensive risk assessment with CCTA and future directions.</div></div>","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"3 11","pages":"Article 102230"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142704227","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":"SCAI Expert Consensus Statement on the Management of Patients With STEMI Referred for Primary PCI","authors":"Jacqueline E. Tamis-Holland MD, FSCAI (Chair) ,&nbsp;J. Dawn Abbott MD, FSCAI ,&nbsp;Karim Al-Azizi MD, FSCAI ,&nbsp;Nitin Barman MD ,&nbsp;Anna E. Bortnick MD, PhD, MSc, FSCAI ,&nbsp;Mauricio G. Cohen MD, FSCAI ,&nbsp;Payam Dehghani MD, FSCAI ,&nbsp;Timothy D. Henry MD, MSCAI ,&nbsp;Faisal Latif MD, FSCAI ,&nbsp;Mohammad Madjid MD, FSCAI ,&nbsp;Celina M. Yong MD, MBA, MSc, FSCAI ,&nbsp;Yader Sandoval MD, FSCAI (Co-Chair)","doi":"10.1016/j.jscai.2024.102294","DOIUrl":"10.1016/j.jscai.2024.102294","url":null,"abstract":"<div><div>ST-elevation myocardial infarction (STEMI) remains a leading cause of morbidity and mortality in the United States. Timely reperfusion with primary percutaneous coronary intervention is associated with improved outcomes. The Society for Cardiovascular Angiography &amp; Interventions puts forth this expert consensus document regarding best practices for cardiac catheterization laboratory team readiness, arterial access with an algorithm to help determine proper arterial access in STEMI, and diagnostic angiography. This consensus statement highlights the strengths and limitations of various diagnostic and therapeutic interventions to access and treat a patient with STEMI in the catheterization laboratory, reviews different options to manage large thrombus burden during STEMI, and reviews the management of STEMI across the spectrum of various anatomical and clinical circumstances.</div></div>","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"3 11","pages":"Article 102294"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142704222","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":"Carotid Antiembolic (“Mesh”) Stents: Not Created Equal","authors":"Piotr Musiałek MD, DPhil ,&nbsp;Lukasz Tekieli MD, PhD ,&nbsp;Tomoyuki Umemoto MD","doi":"10.1016/j.jscai.2024.102429","DOIUrl":"10.1016/j.jscai.2024.102429","url":null,"abstract":"","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"3 11","pages":"Article 102429"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142704231","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":"Safety of Mechanical Thrombectomy in Obese Patients: Insights From a Single-Center Retrospective Analysis","authors":"Lidiya V. Sul DO ,&nbsp;Akiva Rosenzveig MD ,&nbsp;Pulkit Chaudhury MD ,&nbsp;Ihab Haddadin MD ,&nbsp;Aravinda Nanjundappa MD ,&nbsp;Leben Tefera MD","doi":"10.1016/j.jscai.2024.102388","DOIUrl":"10.1016/j.jscai.2024.102388","url":null,"abstract":"","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"3 11","pages":"Article 102388"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142704232","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":"Cover","authors":"","doi":"10.1016/S2772-9303(24)02131-8","DOIUrl":"10.1016/S2772-9303(24)02131-8","url":null,"abstract":"","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"3 11","pages":"Article 102444"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142703748","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":"An Audit of Recyclable and Contaminated Waste From Invasive Cardiac Procedures","authors":"Haitham Amin ,&nbsp;Nooraldaem Yousif ,&nbsp;Thomas F. Lüscher","doi":"10.1016/j.jscai.2024.102390","DOIUrl":"10.1016/j.jscai.2024.102390","url":null,"abstract":"<div><h3>Background</h3><div>Waste generation from health care facilities is significant. Quantifying and minimizing waste from cardiac catheterization laboratories (CCL) and cardiac operating theaters (COT) has received little attention in an effort to lessen its environmental impact. The purpose of this study was to assess the quantity of contaminated and recyclable waste resulting from invasive cardiac procedures.</div></div><div><h3>Methods</h3><div>To assess the potential impact of recycling, quantify the amount of waste that ends up in landfills, and determine how much contaminated material needs to be managed, we audited the amount of hazardous and nonhazardous medical waste produced from CCL and COT in our cardiac center.</div></div><div><h3>Results</h3><div>Every year, our cardiac center performs 350 cardiac surgeries and 2900 interventional cases. We estimated that annually 11,000 kg of recyclable waste and 30,000 kg of contaminated waste are generated. If this is extrapolated to all the CCL and COT globally, the anticipated annual waste production from invasive cardiac procedures is 150 million kg (150,000 metric tons).</div></div><div><h3>Conclusions</h3><div>Cardiologists and cardiac surgeons must embrace sustainability as a critical need and join the effort to prevent global warming. One tiny action that each of us can take to improve the environment is to try to decrease waste while encouraging recycling.</div></div>","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"3 11","pages":"Article 102390"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142704234","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}