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

{"title":"Artificial Intelligence in Cardiology: Insights From a Multidisciplinary Perspective","authors":"Kalynn Niroda BSN, RN , Cristian Drudi PhD , Joseph Byers RRT , Jasmine Johnson LMSW , Gabrielle Cozzi PharmD, BCCCP , Leo Anthony Celi MD , Haitham Khraishah MD","doi":"10.1016/j.jscai.2025.102612","DOIUrl":"10.1016/j.jscai.2025.102612","url":null,"abstract":"","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"4 3","pages":"Article 102612"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143641900","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":"Impact of Artificial Intelligence-Enhanced Optical Coherence Tomography Software on Percutaneous Coronary Intervention Decisions","authors":"Matthew Sibbald MD, PhD ,&nbsp;Haley R. Mitchell BS ,&nbsp;Jana Buccola MS ,&nbsp;Natalia Pinilla-Echeverri MD, PhD","doi":"10.1016/j.jscai.2024.102438","DOIUrl":"10.1016/j.jscai.2024.102438","url":null,"abstract":"<div><h3>Background</h3><div>Integration of intravascular imaging into percutaneous coronary intervention (PCI) workflow demands physician time and expertise. Artificial intelligence (AI)-enabled software that automates the identification of key intravascular imaging parameters has the potential to streamline physician workflow, increase accuracy, and reduce variability in PCI planning decisions. This study investigated if AI-enabled software, Ultreon (Abbott), compared with traditional software, AptiVue (Abbott), improved physician decision-making accuracy, variability, and efficiency in optical coherence tomography (OCT)-based PCI planning.</div></div><div><h3>Methods</h3><div>In this multireader, multicase study, 30 interventional cardiologists of varying OCT imaging experience evaluated 21 pre-PCI OCT pullbacks using both Ultreon and AptiVue platforms. Physician PCI planning decisions about lesion morphology, length, and diameter were compared to published best practices. Decision accuracy, variability, and time efficiency were assessed using statistical models.</div></div><div><h3>Results</h3><div>Physician OCT-based planning decisions were more accurate using Ultreon compared to AptiVue in the identification of calcium severity by 1.77 (95% CI, 1.27-2.50; <em>P</em> &lt; .001), vessel preparation strategy by 2.00 (95% CI, 1.12-3.4; <em>P</em> = .018), and stent diameter by 2.83 (95% CI, 1.79-4.50; <em>P</em> &lt; .001). Physicians exhibited less variability in assessments using Ultreon, especially for distal and proximal stent landing zone, and planned stent length (<em>P</em> &lt; .0001). The efficiency of OCT assessments was improved with Ultreon, reducing the duration of OCT assessments by 0.5 minutes (<em>P</em> &lt; .0001). The benefits were observed irrespective of the physician’s prior OCT experience.</div></div><div><h3>Conclusions</h3><div>Physician OCT-based PCI planning decisions were more accurate, less variable, and more efficient with AI-enhanced Ultreon software. This could potentially aid in the fuller adoption of intravascular imaging in PCI workflow.</div></div>","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"4 3","pages":"Article 102438"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143641902","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(25)00980-9","DOIUrl":"10.1016/S2772-9303(25)00980-9","url":null,"abstract":"","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"4 3","pages":"Article 103538"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143637388","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":"Efficacy and Safety of High-Frequency Optical Coherence Tomography (HF-OCT) for Coronary Imaging: A Multicenter Study","authors":"Donald L. Quimby Jr. MD ,&nbsp;Eric S. Rothstein MD ,&nbsp;Henry C.T. Richmond MD ,&nbsp;Emmanuel Bassily MD ,&nbsp;Bibhu D. Mohanty MD ,&nbsp;Robert Sawyer MD ,&nbsp;Michael Shih MD ,&nbsp;Michael N. Young MD ,&nbsp;Amit P. Amin MD ,&nbsp;Hannah Chaudry MD ,&nbsp;Jimmy Devries MD ,&nbsp;Michael R. Jones MD ,&nbsp;Fadi Matar MD ,&nbsp;Aaron V. Kaplan MD ,&nbsp;Giovanni J. Ughi PhD ,&nbsp;Hiram G. Bezerra MD, PhD","doi":"10.1016/j.jscai.2025.102577","DOIUrl":"10.1016/j.jscai.2025.102577","url":null,"abstract":"<div><h3>Background</h3><div>Optical coherence tomography (OCT) has emerged as an essential tool in coronary atherosclerosis research and has shown clinical value in optimizing percutaneous coronary intervention. Its capability to identify coronary plaque pathology and accurately detect intervention results, often overlooked by angiography, serves as a guide in managing patients with acute coronary syndromes, myocardial infarction due to nonobstructing coronary artery disease, calcified arteries, and in-stent restenosis, thus contributing to improved clinical outcomes. However, the current technology of intracoronary imaging catheters has a size approaching 3F, limiting its adoption preintervention. Furthermore, the image field of view of current OCT technologies cannot consistently offer complete visualization of coronary arteries ≥5 mm.</div></div><div><h3>Methods</h3><div>In this multicenter, single-arm study, we evaluated the efficacy and safety of a novel imaging catheter and system called high-frequency optical coherence tomography (HF-OCT). This system features a reduced-size, rapid-exchange imaging catheter with a diameter of 1.8F. HF-OCT captures 100 mm long segments of coronary arteries in just 1 second. In addition, HF-OCT provides an expanded field of view greater than 14 mm in diameter, enabling complete imaging of large coronary arteries.</div></div><div><h3>Results</h3><div>After conducting 143 imaging acquisitions in 81 unique coronary arteries across 75 patients at 3 institutions, we obtained an average clear image length of 68.8 ± 18.8 mm. Coronary arteries of varying sizes, including cases with severe stenosis, were evaluated. Comparing preintervention HF-OCT acquisitions—taken prior to any arterial manipulation—to postintervention acquisitions, no significant difference in image quality was observed (<em>t</em> test, <em>P</em> = .901).</div></div><div><h3>Conclusions</h3><div>The results of this study illustrate that a lower HF-OCT catheter profile, larger field of view, and faster pullback capabilities provide reliable imaging of coronary arteries in an all-comers, multicenter population.</div></div>","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"4 3","pages":"Article 102577"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143637391","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":"Alternative Access for Transcatheter Aortic Valve Replacement: An Ode to the Road Less Traveled","authors":"Giorgio A. Medranda MD ,&nbsp;Sandeep Nathan MD, MSc","doi":"10.1016/j.jscai.2025.102581","DOIUrl":"10.1016/j.jscai.2025.102581","url":null,"abstract":"","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"4 3","pages":"Article 102581"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143637730","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":"Charting the Course for Careers in Interventional Heart Failure: Training, Challenges, and Future Directions","authors":"Richard Cheng MD ,&nbsp;Miguel Alvarez Villela MD ,&nbsp;Amirali Masoumi MD ,&nbsp;Michele L. Esposito MD ,&nbsp;David A. Baran MD ,&nbsp;Karl-Philip Rommel MD ,&nbsp;Marat Fudim MD ,&nbsp;Felix Mahfoud MD ,&nbsp;Alexandra Lansky MD ,&nbsp;Daniel Burkhoff MD, PhD ,&nbsp;Navin K. Kapur MD","doi":"10.1016/j.jscai.2025.102569","DOIUrl":"10.1016/j.jscai.2025.102569","url":null,"abstract":"<div><div>Interventional heart failure (IHF) has emerged as a critical subspecialty due to the increasing complexity of heart failure (HF) treatment now spanning both pharmacological and nonpharmacological device-based therapies. Although initially existing at the intersection of interventional cardiology and advanced HF, IHF has expanded to encompass multiple domains of cardiology including cardiogenic shock (CS), transcatheter valve therapies, relief of increased left atrial pressures, and coronary intervention in low ejection fraction and after heart transplant. Although rapidly growing, training pathways remain elusive, and existing training pathways are not well equipped to deliver necessary training components and encourage growth in the field. Those with a career in IHF can be divided into 3 main phenotypes. Those who are not formally interventional trained, but might implant pressure sensors, perform endomyocardial biopsies, and place nonlarge bore devices. Those who have formal interventional cardiology training might focus on coronary interventions, shock calls, and large-bore devices. Those with structural training might focus on transcatheter valve therapies and structural procedures in HF. There are several possible training pathways for IHF and we propose 5 focuses for training. Finally, we describe areas of interest and growth for careers in IHF. The field of IHF has been misunderstood as one of “jack of all trades” but actually represents the trend of increasing specialization for careers within cardiology due to the increasing complexity of therapeutic options within cardiovascular disease. By addressing current training challenges, the field is poised to make significant strides. Trainees entering this specialty will have the opportunity to be at the forefront of cardiovascular care, contributing to innovative treatments and improving outcomes for patients with complex HF.</div></div>","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"4 3","pages":"Article 102569"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143637731","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":"Randomized Trial of Shortened Supine Bedrest Following Transfemoral Transcatheter Aortic Valve Replacement","authors":"David Elison MD ,&nbsp;Morgan Casper MD ,&nbsp;Gregory Condos MD ,&nbsp;Oscar Maitas MD ,&nbsp;Christine J. Chung MD ,&nbsp;Gabriel Aldea MD ,&nbsp;James M. McCabe MD","doi":"10.1016/j.jscai.2025.102564","DOIUrl":"10.1016/j.jscai.2025.102564","url":null,"abstract":"","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"4 3","pages":"Article 102564"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143637733","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":"High-Frequency Optical Coherence Tomography: Addressing Common Pitfalls of Traditional Optical Coherence Tomography Imaging","authors":"Brian C. Case MD ,&nbsp;Ryan Wallace MD ,&nbsp;Daniel Chamié MD, PhD","doi":"10.1016/j.jscai.2025.102621","DOIUrl":"10.1016/j.jscai.2025.102621","url":null,"abstract":"","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"4 3","pages":"Article 102621"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143637392","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":"Dr Frank J. Hildner—1934 to 2025","authors":"Christopher J. White MD ,&nbsp;Christine M. Hildner","doi":"10.1016/j.jscai.2025.102627","DOIUrl":"10.1016/j.jscai.2025.102627","url":null,"abstract":"","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"4 3","pages":"Article 102627"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143637741","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":"Virtual Reality Simulation With Integrated Passive Haptics Prototype for Cardiac Catheterization Laboratory Training","authors":"Garrett A. Welle MD,&nbsp;Jack R. Miller PhD,&nbsp;Abdullah Al-Abcha MD,&nbsp;Ana Ehtemami PhD,&nbsp;Jonathan M. Morris MD,&nbsp;Mohamad Alkhouli MD,&nbsp;Benjamin Hibbert MD, PhD,&nbsp;Rajiv Gulati MD, PhD,&nbsp;Abhiram Prasad MD,&nbsp;Trevor Simard MD, PhD","doi":"10.1016/j.jscai.2024.102451","DOIUrl":"10.1016/j.jscai.2024.102451","url":null,"abstract":"","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"4 3","pages":"Article 102451"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143641892","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}