Maxime N. Lebaz , Siling Li MSc , Joseph Kim MD , Eric Secemsky MD, MSc, FSCAI
{"title":"OR1-8 | Longstanding Disparities in Outcomes Among Medicaid-Enrolled Medicare Beneficiaries with CLTI Undergoing Revascularization (2016–2023)","authors":"Maxime N. Lebaz , Siling Li MSc , Joseph Kim MD , Eric Secemsky MD, MSc, FSCAI","doi":"10.1016/j.jscai.2025.102659","DOIUrl":"10.1016/j.jscai.2025.102659","url":null,"abstract":"","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"4 5","pages":"Article 102659"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143894635","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":"OR1-12 | Drug-Coated Versus Uncoated Balloon for Side Branch in Coronary Bifurcation Lesions","authors":"Abdelouahed Meftah , Mohamed Sofiane Lounes , Karima Allal , Chamseddine Belhadi , Salim Benkhedda","doi":"10.1016/j.jscai.2025.102663","DOIUrl":"10.1016/j.jscai.2025.102663","url":null,"abstract":"","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"4 5","pages":"Article 102663"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143894711","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}
Abdalaziz Awadelkarim MD , Luis Afonso MD , M Chadi Alraies MD, FSCAI
{"title":"OR1-19 | The Detroit Medical Center OHCA Algorithm: A Data-Driven Approach to Optimize Out-of-Hospital Cardiac Arrest Management by Reducing Unnecessary Cath Lab Activations and Enhancing Neuroprotection","authors":"Abdalaziz Awadelkarim MD , Luis Afonso MD , M Chadi Alraies MD, FSCAI","doi":"10.1016/j.jscai.2025.102670","DOIUrl":"10.1016/j.jscai.2025.102670","url":null,"abstract":"","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"4 5","pages":"Article 102670"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143894726","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}
Greta Campbell , Raghav Gattani MBBS , Jonah Zembower , Fouad K. Chouairi MD , John Bertot , Prakriti Gaba MD , Eric Secemsky MD, MSc, FSCAI , Christopher Hughes PT, PhD, OCS, CSCS , Ajar Kochar M.D., FSCAI
{"title":"OR1-20 | Sex and Operator Role based Differences in Ergonomic Risks to Catheterization Laboratory Operators: Insights from the Prospective ERGO-CATH Study","authors":"Greta Campbell , Raghav Gattani MBBS , Jonah Zembower , Fouad K. Chouairi MD , John Bertot , Prakriti Gaba MD , Eric Secemsky MD, MSc, FSCAI , Christopher Hughes PT, PhD, OCS, CSCS , Ajar Kochar M.D., FSCAI","doi":"10.1016/j.jscai.2025.102671","DOIUrl":"10.1016/j.jscai.2025.102671","url":null,"abstract":"","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"4 5","pages":"Article 102671"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143895460","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-18 | The Heart Wars: Analyzing Short-term Outcomes Following Percutaneous Coronary Intervention in Patients With Hfpef vs. Hfref","authors":"Rutvi Amin MD , Parampreet Johal MD , Kamleshun Ramphul MD , Hemamalini Sakthivel MD","doi":"10.1016/j.jscai.2025.102768","DOIUrl":"10.1016/j.jscai.2025.102768","url":null,"abstract":"","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"4 5","pages":"Article 102768"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143895625","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}
Wei Wu PhD , Shijia Zhao PhD , Akshat Banga MBBS , Yash Vardhan Trivedi MBBS , Vineeth S. Dasari MBBS , Parth Munjal MBBS , Rakshita Ramesh Bhat MBBS , Ruben K.A. Tapia-Orihuela MD , Usama M. Oguz MD , Hammad Zafar MBBS , Haritha Darapaneni MBBS , Nikolaos Spilias MD , Jessica Wagner PhD , Stephen Morin PhD , Amanda DeVos BS , Paul A. Iaizzo PhD , Akiko Maehara MD , Evan S. Shlofmitz DO , Ziad A. Ali MD, DPhil , Emmanouil Brilakis MD, PhD , Yiannis S. Chatzizisis MD, PhD
{"title":"High-Definition Intravascular Ultrasound Versus Optical Coherence Tomography: Lumen Size and Plaque Morphology","authors":"Wei Wu PhD , Shijia Zhao PhD , Akshat Banga MBBS , Yash Vardhan Trivedi MBBS , Vineeth S. Dasari MBBS , Parth Munjal MBBS , Rakshita Ramesh Bhat MBBS , Ruben K.A. Tapia-Orihuela MD , Usama M. Oguz MD , Hammad Zafar MBBS , Haritha Darapaneni MBBS , Nikolaos Spilias MD , Jessica Wagner PhD , Stephen Morin PhD , Amanda DeVos BS , Paul A. Iaizzo PhD , Akiko Maehara MD , Evan S. Shlofmitz DO , Ziad A. Ali MD, DPhil , Emmanouil Brilakis MD, PhD , Yiannis S. Chatzizisis MD, PhD","doi":"10.1016/j.jscai.2024.102520","DOIUrl":"10.1016/j.jscai.2024.102520","url":null,"abstract":"<div><h3>Background</h3><div>Complex percutaneous coronary interventions rely on advanced intravascular imaging techniques, such as intravascular ultrasound (IVUS) and optical coherence tomography (OCT). This study aims to compare the accuracy of the latest high-definition intravascular ultrasound (HD IVUS) and OCT technologies in measuring coronary lumen dimensions and assessing plaque morphology.</div></div><div><h3>Methods</h3><div>We compared HD IVUS and OCT in 8 silicone models using microcomputed tomography as the ground truth. We also compared HD IVUS vs OCT in 12 coronary arteries from 9 patients.</div></div><div><h3>Results</h3><div>In the silicone models, the latest HD IVUS (AVVIGO+, Boston Scientific) system overestimated lumen dimensions compared to microcomputed tomography by +0.06 ± 0.05 mm for mean lumen diameter (MLD). OCT (Ultreon 2.0, Abbott) underestimated lumen dimensions by –0.17 ± 0.06 mm for MLD, with the underestimation being greater for lumen diameters ≥5.0 mm. In clinical cases, the latest HD IVUS (AVVIGO+) system yielded larger lumen dimensions compared to OCT (Ultreon 2.0) by +0.12 ± 0.11 mm for MLD, and the earlier HD IVUS (POLARIS, Boston Scientific) system also showed larger lumen dimensions compared to OCT (AptiVue, Abbott) by +0.26 ± 0.29 mm for MLD. Using OCT as the reference, HD IVUS detected fine wall structures with precision, such as a thin fibrous cap, dissection, and stent struts.</div></div><div><h3>Conclusions</h3><div>The latest HD IVUS (Avvigo+) tends to overestimate lumen size, whereas OCT (Ultreon 2.0) underestimates it. Experimental data suggest HD IVUS provides more accurate lumen assessment, particularly in larger coronary arteries, although both technologies exhibit comparable overall accuracy in the clinical setting.</div></div>","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"4 5","pages":"Article 102520"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143890762","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}
Zachary M. Gertz MD, MBE , Philippe Pibarot DVM, PhD , Zhipeng Zhou MA , Michael J. Schonning MS, MBS , Björn Redfors MD, PhD , Yanru Li MS, MPH , Saibal Kar MD , D. Scott Lim MD , Neil J. Weissman MD , David J. Cohen MD, MSc , JoAnn Lindenfeld MD , William T. Abraham MD , Michael J. Mack MD , Federico M. Asch MD , Gregg W. Stone MD
{"title":"Forward Flow in Patients With Heart Failure and Functional Mitral Regurgitation: The COAPT Trial","authors":"Zachary M. Gertz MD, MBE , Philippe Pibarot DVM, PhD , Zhipeng Zhou MA , Michael J. Schonning MS, MBS , Björn Redfors MD, PhD , Yanru Li MS, MPH , Saibal Kar MD , D. Scott Lim MD , Neil J. Weissman MD , David J. Cohen MD, MSc , JoAnn Lindenfeld MD , William T. Abraham MD , Michael J. Mack MD , Federico M. Asch MD , Gregg W. Stone MD","doi":"10.1016/j.jscai.2025.102609","DOIUrl":"10.1016/j.jscai.2025.102609","url":null,"abstract":"<div><h3>Background</h3><div>Heart failure (HF) is characterized by a reduction in forward cardiac output (forward flow), potentially worsened by functional mitral regurgitation (FMR). The impact of reduced forward flow in HF patients with FMR is uncertain, and the outcomes of mitral transcatheter edge-to-edge repair (TEER) according to forward flow levels have not been described.</div></div><div><h3>Methods</h3><div>This study assessed the change in baseline flow in patients with HF and FMR enrolled in the COAPT trial randomized to TEER plus guideline-directed medical therapy (GDMT) compared with GDMT alone. Patients were stratified into tertiles of baseline forward flow using the Doppler-derived stroke volume index. The primary outcome was the composite rate of death or HF hospitalization at 24 months. Clinical, echocardiographic, and outcome measures were assessed.</div></div><div><h3>Results</h3><div>Among patients randomized to GDMT alone, the lowest baseline forward flow tertile was associated with worse outcomes (<em>P</em> = .04). In contrast, baseline forward flow tertile was not associated with outcomes among patients randomized to TEER + GDMT (<em>P</em> = .88). Patients in the lowest tertile treated with TEER + GDMT had the largest absolute reduction in the primary outcome (44.6% vs 75.7%; hazard ratio [HR], 0.43; 95% CI, 0.29-0.63), whereas patients in the highest tertile had the smallest absolute benefit after TEER (42.8% vs 57.9%; HR, 0.69; 95% CI, 0.45-1.04). However, the relative treatment effect was not different between tertiles (p<sub>interaction</sub> = 0.32). Mean forward flow did not significantly increase during 2-year follow-up, and was similar between treatment groups at all time periods.</div></div><div><h3>Conclusions</h3><div>In the COAPT trial, lower baseline forward flow was associated with worse outcomes in medically managed patients, and those with low baseline forward flow derived the greatest absolute benefit from TEER. However, measured forward flow did not improve with TEER during the 2-year follow-up.</div></div>","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"4 5","pages":"Article 102609"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143890768","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":"Revascularization for Chronic Limb-Threatening Ischemia—Synthesizing Inconsistency","authors":"Scott Kinlay MBBS, PhD","doi":"10.1016/j.jscai.2025.102623","DOIUrl":"10.1016/j.jscai.2025.102623","url":null,"abstract":"","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"4 5","pages":"Article 102623"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143890775","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}