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

{"title":"Dr Frank J. Hildner—1934 to 2025","authors":"Christopher J. White MD , 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":"Development of an Educational Application of Multimodal Imaging of Clinically Implanted and Bifurcation Stenting Procedures","authors":"Amanda N. DeVos BS ,&nbsp;David Buyck MS ,&nbsp;Paul A. Iaizzo PhD","doi":"10.1016/j.jscai.2024.102499","DOIUrl":"10.1016/j.jscai.2024.102499","url":null,"abstract":"<div><h3>Background</h3><div>Today, the implantation of stents is the most common procedure to treat coronary artery disease and reopen occluded vessels. It is difficult to fully comprehend the procedures and outcomes of complex techniques such as bifurcation stenting. Here, we describe the development of an educational application that includes anatomic tutorials, multimodal imaging of hundreds of performed complex procedures, outcomes of clinically implanted procedures, and step-by-step imaging of bifurcation procedures.</div></div><div><h3>Methods</h3><div>Bifurcation procedures were performed within reanimated large mammalian hearts and formalin-fixed human hearts. The procedures performed in reanimated hearts and clinically implanted stents from cadaveric hearts were imaged using an endoscope, fluoroscopy, and optical coherence tomography, and the final implant was micro computed tomography scanned. The mobile app was developed to visualize the resulting 3D models in augmented reality, and additional imaging was also added.</div></div><div><h3>Results</h3><div>The application successfully allows the user to view the outcomes of both clinically implanted stents and bifurcation procedures and associate these outcomes with clinical imaging. Additionally, clinical imaging including fluoroscopy and optical coherence tomography were available in conjunction with endoscope videos to integrate the 3D views with the images that would be acquired during a typical clinical case.</div></div><div><h3>Conclusions</h3><div>As this mobile app is open-access, the educational opportunities for direct visualizations of stent implantations can be expanded to those who cannot personally utilize the Visible Heart Laboratories. The provided observations and studies of these procedures should aid everyone, from students to experts, with important insights into the implantation of stents that can improve their understanding and clinical practice.</div></div>","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"4 3","pages":"Article 102499"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143641891","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":"From Text to Data: Automatically Extracting Data From Catheterization Reports Using Generative Artificial Intelligence","authors":"Yuval Barak-Corren MD, MSc ,&nbsp;Mudit Gupta MD, PhD ,&nbsp;Jessica Tang MD ,&nbsp;Christopher L. Smith MD, PhD ,&nbsp;Ryan Callahan MD ,&nbsp;Yoav Dori MD, PhD ,&nbsp;Jonathan J. Rome MD ,&nbsp;Matthew J. Gillespie MD ,&nbsp;Michael L. O’Byrne MD, MSCE","doi":"10.1016/j.jscai.2024.102242","DOIUrl":"10.1016/j.jscai.2024.102242","url":null,"abstract":"","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"4 3","pages":"Article 102242"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143641949","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":"Evaluating Diastolic Dysfunction in Children with Congenital Heart Disease: The Role of Stiffness Constant β","authors":"Nikhil Thatte MBBS ,&nbsp;Peter E. Hammer PhD ,&nbsp;Gurumurthy Hiremath MD","doi":"10.1016/j.jscai.2025.102576","DOIUrl":"10.1016/j.jscai.2025.102576","url":null,"abstract":"","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"4 3","pages":"Article 102576"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143637740","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":"Cardiovascular Event Prevalence in Type 1 Versus Type 2 Diabetes: Veradigm Metabolic Registry Insights","authors":"Andrew M. Goldsweig MD, MS ,&nbsp;Alexander Knee MS ,&nbsp;Hyo Jung Tak PhD ,&nbsp;Nihar R. Desai MD, MPH ,&nbsp;Steven M. Bradley MD, MPH ,&nbsp;Amir S. Lotfi MD ,&nbsp;John A. Spertus MD, MPH ,&nbsp;Bracha K. Goldsweig MD","doi":"10.1016/j.jscai.2024.102502","DOIUrl":"10.1016/j.jscai.2024.102502","url":null,"abstract":"<div><h3>Background</h3><div>Diabetes mellitus type 1 (DM1) and type 2 (DM2) are well-established risk factors for cardiovascular disease but differ pathophysiologically in that DM1 results from insulin deficiency, whereas DM2 results from insulin insensitivity. The association between DM1 and DM2 and cardiovascular events remains undetermined.</div></div><div><h3>Methods</h3><div>For DM1 or DM2 patients aged 46 to 75 years receiving care at outpatient facilities with primary care and/or endocrinology enrolled in the National Cardiovascular Data Registry Veradigm Metabolic Registry 2017-2022, we compared the prevalence of incident cardiovascular events including myocardial infarction, percutaneous coronary intervention, coronary artery bypass grafting, stroke, carotid revascularization, limb ischemia, and peripheral revascularization.</div></div><div><h3>Results</h3><div>The study population included 5823 DM1 patients (3.59%) and 156,204 DM2 patients (95.41%) with a total of 758,643 visits. DM1 patients were younger and had fewer comorbidities. A total of 11,096 incident cardiovascular events occurred with a prevalence ratio (PR) of 0.63 (95% CI, 0.55-0.71) for fewer events associated with DM1 than DM2. After adjustment for age, the PR was 0.66 (95% CI, 0.58-0.74). When analyzed by separate cardiovascular events, DM1 was associated with less myocardial infarction, percutaneous coronary intervention, stroke, and limb ischemia than DM2. Overall cardiovascular event probability was lower in DM1 than in DM2 across all 10-year age categories, in both female and male patients, before and during/after the coronavirus disease 2019 pandemic, and after adjustment for comorbidities, hemoglobin A1c, and serum creatinine.</div></div><div><h3>Conclusions</h3><div>DM1 was associated with a lower probability of incident cardiovascular events than DM2. Although DM1 may carry a lower risk of incident cardiovascular events than DM2, the pathophysiology, prevention, and treatment of cardiovascular disease in DM1 remain poorly understood.</div></div>","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"4 3","pages":"Article 102502"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143637728","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":"Double-Kissing Crush Versus Provisional Stenting for Coronary Bifurcations: A 1-Year Follow-up Study in Vietnam","authors":"Hai Nguyen Ngoc Dang MD ,&nbsp;Thang Viet Luong MD ,&nbsp;Nhut Cong Pham MD ,&nbsp;Hieu Thi Nguyen Tran MD ,&nbsp;Tien Anh Hoang MD, PhD ,&nbsp;Binh Anh Ho MD, PhD ,&nbsp;Thang Chi Doan MD, PhD ,&nbsp;Hung Minh Nguyen MD, PhD","doi":"10.1016/j.jscai.2024.102500","DOIUrl":"10.1016/j.jscai.2024.102500","url":null,"abstract":"<div><h3>Background</h3><div>Coronary bifurcation lesions (CBLs) present significant challenges in interventional cardiology, especially in low and middle-income countries like Vietnam. While the double-kissing (DK) crush technique is gaining attention for its potential benefits, its efficacy and safety compared with provisional stenting (PS) in the Vietnamese population remain underexplored. This study aimed to assess the effectiveness of the DK crush technique in reducing major adverse cardiovascular events (MACE) compared with those of PS, providing essential data to inform clinical decision-making in settings with limited resources.</div></div><div><h3>Methods</h3><div>This prospective cohort study included 58 patients with CBL, 33 patients undergoing the DK crush technique and 25 receiving PS. Clinical follow-up at 1, 3, 9, and 12 months assessed MACE, including cardiovascular disease–related death, acute myocardial infarction, hospitalization for heart failure, and stroke.</div></div><div><h3>Results</h3><div>Post-percutaneous coronary intervention side branch diameter stenosis in the DK crush group was 5.64% ± 5.80%, significantly lower than the PS group (48.2% ± 28.5%; <em>P</em> &lt; .001). One-year follow-up data revealed greater MACE reduction in the DK crush group (91% MACE-free vs 72% in the PS group; <em>P</em> = .03; hazard ratio [HR], 3.689; 95% CI, 1.034-13.160). However, the DK crush technique had longer procedural times (91.1 vs 54.6 minutes) and required higher contrast and radiation doses (<em>P</em> &lt; .01).</div></div><div><h3>Conclusions</h3><div>Although DK crush requires longer procedure times and greater radiation exposure, it results in greater MACE reduction than does PS in patients with CBL. Clinicians should weigh the benefits and limitations of both techniques, particularly in resource-limited settings.</div></div>","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"4 3","pages":"Article 102500"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143637727","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":"A Novel Modification of the Melody Valve in a Short Right Ventricle-Pulmonary Artery Conduit: A Case Report","authors":"Marjan Hesari MD ,&nbsp;Nissma Bencheikh BS, BA ,&nbsp;Danica Peterson BA ,&nbsp;Justin R. Ryan PhD ,&nbsp;Kamel Shibbani MD ,&nbsp;Clinton Fulk BS ,&nbsp;Howaida El-Said MD, PhD","doi":"10.1016/j.jscai.2024.102505","DOIUrl":"10.1016/j.jscai.2024.102505","url":null,"abstract":"<div><div>Pulmonary insufficiency often follows the surgical repair of tetralogy of Fallot, leading to adverse outcomes. Young patients with short right ventricle-pulmonary artery conduits are at risk of pulmonary artery branch occlusion when a traditional Melody valve (Medtronic) is used. We report a novel case of a folded Melody valve implanted with a simultaneous stent in a pediatric patient to address challenges posed by a short right ventricle-pulmonary artery conduit.</div></div>","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"4 3","pages":"Article 102505"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143637739","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":"Robot-Assisted Cardiovascular Interventions","authors":"Jon C. George MD ,&nbsp;Vincent Varghese DO ,&nbsp;Ryan D. Madder MD","doi":"10.1016/j.jscai.2025.102568","DOIUrl":"10.1016/j.jscai.2025.102568","url":null,"abstract":"<div><div>Innovation has been the cornerstone of progress in the field of percutaneous coronary intervention (PCI) since its inception. Refinements in procedural technique and interventional tools have improved patient outcomes and overall safety. Despite this progress, however, the health risks posed to operators and staff remain undeniably high. Robotic PCI (R-PCI) offers a new era in coronary revascularization poised to address this dilemma. To date, R-PCI procedures have been widely performed in clinical practice for over a decade and multiple novel endovascular robotic systems are currently under development. This review serves as an up-to-date understanding of R-PCI, focusing on the origins, clinical evidence, current state, and future targets of robotic therapy.</div></div>","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"4 3","pages":"Article 102568"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143641800","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":"Evaluating the Ability of Artificial Intelligence to Address Nuanced Cardiology Subspecialty Questions: ChatGPT and CathSAP","authors":"Saumya Nanda MBBS ,&nbsp;Khaled Abaza MD ,&nbsp;Pyae Hein Kyaw MBBS ,&nbsp;Robert Frankel MD ,&nbsp;Partha Sardar MD ,&nbsp;Sahil A. Parikh MD ,&nbsp;Tharun Shyam MBBS ,&nbsp;Saurav Chatterjee MD","doi":"10.1016/j.jscai.2025.102563","DOIUrl":"10.1016/j.jscai.2025.102563","url":null,"abstract":"<div><h3>Background</h3><div>Recent developments in artificial intelligence (AI), particularly in large language models, have shown promise in various fields, including health care. However, their performance on specialized medical board examinations, such as interventional cardiology assessments, remains relatively unexplored.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted using a data set comprising 360 questions from the Cath Self Assessment Program (CathSAP) question bank. This study aimed to assess the overall performance of Chat Generative Pre-trained Transformer (ChatGPT) and compare it to that of average test takers. Additionally, the study evaluated the impact of pertinent educational materials on ChatGPT’s responses, both before and after exposure. The primary outcome measures included ChatGPT’s overall percentage score on the CathSAP examination and its performance across various subsections. Statistical significance was determined using the Kruskal-Wallis equality-of-populations rank test.</div></div><div><h3>Results</h3><div>Initially, ChatGPT achieved an overall score of 54.44% on the CathSAP exam, which improved significantly to 79.16% after exposure to relevant textual content. The improvement was statistically significant (<em>P</em> = .0003). Notably, the improved score was comparable with the average score achieved by typical test takers (as reported by CathSAP). ChatGPT demonstrated proficiency in sections covering basic science, pharmacology, and miscellaneous topics, although it struggled with anatomy, anatomic variants, and anatomic pathology questions.</div></div><div><h3>Conclusions</h3><div>The study demonstrates ChatGPT’s potential for learning and adapting to medical examination scenarios, with a notable enhancement in performance after exposure to educational materials. However, limitations such as the model’s inability to process certain visual materials and potential biases in AI models warrant further consideration. These findings underscore the need for continued research to optimize the use of AI in medical education and assessment.</div></div>","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"4 3","pages":"Article 102563"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143641804","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":"Artificial Intelligence in Intravascular Imaging for Percutaneous Coronary Interventions: A New Era of Precision","authors":"Doosup Shin MD ,&nbsp;Zainab Sami BA ,&nbsp;Matthew Cannata BS ,&nbsp;Yasemin Ciftcikal BA ,&nbsp;Emma Caron BS ,&nbsp;Susan V. Thomas MPH ,&nbsp;Craig R. Porter BSN ,&nbsp;Anna Tsioulias ,&nbsp;Misha Gujja ,&nbsp;Koshiro Sakai MD, PhD ,&nbsp;Jeffrey W. Moses MD ,&nbsp;Fernando A. Sosa MS, MBA ,&nbsp;Richard Shlofmitz MD ,&nbsp;Allen Jeremias MD, MSc ,&nbsp;Ziad A. Ali MD, DPhil ,&nbsp;Evan Shlofmitz DO","doi":"10.1016/j.jscai.2024.102506","DOIUrl":"10.1016/j.jscai.2024.102506","url":null,"abstract":"<div><div>Intravascular imaging (IVI), including intravascular ultrasound and optical coherence tomography, play a crucial role in guiding percutaneous coronary intervention by providing detailed visualization of coronary anatomy and plaque morphology. Despite substantial evidence supporting IVI use, its adoption in clinical practice remains limited for multiple reasons including limited operator experience and a lack of confidence in image interpretation. The emergence of artificial intelligence presents a promising solution to these challenges by enhancing procedural efficiency and precision, thereby potentially increasing both IVI adoption and procedural optimization. This manuscript discusses the current applications, challenges, and future directions of artificial intelligence in IVI for percutaneous coronary intervention.</div></div>","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"4 3","pages":"Article 102506"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143641896","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}