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

{"title":"Enhancing Diagnostic Accuracy and Procedural Outcomes in Interventional Cardiology Through Machine Learning Algorithms","authors":"Zain Khalpey MD, PhD , Amina Khalpey PhD , Saurabh Jha MBBS, MRCS, MS","doi":"10.1016/j.jscai.2024.102511","DOIUrl":"10.1016/j.jscai.2024.102511","url":null,"abstract":"","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"4 3","pages":"Article 102511"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143641796","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 Cardiovascular Imaging and Interventional Cardiology: Emerging Trends and Clinical Implications","authors":"Maryam Alsharqi DPhil ,&nbsp;Elazer R. Edelman MD, PhD","doi":"10.1016/j.jscai.2024.102558","DOIUrl":"10.1016/j.jscai.2024.102558","url":null,"abstract":"<div><div>Artificial intelligence (AI) has revolutionized the field of cardiovascular imaging, serving as a unifying force that brings together multiple modalities under a single platform. The utility of noninvasive imaging ranges from diagnostic assessment and guiding interventions to prognostic stratification. Multimodality imaging has demonstrated important potential, particularly in patients with heterogeneous diseases, such as heart failure and atrial fibrillation. Facilitating complex interventional procedures requires accurate image acquisition and interpretation along with precise decision-making. The unique nature of interventional cardiology procedures benefiting from different imaging modalities presents an ideal target for the development of AI-assisted decision-making tools to improve workflow in the catheterization laboratory and personalize the need for transcatheter interventions. This review explores the advancements of AI in noninvasive cardiovascular imaging and interventional cardiology, addressing the clinical use and challenges of current imaging modalities, emerging trends, and promising applications as well as considerations for safe implementation of AI tools in clinical practice. Current practice has moved well beyond the question of whether we should or should not use AI in clinical health care settings. AI, in all its forms, has become deeply embedded in clinical workflows, particularly in cardiovascular imaging and interventional cardiology. It can, in the future, not only add precision and quantification but also serve as a means by which to fuse and link multimodalities together. It is only by understanding how AI techniques work, that the field can be harnessed for the greater good and avoid uninformed bias or misleading diagnoses.</div></div>","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"4 3","pages":"Article 102558"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143641895","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":"Covered Stent Correction of Sinus Venosus Atrial Septal Defects—Continued Technical Modifications Drive the Procedure Forward","authors":"Eric Rosenthal MD, FRCP,&nbsp;Matthew I. Jones MBBS","doi":"10.1016/j.jscai.2025.102572","DOIUrl":"10.1016/j.jscai.2025.102572","url":null,"abstract":"","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"4 2","pages":"Article 102572"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143428920","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. Charles E. Mullins—January 15, 1932, to November 17, 2024","authors":"Frank F. Ing MD","doi":"10.1016/j.jscai.2024.102521","DOIUrl":"10.1016/j.jscai.2024.102521","url":null,"abstract":"","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"4 2","pages":"Article 102521"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143428834","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":"Acute Myocardial Infarction and Stage E Shock: Insights From the RECOVER III Study","authors":"Ivan D. Hanson MD ,&nbsp;Andres Palomo MD ,&nbsp;Adam Tawney MD ,&nbsp;Simon R. Dixon MBChB ,&nbsp;Dana Bentley MWC ,&nbsp;Srihari S. Naidu MD ,&nbsp;Mir B. Basir DO ,&nbsp;William W. O’Neill MD","doi":"10.1016/j.jscai.2024.102462","DOIUrl":"10.1016/j.jscai.2024.102462","url":null,"abstract":"<div><h3>Background</h3><div>The present analysis reports characteristics and outcomes of Society of Cardiovascular Angiography &amp; Interventions (SCAI) stage E shock patients with acute myocardial infarction with cardiogenic shock (AMICS) undergoing percutaneous coronary intervention (PCI) who improved to stage C or D within 24 hours of Impella support (“responders”) vs those patients who remained in stage E (“nonresponders”).</div></div><div><h3>Methods</h3><div>The SCAI shock stage was assigned prior to initiation of Impella, and a second SCAI shock classification was performed within 24 hours of Impella support. SCAI shock stage was assigned independently by 2 reviewers; in cases where there was a discrepancy, a third reviewer adjudicated the stage assignment. Criteria such as a low pH (≤7.1), the need for multiple vasopressors/mechanical circulatory support devices, or the need for cardiopulmonary resuscitation were used to define stage E shock.</div></div><div><h3>Results</h3><div>Of the 415 RECOVER III patients, 298 presented in stage E shock; 152 (51.1%) were responders and 145 (48.8%) were nonresponders. Kaplan-Meier 30-day survival estimates were 56.9% and 28.6% in responders and nonresponders, respectively (<em>P</em> &lt; .001). In multivariate analysis, fewer inotropic medications during Impella support (<em>P</em> &lt; .0001), more lesions treated (<em>P</em> = .01), Impella support initiated pre-PCI (<em>P</em> = .03), and baseline white blood cell (<em>P</em> = .048) were all significant predictors for responsiveness to therapy.</div></div><div><h3>Conclusions</h3><div>Stage E patients who improved to stage C/D within 24 hours of Impella support had significantly better survival than those who remained in stage E. Predictors of responsiveness to therapy were mostly related to shock treatment strategy, and not baseline characteristics. This suggests that whether stage E patients will improve with Impella support is difficult to determine at the time support is initiated, and the SCAI shock stage should be repeated within 24 hours to more accurately determine the prognosis.</div></div>","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"4 2","pages":"Article 102462"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143428940","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":"New Covered Stent Design for Correcting Sinus Venosus Defects and a Novel Deployment Technique: A Case Series","authors":"Kothandam Sivakumar MD, DM,&nbsp;Pramod Sagar MD, DM,&nbsp;Thejaswi Puthiyedath MD, DrNB","doi":"10.1016/j.jscai.2024.102501","DOIUrl":"10.1016/j.jscai.2024.102501","url":null,"abstract":"<div><div>Transcatheter correction of sinus venosus defects use balloon-expandable covered stents across the cavoatrial junction to redirect the anomalous right upper pulmonary vein to the left atrium. When the superior vena caval anchor zone is very short, the stent slips caudally, causing residual flows from the right upper pulmonary vein through the cranial end of the stent or embolizes to the right atrium. We report use of a new hybrid stent with an uncovered cranial part deployed by a novel 2-wire strategy that enabled a safe procedure in patients with sinus venosus defects and a short superior vena caval anchor zone.</div></div>","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"4 2","pages":"Article 102501"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143428937","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":"Sailing in Dark Waters: The Challenging Management of Recurrent In-Stent Calcified Nodule Protrusion","authors":"Daniel Bandeira MD ,&nbsp;Steven Pfau MD ,&nbsp;Daniel Chamié MD, PhD","doi":"10.1016/j.jscai.2024.102457","DOIUrl":"10.1016/j.jscai.2024.102457","url":null,"abstract":"","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"4 2","pages":"Article 102457"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143428943","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)00045-6","DOIUrl":"10.1016/S2772-9303(25)00045-6","url":null,"abstract":"","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"4 2","pages":"Article 102604"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143428938","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":"Racial Disparities Among Patients Undergoing Balloon-Expandable Transcatheter Aortic Valve Replacement","authors":"Karthik Vedantam MD ,&nbsp;Christian A. Torres MD ,&nbsp;Sammy Elmariah MD ,&nbsp;Pedro Villablanca MD ,&nbsp;Mario Goessl MD, PhD ,&nbsp;Alan Zajarias MD ,&nbsp;Martin B. Leon MD ,&nbsp;Nirat Beohar MD","doi":"10.1016/j.jscai.2024.102495","DOIUrl":"10.1016/j.jscai.2024.102495","url":null,"abstract":"<div><h3>Background</h3><div>Aortic stenosis is the most frequently acquired native valve disease. Transcatheter aortic valve replacement (TAVR) has emerged as a transformative intervention for patients with severe aortic stenosis. Despite its success, studies have shed light on racial and ethnic disparities in utilization and outcomes of TAVR.</div></div><div><h3>Methods</h3><div>Using the Transcatheter Valve Therapy Registry between November 2011 through June 2023, we evaluated volume trends of SAPIEN balloon-expandable TAVR performed by race/ethnicity, and its association with in-hospital and 1-year outcomes after the procedure.</div></div><div><h3>Results</h3><div>In the 12-year period, 395,618 patients were identified; 357,729 (90.42%) were White, 18,810 (4.75%) Hispanic, 15,100 (3.82%) Black, and 3979 (1.01%) Asian. There was an overall rising trend in proportional usage of TAVR among Hispanics (from 3.3% in 2011/2012 to 5.2% in 2023, <em>P</em> &lt; .01) and Asian patients (from 1.1% in 2011/2012 to 1.3% in 2023, <em>P</em> &lt; .01). Adjusted 1-year major adverse cardiac events (all-cause mortality, stroke, or rehospitalization) were comparable among Black patients (hazard ratio [HR], 1.00; 95% CI, 0.97-1.03; <em>P</em> = .82) and lower among Asian (HR, 0.91; 95% CI, 0.86-0.97; <em>P</em> &lt; .01) and Hispanic patients (HR, 0.89; 95% CI, 0.86-0.91; <em>P</em> &lt; .01) compared with White patients.</div></div><div><h3>Conclusions</h3><div>Evidence supports favorable outcomes across different ethnic groups, despite the presence of higher levels of comorbidities and lower TAVR utilization. Modest improvements in TAVR utilization disparities among Asian and Hispanic patients have occurred since its introduction; however, utilization in Black patients remains low despite favorable outcomes. Further efforts are needed to understand the reasons and mitigate disparities in minority patients.</div></div>","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"4 2","pages":"Article 102495"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143428830","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":"Ultrashort Versus 1-Year Dual Antiplatelet Therapy Following Percutaneous Coronary Intervention: Meta-analysis of Randomized Controlled Trials","authors":"Sheriff N. Dodoo MD ,&nbsp;Benedicta Arhinful MD ,&nbsp;Sammudeen Ibrahim MD ,&nbsp;Olayiwola Bolaji MD ,&nbsp;Afia S. Dodoo PharmD ,&nbsp;Tracy Aggrey-Ansong BS ,&nbsp;Vedang Bhavsar MD ,&nbsp;Ugochukwu Egolum MD ,&nbsp;Nima Ghasemzadeh MD ,&nbsp;Ronnie Ramadan MD ,&nbsp;Zachary H. George MD ,&nbsp;Uzoma Ibebuogu MD ,&nbsp;Habib Samady MD","doi":"10.1016/j.jscai.2024.102496","DOIUrl":"10.1016/j.jscai.2024.102496","url":null,"abstract":"<div><h3>Background</h3><div>Dual antiplatelet therapy (DAPT) with aspirin and a P2Y12 receptor antagonist is the standard antithrombotic therapy after percutaneous coronary intervention (PCI); however, the optimal duration of this treatment remains a topic of ongoing debate. This study aimed to assess the clinical utility of an ultrashort dual antiplatelet therapy (US-DAPT) regimen (≤1 month) compared with standard DAPT (≥6 months) after PCI. In addition, the outcomes of choosing single antiplatelet therapy after US-DAPT, either clopidogrel or ticagrelor, were also analyzed.</div></div><div><h3>Methods</h3><div>We queried MEDLINE, Cochrane Central Registry of Controlled Trials, Embase, and <span><span>ClinicalTrials.gov</span><svg><path></path></svg></span> databases from their commencement to May 2024 for all randomized controlled trials (RCTs) that directly compared US-DAPT (≤1 month) with standard therapy (≥6 months). The primary end point was net adverse clinical events (NACE), defined as a composite of major adverse cardiovascular or cerebrovascular events (MACCE) and clinically relevant bleeding (CRB).</div></div><div><h3>Results</h3><div>Seven RCTs were included in the analysis, comprising 34,774 patients (US-DAPT, n = 17,383; standard therapy, n = 17,391) who were enrolled with a mean age of 67 ± 10 years and 74.7% male. US-DAPT was associated with a 20% lower risk of NACE (OR, 0.80; 95% CI, 0.68-0.94; <em>P</em> = .006; <em>I</em>² = 74%) and 47% reduction in CRB (OR, 0.53; 95% CI, 0.37-0.75; <em>P</em> &lt; .001; <em>I</em>² = 77%) compared with standard therapy at 12 months. Similarly, US-DAPT was associated with statistically significant reduction in all-cause mortality (OR, 0.88; 95% CI, 0.77-0.99; <em>P</em> = .04; <em>I</em>² = 0%) and TVR (OR, 0.87; 95% CI, 0.78-0.98; <em>P</em> = .02; <em>I</em>² = 41%) However, no significant difference in MACCE, all-cause mortality, cardiovascular disease–related deaths, MI, stroke, MI, TVR, and ST was observed.</div></div><div><h3>Conclusions</h3><div>In patients undergoing PCI, US-DAPT was associated with lower NACEs and bleeding risk without increasing the occurrence of ischemic events, including ST and MI, when compared with at least 6 months of DAPT, irrespective of the choice of single antiplatelet therapy, whether clopidogrel or ticagrelor, following DAPT.</div></div>","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"4 2","pages":"Article 102496"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143428941","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}