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

{"title":"One Step Forward, Two Steps Back—Persistent Sex Disparities in the Cardiovascular Procedural Workforce","authors":"Tamara M. Atkinson MD, Kimberly A. Skelding MD","doi":"10.1016/j.jscai.2026.105567","DOIUrl":"10.1016/j.jscai.2026.105567","url":null,"abstract":"","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"5 9","pages":"Article 105567"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148961485","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":"Optical Coherence Tomography and Its Potential Utility in Below-the-Knee Intervention: Can “Seeing More” Outweigh Practical Technology Limitations?","authors":"Helena Smith MD, Eric A. Secemsky MSc, MD","doi":"10.1016/j.jscai.2026.105580","DOIUrl":"10.1016/j.jscai.2026.105580","url":null,"abstract":"","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"5 9","pages":"Article 105580"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148961762","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":"Interventional Cardiology Fellowship Underfill After NRMP Entry: Early National and Program-Level Patterns, 2025-2026","authors":"Baryalay Khan MD, Hamid Raza PhD","doi":"10.1016/j.jscai.2026.105396","DOIUrl":"10.1016/j.jscai.2026.105396","url":null,"abstract":"","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"5 9","pages":"Article 105396"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148961764","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":"Stepwise Lesion Modification for In-Stent Calcified Nodules Using Bias-Controlled Rotational Atherectomy and Intravascular Lithotripsy","authors":"Daisuke Kanda MD, PhD, Nobuhiro Ito MD, Mitsuru Ohishi MD, PhD","doi":"10.1016/j.jscai.2026.105564","DOIUrl":"10.1016/j.jscai.2026.105564","url":null,"abstract":"","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"5 9","pages":"Article 105564"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148961771","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":"Linking Cardiac and Renal Hemodynamics for the Prevention of Contrast-Induced Nephropathy","authors":"Kevin Haddad MD, MSc, Margaret McEntegart MD, PhD, Ajay J. Kirtane MD, SM, Megha Prasad MD, MS","doi":"10.1016/j.jscai.2026.105520","DOIUrl":"10.1016/j.jscai.2026.105520","url":null,"abstract":"","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"5 9","pages":"Article 105520"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148961773","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":"LithiX Hertz Contact Lithotripsy Catheter for Calcium Modification: Insights From OCT and μFR Evaluation in Three Didactic Cases","authors":"Ettore Ventura MD,&nbsp;Edoardo O. Genta MD,&nbsp;Stefano De Martini MD,&nbsp;Piero Montorsi MD,&nbsp;Stefano Galli MD","doi":"10.1016/j.jscai.2026.105504","DOIUrl":"10.1016/j.jscai.2026.105504","url":null,"abstract":"<div><div>The LithiX Hertz Contact Intravascular Lithotripsy System (Elixir Medical) is a new calcium fragmentation device that uses metal hemispheres on a semicompliant balloon to impart high contact stresses on calcified plaque while remaining inert on noncalcified tissue. We applied the Society for Cardiovascular Angiography &amp; Interventions calcium-management algorithm to 3 consecutive complex calcified lesions, used optical coherence tomography as the intravascular imaging modality of choice in all cases, and integrated these findings with angiography-derived quantitative flow ratio for functional assessment before and after the procedure. Clinical follow-up was uneventful in all patients. The LithiX Hertz Contact Intravascular Lithotripsy System allowed effective calcium modification with a simplified, console-free setup and facilitated optimal stent expansion in complex and crossable lesions.</div></div>","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"5 9","pages":"Article 105504"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148961474","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":"Transcatheter Aortic Valve Replacement in Patients With Symptomatic, Severe Aortic Regurgitation: 1-Year Outcomes of the J-Valve Transfemoral Early Feasibility Study","authors":"Dean J. Kereiakes MD,&nbsp;Azeem Latib MD,&nbsp;Santiago Garcia MD,&nbsp;David G. Rizik MD,&nbsp;Peter Fail MD,&nbsp;Ron Waksman MD,&nbsp;Sameer A. Gafoor MD,&nbsp;Sachin Goel MD,&nbsp;Vijay Iyer MD,&nbsp;David J. Cohen MD, MsC,&nbsp;João L. Cavalcante MD,&nbsp;Rebecca T. Hahn MD,&nbsp;Yunyi Li PhD,&nbsp;Tsuyoshi Kaneko MD,&nbsp;Michael J. Reardon MD","doi":"10.1016/j.jscai.2026.105509","DOIUrl":"10.1016/j.jscai.2026.105509","url":null,"abstract":"<div><h3>Background</h3><div>Clinically significant native aortic regurgitation (AR) increases with age. Surgical aortic valve replacement has been the only curative guideline-recommended therapy, while transcatheter options remain limited by anatomic constraints.</div></div><div><h3>Methods</h3><div>The J-Valve early feasibility study (NCT06034028) evaluated the safety and effectiveness of transfemoral J-Valve transcatheter heart valve implantation in patients with symptomatic, severe native AR. The prospective single-arm study enrolled 25 patients with symptomatic, severe, native AR deemed high risk for surgical aortic valve replacement at 8 centers. Clinical and echocardiographic assessments were performed at baseline, 30 days, 6 months, and 1 year with independent core laboratory and clinical events committee adjudication. The primary effectiveness end point was a non-hierarchical composite of all-cause mortality or disabling stroke at 30 days.</div></div><div><h3>Results</h3><div>Mean age was 80.6 ± 4.3 years; 76% were male; 100% were New York Heart Association (NYHA) class II/III; mean Society of Thoracic Surgeons-Predicted Risk of Mortality (STS-PROM) score was 5.6 ± 4.5%. Successful implantation occurred in 92% (23/25). The primary end point occurred in 2 patients (8.0%). All-cause mortality was 4.0% at 30 days and 1 year, with no cardiovascular-related deaths. Two strokes (1 disabling) (8.2%) and 2 new pacemaker implantations (10%) occurred within 30 days. At 1 year, none/trace AR was present in 95.5% (21/22) and mild AR in 4.5% (1/22), with a mean gradient of 5.5 ± 1.7 mm Hg, and an effective orifice area of 2.48 ± 0.53 cm². Reverse left ventricular (LV) remodeling was evident at 30 days with sustained reductions in LV end-diastolic and end-systolic volume indices to 1 year. NYHA class improved in 72.7% (16/22) of patients, with 95.5% (21/22) in NYHA class I/II at 1 year.</div></div><div><h3>Conclusions</h3><div>This study demonstrates preliminary safety and effectiveness of the J-Valve in high-risk patients with severe AR, with favorable 1-year outcomes and stable hemodynamic performance.</div></div>","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"5 9","pages":"Article 105509"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148961475","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":"Gender Disparities Among Mitral Transcatheter Edge-to-Edge Repair and Transcatheter Mitral Valve Replacement Operators in the United States","authors":"Smitha N. Gowda MBBS,&nbsp;Emily Cendrowski MD,&nbsp;Atefeh Ghorbanzadeh MD,&nbsp;Teodora Donisan MD,&nbsp;Trevor Simard MD,&nbsp;Mohamad Alkhouli MD,&nbsp;Kimberly Holst MD,&nbsp;Mackram Eleid MD,&nbsp;Charanjit Rihal MD,&nbsp;Mayra E. Guerrero MD","doi":"10.1016/j.jscai.2026.105498","DOIUrl":"10.1016/j.jscai.2026.105498","url":null,"abstract":"","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"5 9","pages":"Article 105498"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148961477","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":"Mechanical Thrombectomy Versus Systemic Thrombolysis in Hemodynamically Unstable High-Risk Pulmonary Embolism Requiring Vasopressors: A Propensity-Matched Outcomes Analysis From TriNetX Network","authors":"Ashok Runkana MD,&nbsp;Ravi Medarametla MD,&nbsp;Raam Mannam MD,&nbsp;Surabhi Maheshwari MD,&nbsp;James B. Hermiller MD","doi":"10.1016/j.jscai.2026.105515","DOIUrl":"10.1016/j.jscai.2026.105515","url":null,"abstract":"<div><h3>Background</h3><div>High-risk pulmonary embolism (PE) is associated with high mortality. Optimal reperfusion strategy remains debated. Systemic thrombolysis (ST) is traditionally used but carries a high risk of intracranial bleeding. Catheter-directed or mechanical thrombectomy (MT) may be safer, but real-world data are limited. We compared thrombectomy vs thrombolysis using a multicenter data network.</div></div><div><h3>Methods</h3><div>We conducted a retrospective cohort study on the TriNetX Research Network across 107 healthcare organizations. Adults with hemodynamically unstable PE on vasopressors from January 2016 to September 2025 who received MT (n = 1064) or ST (n = 3325) within 1 day of diagnosis were included. We excluded patients with COVID-19, malignancy, obstetric conditions, trauma, and burns. Propensity matching (1:1) for Pulmonary Embolism Severity Index (PESI) variables and other baseline characteristics yielded 1052 per group.</div></div><div><h3>Results</h3><div>Mortality was lower with MT (RR, 0.53; 95% CI, 0.44-0.63). Kaplan-Meier analysis showed better survival in the matched MT group (79.4% vs 61.3%; <em>P</em> &lt; .001). Hemorrhagic stroke (RR, 0.71; 95% CI, 0.41-1.22) and ischemic stroke (RR, 0.80; 95% CI, 0.57-1.13) were also reduced in the thrombectomy group.</div></div><div><h3>Conclusions</h3><div>Thrombectomy was associated with lower mortality and fewer strokes vs thrombolysis. Thrombectomy appears safer and more effective for high-risk PE. This finding is hypothesis generating. Large randomized controlled trials, although difficult to conduct, are needed to validate these findings.</div></div>","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"5 9","pages":"Article 105515"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148961766","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":"Simultaneous Transcatheter Aortic Valve Replacement and Endovascular Aneurysm Repair in a Patient With Peripheral Artery Disease Requiring Surgical Vascular Access: A Case Report","authors":"Adam Pampori MD,&nbsp;Qais Radaideh MD,&nbsp;Wamiq Banday MD,&nbsp;Rajeev Gupta MD,&nbsp;Tanvir K. Bajwa MD","doi":"10.1016/j.jscai.2026.105501","DOIUrl":"10.1016/j.jscai.2026.105501","url":null,"abstract":"<div><div>Aortic stenosis, abdominal aortic aneurysm, and peripheral artery disease are common comorbidities with shared risk factors. As the population ages, more patients will require intervention to reduce morbidity and mortality from these entities. We present a 78-year-old woman with severe aortic stenosis, abdominal aortic aneurysm (8.1 × 4.9 × 4.8 cm), and severe peripheral artery disease. Simultaneous transcatheter aortic valve replacement and endovascular aneurysm repair were performed, with surgical cutdown of the right common femoral artery and then a right femoral endarterectomy required. The patient was discharged home 2 days later. A multidisciplinary approach with careful preoperative planning was key.</div></div>","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"5 9","pages":"Article 105501"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148961827","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}