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

{"title":"Implementing Patient Protection Radiation Dose Alerts for Pediatric Cardiac Catheterization Examinations","authors":"Elanchezhian Somasundaram PhD ,&nbsp;Russel Hirsch MD ,&nbsp;Samuel L. Brady MS, PhD ,&nbsp;Karen S. Minsterman RN ,&nbsp;Keith J. Strauss MSc","doi":"10.1016/j.jscai.2024.102292","DOIUrl":"10.1016/j.jscai.2024.102292","url":null,"abstract":"<div><h3>Background</h3><div>Advancements in cardiac catheterization have improved survival for pediatric congenital heart disease patients, but the associated ionizing radiation risks necessitate ethical consideration.</div></div><div><h3>Methods</h3><div>This study presents an empirical model, developed from 3131 unique pediatric procedures, to establish alert levels based on a patient's lateral thickness of the thorax for various procedural categories during diagnostic or interventional cardiac catheterization. The model uses linear regression of logarithmic reference air kinetic energy released per unit mass (KERMA) and air KERMA area product, also referred to as dose area product, to set alert levels at the top 95% and 99% of patient data.</div></div><div><h3>Results</h3><div>Coefficients of the regression fits are provided for diagnostic and interventional procedural groups and fluoroscopic plane allowing any facility to scale the results of this study’s single facility data to model their practice’s unique procedural dose levels.</div></div><div><h3>Conclusions</h3><div>The proposed method allows institutions to tailor dose alert levels to their specific pediatric populations to reduce overexposure events.</div></div>","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"3 12","pages":"Article 102292"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11725154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980929","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":"Coronary Function Testing: Seeking Answers for Refractory Chest Pain","authors":"Connor P. Tice MD,&nbsp;Kathleen E. Kearney MD,&nbsp;John E.A. Blair MD","doi":"10.1016/j.jscai.2024.102437","DOIUrl":"10.1016/j.jscai.2024.102437","url":null,"abstract":"","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"3 12","pages":"Article 102437"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11725147/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980893","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":"Intravascular Coronary Imaging","authors":"Jennifer Rymer MD, MBA, MHS ,&nbsp;J. Dawn Abbott MD ,&nbsp;Ziad A. Ali MD, DPhil ,&nbsp;Mir B. Basir DO ,&nbsp;Denise Busman MSN, RN ,&nbsp;George D. Dangas MD, PhD ,&nbsp;Daniel M. Kolansky MD ,&nbsp;Srihari S. Naidu MD ,&nbsp;Robert F. Riley MD ,&nbsp;Arnold H. Seto MD ,&nbsp;Binita Shah MD ,&nbsp;Evan Shlofmitz DO ,&nbsp;SCAI 2024 Think Tank Coronary Consortium,&nbsp;Connie S. Baumgard MSN, NP ,&nbsp;Rafa Cavalcante ,&nbsp;Casey Culbertson MD ,&nbsp;Crista Gaalswyk ,&nbsp;Rob J. Miltner ,&nbsp;Jeremy Moretz PharmD ,&nbsp;Jeannie Niebuhr ,&nbsp;Steve Zizzo","doi":"10.1016/j.jscai.2024.102399","DOIUrl":"10.1016/j.jscai.2024.102399","url":null,"abstract":"","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"3 12","pages":"Article 102399"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11725079/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980930","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":"Peak Procedural ACT Is Associated With All-Cause Mortality After Femoral Access PCI","authors":"Revathy Sampath-Kumar MD,&nbsp;Ori Ben-Yehuda MD,&nbsp;Belal Al Khiami MD,&nbsp;Lawrence Ang MD,&nbsp;Anna Melendez MSN, RN,&nbsp;Ryan Reeves MD,&nbsp;Ehtisham Mahmud MD","doi":"10.1016/j.jscai.2024.102387","DOIUrl":"10.1016/j.jscai.2024.102387","url":null,"abstract":"<div><h3>Background</h3><div>A minimum threshold activated clotting time (ACT) to guide heparin dosing during percutaneous coronary intervention (PCI) is associated with lower ischemic complications. However, data are variable regarding the risk of high ACT levels. The aim of this study was to assess the impact of peak procedural ACT on complications and mortality for transfemoral and transradial access PCI.</div></div><div><h3>Methods</h3><div>The UC San Diego Health National Cardiovascular Data Registry CathPCI Registry was used to obtain data on patients who underwent native vessel PCI from January 2007 to September 2022. Coronary artery bypass graft patients and those who received bivalirudin were excluded. Complications and all-cause mortality at 30 days and 1-year post-PCI were assessed by ACT tertile.</div></div><div><h3>Results</h3><div>A total of 2473 patients (age 65 ± 12 years; 74% male) undergoing PCI with 53% femoral and 47% radial access were included. The majority (82%) had 1-vessel coronary artery disease with heterogeneous clinical presentations (21.8% ST-elevation myocardial infarction, 25.4% non–ST-elevation myocardial infarction, 4.9% unstable angina, 33.8% stable angina, 3.4% atypical chest pain, 10.7% other indication for PCI). With femoral access, patients in the third tertile (ACT ≥ 275) had significantly higher all-cause mortality at 30 days (5.3% vs 2.7% vs 0.9%; <em>P</em> &lt; .001), 6 months (6.3% vs 4.0% vs 2.0%; <em>P</em> = .007), and 1 year (9.0% vs 6.0% vs 2.7%; <em>P</em> &lt; .001) compared to the second (ACT 228-275) and first tertile (ACT ≤ 228), respectively. A 30-day landmark analysis revealed that there was no difference in all-cause mortality beyond 30 days (3.9% vs 3.4% vs 1.8%; <em>P</em> = .176). There were increased bleeding complications in the highest tertile (12.8% vs 9.8% vs 7.5%; <em>P</em> = .034) and a higher need for blood products (10.4% vs 6.7% vs 5.4%; <em>P</em> = .014). There was no difference in ischemic major adverse cardiovascular events specifically periprocedural myocardial infarction or stroke between tertiles. There was no difference in clinical outcomes by peak ACT for patients who had radial access.</div></div><div><h3>Conclusions</h3><div>Higher ACT with transfemoral access PCI was associated with increased 30-day mortality, bleeding complications, and need for blood products post-PCI.</div></div>","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"3 12","pages":"Article 102387"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11725081/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980932","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":"Percutaneous Mechanical Aspiration for Infective Endocarditis: Proceedings From an Inaugural Multidisciplinary Summit and Comprehensive Review","authors":"Lucas X. Marinacci MD ,&nbsp;Sanjum S. Sethi MD, MPH ,&nbsp;Molly L. Paras MD ,&nbsp;Abdallah El Sabbagh MD ,&nbsp;Eric A. Secemsky MD, MSc ,&nbsp;M. Rizwan Sohail MD ,&nbsp;Christoph Starck MD ,&nbsp;Benjamin Bearnot MD, MPH ,&nbsp;Evin Yucel MD ,&nbsp;Raymond H.M. Schaerf MD ,&nbsp;Yasir Akhtar MD ,&nbsp;Ahmad Younes MD, MBA ,&nbsp;Marquand Patton DO ,&nbsp;Pedro Villablanca MD ,&nbsp;Seenu Reddy MD, MBA ,&nbsp;Daniel Enter MD ,&nbsp;John M. Moriarty MD ,&nbsp;William Brent Keeling MD ,&nbsp;Stephanie El Hajj Younes MD ,&nbsp;Charles Kiell MD ,&nbsp;Kenneth Rosenfield MD, MSc","doi":"10.1016/j.jscai.2024.102283","DOIUrl":"10.1016/j.jscai.2024.102283","url":null,"abstract":"<div><div>The clinical presentation and epidemiology of infective endocarditis (IE) have evolved over time. While the cornerstones of IE treatment remain antimicrobial therapy and surgery, percutaneous mechanical aspiration (PMA) has emerged as an option for carefully selected patients as a complementary modality, based on retrospective data, case series, and expert experience. In this comprehensive review, we summarize the proceedings from an inaugural summit dedicated to the discussion of PMA in the global management of IE, consisting of experts across multiple disciplines from diverse geographic regions and care environments. After conceptualizing the 3 major roles of PMA as a bridge to decision, destination therapy, and adjunctive therapy, we then review the clinical scenarios in which PMA might be considered by IE subtype. We discuss patient selection, the rationale for intervention, and the most recent evidence for each. Next, we consider PMA for IE in the larger context of our health care system across 3 domains: clinical collaboration, financial considerations, and academic innovation, emphasizing the importance of interdisciplinary teams and cross-organizational partnerships, reimbursement models, and the need for high-quality research. Finally, we outline what we determined to be the most pressing outstanding questions in this space. In doing so, we propose a national consortium to help organize efforts to move this field forward and share our progress in these endeavors to date. PMA for IE has great promise, but significant work remains if we are to fully realize its potential to safely and effectively improve outcomes for modern endocarditis patients.</div></div>","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"3 12","pages":"Article 102283"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11725074/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980933","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":"Optimizing Health Care Resource Allocation, Workforce “Right-Sizing,” and Stakeholder Collaboration","authors":"Michael N. Young MD ,&nbsp;Anita W. Asgar MD, MSc ,&nbsp;Andrew M. Goldsweig MD, MSc ,&nbsp;James B. Hermiller MD ,&nbsp;Omar Khalique MD ,&nbsp;Steven V. Manoukian MD ,&nbsp;Sunil V. Rao MD ,&nbsp;Triston B.B.J. Smith MD ,&nbsp;Molly Szerlip MD ,&nbsp;Chad Kliger MD, MS ,&nbsp;SCAI 2024 Think Tank Structural Consortium -,&nbsp;Katie Canpa ,&nbsp;Michael Church ,&nbsp;Regina Deible ,&nbsp;Robert Ferguson ,&nbsp;Mounia Haddad ,&nbsp;Liz Maguire ,&nbsp;Devin Nelson ,&nbsp;Jennifer Shetler ,&nbsp;Nusrath Sultana","doi":"10.1016/j.jscai.2024.102397","DOIUrl":"10.1016/j.jscai.2024.102397","url":null,"abstract":"","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"3 12","pages":"Article 102397"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11725150/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980931","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 Atrioventricular Valve Repair and Replacement Technologies in Pediatric and Adult Congenital Heart Disease: A Paradigm for Improving Access","authors":"Arash Salavitabar MD ,&nbsp;Mamdouh Al-Ahmadi MD ,&nbsp;Marvin H. Eng MD ,&nbsp;Frank F. Ing MD ,&nbsp;Saibal Kar MD ,&nbsp;Clifford J. Kavinsky MD, PhD ,&nbsp;D. Scott Lim MD ,&nbsp;Ada C. Stefanescu Schmidt MD, MSc ,&nbsp;Thomas E. Fagan MD ,&nbsp;SCAI 2024 Think Tank Congenital Consortium,&nbsp;Dan Gutfinger MD ,&nbsp;Katie Jacobsen ,&nbsp;Megan Mueller ,&nbsp;Jeff Pritchett ,&nbsp;Nigel Tinberg ,&nbsp;Jason Triche ,&nbsp;Dave Williams","doi":"10.1016/j.jscai.2024.102398","DOIUrl":"10.1016/j.jscai.2024.102398","url":null,"abstract":"","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"3 12","pages":"Article 102398"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11725073/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980478","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(24)02175-6","DOIUrl":"10.1016/S2772-9303(24)02175-6","url":null,"abstract":"","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"3 12","pages":"Article 102486"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143148991","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":"VA-ECMO Supported Aspiration Thrombectomy for High-Risk PE: A Single-Center Experience","authors":"Usman A. Hasnie MD ,&nbsp;Chris Price MD ,&nbsp;Meenakshi Sridhar MD ,&nbsp;Megan Nordberg MPH ,&nbsp;Stephen Clarkson MD, MSPH ,&nbsp;Samuel McElwee MD","doi":"10.1016/j.jscai.2024.102436","DOIUrl":"10.1016/j.jscai.2024.102436","url":null,"abstract":"","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"3 12","pages":"Article 102436"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11725116/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980553","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":"Blueprint for Building and Sustaining a Cardiogenic Shock Program: Qualitative Survey of 12 US Programs","authors":"Raymond M. Yau MD ,&nbsp;Robyn Mitchell ACNP ,&nbsp;Aasim Afzal MD ,&nbsp;Timothy J. George MD ,&nbsp;Syed Siddiqullah MD ,&nbsp;Aditya S. Bharadwaj MBBS ,&nbsp;Alexander G. Truesdell MD ,&nbsp;Carolyn Rosner MSN, NP-C, MBA ,&nbsp;Mir B. Basir DO ,&nbsp;Ruth Fisher MBA ,&nbsp;Allison Dupont MD ,&nbsp;Carlos Leon Alviar MD ,&nbsp;Haval Chweich MD ,&nbsp;Navin K. Kapur MD ,&nbsp;Rajan A.G. Patel MD ,&nbsp;Scott Silvestry MD ,&nbsp;Sandeep M. Patel MD ,&nbsp;Jacob Abraham MD","doi":"10.1016/j.jscai.2024.102288","DOIUrl":"10.1016/j.jscai.2024.102288","url":null,"abstract":"<div><h3>Background</h3><div>Multidisciplinary cardiogenic shock (CS) programs have been associated with improved outcomes, yet practical guidance for developing a CS program is lacking.</div></div><div><h3>Methods</h3><div>A survey on CS program development and operational best practices was administered to 12 institutions in diverse sociogeographic regions and practice settings. Common steps in program development were identified.</div></div><div><h3>Results</h3><div>Key steps for program development were identified: measuring baseline outcomes; identifying subspecialty champions; gaining leadership and team buy-in; developing institution-specific CS protocols; educating staff and referring providers; consulting with external experts; and developing quality assessment and process improvement.</div></div><div><h3>Conclusions</h3><div>An assessment of 12 US CS programs highlights a blueprint for establishing and maintaining a successful, multidisciplinary shock program.</div></div>","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"3 11","pages":"Article 102288"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142704224","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}