{"title":"Impact of the en face view for coronary cannulation after transcatheter aortic valve replacement.","authors":"Kentaro Mitsui, Kensuke Takagi, Yu Kataoka, Takashi Ikee, Kota Murai, Takamasa Iwai, Kenichiro Sawada, Hideo Matama, Satoshi Honda, Yoshiyuki Tomishima, Masashi Fujino, Kazuhiro Nakao, Shuichi Yoneda, Fumiyuki Otsuka, Yasuhide Asaumi, Kenichi Tsujita, Teruo Noguchi","doi":"10.1007/s12928-025-01112-x","DOIUrl":"https://doi.org/10.1007/s12928-025-01112-x","url":null,"abstract":"<p><p>With the increasing number of transcatheter aortic valve replacements (TAVR) performed annually, coronary cannulation in post-TAVR patients has gained importance. The aim of this study was to investigate the effectiveness of the en face view for post-TAVR coronary cannulation. Between March 2015 and March 2024, we evaluated coronary cannulation based on the period when the en face view was initiated post-TAVR in December 2021. To assess the impact of the transcatheter heart valve on cannulation success, we excluded patients whose cannulation was conducted outside the stent frame. During the study period, 82 consecutive coronary cannulations were evaluated (en face era/pre-en face era = 47/35). Balloon-expandable valves were used in 48.8% of cases, and cannulation was performed in 31.7% of cases involving acute coronary syndromes. The overall cannulation success rate was 64.6%. Notably, the success rate was significantly higher during the en face era compared to the pre-en face era (78.7% vs. 45.7%, p = 0.003). Cannulation success was more frequently achieved during the en face era in both types of prostheses (self-expandable valve: 83.3% vs. 50.0%, p = 0.049; balloon-expandable valve: 75.9% vs. 36.4%, p = 0.03). Moreover, multivariate analysis identified the en face era as an independent predictor of cannulation success (adjusted odds ratio = 4.57, 95% confidence interval = 1.37-15.30, p = 0.01). The success rate of cannulation was significantly higher during the en face era. This study suggests that the en face view enhances the success rate of coronary cannulation, regardless of the prosthesis type.</p>","PeriodicalId":9439,"journal":{"name":"Cardiovascular Intervention and Therapeutics","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143647378","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":"Incremental value of physiological indices to predict high-risk plaques detected by NIRS-IVUS.","authors":"Kazuyoshi Kakehi, Masafumi Ueno, Nobuhiro Yamada, Kyohei Onishi, Keishiro Sugimoto, Yohei Funauchi, Takayuki Kawamura, Kosuke Fujita, Hiroki Matsuzoe, Koichiro Matsumura, Gaku Nakazawa","doi":"10.1007/s12928-025-01116-7","DOIUrl":"https://doi.org/10.1007/s12928-025-01116-7","url":null,"abstract":"<p><p>Identification of vulnerable plaques is important for reducing future cardiovascular events. This study aimed to investigate optimal modalities other than intravascular imaging in evaluating vulnerable plaques. We prospectively evaluated 105 non-culprit coronary lesions by CCTA imaging and near-infrared spectroscopy-intravascular ultrasound in 32 patients with acute coronary syndrome. Angiographically-derived ΔQFR and ΔFFR<sub>CT</sub> were measured as the difference in QFR and FFR<sub>CT</sub> across the stenosis. A receiver operating characteristic curve analysis was performed to determine the optimal cutoff values of angiographically- and CCTA-derived plaque features for a maxLCBI<sub>4mm</sub> ≥ 400. The best cutoff values for ΔQFR and ΔFFR<sub>CT</sub> to predict a maxLCBI<sub>4mm</sub> ≥ 400 were 0.05 and 0.06, respectively. ΔQFR and ΔFFR<sub>CT</sub> values and percent diameter stenosis on QCA or CCTA were associated with a maxLCBI<sub>4mm</sub> ≥ 400 (both P < 0.05). The combination of ΔFFR<sub>CT</sub> ≥ 0.06 and plaque density predicted a maxLCBI<sub>4mm</sub> ≥ 400 with 89.4% sensitivity and 84.5% specificity (area under the curve, 0.90; P < 0.0001). There was no significant difference in area under the curve values between ΔQFR and plaque density + ΔFFR<sub>CT</sub> ≥ 0.06 (0.92 vs. 0.90, P = 0.50). In the diagnosis of vulnerable plaques in acute coronary syndrome, the combination of ΔFFR<sub>CT</sub> and plaque density shows a diagnostic capability similar to that of ΔQFR in non-culprit lesions.</p>","PeriodicalId":9439,"journal":{"name":"Cardiovascular Intervention and Therapeutics","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143613405","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":"Successful use of percutaneous reverse Fogarty technique for thromboembolic occlusion of the popliteal artery.","authors":"Takafumi Fujita, Makoto Sugihara, Kaori Mine, Tetsuo Hirata, Takashi Kuwano, Shin-Ichiro Miura","doi":"10.1007/s12928-025-01115-8","DOIUrl":"https://doi.org/10.1007/s12928-025-01115-8","url":null,"abstract":"","PeriodicalId":9439,"journal":{"name":"Cardiovascular Intervention and Therapeutics","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143584784","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}
Yoshinobu Murasato, Jinya Takahashi, Kyohei Meno, Takahiro Mori
{"title":"Balloon blocking technique for antegrade wiring in a chronic total occlusion of the left anterior descending artery ostium.","authors":"Yoshinobu Murasato, Jinya Takahashi, Kyohei Meno, Takahiro Mori","doi":"10.1007/s12928-025-01108-7","DOIUrl":"https://doi.org/10.1007/s12928-025-01108-7","url":null,"abstract":"","PeriodicalId":9439,"journal":{"name":"Cardiovascular Intervention and Therapeutics","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143572252","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":"Association between the long-term dialysis due to diabetic nephropathy and clinical outcomes in patients with coronary artery disease and chronic renal failure.","authors":"Shun Ishibashi, Kenichi Sakakura, Hiroyuki Jinnouchi, Yousuke Taniguchi, Takunori Tsukui, Yusuke Watanabe, Masashi Hatori, Kei Yamamoto, Taku Kasahara, Masaru Seguchi, Hideo Fujita","doi":"10.1007/s12928-025-01109-6","DOIUrl":"https://doi.org/10.1007/s12928-025-01109-6","url":null,"abstract":"<p><p>The clinical outcomes of percutaneous coronary intervention (PCI) in patients with dialysis are still worse compared with those without dialysis. Among patients with dialysis, those who started dialysis due to diabetic nephropathy (DMN) may have a worse prognosis than those who started dialysis due to non-DMN. This retrospective study aimed to compare the clinical outcomes in dialysis patients who underwent PCI between with and without long-term dialysis due to DMN. We included 303 dialysis patients with PCI. The length of dialysis at the time of PCI was used to stratify the study patients. Patients with DMN and the length of dialysis ≥ 3 years were defined as the long-DMN group (n = 117), and the others were defined as the other group (n = 186). The primary endpoint was the incidence of major adverse cardiac events (MACE), which was defined as a composite of all-cause death, non-fatal myocardial infarction, re-admission for heart failure, and ischemia-driven target vessel revascularization. A total of 165 MACE were observed with the median follow-up of 568 days. The Kaplan-Meier curves showed that MACE was more frequently observed in the long-DMN group than in the other group (p = 0.005). In the multivariate Cox hazard model, long-DMN was significantly associated with MACE (hazard ratio 1.483, 95% confidence interval 1.075-2.046, p = 0.016) after controlling for multiple confounding factors. Among patients with dialysis, the combination of DMN and a long history of dialysis is closely associated with poor clinical outcomes. These patients should be carefully followed up by both cardiologists and nephrologists.</p>","PeriodicalId":9439,"journal":{"name":"Cardiovascular Intervention and Therapeutics","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143476319","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":"Serial morphological and functional changes following intensive pharmacological intervention for left main disease.","authors":"Takayuki Warisawa, Susumu Katsushika, Yoshiki Kawai, Jiro Ando","doi":"10.1007/s12928-025-01102-z","DOIUrl":"https://doi.org/10.1007/s12928-025-01102-z","url":null,"abstract":"","PeriodicalId":9439,"journal":{"name":"Cardiovascular Intervention and Therapeutics","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143467165","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}