{"title":"Aortic Root Enlargement in the Era of Transcatheter Valve Intervention.","authors":"Quynh Nguyen, Daniel R Wong","doi":"10.1016/j.cjca.2025.09.045","DOIUrl":"https://doi.org/10.1016/j.cjca.2025.09.045","url":null,"abstract":"","PeriodicalId":9555,"journal":{"name":"Canadian Journal of Cardiology","volume":" ","pages":""},"PeriodicalIF":5.3,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145273838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Blood Flow Dynamics of Self-Expanding versus Balloon-Expandable Transcatheter Aortic Valve Replacement in Patients with a Small Aortic Annulus.","authors":"Takeshi Hamaya, Kiwamu Kamiya, Toshiyuki Nagai, Satonori Tsuneta, Noriko Oyama-Manabe, Hirokazu Komoriyama, Yuki Takahashi, Akinori Takahashi, Yuki Mori, Yoshifumi Mizuguchi, Sakae Takenaka, Suguru Ishizaka, Takuma Sato, Taro Temma, Yasushige Shingu, Kohsuke Kudo, Satoru Wakasa, Toshihisa Anzai","doi":"10.1016/j.cjca.2025.09.046","DOIUrl":"https://doi.org/10.1016/j.cjca.2025.09.046","url":null,"abstract":"<p><strong>Background: </strong>A recent trial showed the supra-annular self-expanding valve (SEV) provides superior valve function compared to the balloon-expandable valve (BEV) in patients with aortic stenosis (AS) and a small aortic annulus (SAA) undergoing transcatheter aortic valve replacement (TAVR). This study aimed to compare blood flow hemodynamics between SEV and BEV using four-dimensional flow cardiovascular magnetic resonance imaging (4D flow CMR).</p><p><strong>Methods: </strong>We prospectively examined 166 consecutive patients with AS who underwent TAVR between May 2018 and March 2025. SAA was defined as an annular area ≤ 430 mm<sup>2</sup>. Patients were categorized into four groups: SAA-SEV (n = 35), SAA-BEV (n = 66), non-SAA-SEV (n = 21), and non-SAA-BEV (n = 44). Blood flow patterns, wall shear stress (WSS), and energy loss were assessed using 4D flow CMR.</p><p><strong>Results: </strong>In patients with SAA, the SEV group showed significantly greater absolute reductions in vortical flow, helical flow, and flow eccentricity after TAVR compared to the BEV group (-0.47 ± 0.9 vs. 0.15 ± 1.0, P = 0.003; -0.79 ± 0.8 vs. -0.36 ± 0.9, P = 0.008; and -0.59 ± 0.9 vs. -0.20 ± 0.8, P = 0.024, respectively). The absolute reduction of average WSS was also significantly greater in the SEV group (-2.0 [-3.0 to -0.9] Pa vs. -0.9 [-2.5 to 0.4] Pa, P = 0.037). These differences were not observed in the non-SAA groups.</p><p><strong>Conclusions: </strong>In SAA patients undergoing TAVR, SEV demonstrated a significantly greater reduction in abnormal blood flow patterns and average WSS than BEV.</p>","PeriodicalId":9555,"journal":{"name":"Canadian Journal of Cardiology","volume":" ","pages":""},"PeriodicalIF":5.3,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145257477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Albert Roque, Christiane Wiefels, Lawrence Lau, Hug Cuellar-Calabria, Azahara Palomar Muñoz, María Jesús Diez, José Raul Herance, Paola Anna Erba, María Nazarena Pizzi
{"title":"Contemporary approaches to the use of imaging in infective endocarditis.","authors":"Albert Roque, Christiane Wiefels, Lawrence Lau, Hug Cuellar-Calabria, Azahara Palomar Muñoz, María Jesús Diez, José Raul Herance, Paola Anna Erba, María Nazarena Pizzi","doi":"10.1016/j.cjca.2025.09.044","DOIUrl":"https://doi.org/10.1016/j.cjca.2025.09.044","url":null,"abstract":"<p><p>Infective endocarditis (IE) remains a complex and life-threatening condition, often posing diagnostic challenges despite advances in the field. Accurate pathogen identification and comprehensive detection of both cardiac and extracardiac lesions are essential. Echocardiography remains the cornerstone first-line imaging modality for evaluating valve lesions and functional impairment, with its findings constituting major diagnostic criteria. However, advanced imaging techniques-including computed tomography (CT), nuclear imaging, and magnetic resonance imaging (MRI)-have become valuable tools for resolving challenging cases, confirming or ruling out the endocarditis itself and detecting distant lesions that may allow achieving a definite diagnosis. These modalities are now integrated into a multimodal imaging strategy and evidence-based diagnostic algorithms tailored to the most common clinical scenarios. Recent 2023 updates to international guidelines have refined diagnostic criteria for IE. The European Society of Cardiology (ESC) Guidelines and the Duke-ISCVID Criteria emphasize a multimodal imaging approach, assigning equal diagnostic value to evidence of IE lesions detected across various imaging modalities. This approach has broadened the diagnostic possibilities for the heterogeneous population of IE patients, thereby improving case interpretation and clinical decision-making by multidisciplinary Endocarditis Teams. Validation studies demonstrated improvement of the diagnostic accuracy with these updated criteria-an important advancement for this severe disease. This review summarizes current evidence-based imaging recommendations, highlighting a rational and effective multimodal imaging strategy.</p>","PeriodicalId":9555,"journal":{"name":"Canadian Journal of Cardiology","volume":" ","pages":""},"PeriodicalIF":5.3,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145257444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Branch Vessel Stenting in the Aortic Arch & Proximalisation of Endo-Technology for Open Surgical Repair of Type A Aortic Dissection - The next step?","authors":"R Scott McClure","doi":"10.1016/j.cjca.2025.09.042","DOIUrl":"https://doi.org/10.1016/j.cjca.2025.09.042","url":null,"abstract":"","PeriodicalId":9555,"journal":{"name":"Canadian Journal of Cardiology","volume":" ","pages":""},"PeriodicalIF":5.3,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145257430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Wojciech J Skorupski, Piotr Pukacki, Włodzimierz Skorupski, Robert Juszkat, Maciej Lesiak, Marek Grygier
{"title":"Brachial Arteriovenous Fistula After Coronary Angiography via Radial Access: First Reported Case of Unexpected Complication.","authors":"Wojciech J Skorupski, Piotr Pukacki, Włodzimierz Skorupski, Robert Juszkat, Maciej Lesiak, Marek Grygier","doi":"10.1016/j.cjca.2025.09.043","DOIUrl":"https://doi.org/10.1016/j.cjca.2025.09.043","url":null,"abstract":"","PeriodicalId":9555,"journal":{"name":"Canadian Journal of Cardiology","volume":" ","pages":""},"PeriodicalIF":5.3,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145257456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Morning or Night - Just Take Your Pills.","authors":"Sheldon W Tobe","doi":"10.1016/j.cjca.2025.09.047","DOIUrl":"https://doi.org/10.1016/j.cjca.2025.09.047","url":null,"abstract":"","PeriodicalId":9555,"journal":{"name":"Canadian Journal of Cardiology","volume":" ","pages":""},"PeriodicalIF":5.3,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145257454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Sannito, L. Perron, V. Chauvette, M. Marzouk, J. Perron
{"title":"P018 IS THE ROSS PROCEDURE A VIABLE OPTION IN PATIENTS WITH FAMILIAL HYPERCHOLESTEROLEMIA?","authors":"M. Sannito, L. Perron, V. Chauvette, M. Marzouk, J. Perron","doi":"10.1016/j.cjca.2025.08.023","DOIUrl":"10.1016/j.cjca.2025.08.023","url":null,"abstract":"","PeriodicalId":9555,"journal":{"name":"Canadian Journal of Cardiology","volume":"41 10","pages":"Page S12"},"PeriodicalIF":5.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145189562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"P034 TRASH TALK: AN AUDIT OF DISCARDED SYNTHETIC CONDUITS FROM OPEN CARDIOVASCULAR SURGERIES","authors":"D. Derish, K. MacKenzie, K. Lachapelle","doi":"10.1016/j.cjca.2025.08.039","DOIUrl":"10.1016/j.cjca.2025.08.039","url":null,"abstract":"","PeriodicalId":9555,"journal":{"name":"Canadian Journal of Cardiology","volume":"41 10","pages":"Page S23"},"PeriodicalIF":5.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145189575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Sarshoghi, N. Ajmi, S. Botros, R. Cartier, N. Poirier, M. Ibrahim, P. Noly, P. Demers, I. Bouhout
{"title":"P026 REIMPLANTATION AND REMODELING WITH ANNULOPLASTY: A 20-YEAR SINGLE CENTER STUDY","authors":"A. Sarshoghi, N. Ajmi, S. Botros, R. Cartier, N. Poirier, M. Ibrahim, P. Noly, P. Demers, I. Bouhout","doi":"10.1016/j.cjca.2025.08.031","DOIUrl":"10.1016/j.cjca.2025.08.031","url":null,"abstract":"","PeriodicalId":9555,"journal":{"name":"Canadian Journal of Cardiology","volume":"41 10","pages":"Page S17"},"PeriodicalIF":5.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145189763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}