Catheterization and Cardiovascular Interventions最新文献

{"title":"Elevated Hemoglobin Levels and Risk of ST-Segment Elevation Myocardial Infarction in High-Altitude Acute Coronary Syndrome: A Retrospective Analysis","authors":"Jing Li,&nbsp;Lin-Feng Liu,&nbsp;Gusang Lamu,&nbsp;Yang Jin,&nbsp;Gesang Gawa,&nbsp;Zhen-Long Chang,&nbsp;Xiao-Xia Liu,&nbsp;Zhen-Zhong Yang,&nbsp;Gesang Luobu,&nbsp;Baima Lamu,&nbsp;Dawa Ciren","doi":"10.1002/ccd.70426","DOIUrl":"10.1002/ccd.70426","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>High-altitude populations typically exhibit elevated hemoglobin (Hb) levels due to chronic hypoxic exposure; however, the impact of this elevation on the risk of ST-segment elevation myocardial infarction (STEMI) remains unclear. Existing evidence is primarily derived from low-altitude populations and cannot be directly extrapolated to high-altitude settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study aims to systematically evaluate the effect of elevated hemoglobin levels in high-altitude environments on the risk of ST-segment elevation myocardial infarction (STEMI) and to identify the altitude-specific inflection point at which hemoglobin becomes a significant risk factor.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study involved 1209 patients diagnosed with acute coronary syndrome (ACS). The patients were classified into four groups according to their Hb levels: &lt; 120, 120–160, 160–200, and ≥ 200 g/L. Initially, logistic regression and restricted cubic splines (RCS) were employed to evaluate the relationship between Hb levels and the risk of STEMI. Subsequently, survival analysis was conducted to assess 28-day survival rates. RCS curves were then compared with data from low-altitude populations. Finally, subgroup analyses were performed to further validate the robustness of the findings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study population comprised 80.9% males (mean age 58.3 ± 12.5 years) and 19.1% females (mean age 66.0 ± 11.9 years). Elevated Hb levels (≥ 160 g/L) were significantly associated with an increased risk of STEMI. RCS analysis revealed a nonlinear relationship between Hb levels and STEMI risk (nonlinearity <i>p</i> &lt; 0.05). After adjusting for multiple variables, the odds ratios (OR) for STEMI in patients with Hb levels of 160–200 and ≥ 200 g/L were 1.9 (95% CI: 1.1–3.1, <i>p</i> = 0.019) and 3.6 (95% CI: 1.8–7.3, <i>p</i> &lt; 0.001), respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>In high-altitude ACS patients, Hb levels ≥ 160 g/L significantly increase the risk of STEMI, underscoring the importance of Hb monitoring in this population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":9650,"journal":{"name":"Catheterization and Cardiovascular Interventions","volume":"107 4","pages":"934-943"},"PeriodicalIF":1.9,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12953204/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of a Prediction Model for Major Adverse Cardiovascular Events in Patients With Acute Myocardial Infarction Following Percutaneous Coronary Intervention","authors":"Haiyang Zhang,&nbsp;Xiao Zhang,&nbsp;Tao Li,&nbsp;Yi Zhou,&nbsp;Zhongjun Du","doi":"10.1002/ccd.70422","DOIUrl":"10.1002/ccd.70422","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The occurrence of major adverse cardiovascular events (MACEs) in individuals with acute myocardial infarction (AMI) following percutaneous coronary intervention (PCI) demonstrates a rising trend and is linked to multiple factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This research seeks to develop a predictive model for MACEs utilizing baseline parameters and postoperative cardiac biomarkers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 706 patients diagnosed with AMI following PCI surgery were included in the study, comprising individuals with non-MACEs (<i>n</i> = 557) or MACEs (<i>n</i> = 149). Least absolute shrinkage and selection operator (LASSO) combined with univariate and multivariate logistic regression analyses were utilized to examine the independent risk factors associated with short-term (6 months) MACEs incident.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We developed two predictive models to forecast postoperative MACEs following PCI, utilizing preoperative parameters and the postoperative “cardiac score” derived from the amalgamation of sST2, hs-cTnI, and NT-proBNP. Predictive performance of the “cardiac score” (AUC = 0.906; 95% CI: 0.884–0.927) was markedly superior to that of the baseline model (AUC = 0.760; 95% CI: 0.716–0.804).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Compared to baseline data, the “cardiac model” is more suitable for dynamically monitoring the short-term risk of MACEs in AMI patients after PCI surgery.</p>\u0000 </section>\u0000 </div>","PeriodicalId":9650,"journal":{"name":"Catheterization and Cardiovascular Interventions","volume":"107 4","pages":"977-986"},"PeriodicalIF":1.9,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Novel Technique for Augmented Hemostasis After Perclose Deployment: Tamponade on Perclose–Hemostasis Augmentation Technique (TOP-HAT)","authors":"Khansa Ahmad,&nbsp;Sahoor A. Khan,&nbsp;Gautam Gadey,&nbsp;Thomas C. Piemonte","doi":"10.1002/ccd.70409","DOIUrl":"10.1002/ccd.70409","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>With the advent of advanced structural procedures and circulatory devices, large-bore access has become increasingly common. However, vascular access site complications present serious prognostic risks. While suture-based and collagen-based devices have been described for vascular closure, these techniques require maintenance of wire access.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims and Methods</h3>\u0000 \u0000 <p>We present a novel technique for achieving hemostasis once wire access has been lost and the perclose (standard suture-based device) has been deployed, utilizing a collagen plug; Tamponade On Perclose; Hemostasis Augmentation Technique (TOPHAT).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results and Conclusion</h3>\u0000 \u0000 <p>We have utilized this technique at a single center with multiple users at different levels of expertise without any complications to date.</p>\u0000 </section>\u0000 </div>","PeriodicalId":9650,"journal":{"name":"Catheterization and Cardiovascular Interventions","volume":"107 4","pages":"955-959"},"PeriodicalIF":1.9,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mechanical Thrombectomy for Acute Ischemic Stroke Due to Left Ventricular Assist Device Suction in a Pediatric Patient: A Case Report","authors":"Abdulkadir Yılmaz,&nbsp;Enis Burak Gül,&nbsp;Ümit Kervan,&nbsp;Sinan Sabit Kocabeyoğlu","doi":"10.1002/ccd.70440","DOIUrl":"10.1002/ccd.70440","url":null,"abstract":"<div>\u0000 \u0000 <p>In end-stage heart failure patients, LVAD implantation is an important alternative treatment option to heart transplantation and is increasingly utilized. Ischemic stroke is one of the major causes of morbidity and mortality after LVAD implantation. We present a case of a 13-year-old male who developed acute ischemic stroke postoperatively due to LVAD-related thromboembolism. The patient underwent emergency mechanical thrombectomy, which resulted in rapid neurological recovery. This case highlights the feasibility and effectiveness of mechanical thrombectomy as an early intervention in pediatric LVAD-related stroke cases.</p>\u0000 </div>","PeriodicalId":9650,"journal":{"name":"Catheterization and Cardiovascular Interventions","volume":"107 4","pages":"1027-1030"},"PeriodicalIF":1.9,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145807308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endovascular Stenting for Pulmonary Vein Stenosis Following Atrial Fibrillation Ablation: From Diagnosis to Intervention","authors":"Cristina Aurigemma,&nbsp;Marco Busco,&nbsp;Francesco Bianchini,&nbsp;Gabriella Locorotondo,&nbsp;Francesca Graziani,&nbsp;Annalisa Pasquini,&nbsp;Enrico Romagnoli,&nbsp;Mattia Lunardi,&nbsp;Lazzaro Paraggio,&nbsp;Francesco Varone,&nbsp;Andrea Smargiassi,&nbsp;Bruno Iovene,&nbsp;Riccardo Marano,&nbsp;Carlo Trani,&nbsp;Francesco Burzotta","doi":"10.1002/ccd.70417","DOIUrl":"10.1002/ccd.70417","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Pulmonary vein stenosis (PVS) is an uncommon but serious complication of atrial fibrillation (AF) ablation, often misinterpreted as primary pulmonary disease. Timely identification is essential to prevent irreversible injury and to guide appropriate referral for interventional management.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Case Presentations</h3>\u0000 \u0000 <p>Through the discussion of two practical case examples, we illustrate the challenges of early recognition, the role of imaging modalities, and the decision-making process in selecting the most effective interventional strategy. Both young male patients developed progressive dyspnoea, chronic cough, and recurrent pneumonia months after AF ablation and were initially managed for presumed pulmonary pathology. Multimodal imaging—including CT, transoesophageal echocardiography, and selective angiography—confirmed severe multivessel PVS, with a true bifurcation lesion in one case.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Management Strategy</h3>\u0000 \u0000 <p>The patients were referred for transcatheter pulmonary angioplasty. Procedures were performed under combined fluoroscopic and echocardiographic guidance. In Patient 1, after stenting of the left middle lobar vein in crossover with the left superior pulmonary vein (provisional approach), residual ostial stenosis of the left superior vein required escalation to a culotte bifurcation strategy. Remaining lesions in both patients were treated with large-diameter stents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions and Clinical Management</h3>\u0000 \u0000 <p>Early recognition using echocardiography and CT angiography is crucial. Endovascular interventions—particularly stent implantation—provide effective restoration of venous flow, but standardized protocols, long-term patency assessment, and optimal antithrombotic therapy remain areas of ongoing investigation. Advances in coronary intervention may guide refined techniques for managing complex PVS. This paper presents a comprehensive clinical management approach, from symptom onset to definitive treatment.</p>\u0000 </section>\u0000 </div>","PeriodicalId":9650,"journal":{"name":"Catheterization and Cardiovascular Interventions","volume":"107 4","pages":"925-933"},"PeriodicalIF":1.9,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12953203/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transcatheter Left Ventricular Restoration in Ischemic Heart Failure and Dilated Cardiomyopathy","authors":"Muhammad Mohid Haroon,&nbsp;Faizan Ahmad,&nbsp;Ramsha Ali,&nbsp;Saqlain Haider,&nbsp;Areehah Zafar Masood,&nbsp;Usama Yaseen,&nbsp;Taha Ahmad Zaka Ur Rehman,&nbsp;Muhammad Abdullah Sardar,&nbsp;Muhammad Umer,&nbsp;Shruthi Aswathappa,&nbsp;Muhammad Salman Sabri,&nbsp;Muhammad Muneeb Murtaza,&nbsp;Rubiya Ali,&nbsp;Sunny Kumar,&nbsp;Sameer Ali,&nbsp;Najam Gohar,&nbsp;Mohamed Bakr,&nbsp;Swapnil Patel,&nbsp;Mohammad A. Hussain,&nbsp;Fawaz Alenezi","doi":"10.1002/ccd.70425","DOIUrl":"10.1002/ccd.70425","url":null,"abstract":"<p>Ischemic heart disease is the leading global cause of death and frequently progresses to ischemic heart failure (IHF) after myocardial infarction through adverse left ventricular (LV)remodeling. Surgical LV restoration improves ventricular geometry and function but is limited by invasiveness and inconsistent outcomes. Transcatheter Left Ventricular Restoration (TLVR) has emerged as a minimally invasive alternative,employing devices such as Revivent TC, AccuCinch, and Parachute to reduce LV volume, wall stress, and improve LV ejection fraction (LVEF). While several studies have reported promising results, no prior meta-analysis has synthesized the evidence across devices. This meta-analysis followed PRISMA 2020 guidelines. PubMed, Embase, Scopus, and Cochrane Library were searched through July 2025. Eligible studies included adult patients with IHF or dilated cardiomyopathy undergoing TLVR and reporting outcomes including LVEF, LV end-diastolic volume (LVEDV), New York Heart Association (NYHA) class, or Kansas City Cardiomyopathy Questionnaire (KCCQ). Single-arm interventional and observational cohort studies were included. Data extraction was performed by four reviewers, with bias assessed using ROBINS-I and the Newcastle–Ottawa Scale. Pooled mean differences (MD) were calculated using a random-effects model (Hartung–Knapp–Sidik–Jonkman). Seventeen studies were included, with baseline LVEF 22.8%–38% and LVEDV 75–235 mL. TLVR significantly reduced LVEDV (MD −25.94 mL; <i>p</i> &lt; 0.00001), increased LVEF (+6.69%; <i>p</i> &lt; 0.00001), and improved the NYHA class (MD −0.73; <i>p</i> = 0.02). KCCQ scores improved in some studies but were not significant overall. Revivent TC and AccuCinch showed consistent benefits, whereas Parachute outcomes were more variable. This meta-analysis of TLVR demonstrates consistent improvements in LV remodeling, function, and symptoms. Nonetheless, high heterogeneity, small cohorts, and limited follow-up highlight the need for large randomized trials to establish durability, survival benefit, and refine patient selection.</p>","PeriodicalId":9650,"journal":{"name":"Catheterization and Cardiovascular Interventions","volume":"107 4","pages":"898-908"},"PeriodicalIF":1.9,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12953211/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevention and Management of Percutaneous Coronary Intervention-Related Complications: Assessing the Impact of Simulation-Based Learning and Human Factors Training","authors":"Junichi Fukamizu,&nbsp;Tobias MacCarthy,&nbsp;Ikuo Shimizu,&nbsp;Shigeki Ariura,&nbsp;Ryouta Tanetani,&nbsp;Shouta Arahira,&nbsp;Manabu Tamura,&nbsp;Ken Masamune,&nbsp;Kalaivani Mahadevan,&nbsp;Nitin Chandramohan,&nbsp;Thomas Hovasse,&nbsp;Jacques Monsegu,&nbsp;James Nolan,&nbsp;Joelle Kefer,&nbsp;Piotr Musialek,&nbsp;Martin Oberhoff,&nbsp;Michael Haude,&nbsp;Hakim Benamer,&nbsp;Olivier Muller,&nbsp;Patrick A. Calvert,&nbsp;Satoru Sumitsuji,&nbsp;Peter O'Kane,&nbsp;Gabor Toth,&nbsp;Thomas Cuisset,&nbsp;William Wijns,&nbsp;Thomas W. Johnson","doi":"10.1002/ccd.70418","DOIUrl":"10.1002/ccd.70418","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Complications of percutaneous coronary intervention (PCI) remain infrequent but are associated with a risk of serious injury or death. The techniques and devices required to manage them may be unfamiliar or unavailable to operators. Simulation-based learning (SBL) and human factors training (HFT) may serve as tools to increase operator skills and confidence in complication prevention and management.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A survey was given to participants during an SBL program delivered at a major international cardiovascular intervention course in 2023 and 2024. Prior experience with complications, access to equipment, and confidence in managing procedural PCI complications were established. Confidence was then reassessed following SBL training.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 308 cardiologists, from over 50 countries, completed the survey. Access to emergency equipment varied, with half of the operators lacking access to embolic coils. Despite an overall significant procedural experience, many operators were not confident in managing complications. Only 36.9% had undergone any prior HFT, 28.7% reported a lack of confidence in relying on their team, and 26.2% had neutral or negative expectations of obtaining support from colleagues when encountering complications. Structured SBL/HFT significantly improved operator confidence in complication recognition and management.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Effective management of PCI complications requires a practical know-how of specific techniques and access to devices that may not be routinely available. We found that structured SBL and HFT increase operator confidence in complication prevention and management. Further research should seek to investigate long-term outcomes of SBL use in the clinical management of procedural complications.</p>\u0000 </section>\u0000 </div>","PeriodicalId":9650,"journal":{"name":"Catheterization and Cardiovascular Interventions","volume":"107 4","pages":"960-968"},"PeriodicalIF":1.9,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12953218/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145764968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of a 12-Week Calisthenics Exercise Program on Physical Fitness in Adults With Obesity","authors":"Zhengjun Li,&nbsp;Wenmin Huang","doi":"10.1002/ccd.70361","DOIUrl":"10.1002/ccd.70361","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Obesity is a serious health concern which is often caused due to physical inactivity. This study examines the improvements in body composition, physical strength, cardiovascular endurance, and flexibility of individuals with obesity by conducting a 12-week calisthenics exercise program.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Based on a randomized controlled trial (RCT), the study subjects were categorized as the intervention group (IG, <i>n</i> = 39) and the control group (CG, <i>n</i> = 38).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>After 12 weeks, the IG showed substantial improvement than the CG, such as flexibility (Sit and Reach Test: <i>p</i> = 0.005, ES = 0.802), cardiovascular endurance (20-m Shuttle Run: <i>p</i> = 0.042, ES = 0.815), right-hand grip strength (<i>p</i> = 0.048, ES = 0.748), leg muscle strength (<i>p</i> = 0.049, ES = 0.539), back muscle strength (<i>p</i> = 0.022, ES = 0.754), and left-hand grip strength (<i>p</i> = 0.041, ES = 0.829). A substantial reduction were also noticed in body mass index (<i>p</i> = 0.019, ES = 0.728), weight (<i>p</i> = 0.024, ES = 0.778), fat mass (<i>p</i> = 0.032, ES = 0.696), muscle mass percentage (<i>p</i> = 0.020, ES = 0.498), fat percentage (<i>p</i> = 0.048, ES = 0.768), and muscle mass (<i>p</i> = 0.042, ES = 0.724).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The results indicate that the calisthenics program enhanced body composition, flexibility, cardiovascular endurance, and muscular strength. This implies that calisthenics exercise could be a practical and efficient solution to boost the well-being of people.</p>\u0000 </section>\u0000 </div>","PeriodicalId":9650,"journal":{"name":"Catheterization and Cardiovascular Interventions","volume":"107 4","pages":"1005-1017"},"PeriodicalIF":1.9,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145777170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nationwide Analysis of PCI After TAVR From the Netherlands Heart Registration","authors":"Hugo M. Aarts,&nbsp;Kimberley I. Hemelrijk,&nbsp;Gijs M. Broeze,&nbsp;Steven A. Muller,&nbsp;Lineke Derks,&nbsp;Ronak Delewi,&nbsp;Michiel Voskuil,&nbsp;the Transcatheter Heart Intervention and Percutaneous Coronary Intervention registration committees of the Netherlands Heart Registration","doi":"10.1002/ccd.70428","DOIUrl":"10.1002/ccd.70428","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Percutaneous coronary intervention (PCI) after transcatheter aortic valve replacement (TAVR) has gained interest as concomitant coronary artery disease (CAD) is now often treated conservatively before TAVR, and TAVR is increasingly used in younger patients with longer life expectancies. Therefore, more contemporary data on PCI after TAVR are warranted to optimize CAD treatment and guide lifetime management. The primary objective was to evaluate the incidence of PCI in patients with prior TAVR, including insights on trends and procedural and clinical outcomes from a large, nationwide cohort.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data from the Netherlands Heart Registration were used to identify patients with prior TAVR who underwent PCI between January 2015 and September 2021.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among 216,813 PCI patients, 419 (0.19%) had previously undergone TAVR, representing an incidence of 2.81% among all TAVR patients (<i>n</i> = 14,933) in the Netherlands. The annual proportion of PCI procedures after TAVR increased from 0.05% in 2015 to 0.39% in 2021 (<i>p</i> &lt; 0.001). Procedural adverse events were low. Patients treated with self-expanding transcatheter heart valves (THVs) more frequently underwent PCI without stenting (17.8% vs. 10.1%, <i>p</i> = 0.049), though target vessel revascularization rates and all-cause mortality were comparable. Matched patients with and without prior TAVR had similar clinical outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The incidence of PCI after TAVR is low but increasing. Clinical outcomes are comparable between THV platforms, but self-expanding THVs were associated with higher rates of PCI without stent implantation. The growing need for PCI after TAVR underscores the importance of coronary access in lifetime management strategies by multidisciplinary heart teams.</p>\u0000 </section>\u0000 </div>","PeriodicalId":9650,"journal":{"name":"Catheterization and Cardiovascular Interventions","volume":"107 3","pages":"824-832"},"PeriodicalIF":1.9,"publicationDate":"2025-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12902725/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145717171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transcatheter Pulmonary Valve Replacement With a Novel Valve: Medium-Term Results From a Single Center Study","authors":"Robin H. S. Chen,&nbsp;Timothy K. C. Un,&nbsp;Clement K. M. Yu,&nbsp;Alston Conrad Chiu,&nbsp;Pak-cheong Chow,&nbsp;Kin-shing Lun,&nbsp;Simon Lam,&nbsp;Adolphus K. T. Chau,&nbsp;John P. Cheatham","doi":"10.1002/ccd.70405","DOIUrl":"10.1002/ccd.70405","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Transcatheter pulmonary valve replacement (tPVR) has emerged as a promising management strategy for dysfunctional right ventricular outflow tract (RVOT). However, the management of chronic pulmonary regurgitation (PR) in native or patched RVOT remains challenging with the vast variation in morphology, leading to the demand for novel self-expandable valves.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To report procedural performance and medium-term follow-up data of the Med Zenith PT-Valve for tPVR in native or patched RVOT from a single-center feasibility trial.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Fifteen patients with PR were recruited for candidacy assessment, with 12 tPVR procedures performed with per-protocol follow-up.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Amongst patients recruited, one with concomitant aortic pathology was diverted to surgery; there was one screen failure (7.1%) and one patient withdrew consent. Twelve patients underwent tPVR with the study valve with 100% success rate. Complications included one wire-related pulmonary hemorrhage, one transient brachial neuropraxia, one femoral pseudoaneurysm, and two patients with non-sustained ventricular tachycardia Day 1 post-tPVR. Both patients received a short course of a beta-blocker without recurrence of arrhythmia. There were no deaths or valve-related reinterventions with a median follow-up of 28.5 months (range 17.9–40.0 months). One episode of infective endocarditis was managed conservatively with antibiotics with no sequelae. There were otherwise no late complications. Significant improvement in biventricular volume and PR fraction was observed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The Med Zenith PT-Valve has performed well over short to mid-term follow-up in patients with significant PR in native or patched RVOT. Future studies are required to elucidate the longevity of the valve.</p>\u0000 </section>\u0000 </div>","PeriodicalId":9650,"journal":{"name":"Catheterization and Cardiovascular Interventions","volume":"107 3","pages":"833-841"},"PeriodicalIF":1.9,"publicationDate":"2025-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145717157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}