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    1223 results match your criteria Cardiovascular Revascularization Medicine [Journal]

    1 OF 25

    Mechanical aspiration thrombectomy in the treatment of acute intrastent renal artery thrombosis.
    Cardiovasc Revasc Med 2018 May 7. Epub 2018 May 7.
    Department of Diagnostic Science - Radiology and Interventional Radiology Unit, ASST Santi Paolo and Carlo - San Carlo Borromeo Hospital, Via Pio II, 3, 20153 Milano, Italy.
    Chimney-and-periscope technique for thoraco-abdominal aneurysm repair is a valuable treatment option in selected patients. Acute renal artery occlusion is a serious complication after this technique. We report a case of acute right renal artery occlusion, consequent to a previous chimney-and-periscope technique that was treated urgently by mechanical aspiration thrombectomy. Read More

    Meta-analysis of safety and efficacy of oral anti-coagulants in patients requiring catheter ablation for atrial fibrillation.
    Cardiovasc Revasc Med 2018 May 9. Epub 2018 May 9.
    Guthrie Health System/ Robert Packer Hospital, Sayre, PA, USA; Rutgers New Jersey Medical School, Newark, NJ, USA; The Geisinger Commonwealth Medical College, Scranton, PA, USA.
    Background: The ideal oral anticoagulant agent during catheter ablation (CA) for atrial fibrillation (AF) remained unclear.

    Hypothesis: Novel oral anticoagulants (NOACs) are safer and effective compared to uninterrupted vitamin K antagonists (U-VKA) among patients requiring CA for AF.

    Methods: Four randomized controlled trials (RCTs) and 9 observational studies (OS) were selected using PubMed/Medline, EMBASE and the CENTRAL data bases (Inception-December-2017). Read More

    Administration of Rotaglide™ solution for treating refractory severe radial artery spasm: A case report.
    Cardiovasc Revasc Med 2018 May 5. Epub 2018 May 5.
    Department of Medicine/Cardiology, Virginia Commonwealth University, Richmond, VA, United States; Department of Medicine/Cardiology, McGuire Veterans Affairs Medical Center, Richmond, VA, United States. Electronic address:
    Severe radial artery spasm is a complication of transradial cardiac catheterization. We describe a case of severe radial artery spasm causing catheter entrapment. The spasm was refractory and resistant to intra-arterial vasodilators, systemic vasodilators, and moderate sedation. Read More

    Impact of device-host interaction on paravalvular aortic regurgitation with different transcatheter heart valves.
    Cardiovasc Revasc Med 2018 May 6. Epub 2018 May 6.
    Department of Cardiology, Thoraxcenter, Erasmus MC, Rotterdam, The Netherlands. Electronic address:
    Aims: We sought to evaluate the interaction of different aortic root phenotypes with self-expanding (SEV), balloon-expandable (BEV) and mechanically expanded (MEV) and the impact on significant aortic regurgitation.

    Methods And Results: We included 392 patients with a SEV (N = 205), BEV (N = 107) or MEV (N = 80). Aortic annulus eccentricity index and calcification were measured by multi-slice CT scan. Read More

    Bifurcation and ostial optical coherence tomography mapping (BOOM) - Case description of a novel bifurcation stent technique.
    Cardiovasc Revasc Med 2018 May 6. Epub 2018 May 6.
    St. Francis Hospital, Roslyn, NY, United States; Cardiovascular Research Foundation, New York, NY, United States. Electronic address:
    Stent placement guided by angiography alone is often inexact, but of increased importance with bifurcation percutaneous coronary intervention (PCI). We describe a novel technique using optical coherence tomography (OCT)-guided angiographic co-registration termed "Bifurcation and Ostial OCT Mapping" (BOOM). The technique is based on the precise identification and mapping of the side-branch ostium using co-registration to minimize protrusion of stent struts into the main branch while ensuring full coverage of the ostium in the side-branch. Read More

    Mitral valve repair complicated by left circumflex coronary artery occlusion: An under-recognized but potentially deadly complication.
    Cardiovasc Revasc Med 2018 Apr 25. Epub 2018 Apr 25.
    PennState Health, Penn State College of Medicine, Departments of Cardiology, United States.
    Mitral valve repair is becoming an increasingly frequent surgery for patients with mitral valve regurgitation. Iatrogenic coronary artery injury and ischemic myocardial compromise have been previously reported in the literature as a rare but serious complication of surgical mitral valve repair. This potentially life-threatening complication should be considered and quickly recognized during perioperative mitral valve repair or replacement to prevent morbidity and mortality. Read More

    In vivo morphologic comparison of saphenous vein grafts and native coronary arteries following non-ST elevation myocardial infarction.
    Cardiovasc Revasc Med 2018 Apr 16. Epub 2018 Apr 16.
    Sydney Medical School, Faculty of Medicine, The University of Sydney, Camperdown, NSW, Australia; Department of Cardiology, Royal North Shore Hospital, Sydney, Australia. Electronic address:
    Objective: This study aimed to assess the pathophysiological differences between saphenous vein grafts (SVG) and native coronary arteries (NCA) following presentation with non-ST elevated myocardial infarction (NSTEMI).

    Background: There is accelerated pathogenesis of de novo coronary disease in harvested SVG following coronary artery bypass (CABG) surgery, which contributes to both early and late graft failure, and is also causal in adverse outcomes following vein graft PCI. However in vivo assessment, with OCT imaging, comparing the differences between vein grafts and NCAs has not previously been performed. Read More

    A meta-analysis of reduced leaflet motion for surgical and transcatheter aortic valves: Relationship to cerebrovascular events and valve degeneration.
    Cardiovasc Revasc Med 2018 Apr 5. Epub 2018 Apr 5.
    Department of Cardiology, Ohio State University Wexner Medical Center, Columbus, OH 43210, United States. Electronic address:
    Background: Reduced leaflet motion (RLM) of transcatheter aortic valves (TAV) is observed in up to 4% of cases with similar frequency in surgical valves, with an overall incidence that differs based on prosthesis type and size. This phenomenon likely represents subclinical leaflet thrombosis. Herein we sought to analyze the existing reported literature to assess whether or not RLM is associated with subsequent valve degeneration or cerebrovascular events. Read More

    Effect of stent implantation on blood pressure control in adults with coarctation of the aorta.
    Cardiovasc Revasc Med 2018 Apr 10. Epub 2018 Apr 10.
    University Medical Center Utrecht, Heidelberglaan 100, 3584, CX, Utrecht, The Netherlands. Electronic address:
    Background: Stenting of coarctation of the aorta (CoA) generally results in good angiographic results and a decrease in transcoarctation pressure gradient. However, effect on blood pressure control is less clear. The goal of the current retrospective analysis was to investigate the effects of CoA stenting on blood pressure control. Read More

    An updated meta-analysis of TAVR in patients at intermediate risk for SAVR.
    Cardiovasc Revasc Med 2018 Apr 20. Epub 2018 Apr 20.
    University of Arizona, Banner University Medical Center - Phoenix, United States.
    Background: Transcatheter aortic valve replacement (TAVR) has been approved for use in patients with severe aortic stenosis at intermediate, high and extreme surgical risk. This meta-analysis was performed to assess the safety and efficacy of TAVR compared to surgical aortic valve replacement (SAVR) in intermediate risk patients.

    Methods: We searched PubMed, EMBASE, Web of science, and the Cochrane Central Register of Controlled Trials databases for studies comparing TAVR versus SAVR in patients at intermediate surgical risk, with a mean Society of Thoracic Surgeon score of 3-8% or a mean logistic European risk score of 10-20%. Read More

    True double bifurcation lesions: new application of the self-expandable Axxess stent and review of literature with dedicated bifurcation devices.
    Cardiovasc Revasc Med 2018 Apr 21. Epub 2018 Apr 21.
    Department of Advanced Biomedical Sciences, Divisions of Cardiology and Cardiothoracic Surgery, Federico II University, Naples, Italy.
    Complex coronary artery bifurcation lesions occurred in hard clinical scenarios, such as acute coronary syndromes, may represent a challenge for interventional cardiologists, with not-defined general consensus on treatment. Even if provisional stenting is the most common option used to restore rapidly the coronary branches flow, improvements in industrial technologies and design of new dedicated bifurcation devices might open new modalities of treatment in these complex cases. The Axxess stent (Biosensors Europe SA, Morges, Switzerland) is a self-expanding biolimus-eluting conical V-shape stent, specifically designed to treat "easily" coronary artery bifurcation lesions, with reported favorable long-term clinical results in stable patients compared to a provisional technique. Read More

    The role of mineralocorticoid receptor antagonists in patients with acute myocardial infarction: Is the evidence reflective of modern clinical practice?
    Cardiovasc Revasc Med 2018 Apr 17. Epub 2018 Apr 17.
    Coronary Research Group, Department of Cardiology, University Hospital Southampton, Southampton SO16 6YD, UK; Faculty of Medicine, University of Southampton, UK. Electronic address:

    Drug coated balloon in peripheral artery disease.
    Cardiovasc Revasc Med 2018 Apr 21. Epub 2018 Apr 21.
    University of Texas Southwestern Medical Center, Dallas, Texas, United States; Veterans Affairs North Texas Health Care System, Dallas, Texas, United States.
    Peripheral artery disease (PAD) is highly prevalent but is often underdiagnosed and undertreated. Lower extremity PAD can often be life style limiting. Revascularization in carefully selected lower extremity PAD patients improves symptoms and functional status. Read More

    Two-year mortality of primary angioplasty for acute myocardial infarction during regular working hours versus off-hours.
    Cardiovasc Revasc Med 2018 Mar 22. Epub 2018 Mar 22.
    The Duke Clinical Research Institute, Durham, NC, USA.
    Background: Studies with short-term follow-up found higher mortality in patients with STEMI who underwent primary PCI during off-hours as compared to regular working hours. We analyzed the interaction between one and two-year survival of patients with STEMI who underwent primary PCI during regular working hours and off-hours in a tertiary care academic teaching hospital.

    Methods: A total of 1126 STEMI patients treated with primary PCI between 2008 and 2013 were analyzed. Read More

    Reduction of vascular complication rates from femoral artery access in contemporary women undergoing cardiac catheterization.
    Cardiovasc Revasc Med 2018 Apr 3. Epub 2018 Apr 3.
    Department of Medicine, Section of Cardiology, Louisiana State University Health Sciences Center - Shreveport, Shreveport, LA, United States.
    Background: Femoral arterial access (FAA) during diagnostic coronary angiography (CAG) and percutaneous coronary interventions (PCI) are associated with several vascular complications (VC). VC rate in our experience a decade ago was 3.02% and higher in women (4. Read More

    The predictive value of baseline pulmonary hypertension in early and long term cardiac and all-cause mortality after transcatheter aortic valve implantation for patients with severe aortic valve stenosis: A systematic review and meta-analysis.
    Cardiovasc Revasc Med 2018 Mar 23. Epub 2018 Mar 23.
    1st Cardiology Department, AHEPA University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
    Background: Transcatheter aortic valve implantation (TAVI) is a safe and effective alternative to surgical aortic valve replacement (SAVR) for the treatment of severe aortic valve stenosis (AS). The impact of concomitant baseline elevated pulmonary artery pressures on outcomes after TAVI has not been established, since different studies used different definitions of pulmonary hypertension (PH).

    Objective: To determine the association of PH with early and late cardiac and all-cause mortality after TAVI. Read More

    Long term follow-up of total arterial versus conventional and hybrid myocardial revascularization: A propensity score matched analysis.
    Cardiovasc Revasc Med 2018 Apr 13. Epub 2018 Apr 13.
    Division of Cardiac Surgery, Queen's University, Kingston, Ontario, Canada.
    Purpose: To evaluate the impact of the revascularization technique (by means of conventional, total arterial or hybrid myocardial revascularization) in patients with multivessel coronary artery disease.

    Methods: A propensity-score analysis of patients undergoing myocardial revascularization from 1998 to 2012 was performed based on the surgical technique utilized, either total arterial (Group1, G1,n° = 89), conventional CABG(LIMA on LAD plus veins, Group2, G2,n° = 89), or hybrid revascularization (LIMA on LAD plus PTCA on non-LAD vessels, Group3, G3, n° = 89). Primary end-points were overall survival and cardiac-related death while secondary composite end-point was survival freedom from major adverse cardiac and cerebrovascular events (MACCEs) defined as myocardial infarction, cardiac death, stroke and repeated target vessel revascularization. Read More

    Successful transcatheter aortic valve replacement in an oversized 800 mm annulus and bicuspid aortic valve.
    Cardiovasc Revasc Med 2018 Mar 29. Epub 2018 Mar 29.
    Section of Interventional Cardiology, MedStar Washington Hospital Center, Washington, DC, United States. Electronic address:
    The current iterations of balloon-expandable transcatheter aortic valve replacement (TAVR) valves consist of a maximum size of 29 mm, corresponding to maximum annulus area of 680 mm. However, a number of patients who qualify for TAVR based on surgical risk may have anatomical features outside the FDA-approved descriptions. The technique of overexpansion of TAVR valves during deployment allows for more patients to be treated successfully. Read More

    Measurement of microvascular function in patients presenting with thrombolysis for ST elevation myocardial infarction, and PCI for non-ST elevation myocardial infarction.
    Cardiovasc Revasc Med 2018 Apr 12. Epub 2018 Apr 12.
    Department of Cardiology, St Vincent's Hospital, Fitzroy, Victoria, Australia.
    Background: In this prospective study, we compared the invasive measures of microvascular function in two subsets: patients with pharmacoinvasive thrombolysis for STEMI, and patients undergoing percutaneous coronary intervention (PCI) for NSTEMI.

    Methods: The study consisted of 17 patients with STEMI referred for cardiac catheterisation post thrombolysis, and 20 patients with NSTEMI. Coronary physiological indexes were measured in each patient before and after PCI. Read More

    Usefulness of the Finet law to guide stent size selection in ostial left main stenting: Comparison with standard angiographic estimation.
    Cardiovasc Revasc Med 2018 Apr 10. Epub 2018 Apr 10.
    Interventional Cardiology, Cardiology Department, Thong Nhat Hospital, Ho Chi Minh City, Vietnam.
    Backgrounds: Intravascular ultrasound has been suggested to optimize stent diameter and length in Left Main (LM) procedures, but in the real-world ostial LM stenting is often accomplished with angiography only guidance. The Finet law which regulates the fractal geometry of human bifurcation has the potential to increase the accuracy of stent-sizing. To retrospectively evaluating the impact on outcomes of the addition of Finet Law to standard quantitative coronary angiography (QCA) in guiding stent selection of ostial LM stenting compared to standard angiography estimation. Read More

    The evolving approach to the evaluation of low-gradient aortic stenosis.
    Cardiovasc Revasc Med 2018 Apr 7. Epub 2018 Apr 7.
    Department of Medicine, University of Florida, Gainesville, FL, United States; North Florida/South Georgia Veterans Health System, Gainesville, FL, United States. Electronic address:
    Severe aortic stenosis (AS) is typically identified by a low valve area (≤1.0 cm) and high mean gradient (≥40 mm Hg). A subset of patients are found to have a less than severe mean gradient (<40 mm Hg) despite a low valve area. Read More

    Techniques of Impella removal while preserving arterial access.
    Cardiovasc Revasc Med 2018 Apr 6. Epub 2018 Apr 6.
    University of California, San Diego Sulpizio Cardiovascular Center, United States.
    Preservation of the arterial access site after removal of large caliber mechanical circulatory devices (MCD) can be challenging. In this paper, we describe two novel techniques and review the current literature focusing on the maintenance of arterial access after Impella removal. Read More

    Does micropuncture technique really help reduce vascular complications?
    Cardiovasc Revasc Med 2018 Mar 26. Epub 2018 Mar 26.
    Department of Medicine, Section of Cardiology, Louisiana State University Health Sciences Center, Shreveport, Shreveport, LA, United States.
    Background: Micropuncture technique (MPT) is being adapted nationally to reduce vascular complications (VC). We initiated a quality improvement project in our cath lab to reduce VCs utilizing MPT.

    Methods: We utilized MPT on all of our non-STEMI femoral artery (FA) access cases starting September 2016. Read More

    Common themes in patients requiring urgent cardiothoracic surgery after percutaneous coronary interventions: Case series and review of the literature.
    Cardiovasc Revasc Med 2018 Mar 21. Epub 2018 Mar 21.
    Cardiovascular Department, John Hunter Hospital, Newcastle, Australia. Electronic address:
    Urgent cardiothoracic surgical intervention for the management of complications of percutaneous coronary intervention is uncommon in the stent era. Nonetheless, given increasing procedural complexity, in part reflecting an aging population, an ongoing hazard for urgent surgery remains. We sought to review the incidence and outcome of urgent cardiothoracic surgery in patients undergoing PCI in a contemporary cohort at a tertiary referral centre. Read More

    Successful percutaneous closure of a large symptomatic AV fistula using an amplatzer occluder device.
    Cardiovasc Revasc Med 2018 Apr 12. Epub 2018 Apr 12.
    Department of Medicine, University of Arizona, Tucson, AZ, United States; CareMore Regional Director of Arizona, Tucson, AZ, United States. Electronic address:
    Atrial septal device occluders such as amplatzer occluder have been designed to close atrial septal defects of paten formal ovale. Off label use of this device has been reported in pathological conditions that connect two vascular compartments with narrow neck. In this report, we describe a successful closure of a traumatically occurred AV fistula between iliac artery and iliac vein using amplatzer occluder device that has not been reported previously. Read More

    Intravascular imaging for cardiac arrest with "normal" coronary arteriography.
    Cardiovasc Revasc Med 2018 Apr 14. Epub 2018 Apr 14.
    London Health Sciences Centre, London, Ontario, Canada; Western University, London, Ontario, Canada. Electronic address:
    Spontaneous coronary artery dissection (SCAD) is an under-recognised presentation of acute coronary syndrome. A high index of suspicion is essential. If diagnostic doubt is high, intracoronary imaging, performed carefully, can be useful, although it can result in worsening of the clinical condition. Read More

    Staff radiation dose during percutaneous coronary procedures: Role of adjunctive protective drapes.
    Cardiovasc Revasc Med 2018 Apr 6. Epub 2018 Apr 6.
    Interventional Cardiology, Sandro Pertini Hospital, Rome, Italy.
    Background: The use of adjunctive protective drapes placed on the patient protects the operating physician from scatter radiation during percutaneous coronary procedures (PCP). No data are available on the effect of these drapes for staff members' radio-protection.

    Purpose: To evaluate staff radiation exposure during PCP and the effect of adjunctive protective drapes on dose reduction. Read More

    Drug eluting versus bare metal stents for percutaneous coronary intervention of saphenous vein graft lesions: An updated meta-analysis of randomized controlled trials.
    Cardiovasc Revasc Med 2018 Apr 3. Epub 2018 Apr 3.
    Monash Cardiovascular Research Centre, Monash University and MonashHeart, Monash Health, Clayton, Victoria, Australia. Electronic address:
    Background/purpose: Percutaneous coronary intervention (PCI) is the preferred strategy for treatment of saphenous vein graft (SVG) disease. However, there remains ongoing debate on whether drug-eluting stents (DES) or bare-metal stents (BMS) should be used during SVG-PCI.

    Methods/materials: We performed a meta-analysis of randomized controlled trials (RCTs) comparing DES and BMS for SVG-PCI. Read More

    Percutaneous coronary intervention of unprotected left main stenoses - Procedural data and outcome depending on SYNTAX I Score.
    Cardiovasc Revasc Med 2018 Apr 6. Epub 2018 Apr 6.
    Friedrich-Alexander University Erlangen-Nürnberg, University Hospital Erlangen, Department of Cardiology, Erlangen, Germany.
    Background: We hypothesized that SYNTAX I score is a predictor for procedure complexity in left main PCI. Procedure complexity, duration and contrast load may contribute to adverse outcome of complex left main percutaneous coronary intervention (PCI).

    Methods: In 105 consecutive patients who underwent PCI of unprotected left main coronary artery stenoses between 2014 and 2016, clinical parameters as well as PCI characteristics and follow-up data were analyzed. Read More

    Clinical performance of a dedicated self-apposing stent for the treatment of left main stem disease. Results of the left Main AngioplasTy wIth a Self-apposing StEnt - the MATISSE study.
    Cardiovasc Revasc Med 2018 Apr 4. Epub 2018 Apr 4.
    Department of Cardiology, St Bartholomew's Hospital, William Harvey Research Institute, Queen Mary University of London, London, United Kingdom.
    Background: In the recent years percutaneous treatment of the left main stem (LM) has gained a precise role as a result of consistent scientific evidence vs. coronary artery bypass. A self-apposing stent offers an improved adaptation to the vessel wall, especially in case of tapered vessels; aim of this study was to investigate the role of a novel self-apposing, sirolimus-eluting stent (Stentys, France) for the treatment of LM coronary artery disease. Read More

    Vitamin D deficiency and periprocedural myocardial infarction in patients undergoing percutaneous coronary interventions.
    Cardiovasc Revasc Med 2018 Mar 4. Epub 2018 Mar 4.
    Division of Cardiology, Azienda Ospedaliera-Universitaria "Maggiore della Carità", Eastern Piedmont University, Novara, Italy. Electronic address:
    Vitamin D deficiency has been implicated in the progression of atherosclerosis and acute thrombotic events. We aimed at evaluating the impact of vitamin D deficiency on periprocedural myocardial infarction (PMI) in patients undergoing percutaneous coronary interventions (PCI). We included 934 patients undergoing non-urgent PCI. Read More

    MynxGrip® vascular closure device versus manual compression for hemostasis of percutaneous transfemoral venous access closure: Results from a prospective multicenter randomized study.
    Cardiovasc Revasc Med 2018 Mar 12. Epub 2018 Mar 12.
    Division of Cardiology, MedStar Washington Hospital Center, Washington, DC, United States. Electronic address:
    Purpose: Evaluate the safety of MynxGrip® for common femoral vein closure.

    Methods And Materials: This is a multicenter, randomized, prospective study of 208 patients who were slated to undergo diagnostic/interventional procedures via femoral venous access. Patients were randomized 1:1 to receive venous hemostasis via MynxGrip® (n = 104) or manual compression (n = 104) utilizing 5, 6, and 7 Fr sheaths. Read More

    Transseptal transcatheter mitral valve-in-valve for treatment of severe mitral regurgitation in failed bioprosthesis complicated with cardiogenic shock: Case report and review of the literature.
    Cardiovasc Revasc Med 2018 Feb 23. Epub 2018 Feb 23.
    Division of Cardiology, Evanston Hospital, NorthShore University HealthSystem, Evanston, IL, United States. Electronic address:
    Patients in cardiogenic shock due to severe failure of a mitral bioprosthesis have extremely high risk for repeat standard cardiac surgery. This patient population may benefit the most form the least invasive intervention. We report a successful transseptal mitral valve-in-valve implant performed in a patient in cardiogenic shock due to a flail mitral bioprosthesis requiring bridging intravenous inotropic and intra-aortic balloon pump support. Read More

    The distal left radial artery access for coronary angiography and intervention: A new era.
    Cardiovasc Revasc Med 2018 Mar 26. Epub 2018 Mar 26.
    Baystate Medical Center - University of Massachusetts Medical School, 759 Chestnut Street, S4 661, Springfield, MA 01199, United States. Electronic address:
    Background: Patients' intra and post procedural comfort, quick recovery, as well as procedure success, are key elements for choosing the right arterial access site. Radial artery access has been of increasing interest since it was first described. Advanced treatments of coronary lesions, from primary percutaneous interventions during ST elevation myocardial infarction cases to chronic total occlusion cases, have been increasingly done through the radial access. Read More

    Time to discharge following diagnostic coronary procedures via transradial artery approach: A comparison of Terumo band and StatSeal hemostasis.
    Cardiovasc Revasc Med 2018 Mar 24. Epub 2018 Mar 24.
    Jack and Jane Hamilton Heart and Vascular Hospital, Dallas, TX, United States; Baylor Heart and Vascular Institute, Dallas, TX, United States; Baylor University Medical Center, Department of Internal Medicine, Dallas, TX, United States; Texas A&M, College of Medicine, Dallas, TX campus, United States. Electronic address: https://twitter.com/Updock.
    Background: The transradial artery (TRA) approach for cardiac catheterization is associated with fewer complications, earlier mobilization and a shorter stay at the hospital. The objective of this study was to determine whether hemostasis with a combination of a compression band (Terumo TR band™) and a hemostatic patch (StatSeal™) decreases the time to discharge from the hospital compared to the Terumo (TR) band alone in patients undergoing diagnostic coronary catheterizations through a TRA approach.

    Methods: We retrospectively looked at 445 patients who underwent diagnostic coronary angiography through the TRA approach at the Jack and Jane Hamilton Heart and Vascular Hospital, Dallas, Texas between July 2016 and June 2017. Read More

    The occult hemodynamically significant left main stenosis in the asymptomatic patient: Reconciling the visual-functional mismatch - A case report and review of screening appropriateness and assessment of left main in patient with multi-vessel CAD.
    Cardiovasc Revasc Med 2018 Feb 21. Epub 2018 Feb 21.
    Veterans Administration Long Beach Health Care System, United States; University of California, Irvine, United States.
    We present a 40 year old asymptomatic man with mild left main artery narrowing who demonstrated extreme discordance between symptom presentation and ischemic burden i.e. visual (angiographic) and ischemic (functional) mismatch. Read More

    Dual antiplatelet therapy versus single antiplatelet therapy after transaortic valve replacement: Meta-analysis.
    Cardiovasc Revasc Med 2018 Mar 16. Epub 2018 Mar 16.
    Heartland Cardiology/Wesley Medical Center, University of Kansas School of Medicine, Wichita, KS, USA.
    Background: The current guidelines recommend empirical therapy with DAPT of aspirin and clopidogrel for six months after TAVR. This recommendation is based on expert consensus only. Giving the lack of clear consensus on treatment strategy following TAVR. Read More

    Allergic recurrent coronary stent thrombosis: A mini-review of Kounis syndrome.
    Cardiovasc Revasc Med 2018 Mar 13. Epub 2018 Mar 13.
    Samaritano Hospital, Cardiology Department, Rua Bambina 98, Botafogo, Rio de Janeiro, RJ 22251-050, Brazil.
    Kounis syndrome (KS) consists of an association between hypersensitivity reactions triggered by various environmental and pharmacological factors and acute coronary syndromes. Blood supply may be compromised by either vasospasm (type I), native plaque destabilization (type II) or stent thrombosis (type III). Although the prognosis is generally favorable, treatment should include aggressive anti-thrombotic and anti-allergic therapies. Read More

    Percutaneous closure of patent foramen ovale vs. medical treatment for patients with history of cryptogenic stroke: A systematic review and meta-analysis of randomized controlled trials.
    Cardiovasc Revasc Med 2018 Mar 2. Epub 2018 Mar 2.
    Department of Medicine, Jacobi Medical Center, Albert Einstein College of Medicine, Bronx, NY, United States.
    Background: Patients with history of cryptogenic stroke are more likely to have a patent foramen ovale (PFO) and should be managed with antithrombotic agents, while the alternative option is percutaneous closure of PFOs. Our aim was to perform a meta-analysis of randomized controlled trials (RCTs) comparing percutaneous closure vs. medical treatment for patients with PFO and prior cryptogenic stroke. Read More

    Anatomical and procedural determinants of ambulatory blood pressure lowering following catheter-based renal denervation using radiofrequency.
    Cardiovasc Revasc Med 2018 Mar 2. Epub 2018 Mar 2.
    Klinik für Innere Medizin III, Kardiologie, Angiologie und Internistische Intensivmedizin, Universitätsklinikum des Saarlandes, Universität des Saarlandes, Homburg, Saar, Germany; Institute for Medical Engineering and Science, MIT, Cambridge MA and Cardiovascular Division, Brigham and Women's Hospital, Harvard Medical School, Boston, USA.
    Background/purpose: Catheter-based renal sympathetic denervation (RDN) has been introduced to lower blood pressure (BP) and sympathetic activity in patients with uncontrolled hypertension with at best equivocal results. It has been postulated that anatomic and procedural elements introduce unaccounted variability and yet little is known of the impact of renal anatomy and procedural parameters on BP response to RDN.

    Methods/materials: Anatomical parameters such as length and diameter were analyzed by quantitative vascular analysis and the prevalence of accessory renal arteries and renal artery disease were documented in 150 patients with resistant hypertension undergoing bilateral RDN using a mono-electrode radiofrequency catheter (Symplicity Flex, Medtronic). Read More

    Myocardial reperfusion for acute myocardial infarction under an optimized antithrombotic medication: What can you expect in daily practice?
    Cardiovasc Revasc Med 2018 Feb 27. Epub 2018 Feb 27.
    CHU Nancy, Département de Cardiologie, Nancy F-54000, France. Electronic address:
    Aims: To assess both epicardiac macrovascular as well as microvascular and tissue reperfusion following different intravenous preadmission antithrombotic strategies prior primary PCI in STEMI patients.

    Methods And Results: Consecutive STEMI patients (n = 488) undergoing pPCI received prehospitally either bivalirudin (n = 179), bivalirudin and periprocedural GPIIb/IIIa inhibitors (GPI) (n = 109), heparin (n = 99) or heparin and periprocedural GPI (n = 101). Epicardial perfusion and microvascular perfusion were assessed by angiography (TIMI flow rate and corrected TIMI frame count [cTFC]) and by ECG (ST resolution [STR]). Read More

    Use of the Ocelot catheter in iliac chronic total occlusion intervention.
    Cardiovasc Revasc Med 2018 Feb 13. Epub 2018 Feb 13.
    University of California, San Diego, United States. Electronic address:
    Purpose: The optical-coherence tomography guided Ocelot catheter has previously been shown to be a safe and effective tool for crossing peripheral chronic total occlusions. However, the existing literature focuses mostly on the superficial femoral artery, without prior evidence of use within the suprainguinal vasculature.

    Case Series: We present the first known cases of the Ocelot catheter for revascularization of chronic total occlusions in the iliac vasculature. Read More

    Safety and efficacy of cerebral protection devices in transcatheter aortic valve replacement: A clinical end-points meta-analysis.
    Cardiovasc Revasc Med 2018 Feb 16. Epub 2018 Feb 16.
    Department of Cardiovascular Medicine, Cleveland Clinic, OH, United States. Electronic address:
    Background: Stroke after transcatheter aortic valve replacement (TAVR) occurs with an incidence of 4-11% and is a particularly devastating adverse event associated with the procedure. Several cerebral protection devices (CPD) have been developed to prevent cerebrovascular events during TAVR. While most studies have shown CPD to be associated with decreased number and volume of lesions on diffusion weighted magnetic resonance imaging, the clinical benefit of these devices remains uncertain. Read More

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