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    1102 results match your criteria Cardiovascular Revascularization Medicine [Journal]

    1 OF 23

    Impact of marital status on outcomes following ST-segment elevation myocardial infarction.
    Cardiovasc Revasc Med 2017 Jul 22. Epub 2017 Jul 22.
    HeartDrug™ Research Laboratories, Johns Hopkins University, Towson, MD, United States. Electronic address:
    Background: Mood disorders, depression, and loneliness are established risk factors for thrombotic occlusions. Social relationships in general, and marital status in particular may play a role in predicting cardiovascular outcomes and survival after ST-segment elevation myocardial infarction (STEMI), but the evidence is inconclusive especially in Asians.

    Methods: The Korean patients presented with STEMI (n=980) constituted married (n=780); or widowed, divorced, or single (WDS, n=200) groups. Read More

    Cardiogenic Shock Complicating Transcatheter Aortic Valve Replacement Due to Severe Para-Valvular Regurgitation.
    Cardiovasc Revasc Med 2017 Nov 5. Epub 2017 Nov 5.
    MedStar Heart & Vascular Institute, MedStar Washington Hospital Center, Washington, DC.
    We describe a challenging case of successful use of Impella CP™ to provide emergent left ventricular support following a circulatory collapse during transcatheter valve-in-valve implantation with a CoreValve Evolut R prosthesis. Read More

    Dual lumen microcatheters for complex percutaneous coronary interventions.
    Cardiovasc Revasc Med 2017 Oct 4. Epub 2017 Oct 4.
    Department of Invasive Cardiology, Humanitas Research Hospital, Rozzano, (Milan), Italy. Electronic address:
    In some bifurcation anatomies side branch wiring can be difficult particularly when side branch is highly angulated. Furthermore a combination of bifurcations and chronic total occlusion can be a real challenge for interventional cardiologists. New devices have been produced to facilitate complex PCI and recently introduced dual lumen microcatheters can be really helpful in these scenarios. Read More

    Procedural and thirty-day outcomes following transfemoral implantation of the fully repositionable and retrievable Lotus valve without routine pre-dilatation in a consecutive patient cohort: a single centre experience.
    Cardiovasc Revasc Med 2017 Nov 4. Epub 2017 Nov 4.
    Oxford Heart Centre, John Radcliffe Hospital, Headley Way, Oxford, OX3 9DU, United Kingdom.
    Background / Purpose: The Lotus valve (Boston Scientific, Natick, MA, USA) is a contemporary transcatheter aortic valve implantation (TAVI) device that is fully repositionable and retrievable to aid implantation and optimise procedural results. The ability to implant the device without routine pre-dilatation is another possible advantage reducing associated risks and procedure times. The aim of this study is to report procedural and 30-day outcomes following TAVI in a consecutive patient group presenting with severe symptomatic aortic stenosis with the Lotus valve system without routine pre-dilatation. Read More

    Clinical outcomes of complex real-world diabetic patients treated with amphilimus sirolimus-eluting stents or zotarolimus-eluting stents: A single-center registry.
    Cardiovasc Revasc Med 2017 Oct 26. Epub 2017 Oct 26.
    Department of Cardiology, University Medical Centre Utrecht, Utrecht, The Netherlands. Electronic address:
    Objective: To assess clinical outcomes of Amphilimus Sirolimus-Eluting Stents (A-SES) as compared to Zotarolimus-Eluting Stents (ZES) in complex real-world diabetic patients.

    Background: Patients with diabetes mellitus represent one of the most challenging scenarios with high rates of restenosis and stent thrombosis in the current era of drug-eluting stents. Hence, we assessed the safety of A-SES versus ZES in complex diabetic patients. Read More

    Transradial versus Transfemoral access in patients undergoing peripheral artery angioplasty/stenting: A meta-analysis.
    Cardiovasc Revasc Med 2017 Sep 30. Epub 2017 Sep 30.
    First Department of Propaedeutic Surgery, University of Athens Medical School, Hippocration Hospital, Athens, Greece.
    Transradial (TR) access has been extensively compared to transfemoral (TF) access in patients undergoing percutaneous coronary interventions, with TR method showing a clear benefit over the latter. However, comparative data concerning peripheral artery endovascular interventions has been limited in the literature. Therefore, a systematic review was conducted in order to compare main outcomes between TR and TF access in patients undergoing peripheral artery angioplasty and/or stenting. Read More

    Extracorporeal myocardial shockwave therapy; a precious blast for refractory angina patients.
    Cardiovasc Revasc Med 2017 Oct 3. Epub 2017 Oct 3.
    Division of Cardiology, IRCCS Ospedale San Raffaele, Milano, Italy.
    Introduction: Refractory Angina Pectoris (RAP) dramatically affects patients' life quality and medical costs. External Shockwave Myocardial Revascularization (ESMR) improves the cardiac blood flow thanks to its pro-angiogenetic action on ischaemic tissues. We hereby describe our experience of ESMR in RAP patients. Read More

    Orbital atherectomy treatment of severely calcified native coronary lesions in patients with prior coronary artery bypass grafting: Acute and one-year outcomes from the ORBIT II trial.
    Cardiovasc Revasc Med 2017 Nov 5. Epub 2017 Nov 5.
    Metropolitan Heart and Vascular Institute, Mercy Hospital, Minneapolis, MN, United States.
    Aims: Patients undergoing percutaneous coronary intervention (PCI), with a history of coronary artery bypass grafting (CABG), may be at increased risk for mortality and repeat revascularization, compared with patients without prior CABG. In this post-hoc analysis of the ORBIT II trial, safety and efficacy of coronary orbital atherectomy (OA) to modify severe coronary artery calcium, prior to stent placement, was evaluated in subjects based on history of CABG.

    Methods And Results: Comorbidities: diabetes, dyslipidemia, hypertension, and history of myocardial infarction (MI) were more prevalent in the CABG group. Read More

    GuideLiner extension catheter-facilitated side-strut stenting technique for the treatment of right coronary artery ostial in-stent restenosis.
    Cardiovasc Revasc Med 2017 Sep 22. Epub 2017 Sep 22.
    Department of Cardiology, Cheltenham General Hospital, Gloucestershire Hospitals NHS Foundation Trust, Cheltenham, United Kingdom.
    Percutaneous coronary intervention (PCI) for the treatment of right coronary artery (RCA) ostial in-stent restenosis (ISR) can be challenging. The technical difficulties are compounded by excessive stent protrusion into the aorta, preventing coaxial engagement of the guiding catheter and wiring through the central stent lumen. Through this review, we aim to highlight the practical challenges encountered during the treatment of ostial RCA ISR through PCI and evaluate the various interventional techniques that have been used. Read More

    A case of influenza type a myocarditis that presents with ST elevation MI, cardiogenic shock, acute renal failure, and rhabdomyolysis and with rapid recovery after treatment with oseltamivir and intra-aortic balloon pump support.
    Cardiovasc Revasc Med 2017 May 2. Epub 2017 May 2.
    VA Medical Center and Georgetown University, Washington, DC.
    We present a 59-year-old black male with history of type-1 diabetes and alcohol abuse. Patient became critically ill after a 5-day period of burning throat discomfort. On arrival patient was lethargic, in cardiogenic shock with a blood pressure of 81/47mmHg. Read More

    Clinical significance of intracoronary thrombus aspirated during primary percutaneous intervention: An immunohistopathological study.
    Cardiovasc Revasc Med 2017 Sep 22. Epub 2017 Sep 22.
    Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India.
    Background: Manual thrombus aspiration during primary percutaneous intervention provides us with aspirated thrombus sample, that may contain material from the disrupted plaque. Immunohistopathological analysis of thrombus can yield valuable information about the clinical and cardiovascular outcomes and possible mechanisms of myocardial infarction.

    Material And Methods: We studied and analysed the immunohistopathological features of coronary thrombus aspirated from patients undergoing primary percutaneous coronary angioplasty. Read More

    Intravascular ultrasound enhances the safety of rotational atherectomy.
    Cardiovasc Revasc Med 2017 Sep 23. Epub 2017 Sep 23.
    Division of Cardiovascular Medicine, Saitama Medical Center, Jichi Medical University, Saitama, Japan.
    Intravascular ultrasound (IVUS) is mainly used in PCI to treat complex lesions, such as left main bifurcation, chronic total occlusion and calcified lesions. Although IVUS yields useful information such as the presence of napkin-ring calcification, the role of IVUS in rotational atherectomy (RA) is not fully appreciated. Recently, since the deliverability and crossability of IVUS catheters have improved, IVUS should be attempted before RA. Read More

    Identifying strategy for ad hoc percutaneous coronary intervention in patients with anticipated unfavorable radial access: the Little Women study.
    Cardiovasc Revasc Med 2017 Oct 16. Epub 2017 Oct 16.
    Sant'Eugenio Hospital, Rome, Italy.
    Background: Transradial percutaneous coronary intervention (PCI) offers important advantages over transfemoral PCI, including better outcomes. However, when there is indication to ad hoc PCI, a 6 French workflow is a common default strategy, hence potentially influencing vascular access selection in patients with anticipated small size radial artery.

    Methods: A multidimensional evaluation was performed to compare two ad hoc interventional strategies in women <160cm: a full 6 French workflow (namely 6 French introducer sheath, diagnostic catheters and guiding catheter) with a modified workflow consisting in the use of 5 French diagnostic catheters preceded by the placement of a 6 French sheath introducer and followed by a 6 French guiding catheter use for PCI. Read More

    Observations from a real-time, iFR-FFR "hybrid approach" in patients with severe aortic stenosis and coronary artery disease undergoing TAVI.
    Cardiovasc Revasc Med 2017 Oct 3. Epub 2017 Oct 3.
    Division of Cardiology, Department of Medicine, University of Verona, Italy. Electronic address:
    Background: The complexity of coronary physiology in presence of severe aortic stenosis (AS) raises concerns about the reliability of pressure-derived indexes in this clinical setting. Furthermore, neither fractional flow reserve (FFR) nor instantaneous wave-free period (iFR) has been validated in AS. Combining iFR and FFR in a tailored decision-making strategy may help to increase simplicity, accuracy and safety of physiology-guided revascularization in AS. Read More

    Long-term outcomes after carotid artery stenting of patients with prior neck irradiation or surgery.
    Cardiovasc Revasc Med 2017 Sep 21. Epub 2017 Sep 21.
    Division of Cardiology, Denver VA Medical Center and University of Colorado, Denver, CO, United States. Electronic address:
    Background: Carotid artery stenting (CAS) is often performed in patients with carotid artery stenosis who have relative contraindications to carotid endarterectomy (CEA), including hostile neck anatomy (e.g., history of neck irradiation or prior surgery). Read More

    Clinical outcomes of coronary occlusion following transcatheter aortic valve replacement: A systematic review.
    Cardiovasc Revasc Med 2017 Sep 12. Epub 2017 Sep 12.
    Division of Cardiovascular Diseases, Department of Medicine, University of Tennessee Health Science Center, Memphis, TN, United States. Electronic address:
    Background: Coronary occlusion (CO) is a rare but serious complication following transcatheter aortic valve replacement (TAVR) with limited published data. We sought to evaluate the immediate and short-term outcomes of CO complicating TAVR.

    Methods: Studies, including case reports, case series and original articles published from 2002 to 2016 describing CO following TAVR were identified with a systematic electronic search using the PRISMA Statement. Read More

    Crossing techniques and devices in femoropopliteal chronic total occlusion intervention.
    Cardiovasc Revasc Med 2017 Jun 7. Epub 2017 Jun 7.
    Division of Cardiovascular Disease, Department of Internal Medicine, Albert Einstein Medical Center, 5501 Old York Road, Philadelphia, PA 19141, United States. Electronic address:
    Chronic total occlusions (CTO) are common in patients with symptomatic peripheral arterial disease. Endovascular CTO intervention remains a challenging endeavor for interventionalists, but is being increasingly considered as a plausible alternative to surgical revascularization, even for complex CTO lesions. We review common endovascular techniques using antegrade, retrograde and transcollateral approaches in femoropopliteal CTO intervention. Read More

    Intravascular ultrasound assessment of minimum lumen area and intimal hyperplasia in in-stent restenosis after drug-eluting or bare-metal stent implantation. The Nordic Intravascular Ultrasound Study (NIVUS).
    Cardiovasc Revasc Med 2017 May 12. Epub 2017 May 12.
    Heart Center, Tampere University Hospital, Tampere, Finland.
    Introduction: Drug-eluting stents (DES) reduce the risk of restenosis after percutaneous coronary intervention. The aim of the study was to evaluate, by intravascular ultrasound (IVUS), the minimum lumen area site in the stented segment and the distribution of intimal hyperplasia in patients presenting with a DES or bare-metal stent (BMS) in-stent restenosis.

    Methods: The "Nordic Intravascular Ultrasound Study (NIVUS)" study was conducted in Nordic and Baltic countries as a prospective multicenter registry. Read More

    Bioprosthesis leaflet thrombosis following self-expanding valve-in-valve transcatheter aortic valve replacement in patient taking factor Xa inhibitor and warfarin: A case report.
    Cardiovasc Revasc Med 2017 May 11. Epub 2017 May 11.
    Section of Interventional Cardiology, MedStar Washington Hospital Center, Washington, DC. Electronic address:
    An 87-year-old female with symptomatic severe aortic stenosis underwent transcatheter valve replacement (TAVR) via the transfemoral approach with a 29mm self-expanding device. Moderate to severe paravalvular regurgitation led to the development of congestive heart failure and hospital readmission 1 month following TAVR. A second 29mm valve was placed to abolish the paravalvular regurgitation. Read More

    Full stent expansion of chronic total occlusion lesions requires prolonged inflation.
    Cardiovasc Revasc Med 2017 Sep 11. Epub 2017 Sep 11.
    Central Arkansas Veterans Health System, Little Rock, AR, USA; University of Arkansas for Medical Sciences, Little Rock, AR, USA. Electronic address:
    Chronic total occlusion (CTO) percutaneous coronary intervention (PCI) has been associated in some studies with higher target vessel revascularization (TVR) rates than non-CTO PCI. Optimal stent inflation time and its effect on TVR in CTO PCI is unknown. We investigated the time required for stent deployment using the previously described pressure optimized protocol (POP), which uses stent balloon pressure stability rather than an arbitrary inflation time as an end point for balloon deflation. Read More

    Drug eluting balloon for the treatment of patients with coronary artery disease: Current perspectives.
    Cardiovasc Revasc Med 2017 Sep 10. Epub 2017 Sep 10.
    Department of Cardiology, St Antonius Hospital, Nieuwegein, The Netherlands. Electronic address:
    Despite the improvement of outcomes after the introduction of bare metal and drug eluting stents for the treatment of CAD, certain type of patients have still an increased risk of stent failure. An alternative is represented by drug-eluting balloons (DEB). This innovation could give potential benefits in particular for the in-stent restenosis (ISR) and the de-novo lesions. Read More

    Long-term invasive follow-up of bioresorbable vascular scaffold: Optical Coherence Tomography assessment of jailed side branches.
    Cardiovasc Revasc Med 2017 Sep 10. Epub 2017 Sep 10.
    Department of Cardiology, Maasstad Hospital, Rotterdam, Netherlands.
    Background: Little is known about the long term development of the tissue bridges covering the struts of bioresorbable vascular scaffold (BVS) at the side branches (SB) ostium. This study aims at assessing the resorption process of jailed SB after BVS implantation.

    Methods: We performed both Optical Coherence Tomography (OCT) and Intravascular Ultrasound (IVUS) analysis of 7 patients enrolled in the ABSORB Cohort B trial at our center. Read More

    Electrocardiographic changes after successful recanalization of a chronic total coronary occlusion. A systematic review and meta-analysis.
    Cardiovasc Revasc Med 2017 Sep 12. Epub 2017 Sep 12.
    Department of Cardiology, Academic Medical Center Amsterdam, The Netherlands. Electronic address:
    Background: Observational studies suggest that in patients with a CTO successful recanalization is associated with better clinical outcome. This could be related to a reduction in the occurrence of arrhythmias, which may result from modifications of the hibernating myocardium in a CTO region.

    Methods And Results: We aimed to evaluate the effect of CTO PCI on electrophysiological parameters, and conducted a systematic review and meta-analysis according to the PRISMA guidelines. Read More

    Bivalirudin versus heparin, without glycoprotein inhibition, in percutaneous coronary intervention: A comparison of ischemic and hemorrhagic outcomes over 10years.
    Cardiovasc Revasc Med 2017 Sep 10. Epub 2017 Sep 10.
    Giesel School of Medicine at Dartmouth, Hanover, NH, United States; Section of Cardiovascular Medicine, Heart and Vascular Center, Dartmouth-Hitchcock Medical Center, Lebanon, NH, United States.
    Objective: The choice of antithrombotic agent used during percutaneous coronary intervention (PCI) is controversial. While earlier studies suggested a reduction in bleeding events with bivalirudin, these studies were confounded by the concomitant use of glycoprotein IIbIIIa inhibitors (GPI) in the heparin group. More recent studies have challenged the superiority of bivalirudin, pointing to an increased risk of stent thrombosis. Read More

    Back hand approach to radial access: The snuff box approach.
    Cardiovasc Revasc Med 2017 Sep 1. Epub 2017 Sep 1.
    Division of Interventional Cardiology, Milton S. Hershey Medical Center, Hershey, PA 17033, United States.
    Transradial access is becoming the default strategy for routine coronary procedures, but there is still room for improvement. For instance, left radial access is known to offer some advantages for graft cases, less tortuosity, amongst other potential benefits. The downside has been the applicability of this access point on patients with a larger body mass index both from the viewpoint of the patient and the operator. Read More

    Potential of transcatheter aortic valve replacement to improve post-procedure renal function.
    Cardiovasc Revasc Med 2017 Oct - Nov;18(7):507-511. Epub 2017 Apr 2.
    Heart Institute (InCor) of São Paulo University Medical School (USP), São Paulo, Brazil. Electronic address:
    Background: Baseline comorbidities including renal dysfunction are frequently found in patients treated with transcatheter aortic valve replacement (TAVR) and may increase the risks of acute kidney injury (AKI), although some of them may actually improve renal function. We aimed to evaluate the potential of TAVR to acutely improve post-procedure renal function.

    Methods: This is a prospective single-center registry of consecutive patients with severe symptomatic aortic stenosis treated by transfemoral TAVR. Read More

    Aortic pseudoaneurysm & endocarditis caused by Aerococcus viridans: A case report and literature review.
    Cardiovasc Revasc Med 2017 Aug 26. Epub 2017 Aug 26.
    Tulane University School of Medicine, United States.
    Aerococcus viridans is a gram positive microaerophilic lactic acid coccus which is known to cause an infection in lobsters called Gaffkaemia. Consumption of gaffekaemia affected lobsters is considered to be safe if properly cooked even though there hasn't been any research on potential transmission by this route. Though uncommon, A. Read More

    Evaluation of lesion flow coefficient for the detection of coronary artery disease in patient groups from two academic medical centers.
    Cardiovasc Revasc Med 2017 Sep 11. Epub 2017 Sep 11.
    Division of Cardiovascular Diseases, University of Cincinnati, Cincinnati, OH 45221, USA; Veteran Affairs Medical Center, Cincinnati, OH, USA. Electronic address:
    Background: In this study, lesion flow coefficient (LFC: ratio of % area stenosis [%AS] to the square root of the ratio of the pressure drop across the stenosis to the dynamic pressure in the throat region), that combines both the anatomical (%AS) and functional measurements (pressure and flow), was assessed for application in a clinical setting.

    Methods And Results: Pressure, flow, and anatomical values were obtained from patients in 251 vessels from two different centers. Fractional flow reserve (FFR), Coronary flow reserve (CFR), hyperemic stenosis resistance index (HSR) and hyperemic microvascular index (HMR) were calculated. Read More

    Stent implantation and vascular healing of a spontaneous coronary artery dissection assessed by optical coherence tomography in a patient with acute coronary syndrome.
    Cardiovasc Revasc Med 2017 Sep 5. Epub 2017 Sep 5.
    Department of Cardiology, Odense University Hospital, Odense, Denmark.
    A 60-year old woman with non-ST-segment elevation myocardial infarction, underwent coronary angiogram combined with optical coherence tomography (OCT) revealing a long dissection in the right coronary artery. The patient experienced peri-procedural chest pain, the electrocardiogram showed ST-segment elevations, and compromised coronary blood flow, why mechanical revascularization with percutaneous coronary intervention (PCI) was indicated. At 1-month follow-up, OCT revealed early, competent vascular healing, and a distal stenosis was treated with PCI. Read More

    Outcomes of patients at estimated low surgical risk undergoing transcatheter aortic valve implantation with balloon-expandable prostheses.
    Cardiovasc Revasc Med 2017 Aug 30. Epub 2017 Aug 30.
    Cardiology, Hospital Universitario Madrid Montepríncipe.
    Introduction And Objectives: Transcatheter aortic-valve implantation (TAVI) is an accepted treatment for patients with severe aortic stenosis and high surgical risk. However, there is lack in data about TAVI in low-risk patients that are already being treated with this therapy in some clinical contexts.

    Methods: A retrospective analysis of patients treated with transfemoral TAVI using Edwards Sapien prosthesis in one center was performed, classifying the patients into three groups according to the surgical risk (high/intermediate/low risk for STS score>8/4-8/<4). Read More

    Efficacy of a heparin based rota-flush solution in patients undergoing rotational atherectomy.
    Cardiovasc Revasc Med 2017 Aug 25. Epub 2017 Aug 25.
    Department of Cardiology, Medical College of Georgia, Augusta University, Augusta, GA, USA.
    Introduction: The efficacy of heparin based flush solutions in rotational atherectomy (RA) has not been validated. Recently, a single center study demonstrated the feasibility of an alternative flush solution with 10,000U of unfractionated heparin (UFH) in 1L of normal saline. We aimed to evaluate the safety and efficacy of an alternative flush solution intermittently utilized at our institution. Read More

    Pseudoaneurysm of the ascending thoracic aorta years after aortic valve replacement.
    Cardiovasc Revasc Med 2017 Jul 23. Epub 2017 Jul 23.
    MedStar Heart & Vascular Institute, MedStar Washington Hospital Center, Washington, DC, USA. Electronic address:
    Aortic pseudoaneurysm (PSA) formation post aortic valve replacement is one of the rare and devastating complications if left untreated. Aortic PSA can occur few weeks or month after surgery. The spectrum of symptoms varies from dyspnea, wide pulse pressure, and chest pain. Read More

    Comparison of manual compression and vascular hemostasis devices after coronary angiography or percutaneous coronary intervention through femoral artery access: A meta-analysis of randomized controlled trials.
    Cardiovasc Revasc Med 2017 Aug 19. Epub 2017 Aug 19.
    Calhoun Cardiology Center, University of Connecticut Health Center, Farmington, CT, United States. Electronic address:
    Objectives: To compare the efficacy and safety of manual compression (MC) with vascular hemostasis devices (VHD) in patients undergoing coronary angiography (CA) or percutaneous coronary intervention (PCI) through femoral artery access.

    Introduction: The use of femoral artery access for coronary procedures may result in access-related complications, prolonged immobility and discomfort for the patients. MC results in longer time-to-hemostasis (TTH) and time-to-ambulation (TTA) compared to VHDs but its role in access-related complications remains unclear in patients undergoing coronary procedures. Read More

    Does the new generation of drug-eluting stents render bare metal stents obsolete?
    Cardiovasc Revasc Med 2017 Sep 2;18(6):456-461. Epub 2017 Apr 2.
    Section of Interventional Cardiology, MedStar Washington Hospital Center, Washington, DC 20010, United States. Electronic address:
    The development of bare metal coronary stents revolutionized the treatment of coronary artery disease by reducing rates of acute vessel closure and restenosis associated with balloon angioplasty. However, bare metal stents (BMS) resulted in high rates of restenosis and led to the development of drug-eluting stents (DES). Those first-generation DES were followed by successive generations of DES that included improvements, such as biodegradable and more biocompatible polymers. Read More

    A "double crossover technique" in an obese patient undergoing transfemoral transcatheter aortic valve implantation: How to accomplish hemostasis percutaneously?
    Cardiovasc Revasc Med 2017 Sep 2;18(6):440-444. Epub 2017 Apr 2.
    Department of Cardiology, New Tokyo Hospital, Chiba, Japan. Electronic address:
    Percutaneous transfemoral transcatheter aortic valve implantation (TF-TAVI) is generally an acceptable procedure but may be associated with vascular complications at femoral access sites, particularly in obese patients. This report aimed to describe a case of successful performance of our "double crossover technique" in an obese patient undergoing TF-TAVI with a percutaneous transfemoral intra-aortic balloon pump (TF-IABP). A 75-year-old man presented with heart failure due to a left ventricular ejection fraction of 35% and low-flow, low-gradient severe aortic stenosis. Read More

    Endovascular treatment of iliac and common femoral arteries disease by the transradial access: A prospective, feasibility study.
    Cardiovasc Revasc Med 2017 Aug 18. Epub 2017 Aug 18.
    Cardiovascular Department, San Luca Hospital, Lucca, Tuscany, Italy.
    Aim: To report feasibility and safety of endovascular interventions on iliac and common femoral arteries, using the transradial access (TRA).

    Methods: 100 consecutive patients (19 women; mean age 71, range 37-90years) with critical limb ischemia (30%) or claudication, and TASC A-D lesions in iliac or common femoral arteries, were prospectively enrolled, from January 2013 to June 2015, to be treated via the TRA. Exclusion criteria included no palpable radial arteries (RA) and the presence of a fistula for hemodialysis. Read More

    Post myocardial infarction left ventricular pseudoaneurysm.
    Cardiovasc Revasc Med 2017 Aug 18. Epub 2017 Aug 18.
    MedStar Heart & Vascular Institute, MedStar Washington Hospital Center, Washington, D.C., USA. Electronic address:
    Left ventricular pseudoaneurysm is a rare yet serious and challenging complication of myocardial infarction that requires a high index of suspicion as the clinical presentation is highly variable. We present a case of post infarction thrombosed left ventricular pseudoaneurysm in a patient who presented with non-specific complaints months after the initial cardiac injury. Multimodality imaging helped in characterizing the pseudoaneurysm and planning for definite therapy. Read More

    Feasibility of coronary fractional flow reserve with dual anti-platelet therapy in low risk coronary lesions without systemic anticoagulation-results of the SMART-FFR study.
    Cardiovasc Revasc Med 2017 Aug 18. Epub 2017 Aug 18.
    University of Texas San Antonio, Department of Internal Medicine, San Antonio, TX, United States.
    Background: Fractional flow reserve (FFR) is used to assess the functional significance of coronary artery stenoses. The optimal anti-thrombotic regimen for FFR has not been studied.

    Purpose: The goal of this study was to determine whether FFR could be safely performed in Type A coronary lesions, using only upstream dual anti-platelet therapy (DAT) with aspirin and clopidogrel, compared with DAT plus anticoagulation in low risk coronary lesions. Read More

    Coronary access following TAVI - Selective coronary engagement using balloon-assisted tracking of a guide catheter extension.
    Cardiovasc Revasc Med 2017 Jul 31. Epub 2017 Jul 31.
    Cardiology, The James Cook University Hospital, Middlesbrough, United Kingdom.
    performing percutaneous coronary intervention (PCI) following transcatheter aortic valve implantation (TAVI) will become more frequent with the increasing use of TAVI in lower surgical risk populations. The ideal management strategy for coronary artery disease (CAD) in the setting of TAVI is not well defined and CAD is often left untreated prior to TAVI. Engaging the coronary ostia through the TAVI side cells can be challenging; techniques for rapid coronary cannulation, especially in the acute setting, need to be developed. Read More

    The effect of pre-procedure sublingual nitroglycerin on radial artery diameter and Allen's test outcome - Relevance to transradial catheterization.
    Cardiovasc Revasc Med 2017 Jul 29. Epub 2017 Jul 29.
    Royal Stoke University Hospital, Stoke-on-Trent, United Kingdom.
    Background: The radial artery is increasingly used for cardiac procedures, but is a relatively small vessel that is prone to spasm when instrumented. Intra-arterial nitroglycerine has been shown to reduce radial spasm but first requires arterial access. We investigated the effect of pre-procedure sublingual nitroglycerin (NTG) on the diameter of the radial artery in a large cohort of patients. Read More

    Outcomes of transcatheter aortic valve replacement using a minimalist approach.
    Cardiovasc Revasc Med 2017 Aug 12. Epub 2017 Aug 12.
    University of Minnesota Fairview Medical Center, Minneapolis, MN, United States; Minneapolis VA Healthcare System, Minneapolis, MN, United States. Electronic address:
    Background: Transcatheter Aortic Valve Replacement (TAVR) is increasingly performed using a minimalist approach under monitored anesthesia care (MAC). The safety of this approach remains controversial and adoption has been low in the US.

    Methods: The study cohort was comprised of 130 patients (98% male) who underwent TAVR between 4/2015 and 4/2017 at the Minneapolis VA. Read More

    Novel paclitaxel-coated scoring ballon for de novo complex coronary lesions-first report.
    Cardiovasc Revasc Med 2017 Aug 12. Epub 2017 Aug 12.
    Interventional Cardiology, ASST Fatebenefratelli-Sacco, Milano, Italy; Fondazione Monasterio CNR-Regione Toscana, Italy. Electronic address:
    Drug-coated balloons (DCB) are being used for in-stent restenosis treatment and there is some preliminary experience in other coronary settings, including small vessels and side branches. Scoring balloons (SB) are a useful tool for the preparation of fibro-calcific lesions. Because of the controlled micro-dissections that SB induce, it has been hypothesized that they may have a role in helping paclitaxel deliverability inside the vessel wall. Read More

    Polymer-free Biolimus A9-coated stents in the treatment of de novo coronary lesions with short DAPT: 9-month angiographic and clinical follow-up of the prospective, multicenter BioFreedom USA clinical trial.
    Cardiovasc Revasc Med 2017 Oct - Nov;18(7):475-481. Epub 2017 Jul 31.
    MedStar Washington Hospital Center, United States.
    Background: BioFreedom is a polymer- and carrier-free drug-coated stent that delivers Biolimus A9 to the vessel wall. Our purpose was to evaluate the efficacy and safety of this DCS in patients with short-duration dual antiplatelet therapy.

    Methods: The BioFreedom US IDE feasibility trial was a single-arm, open-label, prospective study of patients requiring stenting of de novo lesions. Read More

    Evaluation of potential substrates for restenosis and thrombosis in overlapped versus edge-to-edge juxtaposed bioabsorbable scaffolds: Insights from a computed fluid dynamic study.
    Cardiovasc Revasc Med 2017 Aug 17. Epub 2017 Aug 17.
    Medtech Research Theme, National Heart Centre Singapore, Duke-NUS Medical School, Singapore.
    Background/purpose: Multiple BRSs and specifically the Absorb scaffold (BVS) (Abbott Vascular, Santa Clara, CA USA) have been often used to treat long diffuse coronary artery lesions. We evaluate by a computational fluid dynamic(CFD) study the impact on the intravascular fluid rheology on multiple bioabsorbable scaffolds (BRS) by standard overlapping versus edge-to-edge technique.

    Methods/materials: We simulated the treatment of a real long significant coronary lesion (>70% luminal narrowing) involving the left anterior descending artery (LAD) treated with a standard or edge-to-edge technique, respectively. Read More

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