Search our Database of Scientific Publications and Authors

I’m looking for a

    1136 results match your criteria Cardiovascular Revascularization Medicine [Journal]

    1 OF 23

    Influence of operator experience and PCI volume on transfemoral access techniques: A collaboration of international cardiovascular societies.
    Cardiovasc Revasc Med 2017 Dec 27. Epub 2017 Dec 27.
    Cardiovascular Division, University of Miami Miller School of Medicine, Miami, FL, United States.
    Introduction: Transfemoral access (TFA) is widely used for coronary angiography and percutaneous coronary intervention (PCI). The influence of operator age, gender, experience, and procedural volume on performance of femoral arterial access has not been studied.

    Methods: A survey instrument was developed and distributed via e-mail from professional societies to interventional cardiologists worldwide from March to December 2016. Read More

    Jetstream Atherectomy System treatment of femoropopliteal arteries: Results of the post-market JET Registry.
    Cardiovasc Revasc Med 2017 Dec 27. Epub 2017 Dec 27.
    Midwest Cardiovascular Research Foundation, Davenport, IA, USA. Electronic address:
    Objectives: To report on procedural, safety, and effectiveness outcomes of real-world practice with the Jetstream rotational atherectomy system for treatment of femoropopliteal artery lesions.

    Background: Safety and effectiveness of treatment with the Jetstream device has been demonstrated in clinical trials, but outcomes during real-world clinical practice have yet to be examined.

    Methods: 241 patients (66% male, mean age 67years, 41% diabetes; Rutherford 1-3) with de novo or restenotic (non-stent) femoropopliteal lesions ≥4cm in length were recruited. Read More

    Complications of chronic total occlusion percutaneous coronary intervention: Subepicardial hematoma.
    Cardiovasc Revasc Med 2017 Dec 30. Epub 2017 Dec 30.
    Division of Cardiology, University of California, San Francisco, VA Medical Center, San Francisco, CA, United States.
    A 67-year-old man with coronary artery disease and previous coronary underwent successful Guideliner reverse CART percutaneous coronary intervention of a chronic total occlusion of the right coronary artery. He later developed evidence of myocardial ischemia, and imaging, including angiogram, echocardiogram, and cardiac computed tomography revealing active dye extravasation from the previously normal RV marginal branches, in addition to a large subepicardial hematoma. Despite these dramatic findings, the patient remained hemodynamically stable and pain-free, with resolving ECG changes. Read More

    Switch to Ticagrelor in critical limb ischemia antiplatelet study (STT-CLIPS).
    Cardiovasc Revasc Med 2017 Sep 5. Epub 2017 Sep 5.
    Division of Cardiovascular Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California, United States. Electronic address:
    Objective: To investigate platelet reactivity in patients with critical limb ischemia (CLI) after switching from clopidogrel to ticagrelor.

    Background: High on-treatment platelet reactivity (HPR) is highly prevalent in patients with CLI treated with clopidogrel. The effect of ticagrelor in patients with CLI is not known, however. Read More

    Multivessel disease in patients over 75years old with ST elevated myocardial infarction. Current management strategies and related clinical outcomes in the ESTROFA MI+75 nation-wide registry.
    Cardiovasc Revasc Med 2017 Dec 6. Epub 2017 Dec 6.
    Hospital Virgen de la Victoria, Servicio de Cardiologia, Malaga, Spain.
    Background: In elderly patients with ST elevated myocardial infarction (STEMI) and multivessel disease (MVD the outcomes related with different revascularization strategies are not well known.

    Methods: Subgroup-analysis of a nation-wide registry of primary angioplasty in the elderly (ESTROFA MI+75) with 3576 patients over 75years old from 31 centers. Patients with MVD were analyzed to describe treatment approaches and 2years outcomes. Read More

    Balloon-assisted tracking: A practical solution to avoid radial access failure due to difficult anatomical challenges.
    Cardiovasc Revasc Med 2017 Dec 6. Epub 2017 Dec 6.
    St. Thomas Hospital, London, UK; Queen Elizabeth Hospital, Woolwich, London, UK.
    Aim: The balloon assisted tracking (BAT) technique is utilised to overcome various anatomical difficulties during radial procedures when standard measures such as adequate sedation, pain relief, vasodilators and use of hydrophilic guidewires, fail. The aim of this study was to evaluate the success rates of the BAT technique in overcoming anatomical difficulties during radial coronary interventional procedures.

    Methods: We retrospectively reviewed 1100 consecutive patients undergoing coronary procedures from the transradial approach (TRA) between May 2015 and May 2017. Read More

    Postprocedural high-sensitivity troponin T and prognosis in patients with non-ST-segment elevation myocardial infarction treated with early percutaneous coronary intervention.
    Cardiovasc Revasc Med 2017 Nov 22. Epub 2017 Nov 22.
    Department of Cardiology, Bern University Hospital, Switzerland.
    Background: The association of postprocedural high-sensitivity troponin T (hs-TnT) with prognosis of non-ST-segment elevation myocardial infarction (NSTEMI) patients is incompletely investigated.

    Aim: To assess the prognostic value of hs-TnT in NSTEMI patients undergoing early percutaneous coronary intervention (PCI).

    Methods: This study included 3783 patients with NSTEMI undergoing early PCI. Read More

    Early discontinuation of dual antiplatelet therapy in patients treated with the bio-engineered pro-healing sirolimus-eluting (COMBO) stent.
    Cardiovasc Revasc Med 2017 Oct 17. Epub 2017 Oct 17.
    Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands. Electronic address:
    Background: When the pro-healing COMBO stent is used, a short duration of dual-antiplatelet therapy (DAPT) might be safe. However, no cases have been described of patients with short duration of DAPT after COMBO stent placement.

    Methods And Results: We investigate clinical outcomes at 1year after early discontinuation of DAPT in patients participating in the REMEDEE Registry. Read More

    Coronary aneurysms in the acute patient: Incidence, characterization and long-term management results.
    Cardiovasc Revasc Med 2017 Dec 6. Epub 2017 Dec 6.
    Cardiovascular Institute, Hospital Clínico San Carlos, Madrid, Spain.
    Background: Coronary aneurysms (1.5 times dilation the reference-vessel) are uncommon and have been diagnosed with increasing frequency with coronary angiography. The incidence varies from 1. Read More

    Impact of atrial fibrillation in patients with chronic kidney disease undergoing transcatheter aortic valve replacement: Insights of the Healthcare Cost and Utilization Project's National Inpatient Sample.
    Cardiovasc Revasc Med 2017 Jul 1. Epub 2017 Jul 1.
    Department of Medicine, Division of Cardiovascular Diseases, Stony Brook University Medical Center, Stony Brook, New York, United States. Electronic address:
    Background: Limited data exists exploring the relationship between varying degrees of chronic kidney disease (CKD) and atrial fibrillation (AF) in patients undergoing transcatheter aortic valve replacement (TAVR).

    Methods: Records were selected from the 2011 to 2012 Healthcare Cost and Utilization Project's National Inpatient Sample for TAVR patients with pre-existing AF and CKD. Demographics, clinical characteristics, and TAVR-related in-hospital adverse events were identified and compared between patients with and without AF and moderate CKD (CKD stage 3-4), and between patients with and without AF and severe CKD (CKD stage 5 or end stage renal disease [ESRD]). Read More

    Routine use of anticoagulation after transcatheter aortic valve replacement: Initial safety outcomes from a single-center experience.
    Cardiovasc Revasc Med 2017 Dec 6. Epub 2017 Dec 6.
    University of Minnesota Fairview Medical Center, Minneapolis, MN, United States; Minneapolis VA Healthcare System, Minneapolis, MN, United States. Electronic address:
    Background: Subclinical leaflet thrombosis (SCLT) can be seen in up to 12% of patients after transcatheter aortic valve replacement (TAVR). Anticoagulation appears to prevent and reverse SCLT but concerns exist about bleeding risk.

    Methods: Our program adopted a strategy of routine anticoagulation after TAVR, starting warfarin on post-procedure day 0 and continuing for 3months in 10/2015. Read More

    Percutaneous angioplasty versus atherectomy for treatment of symptomatic infra-popliteal arterial disease.
    Cardiovasc Revasc Med 2017 Sep 28. Epub 2017 Sep 28.
    Prairie Heart Institute, Springfield, IL, United States.
    Background: Outcomes for debulking by atherectomy (ATH) for adjunctive treatment of below the knee (BTK) symptomatic arterial disease compared to percutaneous transluminal angioplasty alone (PTA) are unclear.

    Methods: MEDLINE, EMBASE, PubMed and the Cochrane Central Register of Controlled Trials were queried from between 2000 and 2017 including studies comparing PTA alone to PTA-ATH. Random effect meta-analysis model was used to pool the data across the studies. Read More

    Impact of chronic kidney disease on mortality in adults undergoing balloon aortic valvuloplasty.
    Cardiovasc Revasc Med 2017 Oct 26. Epub 2017 Oct 26.
    Department of Medicine, Stony Brook University Medical Center, Stony Brook, NY, United States.
    Background: Balloon aortic valvuloplasty (BAV) is often utilized as a bridge prior to surgical or transcatheter aortic valve replacement. Chronic kidney disease (CKD) is commonly present in patients with aortic stenosis, however, its association with outcomes following BAV has not been well studied. Accordingly, we sought to assess the impact of CKD on mortality in adults undergoing BAV. Read More

    A comparison of standard versus low dose heparin on access-related complications after coronary angiography through radial access: A meta-analysis of randomized controlled trials.
    Cardiovasc Revasc Med 2017 Nov 5. Epub 2017 Nov 5.
    Section of Cardiology, Overton Brooks Veteran Affairs Medical Center, Shreveport, LA, USA. Electronic address:
    Background: Transradial access (TRA) is preferred for coronary angiography (CA) or percutaneous coronary intervention due to reduced access-related complications, and mortality especially for patients with ST elevation myocardial infarction. Radial artery occlusion (RAO) is a known complication of TRA, and precludes its use as a future access site, conduit for coronary artery bypass grafting or for hemodialysis fistula placement. Although a standard dose (SD) heparin of 5000 Units is used during TRA, the risks of RAO and hematoma compared to lower dose (LD) remain unclear. Read More

    Prevalence of high on-treatment (aspirin and clopidogrel) platelet reactivity in patients with critical limb ischemia.
    Cardiovasc Revasc Med 2017 Oct 28. Epub 2017 Oct 28.
    Division of Cardiovascular Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, United States. Electronic address:
    Objectives: The goal of this study is to establish the prevalence of high on-treatment platelet reactivity to aspirin (HPRA) and clopidogrel (HPRC) in patients with critical limb ischemia (CLI).

    Background: CLI is associated with an increased risk of death and cardiovascular events. Unlike other patient populations with atherosclerotic cardiovascular disease, previous studies failed to demonstrate a benefit of antiplatelet therapy in patients with CLI. Read More

    When everything else fails: High-pressure balloon for undilatable lesions.
    Cardiovasc Revasc Med 2017 Nov 10. Epub 2017 Nov 10.
    Cardiology Department, St. Thomas' Hospital, Guys and St Thomas' NHS Foundation Trust, London, UK.
    Heavily calcified lesions are encountered with increasing frequency during percutaneous coronary interventions (PCI). This poses a significant problem as it often leads to suboptimal stent expansion, which in turn is a major cause for stent restenosis and thrombosis. Various technologies have been developed to tackle this. Read More

    Robotically-assisted percutaneous coronary intervention: Reasons for partial manual assistance or manual conversion.
    Cardiovasc Revasc Med 2017 Nov 9. Epub 2017 Nov 9.
    Division of Cardiovascular Medicine, Sulpizio Cardiovascular Center, University of California, San Diego, United States. Electronic address:
    Background: Robotically-assisted percutaneous coronary intervention (R-PCI) is feasible for simple coronary lesions.

    Objectives: To determine the frequency and reasons for partial manual assistance or manual conversion during R-PCI in clinical practice.

    Methods: The CorPath 200 System (Corindus, Waltham, MA) enables the operator to sit in a radiation-shielded cockpit and remotely control intracoronary devices including guidewires, balloons, and stents. Read More

    A comparison of the ultrathin Orsiro Hybrid sirolimus-eluting stent with contemporary drug-eluting stents: A meta-analysis of randomized controlled trials.
    Cardiovasc Revasc Med 2017 Nov 21. Epub 2017 Nov 21.
    MedStar Heart and Vascular Institute, MedStar Washington Hospital Center, 110 Irving St. NW, Suite 4B-1, Washington, DC 20010, USA. Electronic address:
    Background: Recent studies suggest the Orsiro sirolimus-eluting stent (O-SES), which has ultrathin struts with a biodegradable sirolimus-eluting polymer coating, performed better than contemporary drug-eluting stents (DES). We performed a meta-analysis to compare clinical outcomes for all randomized controlled trials (RCTs) of O-SES vs contemporary DES.

    Methods/materials: PubMed, Cochrane CENTRAL, and meeting abstracts were searched for all RCTs comparing O-SES with contemporary DES. Read More

    Endovascular repair of complex Juxtarenal aortic aneurysm using a combined fenestrated endograft and chimney technique.
    Cardiovasc Revasc Med 2017 Nov 22. Epub 2017 Nov 22.
    Prairie Heart Institute, Springfield, IL, United States.
    Chimney EVAR (CHEVAR) and Fenestrated EVAR (FEVAR) are two options for management of very complex abdominal aortic aneurysm (AAA). While some anatomical factors may favor one strategy over the other, there are some cases where the anatomical challenges may require using a hybrid approach. We are reporting the case of an 84-year-old male with a 6. Read More

    SUPERA stent outcomes in Above-The-Knee IntervEntions: Effects of COMPression and ELongation (SAKE-COMPEL) Sub-study.
    Cardiovasc Revasc Med 2017 Nov 16. Epub 2017 Nov 16.
    Division of Cardiovascular Disease, Einstein Medical Center, Philadelphia, PA 19141, United States. Electronic address:
    Introduction: The interwoven nitinol design of the Supera stent has been shown to have superior radial strength and fracture resistance resulting in higher patency rates at 6 and 12months. A detailed sub-analysis of SUPERB trial showed differences in patency based on stent conformation post deployment. We evaluated the patency of the stent within the SAKE study cohort based on stent deployment conformation. Read More

    When intravascular ultrasound becomes indispensable in percutaneous coronary intervention of a chronic total occlusion.
    Cardiovasc Revasc Med 2017 Oct 13. Epub 2017 Oct 13.
    Interventional Cardiology Unit, Cardiology Division, Joan XXIII University Hospital, Universitat Rovira Virgili, Calle Dr Mallafré Guasch 4, 43007 Tarragona, Spain.
    Percutaneous coronary intervention of chronic total occlusion is a particular interventional area which requires high level of operator's experience and the support of additional tools based on intracoronary image such as intravascular ultrasound in many cases to clarify difficulties during procedures and to increase success rate. Implantation of long stents in many cases, the presence of stump ambiguity, and the use of specific techniques in this kind of interventions, such as reverse controlled antegrade and retrograde subintimal tracking (CART) and reverse CART make necessary in many cases the use of intravascular ultrasound for a better understanding of the situation, for reducing eventual complications and increasing procedural success rate. We made a review of literature related to most challenging situations in which the use of intravascular ultrasound during chronic total occlusion percutaneous coronary intervention becomes rather indispensable to safely continue and finish the procedure. Read More

    Intraprocedural invasive hemodynamic parameters as predictors of short- and long-term outcomes in patients undergoing transcatheter aortic valve replacement.
    Cardiovasc Revasc Med 2017 Sep 22. Epub 2017 Sep 22.
    Section of Interventional Cardiology, MedStar Washington Hospital Center, Georgetown University Hospital, Washington, D.C., USA. Electronic address:
    Objective: Evaluation of invasive hemodynamic parameters as prognostic markers of mortality in patients undergoing TAVR.

    Background: The value of invasive intraprocedural hemodynamic evaluation of patients undergoing transcatheter aortic valve replacement is unclear.

    Methods: Consecutive patients who underwent transfemoral TAVR and had complete prospectively collected intraprocedural invasive hemodynamic parameters were retrospectively analyzed. Read More

    Modified balloon aortic valvuloplasty in fragile symptomatic patients unsuitable for both surgical and percutaneous valve replacement.
    Cardiovasc Revasc Med 2017 Oct 19. Epub 2017 Oct 19.
    Cardiac Surgery Institute, Verona University School of Medicine, Verona, Italy.
    Background: Balloon Aortic valvuloplasty (BAV) is considered as a bridge therapy to percutaneous valve implantation or a palliative treatment in patients with aortic valve stenosis (AVS). Potential risk of complications, in particular in fragile patients, is still not negligible.

    Aim: To describe the technique and outcomes of modified BAV in fragile symptomatic patients unsuitable for other treatments using no-pacing and minimally invasive approach. Read More

    Acute procedural outcomes of orbital atherectomy for the treatment of iliac artery disease: Sub-analysis of the CONFIRM registries.
    Cardiovasc Revasc Med 2017 Oct 27. Epub 2017 Oct 27.
    UC San Diego Medical Center, La Jolla, CA, United States. Electronic address:
    Endovascular intervention is an appealing revascularization strategy for iliac artery disease. Atherectomy of the iliac artery is uncommon due to the risk of life-threatening perforation but may be necessary if the iliac lesion is heavily calcified, preventing stent delivery or optimal expansion. We assessed the feasibility and safety of orbital atherectomy for the treatment of iliac artery disease. Read More

    The impact of care management information technology model on quality of care after percutaneous coronary intervention: "Bridging the Divides".
    Cardiovasc Revasc Med 2017 Jul 3. Epub 2017 Jul 3.
    Christiana Care Health System, Newark, DE, United States.
    Background: Reducing readmissions and improving metrics of care are a national priority. Supplementing traditional care with care management may improve outcomes. The Bridges program was an initial evaluation of a care management platform (CareLinkHub), supported by information technology (IT) developed to improve the quality and transition of care from hospital to home after percutaneous coronary intervention (PCI) and reduce readmissions. Read More

    Long-term results of a sirolimus-eluting stent with biodegradable polymer (RAPSTROM™) in de novo coronary stenoses.
    Cardiovasc Revasc Med 2017 Oct 7. Epub 2017 Oct 7.
    Pederzoli Hospital, Peschiera del Garda, Italy.
    Objectives: To report long-term results of a novel sirolimus-eluting stent with biodegradable polymer BACKGROUND: Newer generation drug-eluting stents are characterized by thin struts, improved platform design and highly biocompatible polymer carrying the antiproliferative drug. The RapstromTM stent, sharing these features, showed promising outcomes in preclinical models and in a first-in-man trial.

    Methods: The present study is a multicenter, non-randomized post-market registry, including patients with de novo coronary artery disease treated with implantation of one or more Rapstrom stents. Read More

    Preclinical evaluation of a paclitaxel-incorporated nanoparticle-coated balloon in rabbit and porcine models.
    Cardiovasc Revasc Med 2017 Oct 19. Epub 2017 Oct 19.
    Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan. Electronic address:
    Background: The main drawback of current available drug coated balloons (DCB) is that a certain percentage of the coated drug is lost in the bloodstream during its delivery to the target lesion. We integrated the nanoparticle-mediated drug delivery technology and polydimethylsiloxane (PDMS) as a new excipient to facilitate an efficient drug delivery and uptake by endothelial cells. The present study aimed to evaluate the efficacy of the new DCB. Read More

    Left-main restenosis in the DES era-a call for action.
    Cardiovasc Revasc Med 2017 Nov 10. Epub 2017 Nov 10.
    Unità Operativa di Cardiologia, ASST Fatebenefratelli-Sacco, P.O. Fatebenefratelli, Milano, Italy. Electronic address:
    Percutaneous treatment of the unprotected left main trunk (ULM), defined as a vessel without patent bypass graft either to the left circumflex (LCX) or left anterior descending (LAD) artery, has gained a precise role thanks to recent scientific evidence. Although new generation drug-eluting stents have already proven to be safer, there is still a consistent risk of restenosis and late adverse events. The optimal management of a ULM restenosis is still debated. Read More

    Novel proctorship effectively teaches interventionists coronary artery chronic total occlusion lesions.
    Cardiovasc Revasc Med 2017 Oct 26. Epub 2017 Oct 26.
    Department of Cardiovascular Medicine, Toyohashi Heart Center, Toyohashi, Aichi, Japan.
    Background: Interventionists' experience and skills are essential factors for successful chronic total occlusion-percutaneous coronary intervention (CTO-PCI). However, the construction of theoretical strategy independent from interventionists' procedure may also improve it. We sought to assess the feasibility of CTO-PCI using an educational system supported by a single expert proctor. Read More

    Systematic isolated post-dilatation of the side branch as part of the provisional stent technique in the percutaneous treatment of coronary bifurcations. CR12 Registry.
    Cardiovasc Revasc Med 2017 Oct 26. Epub 2017 Oct 26.
    Interventional Cardiology Unit, University General Hospital of Ciudad Real, Spain.
    Aims: To analyse systematic isolated post-dilatation of the side branch as a part of provisional stent technique.

    Methods: 1960 angioplasties performed in two centres were prospectively registered, of which 382 were coronary bifurcations with a side branch>2mm. In centre A, isolated post-dilatation of the side branch was performed regardless its impairment after main vessel stenting. Read More

    Transcatheter embolization of a giant coronary artery pseudoaneurysm.
    Cardiovasc Revasc Med 2017 Nov 16. Epub 2017 Nov 16.
    Department of Medicine, Division of Cardiology, University of Texas Health Science Center, San Antonio, TX, United States. Electronic address:
    A 53-year-old diabetic male with sternal dehiscence presented with recurrent staphylococcus bacteremia 2years after coronary artery bypass grafting (CABG). He was found to have a giant right coronary artery (RCA) pseudoaneurysm and a coronary cameral fistula on imaging. Due to excessive surgical risk, the patient underwent percutaneous treatment with a 5mm Amplatzer vascular plug 4 (St. Read More

    Patient characteristics in variable left ventricular recovery from Takotsubo syndrome.
    Cardiovasc Revasc Med 2017 Oct 5. Epub 2017 Oct 5.
    Section of Interventional Cardiology, Medstar Washington Hospital Center, Washington DC, United States.
    Background: Takotsubo syndrome (TTS) is a heart failure syndrome which is usually reversible. Factors associated with degree of recovery of left ventricular systolic function in TTS are poorly understood.

    Materials And Methods: We conducted a retrospective analysis of 90 TTS patients treated at our institution from 2006 to 2014. Read More

    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

    1 OF 23