1,495 results match your criteria Cardiovascular Revascularization Medicine [Journal]


Hand thermography: A novel approach to evaluate hand function after transradial access.

Authors:
Ian C Gilchrist

Cardiovasc Revasc Med 2019 Apr 12. Epub 2019 Apr 12.

Pennsylvania State University, College of Medicine, Heart & Vascular Institute, Hershey, PA, United States of America. Electronic address:

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http://dx.doi.org/10.1016/j.carrev.2019.04.011DOI Listing

The table of truth: Value of coronary angiography in the evaluation of patients with heart failure syndromes.

Authors:
Michael Ragosta

Cardiovasc Revasc Med 2019 Apr 5. Epub 2019 Apr 5.

Cardiac Catheterization Laboratories, University of Virginia Health System, Charlottesville, VA 22908, United States of America.. Electronic address:

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http://dx.doi.org/10.1016/j.carrev.2019.04.004DOI Listing

Blinding results for transcatheter mitral valve repair.

Cardiovasc Revasc Med 2019 Mar 19. Epub 2019 Mar 19.

Section of Interventional Cardiology, MedStar Washington Hospital Center, Washington, DC, United States of America. Electronic address:

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http://dx.doi.org/10.1016/j.carrev.2019.03.012DOI Listing

In-vivo vascular healing following bifurcation interventions with the Absorb bioresorbable vascular scaffold.

Cardiovasc Revasc Med 2019 Apr 1. Epub 2019 Apr 1.

Department of Cardiovascular Medicine, University Hospitals Leuven, Leuven, Belgium; Department of Cardiovascular Sciences, Katholieke Universiteit Leuven, Leuven, Belgium.

Background: Long-term vascular healing, evaluated by optical coherence tomography (OCT) and histology, following complex bifurcation interventions with polymeric Absorb Bioresorbable Vascular Scaffold (BVS, Abbott Vascular, Santa Clara, CA) has not been previously described.

Methods: Fifteen New-Zealand-White rabbits (4.0 ± 0. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S15538389193016
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http://dx.doi.org/10.1016/j.carrev.2019.03.006DOI Listing
April 2019
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Ample evidence for statins preloading before PCI on periprocedural myocardial infarction among stable angina pectoris patients undergoing percutaneous coronary intervention.

Cardiovasc Revasc Med 2019 Mar 23. Epub 2019 Mar 23.

Department of Critical Care Medicine, St. John's Medical College Hospital, Bangalore 560034, Karnataka, India. Electronic address:

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http://dx.doi.org/10.1016/j.carrev.2019.03.017DOI Listing

Use of extra deep guide-catheter intubation for rotablation-facilitated percutaneous coronary intervention of the right coronary artery.

Cardiovasc Revasc Med 2019 Apr 5. Epub 2019 Apr 5.

1st Department of Cardiology, Athens Medical School, Hippokration Hospital, Athens, Greece.

We describe a case of an 84-year old gentleman undergoing PCI of a heavily calcified and stenotic right coronary artery. Rotational atherectomy was employed, but due to difficulties in wiring and burr advancement, extra deep guide-catheter intubation was used to provide support and facilitate advancement of the burr and subsequent stent deployment. An approach with careful extra deep guide-catheter intubation in rotablation is an option that might be considered for selected cases with severely stenotic, calcified, angulated lesions. Read More

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http://dx.doi.org/10.1016/j.carrev.2019.03.020DOI Listing

Racial/ethnic disparities in patients undergoing transcatheter aortic valve replacement: Insights from the healthcare cost and utilization project's national inpatient sample.

Cardiovasc Revasc Med 2019 Apr 9. Epub 2019 Apr 9.

Division of Cardiovascular and Thoracic Anesthesiology, Mayo Clinic, Phoenix, AZ, USA.

Purpose: To identify racial/ethnic disparities in utilization rates, in-hospital outcomes and health care resource use among Non-Hispanic Whites (NHW), African Americans (AA) and Hispanics undergoing transcatheter aortic valve replacement (TAVR) in the United States (US).

Methods And Results: The National Inpatient Sample database was queried for patients ≥18 years of age who underwent TAVR from 2012 to 2014. The primary outcome was all-cause in hospital mortality. Read More

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http://dx.doi.org/10.1016/j.carrev.2019.04.005DOI Listing
April 2019
2 Reads

Direct stenting in patients treated with orbital atherectomy: An ORBIT II subanalysis.

Cardiovasc Revasc Med 2019 Mar 21. Epub 2019 Mar 21.

Metropolitan Heart and Vascular Institute, The Heart Center, Suite 120, 4040 Coon Rapids Boulevard, Minneapolis, MN 55433, USA.

Background: Direct stenting offers many potential advantages in appropriately selected lesions. Coronary artery calcification increases the complexity and risk of adverse events associated with percutaneous coronary intervention. This study aimed to examine the feasibility of direct stenting after treatment with orbital atherectomy (OA). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S15538389193017
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http://dx.doi.org/10.1016/j.carrev.2019.03.011DOI Listing
March 2019
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First case report of successful PCI with thrombocytopenia treated with partial splenic artery embolization.

Cardiovasc Revasc Med 2019 Mar 31. Epub 2019 Mar 31.

Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine, Kanagawa, Japan.

Percutaneous coronary intervention (PCI) for patients with thrombocytopenia presents a difficult problem in that dual antiplatelet therapy (DAPT) after drug-eluting stent (DES) implantation is not suitable. This first case report describes our patient with angina pectoris and thrombocytopenia who we successfully treated with PCI after partial splenic artery embolization (PSE). A 70-year-old Japanese male was transferred to our hospital because of acute decompensated heart failure (ADHF). Read More

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http://dx.doi.org/10.1016/j.carrev.2019.03.022DOI Listing
March 2019
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Predicted coronary occlusion and Impella salvage during valve-in-valve transcatheter aortic valve replacement.

Cardiovasc Revasc Med 2019 Mar 29. Epub 2019 Mar 29.

Harrington Heart and Vascular Institute, University Hospitals Cleveland Medical Center, Cleveland, OH, United States of America.

We describe an interesting case of a 71 years old fragile female, with progressive shortness of breath on exertion and ankle swelling, cardiac failure NYHA class III. She also had chest irradiation due to Hodgkin's disease many years before, previous surgical aortic valve replacement using bioprosthetic stent-less Freestyle #25 mm valve (Medtronic, Inc) in 2000 for severe aortic stenosis, history of cardiac arrest in 2012 and angioplasty to ostial RCA, PCI to ostial RCA in 2014, CABG (RA graft to RCA) in 2014 (RCA intra-stent restenosis with refractory ischemia), anemia requiring regular transfusions, bronchiectasis and chronic kidney disease. Because of the great comorbidities, STS 4. Read More

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http://dx.doi.org/10.1016/j.carrev.2019.03.019DOI Listing
March 2019
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Outcomes of patients with atrial fibrillation undergoing percutaneous coronary intervention analysis of national inpatient sample.

Cardiovasc Revasc Med 2019 Mar 14. Epub 2019 Mar 14.

Section of Cardiology, Sarver Heart Center, University of Arizona College of Medicine, Tucson, AZ, USA; Southern Arizona Veterans Affairs Healthcare System, Tucson, AZ, USA; Caremore Cardiology, Tucson, AZ, USA. Electronic address:

Background: Atrial fibrillation (AF) is the most common cardiac arrhythmia with a prevalence of 15% of patients over 80 years. Coronary artery disease co-exists in 20-30% of patients with atrial fibrillation. The need for triple anticoagulation therapy makes the management of these patients challenging following PCI. Read More

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http://dx.doi.org/10.1016/j.carrev.2019.03.008DOI Listing
March 2019
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Radial artery perforation complicating percutaneous coronary intervention.

Cardiovasc Revasc Med 2019 Mar 28. Epub 2019 Mar 28.

Department of Cardiology, Maimonides Medical Center, Brooklyn, NY 11219, USA.

Radial artery perforation is a rare but dreaded complication of transradial access. Here in we report a case of a radial artery perforation which was managed conservatively by tamponading the perforation with a guiding catheter and successfully completing the PCI through the same artery. Read More

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http://dx.doi.org/10.1016/j.carrev.2019.03.013DOI Listing

Techniques to optimize the use of optical coherence tomography: Insights from the Manufacturer and User Facility Device Experience (MAUDE) database.

Cardiovasc Revasc Med 2019 Mar 15. Epub 2019 Mar 15.

Section of Interventional Cardiology, MedStar Washington Hospital Center, Washington, DC, United States of America. Electronic address:

Background/purpose: Optical coherence tomography (OCT) is a high-resolution intravascular imaging modality used to assess coronary arteries and as an adjunctive tool for optimization of percutaneous coronary interventions. Overall, the rate of complications and adverse events related to intravascular imaging is low. Limited data exist on the most commonly reported complications and modes of failure related to the use of OCT. Read More

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http://dx.doi.org/10.1016/j.carrev.2019.03.009DOI Listing

Outcomes with drug-coated balloons in percutaneous coronary intervention in diabetic patients.

Cardiovasc Revasc Med 2019 Mar 13. Epub 2019 Mar 13.

Division of Cardiology, Ain Shams University, Cairo, Egypt; Division of Cardiology, Department of Medicine, University of Arkansas, Little Rock, AR, USA.

Background: Percutaneous coronary intervention (PCI) in patients with diabetes mellitus (DM) remains associated with inferior clinical outcomes and an increased risk of restenosis compared with non-diabetics even in the era of drug-eluting stents (DES). The outcomes with drug-coated balloons (DCBs) in diabetic patients have received limited study.

Methods: We performed a meta-analysis of all studies published between January 2000 and January 2019 reporting the outcomes with DCB vs. Read More

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http://dx.doi.org/10.1016/j.carrev.2019.03.001DOI Listing
March 2019
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Salvage of simultaneous acute coronary closure and retroperitoneal bleeding using veno-arterial extracorporeal membrane oxygenation and chronic total occlusion percutaneous coronary intervention techniques in a patient with ST-segment elevation myocardial infarction.

Cardiovasc Revasc Med 2019 Mar 14. Epub 2019 Mar 14.

Minneapolis Heart Institute and Minneapolis Heart Institute Foundation, Abbott Northwestern Hospital, Minneapolis, MN, USA. Electronic address:

Iatrogenic coronary artery dissection is a feared complication of percutaneous coronary intervention as it can potentially lead to severe myocardial ischemia, arrhythmias, shock, and death. Bailout-stenting or less often, emergent coronary artery bypass graft surgery may be needed for restoring antegrade flow. We describe a case of inferior ST-segment elevation acute myocardial infarction with preserved antegrade coronary flow. Read More

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http://dx.doi.org/10.1016/j.carrev.2019.03.005DOI Listing
March 2019
2 Reads

Sex difference and outcome after percutaneous intervention in patients with chronic total occlusion: A systematic review and meta-analysis.

Cardiovasc Revasc Med 2019 Mar 21. Epub 2019 Mar 21.

Department of Pathology, Duke University Medical Center, Durham, NC, USA.

Background: Recent studies suggest that sex difference is an outcome predictor in chronic total occlusion (CTO) patients who are undergoing percutaneous intervention (PCI). However, a systematic review and meta-analysis of the literature have not been done. We assessed the outcome of PCI in CTO between male and female. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S15538389193016
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http://dx.doi.org/10.1016/j.carrev.2019.03.003DOI Listing
March 2019
3 Reads

Determinants of greater peak radiation skin dose in contemporary percutaneous coronary interventions.

Cardiovasc Revasc Med 2019 Mar 14. Epub 2019 Mar 14.

Division of Cardiovascular Medicine, Saitama Medical Center, Jichi Medical University, Japan.

Background: Skin radiation injuries, especially radiation ulcers, are serious side effects caused by ionizing radiation during percutaneous coronary interventions (PCI). Because skin radiation injuries are closely associated with the peak skin dose, it is important to minimize the peak skin dose. The aim of the present study was to investigate the determinants of greater peak skin dose in current PCI. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S15538389193016
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http://dx.doi.org/10.1016/j.carrev.2019.03.007DOI Listing
March 2019
4 Reads

"Y-pattern, 4-quadrant, multiple points" is the answer.

Authors:
Ivo Petrov

Cardiovasc Revasc Med 2018 Dec 28. Epub 2018 Dec 28.

Acibadem City Clinic, University Hospital, Medical faculty, University of Sofia "St. Kliment Ohridski", Bulgaria. Electronic address:

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http://dx.doi.org/10.1016/j.carrev.2018.12.005DOI Listing
December 2018
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Advanced hybrid complete revascularization with TECAB and Impella-assisted PCI of CTO.

Cardiovasc Revasc Med 2019 Mar 21. Epub 2019 Mar 21.

Department of Medicine, Section of Cardiology, University of Chicago Medical Center, Chicago, IL, United States of America. Electronic address:

An 80-year-old man was referred for multi-vessel coronary artery disease with baseline SYNTAX score of 45 after evaluation for persistent stable angina. He underwent complete hybrid revascularization combining total endoscopic coronary artery bypass utilizing bilateral internal mammary arteries (IMA) with sequential LIMA to left anterior descending artery and diagonal arteries, and RIMA to obtuse marginal after Impella-assisted chronic total occlusion percutaneous coronary intervention of the right coronary artery. This represents a successful case of advanced hybrid coronary revascularization. Read More

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http://dx.doi.org/10.1016/j.carrev.2019.03.014DOI Listing
March 2019
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Adverse events and modes of failure related to Impella RP: Insights from the Manufacturer and User Facility Device Experience (MAUDE) database.

Cardiovasc Revasc Med 2019 Mar 16. Epub 2019 Mar 16.

Section of Interventional Cardiology, MedStar Washington Hospital Center, Washington, DC, United States of America. Electronic address:

Background/purpose: Right ventricular (RV) mechanical circulatory support remains an important adjunctive therapy for RV failure refractory to medical therapy. Impella RP (Abiomed, Danvers, MA) is approved for providing temporary RV support for patients with acute right heart failure or decompensation following left ventricular assist device implantation, myocardial infarction, heart transplant, or open-heart surgery. Robust data on the most commonly reported complications and failure modes for the Impella RP are lacking. Read More

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http://dx.doi.org/10.1016/j.carrev.2019.03.010DOI Listing
March 2019
5 Reads

Five-year results of the BIOFLOW-III Registry: Real-world experience with a biodegradable polymer sirolimus-eluting stent.

Cardiovasc Revasc Med 2019 Mar 15. Epub 2019 Mar 15.

Department Internal Medicine and Cardiology, Vivantes Klinikum im Friedrichshain, Berlin, Germany. Electronic address:

Purpose: We aimed to assess long-term safety and performance of the Orsiro sirolimus-eluting coronary stent with biodegradable polymer in a large unselected population and in pre-specified subgroups.

Methods: BIOFLOW-III is a prospective, multicenter, international, observational registry with follow-up visits scheduled at 6 and 12 months, and at 3 and 5 years (NCT01553526).

Results: 1356 patients with 1738 lesions were enrolled. Read More

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http://dx.doi.org/10.1016/j.carrev.2019.03.004DOI Listing
March 2019
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Reflections on percutaneous therapies for secondary mitral regurgitation.

Cardiovasc Revasc Med 2019 Mar 15. Epub 2019 Mar 15.

Medical Director for Structural Heart Disease, Tyler Heart Institute, Community Hospital of the Monterey Peninsula, Montage Cardiology, 30 Garden Court, Monterey, CA 93940, United States of America. Electronic address:

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http://dx.doi.org/10.1016/j.carrev.2019.02.027DOI Listing
March 2019
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Mitral valve stenosis after transcatheter aortic valve replacement: Case report and review of the literature.

Cardiovasc Revasc Med 2019 Mar 1. Epub 2019 Mar 1.

Interventional Cardiology Unit, Cardio Center, Humanitas Research Hospital, Rozzano-Milano, Italy.

Mitral stenosis is a rare and potentially severe complication of transcatheter aortic valve replacement (TAVR). Given the anatomic coupling and interdependence of the aortic and mitral valves, it comes by itself that procedures (either surgical or percutaneous) involving the aortic valve imply the risk of altering mitral valve function. Indeed, transcatheter aortic prostheses may impair adequate anterior mitral leaflet (AML) opening, especially when implanted in a "low" position, thus resulting in high transvalvular gradients. Read More

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http://dx.doi.org/10.1016/j.carrev.2019.02.023DOI Listing
March 2019
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Unintended delivery of surgical towel fibers into a vein graft during cardiac catheterization.

Cardiovasc Revasc Med 2019 Feb 22. Epub 2019 Feb 22.

Department of Cardiology, Geisinger Medical Center, 100 North Academy Drive, Danville, PA, United States of America.

Foreign body introduction during coronary stent delivery is an uncommon, yet potentially fatal, complication of coronary angiography and interventions. Inadvertent introduction of gauze fibers, starch granules and other foreign materials into circulation has been reported in literature. The introduction of inorganic surgical debris can cause distal embolization, vessel occlusion and wall infiltration causing infarction, acute stenosis and granulomatous reaction. Read More

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http://dx.doi.org/10.1016/j.carrev.2019.02.024DOI Listing
February 2019

Updated meta-analysis of closure of patent foramen ovale versus medical therapy after cryptogenic stroke.

Cardiovasc Revasc Med 2019 Mar 13;20(3):187-193. Epub 2018 Jun 13.

Division of Cardiovascular Medicine, Wake Forest University, Winston Salem, NC, United States of America.

Background: Among patients with cryptogenic stroke, PFO closure has remained controversial. We hypothesized that with the cumulative number of subjects in randomized controlled trials (RCTs), there is now sufficient power to ascertain whether PFO closure in patients with cryptogenic stroke improves the risk of stroke.

Methods: We performed an updated meta-analysis by including newer RCTs that examined the benefit of PFO closure compared with medical therapy for improvement in risk of stroke. Read More

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http://dx.doi.org/10.1016/j.carrev.2018.06.001DOI Listing
March 2019
1 Read

Sex differences in treatment and prognosis of acute coronary syndrome with interventional management.

Cardiovasc Revasc Med 2019 Mar 28;20(3):183-186. Epub 2018 Jun 28.

Instituto Cardiovascular, Hospital Clínico San Carlos, C/Profesor Martin Lagos S/N, 28010, Madrid, (Madrid), Spain.

Objective: Female sex has been associated with differences in diagnostic and management of acute coronary syndrome (ACS). Our aim was to analyze sex differences in ACS with interventional management in a tertiary care hospital.

Methods: Patients with ACS admitted to a Spanish tertiary care referral center were included prospectively and consecutively. Read More

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http://dx.doi.org/10.1016/j.carrev.2018.06.021DOI Listing
March 2019
1 Read

Digital ankle brachial index- a valuable tool for Office evaluation of PAD?

Authors:
Robert E Beasley

Cardiovasc Revasc Med 2019 Mar;20(3):266

Vascular and Interventional Radiology, Mount Sinai Medical Center, Miami Beach, FL; Vascular and Limb Preservation Center, Mount Sinai Medical Center, Miami Beach, FL.

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http://dx.doi.org/10.1016/j.carrev.2019.01.005DOI Listing

Transradial access for rotational atherectomy.

Cardiovasc Revasc Med 2019 Mar 10;20(3):262-263. Epub 2019 Jan 10.

Division of Cardiology, Virginia Commonwealth University, United States of America; McGuire VAMC, Richmond, VA, United States of America. Electronic address:

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http://dx.doi.org/10.1016/j.carrev.2019.01.009DOI Listing

Bioresorbable scaffolds for the treatment of acute coronary syndrome. A possible niche indication or not?

Cardiovasc Revasc Med 2019 Mar;20(3):261

Amsterdam UMC, University of Amsterdam, Heart Center, Academic Medical Center, Amsterdam, The Netherlands. Electronic address:

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http://dx.doi.org/10.1016/j.carrev.2019.01.008DOI Listing
March 2019
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CD34+ Cell Therapy for No-Option Refractory Disabling Angina: Time for FDA Approval?

Cardiovasc Revasc Med 2019 Mar 11;20(3):177-178. Epub 2019 Jan 11.

Cedars Sinai Medical Center, Los Angeles, CA, United States of America; Minneapolis Heart Institute Foundation, Minneapolis, MN, United States of America; The Lindner Center for Research and Education, The Christ Hospital, Cincinnati, OH, United States of America. Electronic address:

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http://dx.doi.org/10.1016/j.carrev.2019.01.012DOI Listing

Clinical experience with very high-pressure dilatation for resistant coronary lesions.

Cardiovasc Revasc Med 2019 Mar 1. Epub 2019 Mar 1.

NIHR Biomedical Research Unit, Royal Brompton & Harefield NHS Foundation Trust, London, UK; Department of Cardiology, Careggi University Hospital, Florence, Italy.

Background: Calcific coronary lesions can be so resistant to prevent symmetric stent dilatation with high risk of ISR/thrombosis. The aim of the current study is to evaluate the safety and efficacy of super high-pressure dilatation (>30-to-45Atm) using a dedicated NC-balloon (OPN, SIS-Medical-AG, Winterthur-Switzerland).

Methods: We retrospectively evaluated 326 consecutive undilatable lesions in which conventional NC-balloons failed to achieve adequate post-dilatation luminal gain. Read More

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http://dx.doi.org/10.1016/j.carrev.2019.02.026DOI Listing
March 2019
8 Reads

Comparison of transradial and transfemoral approaches for coronary angiography and percutaneous intervention in patients with coronary bypass grafts.

Cardiovasc Revasc Med 2019 Mar 12. Epub 2019 Mar 12.

Marshall University Joan C. Edwards School of Medicine, Department of Cardiovascular Disease, United States of America.

Objective: We sought to compare the transradial and transfemoral approaches for coronary angiography and percutaneous intervention in patients with coronary artery bypass grafts in terms of volume of radiographic contrast administered during cardiac catheterization, fluoroscopy time, and total procedure time.

Background: The transradial access has been increasingly used as an alternative to transfemoral. Several studies demonstrated that such access is associated with lower rates of vascular and bleeding complications. Read More

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http://dx.doi.org/10.1016/j.carrev.2019.03.002DOI Listing
March 2019
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Overview of the 2018 US Food and Drug Administration Circulatory System Devices Panel meeting on the INCRAFT AAA Stent Graft System.

Cardiovasc Revasc Med 2019 Feb 18. Epub 2019 Feb 18.

Section of Interventional Cardiology, MedStar Washington Hospital Center, Washington, DC, United States of America. Electronic address:

On June 12, 2018, the US Food and Drug Administration (FDA) convened a meeting of the Circulatory System Devices Panel to advise on the safety and effectiveness of the INCRAFT® AAA Stent Graft System for the treatment of abdominal aortic aneurysms (AAA) and to consider a premarket approval application sponsored by Cordis, Inc., for Unique identifier: NCT01664078 based on the results of the pivotal INSPIRATION trial (URL: https://clinicaltrials.gov/ct2/show/NCT01664078). Read More

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http://dx.doi.org/10.1016/j.carrev.2019.02.018DOI Listing
February 2019

Feasibility of implanting 50-60 mm-tapered drug eluting stents in chronic total occlusions.

Cardiovasc Revasc Med 2019 Feb 20. Epub 2019 Feb 20.

Cardiology Department, Hospital Clínico Universitario de Valencia, INCLIVA, Universitat de Valencia, Valencia, Spain; CIBER Cardiovascular, Spain. Electronic address:

Background: Percutaneous coronary intervention (PCI) of chronic total occlusions (CTO) usually involves multiple overlapping stents implantation to cover long coronary segments. A higher rate of restenosis has been described with stent overlapping. Recently, new long tapered stents emerged as a potential tool for treating long coronary lesions. Read More

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http://dx.doi.org/10.1016/j.carrev.2019.02.020DOI Listing
February 2019

Dual versus triple antithrombotic therapy in patients undergoing percutaneous coronary intervention-meta-analysis and meta-regression.

Cardiovasc Revasc Med 2019 Mar 5. Epub 2019 Mar 5.

Department of Medicine, University of Florida, 1600 SW Archer Road, PO Box 100277, Gainesville, FL, 32610, United States of America.

Background: Anti-thrombotic regimen in patients on long term anticoagulation requiring coronary intervention remains a clinical challenge.

Methods: We performed a meta-analysis of observational studies and randomized controlled trials comparing outcomes of triple therapy (dual antiplatelet therapy and anticoagulant) with dual therapy (P2Y12 inhibitor and anticoagulant) in patients on long-term anticoagulants after percutaneous coronary intervention (PCI). Major bleeding was the primary outcome. Read More

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http://dx.doi.org/10.1016/j.carrev.2019.02.022DOI Listing

Incidence, technical safety and feasibility of coronary angiography and intervention following self-expanding transcatheter aortic valve replacement.

Cardiovasc Revasc Med 2019 Feb 14. Epub 2019 Feb 14.

Interventional Cardiology Unit, San Raffaele Scientific Institute, Milan, Italy; Division of Cardiology, Department of Medicine, University of Cape Town, Cape Town, South Africa; Department of Cardiology, Montefiore Medical Center, New York, USA. Electronic address:

Background: Transcatheter aortic valve replacement (TAVR) is a well-established treatment option for severe aortic stenosis (AS). AS and coronary artery disease frequently coincide, and therefore some patients may require coronary angiography (CAG) and/or intervention (PCI) post-TAVR. Due to valve stent design, most self-expanding prostheses always cover the coronary ostium, and therefore may hinder future access. Read More

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http://dx.doi.org/10.1016/j.carrev.2019.01.026DOI Listing
February 2019
2 Reads

Saphenous vein graft aneurysm: A case-based review of percutaneous management.

Cardiovasc Revasc Med 2019 Feb 8. Epub 2019 Feb 8.

University of California, San Diego, United States of America. Electronic address:

SVG aneurysms are relatively rare clinical entities most often encountered discovered as an incidental finding in patients with prior CABG surgery. There is a substantial risk of complications including rupture and death, thus surgical or percutaneous management may be considered in particular in symptomatic patients. Here, three cases are presented highlighting various percutaneous management options and considerations, including covered stent placement, coil occlusion, and a combined approach with the use of a peripheral covered stent. Read More

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http://dx.doi.org/10.1016/j.carrev.2019.01.029DOI Listing
February 2019
1 Read

Comparison of coronary artery bypass grafting and drug-eluting stents in patients with left main coronary artery disease and chronic kidney disease: A systematic review and meta-analysis.

Cardiovasc Revasc Med 2019 Feb 25. Epub 2019 Feb 25.

Division of Cardiology, Hurley Medical Center/Michigan State University, Flint, MI 48503, USA. Electronic address:

Background: Treatment of left main coronary artery disease (LMCAD) in patients with chronic kidney disease (CKD) with either percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) remains controversial. Therefore, we performed a meta-analysis to evaluate the optimal choice of therapy when treating LMCAD in patients with CKD.

Method: We performed an electronic database search of Pubmed, Embase, and Cochrane Library for all studies that compared PCI with CABG when treating LMCAD in the setting of CKD. Read More

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http://dx.doi.org/10.1016/j.carrev.2019.01.018DOI Listing
February 2019
4 Reads

Stentablation with rotational atherectomy for the management of underexpanded and undilatable coronary stents.

Cardiovasc Revasc Med 2019 Mar 1. Epub 2019 Mar 1.

Division of Cardiology, Medical College of Georgia at Augusta University, Augusta, GA, USA.

Stentablation with rotational atherectomy for the management of undilatable underexpanded coronary stents is a unique application associated with excellent periprocedural and in-hospital outcomes. Data regarding long-term outcomes remains limited, however the procedure appears to be associated with high prevalence of target lesion revascularization. Given the complexity of such lesions and few available interventional remedies; it is a reasonably safe and widely available approach of which operators should be aware. Read More

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http://dx.doi.org/10.1016/j.carrev.2019.02.025DOI Listing

Spinal hematoma following coronary angioplasty: An uncommon complication.

Cardiovasc Revasc Med 2019 Feb 8. Epub 2019 Feb 8.

Cardiology Department, Queen Elizabeth Hospital, London, UK; Cardiology Department, St. Thomas' Hospital, London, UK.

We report an unusual case of post-procedural spontaneous spinal epidural hematoma in a 65 year old man who presented with an acute coronary syndrome and underwent complex coronary intervention with adjunct use of a GPIIb/IIIa inhibitor. Although spontaneous spinal epidural hematoma (SSEH) following coronary intervention is extremely rare, clinicians should be aware of this unusual diagnosis. Prompt investigation with MRI and early referral for neurosurgical input are recommended to prevent potentially significant sequelae. Read More

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http://dx.doi.org/10.1016/j.carrev.2019.02.001DOI Listing
February 2019
1 Read

Real world utilization of computed tomography derived fractional flow reserve: Single center experience in the United States.

Cardiovasc Revasc Med 2019 Jan 17. Epub 2019 Jan 17.

Harrington Heart and Vascular Institute, University Hospitals Cleveland Medical Center, Cleveland, OH, USA. Electronic address:

Background: Fractional flow reserve derived from computed tomography (FFRct) has shown higher accuracy for detection of significant coronary artery disease (CAD) compared to coronary computed tomography angiography (CCTA). The performance of a combined comprehensive qualitative interpretation of both CCTA and FFRct in patient management is unknown. We aimed to explore the clinical application of this combined approach. Read More

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http://dx.doi.org/10.1016/j.carrev.2019.01.019DOI Listing
January 2019
3 Reads

Magnesium 2000 postmarket evaluation: Guideline adherence and intraprocedural performance of a sirolimus-eluting resorbable magnesium scaffold.

Cardiovasc Revasc Med 2019 Feb 10. Epub 2019 Feb 10.

Unique Medical Centre, Kowloon, Hong Kong.

Background: The Magmaris bioresorbable magnesium scaffold was successfully tested in in-vitro and in clinical premarket studies. Subsequently the Magmaris postmarket program aimed to review intraprocedural data of at least 2000 patients to assess user preferences, guideline adherence and intraprocedural performance in clinical routine.

Methods: This international multicentre survey encompasses data from 356 hospitals across 45 countries. Read More

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http://dx.doi.org/10.1016/j.carrev.2019.02.003DOI Listing
February 2019
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Comparison of GuideLiner versus Guideplus catheter in complex percutaneous coronary interventions.

Cardiovasc Revasc Med 2019 Feb 8. Epub 2019 Feb 8.

Department of Cardiology, Faculty of Medicine, Harran University, Sanliurfa, Turkey.

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http://dx.doi.org/10.1016/j.carrev.2019.01.032DOI Listing
February 2019
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Transcatheter treatment of pure aortic regurgitation in a horizontal aorta complicated by valve embolization and aortic dissection.

Cardiovasc Revasc Med 2018 Dec 15. Epub 2018 Dec 15.

Interventional Cardiology Unit, GVM Care & Research Maria Cecilia Hospital, Cotignola, Italy.

A 83-year-old female with severe aortic regurgitation (AR) and an horizontal ascending aorta was scheduled for a transcatheter aortic valve replacement. After the complete deployment, a Portico 29 mm valve embolized in the ascending aorta due to the unfavorable anatomy of the anchoring zone. A second Portico 29 mm was successfully implanted using the embolized valve for superior anchoring. Read More

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http://dx.doi.org/10.1016/j.carrev.2018.12.013DOI Listing
December 2018
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Outcomes of direct transcatheter aortic valve replacement without balloon aortic valvuloplasty using a new generation valve.

Cardiovasc Revasc Med 2019 Jan 23. Epub 2019 Jan 23.

Division of Cardiology, Department of Medicine, University of Florida, Gainesville, FL, USA. Electronic address:

Purpose: We investigated the outcomes of patients who underwent Transcatheter Aortic Valve Replacement (TAVR) with and without Balloon Aortic Valvuloplasty (BAV) using the SAPIEN 3 (S3) valve.

Methods: All patients who underwent TAVR using S3 valve were included. The primary outcomes were the incidence of stroke and significant paravalvular leak (PVL). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S15538389193005
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http://dx.doi.org/10.1016/j.carrev.2019.01.020DOI Listing
January 2019
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Novel insights of jailed balloon and jailed Corsair technique for percutaneous coronary intervention of bifurcation lesions.

Cardiovasc Revasc Med 2019 Feb 2. Epub 2019 Feb 2.

Department of Cardiology, Japanese Red Cross Ashikaga Hospital, Ashikaga, Japan.

Background: The optimal technique for percutaneous coronary intervention (PCI) of a bifurcation lesion remains uncertain. JBT/JCT techniques are now emerging for protection of the side branch (SB). We aimed to compare jailed balloon (JBT) and jailed Corsair (JCT) techniques to the conventional jailed wire technique. Read More

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http://dx.doi.org/10.1016/j.carrev.2019.01.033DOI Listing
February 2019

Mechanisms of myocardial ischemia inducing sudden cardiac death in athletes with anomalous coronary origin from the opposite sinus: Insights from a computational fluid dynamic study.

Cardiovasc Revasc Med 2019 Jan 31. Epub 2019 Jan 31.

Tan Tao University, School of Medicine, Long An, Viet Nam; Cardiovascular Research, Methodist Hospital, Merrillville, IN, USA.

Aims: The left coronary anomalous origin from the opposite sinus (L- ACAOS) constitutes the most clinically relevant arterial abnormality among the wide spectrum of coronary artery anomalies. We investigated the physiology of L-ACAOS with and without intramural course (IM) in athletes, using the computational fluid dynamic (CFD) analysis.

Methods And Results: The coronary artery circulation with L-ACAOS with and without IM has been segmented and then reconstructed, after reviewing both the angiographic and computed tomography findings of 13 consecutive athletes (10 males, mean age 45. Read More

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http://dx.doi.org/10.1016/j.carrev.2019.01.031DOI Listing
January 2019
1 Read