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    8212 results match your criteria Catheterization and Cardiovascular Interventions[Journal]

    1 OF 165

    Everolimus drug-eluting stent performance in patients with long coronary lesions: The multicenter Longprime registry.
    Catheter Cardiovasc Interv 2018 May 18. Epub 2018 May 18.
    Department of Cardiology, Centre Hospitalier de Chartres, Chartres, France.
    Objectives: To assess the efficacy and safety of the Xience Prime everolimus-eluting stent (EES) in long coronary lesions in a real-world population.

    Background: Long lesions are considered difficult technically and in terms of achieving successful clinical outcomes. With first generation DES, MACE can be as high as 10% at a short-medium term follow-up. Read More

    Transcatheter mitral valve implantation in rigid mitral annuloplasty rings: Potential differences between complete and incomplete rings.
    Catheter Cardiovasc Interv 2018 May 18. Epub 2018 May 18.
    Interventional Cardiology Unit, San Raffaele Scientific Institute, Milan, Italy.
    Transcatheter mitral valve implantation (TMVI) has been performed in high-risk and inoperable patients for degenerated mitral bioprostheses (TMVIinV) and failed annuloplasty rings (TMVIinR). TMVIinR is more challenging compared to TMVIinV because of the differences in dimensions, shapes, and contours between rings and valves. In this report, we present two clinical cases of TMVIinR that were treated by trans-septal implantation of a balloon-expandable prosthesis. Read More

    Edwards Sapien XT® pulmonic valve compression after resuscitation and successful redilatation.
    Catheter Cardiovasc Interv 2018 May 18. Epub 2018 May 18.
    Department for Pediatric Cardiology and Pediatric Intensive Care, LMU - Campus Großhadern, Ludwig Maximilians University, Munich, Germany.
    Despite the increasing use of percutaenous valves, little is known about valve performance after external chest compression. We report a case of a compressed pulmonary Edwards Sapien® XT valve after resuscitation. With the patient on ECMO, successful redilatation was performed with unimpaired postprocedural valve function. Read More

    Outcomes of patients with cardiogenic shock treated with TandemHeart percutaneous ventricular assist device: Importance of support indication and definitive therapies as determinants of prognosis.
    Catheter Cardiovasc Interv 2018 May 10. Epub 2018 May 10.
    Cardiovascular Division, University of Virginia Health System, Charlottesville, Virginia.
    Objectives: The objective of this study was to review the characteristics of patients in cardiogenic shock treated with TandemHeart percutaneous ventricular assist device (pVAD) to determine influential predictors of survival.

    Background: The TandemHeart pVAD is used in the management of patients with cardiogenic shock resulting from a variety of conditions. Several studies have documented the efficacy of this therapy and outlined its complications. Read More

    Clinical impact of optical coherence tomography findings on culprit plaque in acute coronary syndrome: The OCT-FORMIDABLE study registry.
    Catheter Cardiovasc Interv 2018 May 10. Epub 2018 May 10.
    "Città della Scienza e della Salute", Department of Cardiology, University of Turin, Turin, Italy.
    Background: Aim of this study was to evaluate the clinical impact of the culprit plaque features assessed by optical coherence tomography (OCT) in patients with acute coronary syndrome (ACS).

    Methods: The OCT-FORMIDABLE register enrolled retrospectively all consecutive patients who perform OCT on culprit plaque in patients with ACS in nine European centres. The primary endpoint was the prevalence of culprit plaque rupture (CPR) in patients experiencing major adverse cardiovascular events (MACEs). Read More

    Sustained risk of stent thrombosis and restenosis in first generation drug-eluting Stents after One Decade of Follow-up: A Report from the Swedish Coronary Angiography and Angioplasty Registry (SCAAR).
    Catheter Cardiovasc Interv 2018 May 10. Epub 2018 May 10.
    Department of Cardiology, Sahlgrenska University Hospital, Sweden.
    Aims: Long-term comparisons between Drug-eluting stent and bare metal stent are not well-studied. The aim of this study was to compare two stents that were previously frequently used in regard to long-term risk of restenosis and stent thrombosis (ST).

    Methods And Results: We used data from the SCAAR registry. Read More

    Infective endocarditis following transcatheter edge-to-edge mitral valve repair: A systematic review.
    Catheter Cardiovasc Interv 2018 May 10. Epub 2018 May 10.
    Quebec Heart and Lung Institute, Laval University, Quebec City, Quebec, Canada.
    Objectives: To assess the clinical characteristics, management, and outcomes of patients diagnosed with infective endocarditis (IE) after edge-to-edge mitral valve repair with the MitraClip device.

    Background: Transcatheter edge-to-edge mitral valve repair has emerged as an alternative to surgery in high-risk patients. However, few data exist on IE following transcatheter mitral procedures. Read More

    Sex disparities in acute myocardial infarction care and outcomes.
    Catheter Cardiovasc Interv 2018 May 10. Epub 2018 May 10.
    Division of Cardiovascular Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut.
    Aim: We investigated sex-based and regional outcomes after contemporary percutaneous coronary intervention (PCI) with the Xience V stent in patients with acute myocardial infarction (AMI).

    Methods And Results: This patient level pooled analysis includes three multi-center, prospective post-market registries performed in the US, Japan, and China. A total of 1,938 patients treated with Xience V stents in the setting of AMI were enrolled. Read More

    Electronic cardiac arrest triage score best predicts mortality after intervention in patients with massive and submassive pulmonary embolism.
    Catheter Cardiovasc Interv 2018 May 10. Epub 2018 May 10.
    Department of Medicine, Section of Cardiology, University of Chicago Medical Center, Chicago, Illinois.
    Objective: To determine if the cardiac arrest triage (CART) Score would better predict poor outcomes after pharmacomechanical therapy (PMT) for massive and submassive pulmonary embolism (PE) than traditional risk scores BACKGROUND: PMT for massive and submassive PE allows for clot lysis with minimal doses of fibrinolytics. Although PMT results in improved right ventricular function, and reduced pulmonary pressures and thrombus burden, predictors of poor outcome are not well-studied.

    Methods: We conducted a retrospective analysis of all patients who underwent PMT for massive or submassive PE at a single institution from 2010 to 2016. Read More

    Long-term follow up of 3 T MRI-detected brain lesions after percutaneous catheter-based left atrial appendage closure.
    Catheter Cardiovasc Interv 2018 May 8. Epub 2018 May 8.
    Department of Cardiology, Charité - Universitätsmedizin Berlin, University Hospital, Berlin, Germany.
    Background: Left atrial appendage closure (LAAC) for stroke prevention is an increasingly performed intervention.

    Aims: This prospective study aims to evaluate the incidence of long-term magnetic resonance imaging (MRI)-detected brain lesions as well as potential changes of neurocognitive function after percutaneous LAAC.

    Methods: Brain MRI at 3 T was performed within 24 hr before and after LAAC. Read More

    "Blind" pericardiocentesis: A comparison of different puncture directions.
    Catheter Cardiovasc Interv 2018 May 8. Epub 2018 May 8.
    Department of Internal Medicine I, University Hospital Würzburg, Würzburg, Germany.
    Background: "Blind" pericardiocentesis is the standard procedure for emergency pericardial drainage when ultrasound guidance is unavailable. Under these circumstances, puncture site and needle direction are exclusively oriented according to certain anatomic landmarks. In the literature, different techniques for this "blind" method have been described. Read More

    Over-expansion of balloon-expandable transcatheter heart valves. Is there a limit?
    Catheter Cardiovasc Interv 2018 May;91(6):1157-1158
    Centre for Heart Valve Innovation, St. Paul's Hospital, Vancouver, University of British Columbia, Vancouver, British Columbia, Canada.
    Transcatheter aortic valve implantation can be successful in selected patients with annuli beyond the current recommended limits for available transcatheter valves. Over-expansion of balloon-expandable valves beyond current guidelines may play a role. The limits of over-expansion of balloon-expandable valves are not well understood. Read More

    Transcatheter electrosurgery in bipolar or monopolar modes.
    Catheter Cardiovasc Interv 2018 May;91(6):1052-1053
    Cardiovascular Branch, Division of Intramural Research, National Heart Lung and Blood Institute, National Institutes of Health, Bethesda, Maryland.
    Transcatheter electrosurgery has emerging value in a range of other new procedures that require traversing tissue (transcaval access, transcatheter Glenn Shunt) or slicing tissue (LAMPOON slicing of the mitral valve and BASILICA slicing of the aortic valve). This is the first report of bipolar radiofrequency wires used to cross lesions in humans, reported here in seven re-entry CTO cases. The bipolar configuration may provide directionality to charge without need for wire alignment and advancement, but is theoretically disadvantageous for tissue "cutting" because of problems with charge concentration. Read More

    Merely subintimal coronary plaque modification improves health status: Not all CTO recanalization failures are alike?
    Catheter Cardiovasc Interv 2018 May;91(6):1043-1044
    Heart Institute (InCor), University of São Paulo Medical School, Sao Paulo, Brazil.
    Failed CTO angioplasty was divided in two groups: with and without "subintimal plaque modification." At 1-month, patients treated with "subintimal plaque modification" had larger increases in health status as assessed by the Seattle Angina Questionnaire. The relatively small sample size and the lack of a longer follow-up period does not allow definite conclusion in terms of safety or clinical events. Read More

    They think you earn too much, but they probably don't care.
    Catheter Cardiovasc Interv 2018 May;91(6):1068-1069
    Heart Institute, Geisinger Health System, Danville, Pennsylvania.
    A survey of patients and physicians in southern California indicates that patients overestimate Medicare payments to hospitals for elective coronary stenting several-fold and overestimate Medicare payments to physicians for coronary stenting over 15-fold. Patients think payments should be less than they erroneously think hospitals and physicians are paid but should be much more than hospitals and physicians are paid. The authors hypothesize that patients' view of physician payments may interfere with the physician-patient relationship, but data from other studies of physician-patient relationships suggest other factors are much more important. Read More

    Medical simulation in interventional cardiology: "More research is needed".
    Catheter Cardiovasc Interv 2018 May;91(6):1060-1061
    Minneapolis Heart Institute, Abbott Northwestern Hospital, Minneapolis, Minnesota.
    Medical simulation is being used for training fellows to perform coronary angiography. Medical simulation training was associated with 2 min less fluoroscopy time per case after adjustment. Whether medical simulation really works needs to be evaluated in additional, well-designed and executed clinical studies. Read More

    Successful exclusion of an aortic aneurysm with a novel PTFE-tube covered cobalt-chromium stent in a pediatric patient with native coarctation of the aorta.
    Catheter Cardiovasc Interv 2018 May 4. Epub 2018 May 4.
    Department of Congenital Heart Disease/Pediatric Cardiology, German Heart Center Berlin, Berlin, Germany.
    Treatment of aneurysmal lesions in the context of coarctation of the aorta (CoA) is a challenging task and these lesions are rare in children. An 11-year-old boy was incidentally diagnosed with native CoA and concomitant complex aneurysmal lesions during medical check-up for arterial hypertension. Pre-catheterization imaging was performed with computed tomography (CT), which showed a mild CoA and two native aneurysms that were juxtaposed to the origin of the left subclavian artery. Read More

    The impact of diabetes on the prognostic value of left ventricular function following percutaneous coronary intervention: Insights from the British Cardiovascular Intervention Society.
    Catheter Cardiovasc Interv 2018 May 4. Epub 2018 May 4.
    Department of Cardiology, Freeman Hospital and Institute of Cellular Medicine, Newcastle University, Newcastle Upon Tyne, United Kingdom.
    Objectives: To study the relationship between diabetes mellitus (DM) and left ventricular (LV) function on outcomes following percutaneous coronary intervention (PCI).

    Background: DM is a growing public health challenge worldwide and a significant risk factor for cardiovascular disease and heart failure.

    Methods: All PCI procedures performed between 2006 and 2013 with LV function and diabetic status recorded in the BCIS-NICOR database were included. Read More

    Improved stent expansion with prolonged compared with short balloon inflation: A meta-analysis.
    Catheter Cardiovasc Interv 2018 May 4. Epub 2018 May 4.
    Division of Cardiology, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
    Background: Despite evidence from individual studies suggesting that prolonged inflation improves coronary stent expansion, relatively shorter inflation times are commonly employed in clinical practice.

    Methods: We performed an electronic search of PubMed, Web of Science, Cochrane, and CINAHL databases to retrieve outcome studies comparing prolonged versus short inflation times during stent deployment. Outcomes studied included minimal stent diameter (MSD) and minimal stent area (MSA). Read More

    Long-term outcomes of patent foramen ovale closure or medical therapy after cryptogenic stroke: A meta-analysis of randomized trials.
    Catheter Cardiovasc Interv 2018 May 4. Epub 2018 May 4.
    Division of Cardiovascular Medicine, University of California, San Diego Sulpizio Cardiovascular Center, La Jolla, California.
    Objectives: To examine long-term clinical outcomes with transcatheter patent foramen ovale (PFO) closure versus medical therapy alone in patients with cryptogenic stroke.

    Background: A long-standing debate regarding the optimal approach for the management of patients with PFO after a cryptogenic stroke exists.

    Methods: An electronic search was performed for randomized clinical trials (RCTs) reporting clinical outcomes with PFO closure vs. Read More

    Comparison of paravalvular aortic leak characteristics in the Medtronic CoreValve versus Edwards Sapien Valve: Paravalvular aortic leak characteristics.
    Catheter Cardiovasc Interv 2018 May 4. Epub 2018 May 4.
    Section on Cardiovascular Medicine, Department of Medicine, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, North Carolina.
    Objectives: Temporally quantify and localize paravalvular aortic leak (PVL) after transcatheter aortic valve replacement (TAVR) in the Medtronic CoreValve (MCV) versus the Edwards Sapien Valve (ESV).

    Background: In order to increase the precision of THV selection and PVL intervention, an understanding of PVL characteristics is essential.

    Methods: The frequency, severity, and location of post-TAVR PVL were evaluated with transthoracic echocardiography pre-discharge, one month, and one-year post-procedure in 202 patients receiving a MCV (N = 120) or ESV (N = 81). Read More

    Cost implications of intraprocedural thrombotic events and bleeding in percutaneous coronary intervention: Results from the CHAMPION PHOENIX ECONOMICS Study.
    Catheter Cardiovasc Interv 2018 May 4. Epub 2018 May 4.
    Division of Cardiology, Interventional Section, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts.
    Background: Despite improvements in percutaneous coronary intervention (PCI), intraprocedural thrombotic events (IPTE) and bleeding complications occur and are prognostically important. These have not been included in prior economic studies.

    Methods: PHOENIX ECONOMICS was a substudy of the CHAMPION PHOENIX trial, evaluating cangrelor during PCI. Read More

    A custom-made percutaneous flow-restrictor to manage a symptomatic congenital porto-systemic shunt in an infant.
    Catheter Cardiovasc Interv 2018 May 4. Epub 2018 May 4.
    Pediatric Cardiology, University Hospital Leuven, Leuven, 3000, Belgium.
    Portosystemic shunts allow splanchnic blood to bypass the liver unfiltered, and may cause serious pulmonary and cerebral dysfunction; closure is therefore recommended. In patients where the portal system is hypoplastic, closure by a staged approach with a flow reducer may be necessary. We report a new, reliable, short, and adjustable device that can be delivered through a small 8-Fr sheath. Read More

    The prognostic impact of revascularization strategy in acute myocardial infarction and cardiogenic shock: Insights from the British Columbia Cardiac Registry.
    Catheter Cardiovasc Interv 2018 Apr 26. Epub 2018 Apr 26.
    Victoria Heart Institute Foundation, Victoria, BC, Canada.
    Background: In patients with acute myocardial infarction (AMI) and cardiogenic shock (CS), percutaneous coronary intervention (PCI) of the culprit vessel is associated with improved outcomes. A large majority of these patients have multivessel disease (MVD). Whether or not PCI of non-culprit disease in the acute setting improves outcomes continues to be debated. Read More

    Simultaneous kissing stents to treat unprotected left main stem coronary artery bifurcation disease; stent expansion, vessel injury, hemodynamics, tissue healing, restenosis, and repeat revascularization.
    Catheter Cardiovasc Interv 2018 Apr 25. Epub 2018 Apr 25.
    Department of Cardiology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, United Kingdom.
    Objectives: To perform detailed analysis of stent expansion, vessel wall stress, hemodynamics, re-endothelialization, restenosis, and repeat PCI in the simultaneous kissing stents (SKS) technique of bifurcation left main stem (LMS) stenting.

    Background: The SKS technique is useful to treat patients with true bifurcation disease of the LMS but remains controversial.

    Methods And Results: Computational structural analysis of SKS expansion demonstrated undistorted and evenly expanded stents. Read More

    Length of stay following percutaneous coronary intervention: An expert consensus document update from the society for cardiovascular angiography and interventions.
    Catheter Cardiovasc Interv 2018 Apr 24. Epub 2018 Apr 24.
    Division of Cardiology, Duke Clinical Research Institute, Durham, North Carolina.
    Since the publication of the 2009 SCAI Expert Consensus Document on Length of Stay Following percutaneous coronary intervention (PCI), advances in vascular access techniques, stent technology, and antiplatelet pharmacology have facilitated changes in discharge patterns following PCI. Additional clinical studies have demonstrated the safety of early and same day discharge in selected patients with uncomplicated PCI, while reimbursement policies have discouraged unnecessary hospitalization. This consensus update: (1) clarifies clinical and reimbursement definitions of discharge strategies, (2) reviews the technological advances and literature supporting reduced hospitalization duration and risk assessment, and (3) describes changes to the consensus recommendations on length of stay following PCI (Supporting Information Table S1). Read More

    Simplified hybrid algorithms for pressure wire interrogation exploiting advantages of a baseline and contrast Pd/Pa ratio indexes to predict stenosis significance: Insight from the SPARE multicenter prospective study.
    Catheter Cardiovasc Interv 2018 Apr 23. Epub 2018 Apr 23.
    Hospital Clínico San Carlos and Universidad Complutense de Madrid, Madrid, Spain.
    Background: Simplification of functional stenosis assessment with pressure guidewires may facilitate adoption of physiology-guided revascularization. An important step in this regard is the avoidance of hyperemic agents, required for fractional flow reserve (FFR) calculation. We evaluate the merits of a hybrid algorithms that combines the translesional pressure ratio (Pd/Pa) obtained at rest, after contrast medium injection (cFFR) and after adenosine administration (FFR). Read More

    Occupational health hazards in the interventional laboratory: Time for a safer environment.
    Catheter Cardiovasc Interv 2018 Jan 4. Epub 2018 Jan 4.
    Rush Medical College, 675 West North Avenue, Suite 202, Melrose Park, IL 60160.
    Over the past 30 years, the advent of fluoroscopically guided interventional procedures has resulted in dramatic increments in both X-ray exposure and physical demands that predispose interventionists to distinct occupational health hazards. The hazards of accumulated radiation exposure have been known for years, but until recently the other potential risks have been ill-defined and under-appreciated. The physical stresses inherent in this career choice appear to be associated with a predilection to orthopedic injuries, attributable in great part to the cumulative adverse effects of bearing the weight and design of personal protective apparel worn to reduce radiation risk and to the poor ergonomic design of interventional suites. Read More

    An unusual case of coronary artery compression that did not preclude successful transcatheter pulmonary valve placement.
    Catheter Cardiovasc Interv 2018 Apr 16. Epub 2018 Apr 16.
    The Heart Center, Arnold Palmer Hospital for Children, Orlando, Florida.
    During transcatheter pulmonary valve placement, coronary compression observed during simultaneous right ventricular outflow tract angioplasty and coronary angiography typically contraindicates valve implantation. We present a unique patient with tetralogy of Fallot who underwent successful transcatheter Melody valve placement despite coronary compression observed during right ventricular outflow tract balloon angioplasty. Read More

    6-Minute walk test predicts prolonged hospitalization in patients undergoing transcatheter mitral valve repair by MitraClip.
    Catheter Cardiovasc Interv 2018 Apr 15. Epub 2018 Apr 15.
    Advanced Cardiac Valve Center, Department of Medicine, Division of Cardiovascular Medicine, University of Virginia, Charlottesville, Virginia.
    Background: The 6-minute walk test (6MWT) is a simple functional test that can predict exercise capacity and is widely employed to assess treatment outcomes. Although mortality with transcatheter mitral valve repair (TMVr) using the MitraClip (Abbott Vascular, Menlo Park, CA) is significantly less than for open mitral valve surgery in high-risk patients, identifying which patient will benefit the most from TMVr remains a concern. There are limited prognostic metrics guiding patient selection and, no studies have reported relationship between prolonged hospitalization and 6MWT. Read More

    Early stent thrombosis: Nearly gone, but never forgotten.
    Catheter Cardiovasc Interv 2018 Apr;91(5):849-850
    Division of Cardiology, Department of Medicine, Veterans Affairs Long Beach Healthcare System, Long Beach, California.
    Early stent thrombosis occurs in ∼1% of patients treated with primary PCI and increases shock, stroke, and mortality. Early stent thrombosis was associated with small stent diameter, failure to use glycoprotein inhibitors, and bivalirudin use. Minimizing stent thrombosis may require the use of imaging and aggressive antithrombotic therapy. Read More

    The quest for a "diabetic" stent.
    Catheter Cardiovasc Interv 2018 Apr;91(5):892-893
    Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, New York.
    Patients with diabetes mellitus and extensive coronary artery disease generally had worse outcomes with early generation drug eluting stents (DES) as compared to coronary artery bypass grafting. Initial results with Amphilimus eluting coronary stent in patients with diabetes have been promising in small studies The data from Sardella et al. should be used, in conjunction with previous clinical studies with this DES type, as hypothesis generating for a large multicenter randomized trial to aid in our quest to find the "new diabetic stent. Read More

    TAVR in bicuspid aortic valve stenosis: "We are not there yet" to draw final conclusions.
    Catheter Cardiovasc Interv 2018 Apr;91(5):984-985
    The Heart Center, Rigshospitalet, Copenhagen, Denmark.
    TAVR for bicuspid AS is not associated with excess mortality, but paravalvular leak and pacemaker implant is increased compared to tricuspid AS cohorts undergoing TAVR. Operators should weigh these potential complications against the clinical benefit obtained with TAVR for bicuspid AS patients at high surgical risk. A randomized controlled trial comparing TAVR with SAVR in younger, low-surgical risk patients with-or at least not excluding-bicuspid AS is strongly needed. Read More

    Too little, too much or just right? Goldilocks revisited….
    Catheter Cardiovasc Interv 2018 Apr;91(5):840-841
    Cedars-Sinai Smidt Heart Institute, Los Angeles, California.
    This study highlights the low rates of UCA in OHCA patients in a real-world setting Presentation with ST elevation, shockable rhythm and history of CAD were more likely to result in UCA for OHCA patients Further studies are required to help create a systematic and standardized approach to UCA in OHCA patients. Read More

    Looking for the bare necessities.
    Catheter Cardiovasc Interv 2018 Apr;91(5):956-957
    Division of Cardiology, Department of Internal Medicine, University of Washington School of Medicine, Seattle, Washington.
    The authors suggest that the early durability of the CoreValve implant should not be in question based on the results of this modestly sized, but well-done postmortem observational study. Given the ever-expanding knowledge of valvular degeneration, one thing is clear: more research and study is needed before any routine change in clinical practice, such as change it antithrombotic therapy, can be recommended. Further autopsy studies of patients who die outside of typical healthcare settings and who have had a longer median implant time would aid greatly in furthering the understanding of the degeneration and natural history of bioprosthetic transcatheter heart valves. Read More

    TAVR technique tries to go higher than bicuspid valve hurdles.
    Catheter Cardiovasc Interv 2018 Apr;91(5):995-996
    Institute of Cardiology, Catholic University of the Sacred Heart, Rome, Italy.
    Aortic stenosis developed in bicuspid valves is commonly characterized by a complex anatomy TAVR may be considered for high risk patients with bicuspid valve stenosis but procedure is usually technically challenging High (supra-annular) implantation of self-expandable TAVR prostheses may be a valuable option for selected patients with bicuspid valve stenosis. Read More

    The under-appreciated and still under-investigated consequences of "supersized" access and closure.
    Catheter Cardiovasc Interv 2018 Apr;91(5):945-946
    Center for Structural and Congenital Heart Disease, Heart and Vascular Hospital, Hackensack University Medical Center and Seton Hall Hackensack Meridian School of Medicine, Hackensack, New Jersey.
    Large bore access and closure of the femoral artery has the potential to cause or accelerate local vascular disease The implications of accelerated disease could be substantial Further investigation is needed to assess the true short- and long-term effects. Read More

    Suspected coronary fat embolism after liposuction.
    Catheter Cardiovasc Interv 2018 Mar 30. Epub 2018 Mar 30.
    Section of Cardiology, Department of Medicine, Baylor College of Medicine, Houston, Texas.
    A 38-year-old female presented with chest pain and ST elevation on electrocardiogram after an outpatient liposuction procedure. Emergent coronary angiography revealed complete occlusion of multiple coronary arteries, with fat embolism as the suspected etiology. Attempts to restore distal coronary flow with balloon dilatation, aspiration with Pronto catheter, and distal adenosine administration resulted in minimal improvement in flow. Read More

    False lumen intervention to promote remodelling and thrombosis-The FLIRT concept in aortic dissection.
    Catheter Cardiovasc Interv 2018 Mar 30. Epub 2018 Mar 30.
    Cardiology and Aortic Centre, Royal Brompton & Harefield NHS Foundation Trust; Imperial College London, London, SW3 6NP, United Kingdom.
    Objective: Thoracic endovascular aortic repair (TEVAR) has changed the management of aortic dissection by induced remodelling. Beyond reconstructing the true lumen, we describe the concept of False Lumen Intervention to promote Remodelling and Thrombosis (FLIRT) in both type A and B aortic dissection.

    Methods: Between 2011 and 2017, 10 patients with aortic dissection (5 type A; 5 type B) underwent FLIRT using a combination of patent foramen ovale (PFO) or atrial septal defect (ASD) occluders, coils and glue. Read More

    An algorithmic approach for the management of ostial right coronary artery chronic total occlusions.
    Catheter Cardiovasc Interv 2018 Mar 30. Epub 2018 Mar 30.
    Minneapolis Heart Institute at Abbott Northwestern Hospital, Minneapolis, Minnesota.
    Treatment of ostial chronic total occlusions (CTOs) of the right coronary artery (RCA) can be challenging. We present an algorithmic approach to the management of such lesions that incorporates all contemporary equipment and techniques. If the RCA ostium can be engaged with a guide catheter then antegrade crossing attempts should be performed. Read More

    Patent foramen ovale (PFO) closure versus medical therapy for prevention of recurrent stroke in patients with prior cryptogenic stroke: A systematic review and meta-analysis of randomized controlled trials.
    Catheter Cardiovasc Interv 2018 Mar 30. Epub 2018 Mar 30.
    Weill Cornell Medical College, Doha, Qatar.
    Objectives: We performed a systematic review and meta-analysis of randomized controlled trials to assess the effect of closure of a patent foramen ovale (PFO) compared with medical therapy for the prevention of stroke in patients with prior cryptogenic stroke.

    Background: The role of PFO closure in reducing risk of stroke in patients with prior cryptogenic stroke has been controversial.

    Methods: We searched PubMed, Embase, CINAHL, and CENTRAL for randomized trials investigating PFO closure versus medical therapy. Read More

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