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Chronic Total Occlusion

Bhatt and Brilakis
Video
Review and Meta-Analysis Of Clinical Outcomes of CTO-PCI Patients
11/07/2022
Emmanouil Brilakis discusses the largest meta-analysis to date investigating the impact of CTO-PCI on clinical events during long-term follow-up. The analysis (Simsek et al), included 58 publications containing a total of 45,527 who underwent...
Emmanouil Brilakis discusses the largest meta-analysis to date investigating the impact of CTO-PCI on clinical events during long-term follow-up. The analysis (Simsek et al), included 58 publications containing a total of 45,527 who underwent...
Emmanouil Brilakis discusses the...
11/07/2022
Journal of Invasive Cardiology
Original Contribution
Primary vs Secondary Retrograde Approach in Chronic Total Occlusion Percutaneous Coronary Interventions
08/12/2022
The retrograde approach to coronary chronic total occlusions can be used as the initial crossing strategy (primary retrograde) or after failure of antegrade crossing attempts (secondary retrograde).
The retrograde approach to coronary chronic total occlusions can be used as the initial crossing strategy (primary retrograde) or after failure of antegrade crossing attempts (secondary retrograde).
The retrograde approach to...
08/12/2022
Journal of Invasive Cardiology
Original Contribution
Association of Annual Operator Volume With the Outcomes of Chronic Total Occlusion Percutaneous Coronary Intervention
08/05/2022
There are limited data on the association of operator volume with the outcomes of chronic total occlusion (CTO) percutaneous coronary intervention (PCI). We analyzed the association between operator volume and procedural outcomes of 7035...
There are limited data on the association of operator volume with the outcomes of chronic total occlusion (CTO) percutaneous coronary intervention (PCI). We analyzed the association between operator volume and procedural outcomes of 7035...
There are limited data on the...
08/05/2022
Journal of Invasive Cardiology
Original Contribution
The Impact of a Dedicated Chronic Total Occlusion PCI Program on Heart Team Decision Making
07/27/2022
Guidelines endorse a heart team (HT) approach to standardize the decision-making process for patients with complex coronary artery disease (CAD). With percutaneous treatment options for complex CAD increasing, we hypothesized that practice...
Guidelines endorse a heart team (HT) approach to standardize the decision-making process for patients with complex coronary artery disease (CAD). With percutaneous treatment options for complex CAD increasing, we hypothesized that practice...
Guidelines endorse a heart team...
07/27/2022
Journal of Invasive Cardiology
Clinical Images
CT-Guided CTO-PCI Overcoming Bypass Surgery-Induced Native Coronary Artery Tenting
06/01/2022
A 57-year-old male complaining of recurrent chest pain was admitted for recanalization of a chronic total occlussion (CTO) of the left anterior descending (LAD) artery. Ten years earlier, the patient underwent a coronary artery bypass graft...
A 57-year-old male complaining of recurrent chest pain was admitted for recanalization of a chronic total occlussion (CTO) of the left anterior descending (LAD) artery. Ten years earlier, the patient underwent a coronary artery bypass graft...
A 57-year-old male complaining...
06/01/2022
Journal of Invasive Cardiology
Akhtar CI
Video
Angiography Demonstrating Coronary Caverns
04/02/2022
Spontaneous CTO recanalization is rare. Optical coherence tomography permitted comprehensive visualization of the microchannels a 65-year-old CTO patient.
Spontaneous CTO recanalization is rare. Optical coherence tomography permitted comprehensive visualization of the microchannels a 65-year-old CTO patient.
Spontaneous CTO recanalization...
04/02/2022
Journal of Invasive Cardiology
Original Contribution
Angiographic Predictors of Septal Collateral Tracking During Retrograde Percutaneous Coronary Intervention for Chronic Total Occlusion: Anatomical Analysis or Rolling the Dice?
04/01/2022
The aim of this study was to identify independent angiographic predictors of collateral channel tracking success, microcatheter tracking failure, and complications in chronic total occlusion retrograde approach.
The aim of this study was to identify independent angiographic predictors of collateral channel tracking success, microcatheter tracking failure, and complications in chronic total occlusion retrograde approach.
The aim of this study was to...
04/01/2022
Journal of Invasive Cardiology
Brief Communication
Temporal Trends in Retrograde Crossing of Epicardial Collaterals in Chronic Total Occlusion Percutaneous Coronary Intervention
04/01/2022
The authors aimed to investigate temporal trends in retrograde crossing of epicardial collaterals, introduction of new guidewires, in-hospital MACE, and success rates.
The authors aimed to investigate temporal trends in retrograde crossing of epicardial collaterals, introduction of new guidewires, in-hospital MACE, and success rates.
The authors aimed to investigate...
04/01/2022
Journal of Invasive Cardiology
Original Contribution
Outcomes of Intravascular Ultrasound-Guided Versus Angiography-Guided Percutaneous Coronary Interventions in Chronic Total Occlusions: A Systematic Review and Meta-Analysis
04/01/2022
Percutaneous coronary interventions (PCI) with intravascular ultrasound (IVUS) guidance have been associated with better long-term outcomes, but adoption remains limited. There are limited data on the impact of IVUS on chronic total...
Percutaneous coronary interventions (PCI) with intravascular ultrasound (IVUS) guidance have been associated with better long-term outcomes, but adoption remains limited. There are limited data on the impact of IVUS on chronic total...
Percutaneous coronary...
04/01/2022
Journal of Invasive Cardiology
Clinical Images
Coronary Caverns: Spontaneous Recanalized Chronic Total Occlusion With Multiple Microchannels
04/01/2022
A 65-year-old man with a prior history of pulmonary embolism was admitted with resting chest pain. High-sensitive troponin level was normal (32 ng/L [0-40]) and physical examination was unremarkable. The 12-lead electrocardiogram revealed...
A 65-year-old man with a prior history of pulmonary embolism was admitted with resting chest pain. High-sensitive troponin level was normal (32 ng/L [0-40]) and physical examination was unremarkable. The 12-lead electrocardiogram revealed...
A 65-year-old man with a prior...
04/01/2022
Journal of Invasive Cardiology

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Psychological Stress & HD
Adding 9th Psychological Health Metric to Life’s Essential 8 Enhances Cardiovascular Health Construct for Predicting Mortality Risk
08/08/2024
A cardiovascular health construct based on the American Heart Association’s Life’s Essential 8 but enhanced with a ninth psychological health metric strongly predicts all-cause and cardiovascular mortality, according to a new study at...
A cardiovascular health construct based on the American Heart Association’s Life’s Essential 8 but enhanced with a ninth psychological health metric strongly predicts all-cause and cardiovascular mortality, according to a new study at...
A cardiovascular health...
08/08/2024
Cath Lab Digest
Reprocessing Devices
SxanPro Introduces New Cost-Recovery Dashboard to Reduce Hospital Device Waste
08/08/2024
The advanced XCHG dashboard uses customizable algorithms to analyze inventory data, collected from the UDI using SxanPro's mobile technology, to identify items that can be transferred, sold, or repurposed. This unique capability minimizes...
The advanced XCHG dashboard uses customizable algorithms to analyze inventory data, collected from the UDI using SxanPro's mobile technology, to identify items that can be transferred, sold, or repurposed. This unique capability minimizes...
The advanced XCHG dashboard uses...
08/08/2024
Cath Lab Digest
Sleep and CVD
Study of Sleep in Women Shows Delaying Bedtime by Just 90 Minutes Each Night Damages Endothelial Cells
08/06/2024
After just six weeks of shortened sleep, the study found, the cells that line our blood vessels are flooded by damaging oxidants. And unlike well-rested cells, sleep-restricted cells fail to activate antioxidant responses to clear the...
After just six weeks of shortened sleep, the study found, the cells that line our blood vessels are flooded by damaging oxidants. And unlike well-rested cells, sleep-restricted cells fail to activate antioxidant responses to clear the...
After just six weeks of...
08/06/2024
Cath Lab Digest
TAVR
Can a Cerebral Embolic Protection Device Prevent a Stroke During a Heart Valve Procedure? New Research Shows Potential Benefit
08/06/2024
The study population consisted of 414,649 patients. Of those, 53,398 patients received an embolic protection device. This is the largest study to date among patients undergoing a transcatheter aortic valve replacement.
The study population consisted of 414,649 patients. Of those, 53,398 patients received an embolic protection device. This is the largest study to date among patients undergoing a transcatheter aortic valve replacement.
The study population consisted...
08/06/2024
Cath Lab Digest
Risk Factors
Study Reveals Link Between Transthyretin (TTR) Protein Levels and Heart Disease Risk
08/06/2024
"Our research highlights the critical role of TTR levels in predicting heart disease risk," said Pankaj Arora, MD. "By understanding the factors that influence TTR levels, we can better identify individuals at high risk and develop targeted...
"Our research highlights the critical role of TTR levels in predicting heart disease risk," said Pankaj Arora, MD. "By understanding the factors that influence TTR levels, we can better identify individuals at high risk and develop targeted...
"Our research highlights the...
08/06/2024
Cath Lab Digest
Out-of-Hospital Care
Corazon Offers Comprehensive Services to Ambulatory Surgery Centers, Including those Looking to Enter Cardiovascular
08/05/2024
“Our goal is to empower ASCs to enhance their cardiovascular services, ultimately improving patient outcomes and operational efficiency,” said Karen Hartman, President of Corazon. “With our comprehensive approach, we guide ASCs through the...
“Our goal is to empower ASCs to enhance their cardiovascular services, ultimately improving patient outcomes and operational efficiency,” said Karen Hartman, President of Corazon. “With our comprehensive approach, we guide ASCs through the...
“Our goal is to empower ASCs to...
08/05/2024
Cath Lab Digest
Scientists and clinicians at Scripps Research have shown that heart conditions can be diagnosed roughly as accurately using just three electrodes and an artificial intelligence (AI) tool. CREDIT Scripps Research
AI
New AI Tool Simplifies ECG: Fewer Leads, Same Accuracy
08/01/2024
Scientists report that their AI algorithm can recreate full 12-lead ECGs with data from only three ECG leads. Moreover, clinicians can identify heart attacks with nearly the same accuracy when they review the AI-generated ECGs as compared to...
Scientists report that their AI algorithm can recreate full 12-lead ECGs with data from only three ECG leads. Moreover, clinicians can identify heart attacks with nearly the same accuracy when they review the AI-generated ECGs as compared to...
Scientists report that their AI...
08/01/2024
Cath Lab Digest
Psychological Stress & HD
Stock Market Turbulence Linked to Increased Risk of Heart Attacks, Strokes, and Suicide: A Groundbreaking Study Analyzes 12 Million Deaths
08/01/2024
The research, which analyzed over 12 million deaths across China from 2013 to 2019, provides compelling evidence that the psychological stress induced by stock market fluctuations has severe and immediate health implications.
The research, which analyzed over 12 million deaths across China from 2013 to 2019, provides compelling evidence that the psychological stress induced by stock market fluctuations has severe and immediate health implications.
The research, which analyzed...
08/01/2024
Cath Lab Digest
Mental Health
AHA: Risks of Anxiety, Suicide Attempt May Rise Significantly After Cardiovascular Hospitalization
07/31/2024
This analysis of a large database included environmental and lifestyle factors that assessed both short- and long-term risk. It also reviewed whether different genetic susceptibilities to psychiatric disorders affect the possible link between...
This analysis of a large database included environmental and lifestyle factors that assessed both short- and long-term risk. It also reviewed whether different genetic susceptibilities to psychiatric disorders affect the possible link between...
This analysis of a large...
07/31/2024
Cath Lab Digest
Peripheral Interventions
VentureMed Completes Enrollment of the FLEX Vessel Prep System FLEX First AV Registry For The Treatment of Arteriovenous (AV) Access Management
07/30/2024
The FLEX Vessel Prep System has a unique non-balloon-based mechanism of action that creates longitudinal micro-incisions that release circumferential tension in diseased vessels. This release of tension is how FLEX modifies AV stenoses to...
The FLEX Vessel Prep System has a unique non-balloon-based mechanism of action that creates longitudinal micro-incisions that release circumferential tension in diseased vessels. This release of tension is how FLEX modifies AV stenoses to...
The FLEX Vessel Prep System has...
07/30/2024
Cath Lab Digest

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White Paper
SG2 Data Highlights Urgency for Increased Cardiovascular Intervention Resources in U.S. Hospitals
11/14/2024
Sg2 recommends health systems focus on short-term care redesign and long-term investment plans for catheterization labs, care teams, resources and patient beds to match forecasted demand. The paper includes multiple short- and long-term...
Sg2 recommends health systems focus on short-term care redesign and long-term investment plans for catheterization labs, care teams, resources and patient beds to match forecasted demand. The paper includes multiple short- and long-term...
Sg2 recommends health systems...
11/14/2024
Cath Lab Digest
First Aid guidelines
AHA/American Red Cross: Updated First Aid Guidelines Enhance Care for Opioid Overdose, Bleeding, Other Emergencies
11/14/2024
These are the first major comprehensive updates to the first aid guidelines since 2010 and address shifts in how the public manages common and critical first aid emergencies.
These are the first major comprehensive updates to the first aid guidelines since 2010 and address shifts in how the public manages common and critical first aid emergencies.
These are the first major...
11/14/2024
Cath Lab Digest
Thrombectomy
Data Show Patients Treated with Penumbra’s Computer Assisted Vacuum Thrombectomy Technology for Pulmonary Embolism Experience Shorter Hospital Stays and Fewer Complications Compared to Other Treatment Options
11/13/2024
Data show patients with intermediate-risk pulmonary embolism (PE) treated with Penumbra’s computer assisted vacuum thrombectomy (CAVT™) technology have a shorter length of hospital stay, shorter post-procedure length of stay, and fewer...
Data show patients with intermediate-risk pulmonary embolism (PE) treated with Penumbra’s computer assisted vacuum thrombectomy (CAVT™) technology have a shorter length of hospital stay, shorter post-procedure length of stay, and fewer...
Data show patients with...
11/13/2024
Cath Lab Digest
Atherosclerosis
Study Identifies Molecule That Simulates Inflammation-Reducing Effects of Low-Fat Diet
11/13/2024
“We have already seen its effectiveness in multiple models of atherosclerosis,” said Andrei Maiseyeu, associate professor at the Cardiovascular Research Institute and Department of Biomedical Engineering at Case Western Reserve’s School of...
“We have already seen its effectiveness in multiple models of atherosclerosis,” said Andrei Maiseyeu, associate professor at the Cardiovascular Research Institute and Department of Biomedical Engineering at Case Western Reserve’s School of...
“We have already seen its...
11/13/2024
Cath Lab Digest
defibrillation
Researchers Discover Far Less Energy Is Needed Than Currently Used in State-of-the-Art Defibrillation Techniques
11/11/2024
"Existing low-energy defibrillation protocols yield only a moderate reduction in tissue damage and pain," author Roman Grigoriev said. "Our study shows these can be completely eliminated. Conventional protocols require substantial power for...
"Existing low-energy defibrillation protocols yield only a moderate reduction in tissue damage and pain," author Roman Grigoriev said. "Our study shows these can be completely eliminated. Conventional protocols require substantial power for...
"Existing low-energy...
11/11/2024
Cath Lab Digest
Heat & CVD
NEJM: Using a Fan and Wetting the Skin Reduces Risk of Deadly Cardiac Strain in Hot and Humid Weather
11/11/2024
"Older adults, especially those with heart disease, are at greater risk due to the strain that hot temperatures put on the heart. Understanding the impacts of different cooling strategies on the heart is important to help vulnerable people...
"Older adults, especially those with heart disease, are at greater risk due to the strain that hot temperatures put on the heart. Understanding the impacts of different cooling strategies on the heart is important to help vulnerable people...
"Older adults, especially those...
11/11/2024
Cath Lab Digest
Endocarditis
New Catheter-Based Approach for Right-Sided Infective Endocarditis
11/11/2024
In a recent study, over 90% of the participants had their infection cleared, and they had lower in-hospital mortality compared to those whose infections remained.
In a recent study, over 90% of the participants had their infection cleared, and they had lower in-hospital mortality compared to those whose infections remained.
In a recent study, over 90% of...
11/11/2024
Cath Lab Digest
Hearts in space
Artificial 'Mini-Hearts' Take Flight to the International Space Station
11/11/2024
The International Space Station research project will examine microgravity’s effect on heart tissue and is designed to better understand how microgravity affects the function of the human heart.
The International Space Station research project will examine microgravity’s effect on heart tissue and is designed to better understand how microgravity affects the function of the human heart.
The International Space Station...
11/11/2024
Cath Lab Digest
Microvascular Disease
Hourglass-Shaped Stent Could Ease Severe Chest Pain From Microvascular Disease
11/08/2024
The different design is thought to increase back pressure, redistributing blood flow more fully through small vessels in the heart that were not working at capacity.
The different design is thought to increase back pressure, redistributing blood flow more fully through small vessels in the heart that were not working at capacity.
The different design is thought...
11/08/2024
Cath Lab Digest
Peripheral IVL
DISRUPT BTK II: Shockwave Medical Further Validates Utility of Intravascular Lithotripsy in Lower Limb Lesions in Late-Breaking Presentation at VIVA 2024
11/08/2024
DISRUPT BTK II's primary effectiveness endpoint of procedural success, defined as ≤50% residual stenosis for all treated target lesions without serious angiographic complications, was met with a rate of 97.9% at 30 days.
DISRUPT BTK II's primary effectiveness endpoint of procedural success, defined as ≤50% residual stenosis for all treated target lesions without serious angiographic complications, was met with a rate of 97.9% at 30 days.
DISRUPT BTK II's primary...
11/08/2024
Cath Lab Digest

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