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High-Risk PCI

Original Contribution
Outcomes Following Antegrade-Only Versus Retrograde Chronic Total Occlusion Percutaneous Coronary Intervention: Insights From the CCTOP Registry
08/19/2024
Chronic total occlusion percutaneous coronary intervention can be performed using an antegrade-only approach or a retrograde approach (RA). Whether an RA carries a higher risk of complications needs further investigation.
Chronic total occlusion percutaneous coronary intervention can be performed using an antegrade-only approach or a retrograde approach (RA). Whether an RA carries a higher risk of complications needs further investigation.
Chronic total occlusion...
08/19/2024
Journal of Invasive Cardiology
Original Contribution
Peripheral Artery Disease in Chronic Total Occlusion Percutaneous Coronary Intervention
08/09/2024
The authors examined a multicenter registry of CTO PCI to explore the prevalence of peripheral artery disease and its effects on techniques used during the procedure and in-hospital outcomes.
The authors examined a multicenter registry of CTO PCI to explore the prevalence of peripheral artery disease and its effects on techniques used during the procedure and in-hospital outcomes.
The authors examined a...
08/09/2024
Journal of Invasive Cardiology
Review
Ten Tips and Tricks for Successful Distal True Lumen Wiring From 3-Dimensional Wiring Experts
06/03/2024

Eugene B. Wu, MD1; Wataru Nagamatsu, MD2; Atsunori Okamura, MD3

Eugene B. Wu, MD1; Wataru Nagamatsu, ...
In this article, the authors provide 10 tips for every chronic total occlusion interventionist to use when performing 3-dimensional wiring in distal true lumen wiring
In this article, the authors provide 10 tips for every chronic total occlusion interventionist to use when performing 3-dimensional wiring in distal true lumen wiring
In this article, the authors...
06/03/2024
Journal of Invasive Cardiology
Original Contribution
Geographic Diversity in Chronic Total Occlusion Percutaneous Coronary Intervention: Insights From the PROGRESS-CTO Registry
05/22/2024

Michaella Alexandrou, MD1; Athanasios Rempakos, MD1; Deniz Mutlu, MD1; Ahmed Al Ogaili, MD1; James W. Choi, MD2; Paul Poommipanit, MD3; Khaldoon Alaswad, MD4; Mir Babar Basir, DO4; Rhian Davies, DO, MS5; Farouc A. Jaffer, MD, PhD6; Raj H. Chandwaney, MD7; Lorenzo Azzalini, MD, PhD, MSc8; Nazif Aygul, MD9; Ahmed M. ElGuindy, MD10; Brian K. Jefferson, MD11; Sevket Gorgulu, MD12; Jaikirshan J. Khatri, MD13; Oleg Krestyaninov, MD14; Dmitrii Khelimskii, MD14; Jarrod Frizzell, MD15; Basem Elbarouni, MD16; Omer Goktekin, MD17; Margaret B. McEntegart, MD18; Bavana V. Rangan, BDS, MPH1; Olga C. Mastrodemos, BA1; M. Nicholas Burke, MD1; Yader Sandoval, MD1; Emmanouil S. Brilakis, MD, PhD1

Michaella Alexandrou, MD1; Athanasios...
The authors analyzed patient and lesion characteristics, techniques, and outcomes in 11 503 CTO-PCI procedures performed in North America and in the combined regions of Europe, Asia, and Africa from 2017 to 2023 as documented in the...
The authors analyzed patient and lesion characteristics, techniques, and outcomes in 11 503 CTO-PCI procedures performed in North America and in the combined regions of Europe, Asia, and Africa from 2017 to 2023 as documented in the...
The authors analyzed patient and...
05/22/2024
Journal of Invasive Cardiology
Original Contribution
Complex Percutaneous Coronary Intervention in Patients Unable to Undergo Coronary Artery Bypass Grafting During the COVID-19 Pandemic: Insights From the UK-ReVasc Registry
03/06/2024

Thomas A. Kite, MD, PhD1; Alexander Chase, MD, PhD2; Colum G. Owens, MD 3; Aadil Shaukat, MD4; Abdul M. Mozid, MD5; Peter O’Kane, MD6; Helen Routledge, MD7; Divaka Perera MD, PhD8; Ajay K. Jain, MD9; Nick Palmer, MD10; Stephen P. Hoole, MD11; Mohaned Egred, MD12; Manas K. Sinha, MD13; Thomas J. Cahill, MD, PhD14; Brijesh Anantharam, MD15; Jonathan Byrne, MD16; Paul D. Morris,MD, PhD17; Sharon Kean18; Ahmed Sabra, MD2; Muhammad Aetesam-ur-Rahman, MD1; Jonathan Mailey, MD3; Ozan Demir, MD, PhD8; Kyriacos Mouyis, MD9; Ahmed Abdalwahab, MD12; Dimitrios Terentes-Printzios, MD14; Ritesh Kanyal, MD16; Nick Curzen, MD, PhD19; Colin Berry, MD, PhD20; Anthony H. Gershlick, MD1, Andrew Ladwiniec, MD1; on behalf of the UK-ReVasc Registry Investigators

Thomas A. Kite, MD, PhD1; Alexander C...
The UK-ReVasc Registry was a prospective, multicenter registry study established to appraise contemporary clinical outcomes following percutaneous coronary intervention in patients with coronary anatomy that would usually mandate coronary...
The UK-ReVasc Registry was a prospective, multicenter registry study established to appraise contemporary clinical outcomes following percutaneous coronary intervention in patients with coronary anatomy that would usually mandate coronary...
The UK-ReVasc Registry was a...
03/06/2024
Journal of Invasive Cardiology
Original Contribution
Safety and Feasibility of a Novel Total Percutaneous Post-Closure Technique After Bedside Impella Decannulation in Patients With Cardiogenic Shock
02/09/2024
This study aimed to determine the safety and feasibility of a non-angio-guided post-closure approach using the Perclose ProGlide (Abbott) to decannulate the Impella (Abiomed) in the intensive care unit.
This study aimed to determine the safety and feasibility of a non-angio-guided post-closure approach using the Perclose ProGlide (Abbott) to decannulate the Impella (Abiomed) in the intensive care unit.
This study aimed to determine...
02/09/2024
Journal of Invasive Cardiology
Original Contribution
Incidence, Treatment and Outcomes of Coronary Artery Dissection During Percutaneous Coronary Intervention
05/16/2023
Coronary artery dissection is a feared and potentially life-threatening complication of percutaneous coronary intervention (PCI). We examined the clinical, angiographic, and procedural characteristics, and outcomes of coronary dissection at a...
Coronary artery dissection is a feared and potentially life-threatening complication of percutaneous coronary intervention (PCI). We examined the clinical, angiographic, and procedural characteristics, and outcomes of coronary dissection at a...
Coronary artery dissection is a...
05/16/2023
Journal of Invasive Cardiology
Original Contribution
Ioxaglate Versus IoDixanol for the Prevention of Contrast-induced Nephropathy: The IDPC Trial
05/16/2023
Despite the potential benefits of percutaneous procedures for the assessment and treatment of coronary artery disease, these interventions require the use of iodine contrast, which might lead to contrast-induced nephropathy (CIN) and...
Despite the potential benefits of percutaneous procedures for the assessment and treatment of coronary artery disease, these interventions require the use of iodine contrast, which might lead to contrast-induced nephropathy (CIN) and...
Despite the potential benefits...
05/16/2023
Journal of Invasive Cardiology
Original Contribution
Use of Bivalirudin for Chronic Total Occlusion Percutaneous Intervention: Insights From the PROGRESS-CTO Registry
04/01/2023
The authors compare clinical outcomes – including major adverse cardiac events and vascular complications – of CTO-PCIs performed using bivalirudin vs unfractionated heparin.
The authors compare clinical outcomes – including major adverse cardiac events and vascular complications – of CTO-PCIs performed using bivalirudin vs unfractionated heparin.
The authors compare clinical...
04/01/2023
Journal of Invasive Cardiology
Original Contribution
Off-Hours Presentation, Door-to-Balloon Time, and Clinical Outcomes in Patients Referred for Primary Percutaneous Coronary Intervention
04/01/2023
The authors investigated the association between off-hours presentation, door-to-balloon time, and in-hospital mortality in patients with STEMI referred for primary percutaneous coronary intervention.
The authors investigated the association between off-hours presentation, door-to-balloon time, and in-hospital mortality in patients with STEMI referred for primary percutaneous coronary intervention.
The authors investigated the...
04/01/2023
Journal of Invasive Cardiology

News

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

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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