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Volume 27 - Issue 5 - May, 2015

Column

Invasive Thoughts
Allen`s Test: Does it Have Any Significance in Current Practice?
04/29/2015
Despite demonstrating better patient safety, acceptance of TRA as an access site of choice has remained low, with geographical variations. One of the relative contraindications to performing PCI through TRA is an abnormal Allen’s test (AT),...
Despite demonstrating better patient safety, acceptance of TRA as an access site of choice has remained low, with geographical variations. One of the relative contraindications to performing PCI through TRA is an abnormal Allen’s test (AT),...
Despite demonstrating better...
04/29/2015
Journal of Invasive Cardiology
Radial Access Technique
Sheathless Guide Catheter Coronary Intervention Via Radial Artery: Single-Center Experience With 9658 Procedures
04/29/2015
We conducted a retrospective investigation of all TRIs performed at Sendai Kousei Hospital from January 2004 to December 2013 to evaluate the efficacy and safety of sheathless TRI in a large population (n=9658).
We conducted a retrospective investigation of all TRIs performed at Sendai Kousei Hospital from January 2004 to December 2013 to evaluate the efficacy and safety of sheathless TRI in a large population (n=9658).
We conducted a retrospective...
04/29/2015
Journal of Invasive Cardiology
Left Atrial Appendage Closure With Amplatzer Septal Occluder in Patients With Atrial Fibrillation: CT-Based Morphologic Considerations
04/29/2015
Patients with atrial fibrillation and contraindications to anticoagulation have limited options for left atrial appendage (LAA) closure until approval of dedicated closure devices; off-label use of available cardiac devices represents one...
Patients with atrial fibrillation and contraindications to anticoagulation have limited options for left atrial appendage (LAA) closure until approval of dedicated closure devices; off-label use of available cardiac devices represents one...
Patients with atrial...
04/29/2015
Journal of Invasive Cardiology
Expansion of the Indication of Transcatheter Aortic Valve Implantation – Feasibility and Outcome in "Off-Label" Patients Compared With "On-Label" Patients
04/29/2015
This study compares both the feasibility and outcomes of “off-label” transcatheter aortic valve replacement (TAVR) patients (n=156) with a standard “on-label” TAVR population (n=435) at a single institution. 
This study compares both the feasibility and outcomes of “off-label” transcatheter aortic valve replacement (TAVR) patients (n=156) with a standard “on-label” TAVR population (n=435) at a single institution. 
This study compares both the...
04/29/2015
Journal of Invasive Cardiology
"Tip-In" Technique for Retrograde Chronic Total Occlusion Revascularization
04/29/2015
Use of the retrograde approach significantly improves the success rate of chronic total occlusion (CTO) percutaneous coronary intervention. We describe the “tip-in” technique, which involves intubation of the retrograde guidewire with an...
Use of the retrograde approach significantly improves the success rate of chronic total occlusion (CTO) percutaneous coronary intervention. We describe the “tip-in” technique, which involves intubation of the retrograde guidewire with an...
Use of the retrograde approach...
04/29/2015
Journal of Invasive Cardiology
Percutaneous Treatment of Stent-Graft (Viabahn) Thrombosis Employing a Second Stent-Graft
04/29/2015
We describe the new Viabahn-in-Viabahn technique for treating acute stent-graft thrombosis by “relining” the thrombosed graft with a second stent-graft. Ten patients were treated with this technique and have been free of any repeat...
We describe the new Viabahn-in-Viabahn technique for treating acute stent-graft thrombosis by “relining” the thrombosed graft with a second stent-graft. Ten patients were treated with this technique and have been free of any repeat...
We describe the new...
04/29/2015
Journal of Invasive Cardiology
Delayed Clopidogrel Transit During Myocardial Infarction Evident on Angiography
04/29/2015
We describe the case of a patient with NSTEMI where oral clopidogrel loading prior to PCI was directly visualized on angiography, implying a very low likelihood of adequate absorption or antiplatelet effect. This observation raises the...
We describe the case of a patient with NSTEMI where oral clopidogrel loading prior to PCI was directly visualized on angiography, implying a very low likelihood of adequate absorption or antiplatelet effect. This observation raises the...
We describe the case of a...
04/29/2015
Journal of Invasive Cardiology

Feature

Plaque Composition and Dynamics
Correlation Between OCT-Derived Intrastent Dimensions and Fractional Flow Reserve Measurements After Coronary Stent Implantation and Impact on Clinical Outcome
04/29/2015
This study investigates the relationship of OCT-derived intrastent lumen dimensions and FFR-derived hemodynamic relevance immediately after stent implantation and evaluates the clinical impact of these parameters at follow-up. Post-stenting...
This study investigates the relationship of OCT-derived intrastent lumen dimensions and FFR-derived hemodynamic relevance immediately after stent implantation and evaluates the clinical impact of these parameters at follow-up. Post-stenting...
This study investigates the...
04/29/2015
Journal of Invasive Cardiology
Vascular Disease
The Safety and Efficacy of Peripheral Vascular Procedures Performed in the Outpatient Setting
04/29/2015
Peripheral vascular interventions have been traditionally performed in the inpatient setting. We evaluate the safety and efficacy of peripheral vascular interventions performed in a private outpatient catheterization laboratory by performing...
Peripheral vascular interventions have been traditionally performed in the inpatient setting. We evaluate the safety and efficacy of peripheral vascular interventions performed in a private outpatient catheterization laboratory by performing...
Peripheral vascular...
04/29/2015
Journal of Invasive Cardiology

Insights

Commentary
De-implementing the Allen`s Test
04/29/2015
The authors provide their insights on the Allen’s test and its lack of clinical usefulness in transradial interventions, and expound on whether or not a randomized trial is truly necessary to decide the issue.
The authors provide their insights on the Allen’s test and its lack of clinical usefulness in transradial interventions, and expound on whether or not a randomized trial is truly necessary to decide the issue.
The authors provide their...
04/29/2015
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

May 2015 Volume 27 Issue 5

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