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Volume 27 - Issue 9 - September 2015

Feature

Original Contribution
Native Coronary and Bypass Graft Cannulation Through Transradial Approach: Technical Considerations
09/02/2015
Tejas M. Patel, MD, DM; Sanjay C. Shah, MD, DM; Samir B. Pancholy, MD, FACP, FACC, FSCAI; Tak W. Kwan, MD, FACC; Ian C. Gilchrist, MD; Surender Deora, MD, DM
This review discusses different methods using the transradial approach (TRA) of accessing the native coronary arteries and bypass grafts to optimize the quality of angiographic results and support for interventional procedures. 
This review discusses different methods using the transradial approach (TRA) of accessing the native coronary arteries and bypass grafts to optimize the quality of angiographic results and support for interventional procedures. 
This review discusses different...
09/02/2015
Journal of Invasive Cardiology
Original Contribution
Closure of Long-Tunnel PFOs With the Coherex Flatstent EF – A Tailored Approach
09/02/2015
Michael J. Mullen, MD; Ulf Landmesser, MD; Markus Reinthaler, MD; Suneil K. Aggarwal, MD; Aral Mert, MD; Santi Lim, MD; Carsten Skurk, MD
Despite rapid progress in device technologies for PFO closure over the past decade, long-tunnel anatomies still constitute a challenge. The present study investigated the performance of a novel in-tunnel device (Flatstent EF; Coherex Medical)...
Despite rapid progress in device technologies for PFO closure over the past decade, long-tunnel anatomies still constitute a challenge. The present study investigated the performance of a novel in-tunnel device (Flatstent EF; Coherex Medical)...
Despite rapid progress in device...
09/02/2015
Journal of Invasive Cardiology
Original Contribution
The Efficacy and Feasibility of Chronic Total Occlusion by Transradial Intervention: A Japanese Single-Center Retrospective Study
09/02/2015
Khalid O. Tammam, MD, PhD; Tsutomu Murakami, MD; Sho Torii, MD; Takeshi Ijichi, MD; Makoto Natsumeda, MD, PhD; Fuminobu Yoshimachi, MD, PhD; Toshiharu Fujii, MD, PhD; Takashi Matsukage, MD, PhD; Masataka Nakano, MD; Yuji Ikari, MD, PhD, FACC, FESC; Yohei Ohno, MD; Naoki Masuda, MD; Norihiko Shinozaki, MD, PhD; Nobuhiko Ogata, MD, PhD; Gaku Nakazawa, MD
We retrospectively analyzed 207 CTO lesions in 195 patients in a single center between January 2008 and December 2011 and found that over  one-half of CTO lesions can be treated with high success and low complication rates by TRI if the...
We retrospectively analyzed 207 CTO lesions in 195 patients in a single center between January 2008 and December 2011 and found that over  one-half of CTO lesions can be treated with high success and low complication rates by TRI if the...
We retrospectively analyzed 207...
09/02/2015
Journal of Invasive Cardiology
Clinical Images
Intraaortic Balloon Pump Rupture
09/02/2015
Nino Mihatov, MD; David M. Dudzinski, MD, JD
IABP rupture is a rare complication, with overall reported incidence of 1%. The presented case demonstrates the presence of blood within the IABP driveline, which is a key indicator of rupture. 
IABP rupture is a rare complication, with overall reported incidence of 1%. The presented case demonstrates the presence of blood within the IABP driveline, which is a key indicator of rupture. 
IABP rupture is a rare...
09/02/2015
Journal of Invasive Cardiology
Original Contribution
Natural Course of Paravalvular Regurgitation After Implantation of the Self-Expanding CoreValve: Insights From Serial TEE Measurements
09/02/2015
Michel Zuber, MD; Zaid Sabti, MD; Tardu Özkartal, MD; Paul Erne, MD, FESC; Stefan Toggweiler, MD; Thomas F. Lüscher, MD, FRCP
This study investigates the natural course of paravalvular regurgitation (PAR) with serial transesophageal echocardiography (TEE) measurements. TEE studies were performed at 30 days and 1 year post TAVI with the self-expanding CoreValve for...
This study investigates the natural course of paravalvular regurgitation (PAR) with serial transesophageal echocardiography (TEE) measurements. TEE studies were performed at 30 days and 1 year post TAVI with the self-expanding CoreValve for...
This study investigates the...
09/02/2015
Journal of Invasive Cardiology
Original Contribution
Comparison of Rotational Atherectomy, Plain Old Balloon Angioplasty, and Cutting-Balloon Angioplasty Prior to Drug-Eluting Stent Implantation for the Treatment of Heavily Calcified Coronary Lesions
09/02/2015
Michael Mahmoudi, MD, PhD; Thibault Lhermusier, MD, PhD; Sarkis Kiramijyan, MD; Hideaki Ota, MD; Fang Chen, PhD; Ron Waksman, MD; Lowell F. Satler, MD; Augusto D. Pichard, MD, FACC, FSCAI; William O. Suddath, MD; Rebecca L. Torguson, BS, MPH; Wenjie Tian, MD
This study compares the clinical outcomes of lesion preparation with rotational atherectomy, plain old balloon angioplasty, or cutting-balloon angioplasty in patients with heavily calcified coronary lesions who were treated with drug-eluting...
This study compares the clinical outcomes of lesion preparation with rotational atherectomy, plain old balloon angioplasty, or cutting-balloon angioplasty in patients with heavily calcified coronary lesions who were treated with drug-eluting...
This study compares the clinical...
09/02/2015
Journal of Invasive Cardiology
Original Contribution
Clinical Performance of the New Gore Septal Occluder in Patent Foramen Ovale Closure: A Single-Center Experience
09/02/2015
Paolo Sganzerla, MD; Mauro Rondi, MD; Andrea Pavone, MD; Eleonora Aiolfi, MD; Adele Facchinetti, MD; Alfonso Funaro, MD; Paola Negrini, MD
Several progressively refined percutaneous devices for patent foramen ovale closure have been recently developed. We describe our single-center experience with the new Gore septal occluder. 
Several progressively refined percutaneous devices for patent foramen ovale closure have been recently developed. We describe our single-center experience with the new Gore septal occluder. 
Several progressively refined...
09/02/2015
Journal of Invasive Cardiology
Spontaneous Coronary Artery Dissection in Loeys-Dietz Syndrome: Role of Optical Coherence Tomography in Diagnosis and Management
09/02/2015
Shamsa Baaj; Jeffrey Schwartz, MD; John J. Lopez, MD; Anoop Agrawal, MD
Coronary artery aneurysm with dissection is an uncommon presentation of Loeys-Dietz syndrome (LDS). LDS patients who present with unstable clinical syndromes merit special attention given unique pathophysiology derangements associated with...
Coronary artery aneurysm with dissection is an uncommon presentation of Loeys-Dietz syndrome (LDS). LDS patients who present with unstable clinical syndromes merit special attention given unique pathophysiology derangements associated with...
Coronary artery aneurysm with...
09/02/2015
Journal of Invasive Cardiology
The Double-Blind Stick-and-Swap Technique for True Lumen Reentry After Subintimal Crossing of Coronary Chronic Total Occlusions
09/02/2015
Anna P. Kotsia, MD, PhD; Georgios Christopoulos, MD; Emmanouil S. Brilakis, MD, PhD, FACC, FAHA, FESC, FSCAI
Subintimal dissection and reentry techniques are widely used in chronic total occlusion (CTO) interventions. We describe 3 CTO cases in which the distal vessel could not be visualized after subintimal crossing, in spite of attempts to...
Subintimal dissection and reentry techniques are widely used in chronic total occlusion (CTO) interventions. We describe 3 CTO cases in which the distal vessel could not be visualized after subintimal crossing, in spite of attempts to...
Subintimal dissection and...
09/02/2015
Journal of Invasive Cardiology

Insights

Commentary
Atherectomy – Safe for All Ages?
09/02/2015
Dmitriy N. Feldman, MD; Rajesh V. Swaminathan, MD
We should continue to think broadly in terms of alternative strategies for improving procedural and clinical outcomes in older patients. Bleeding avoidance strategies such as use of low-profile sheaths and careful selection and monitoring of...
We should continue to think broadly in terms of alternative strategies for improving procedural and clinical outcomes in older patients. Bleeding avoidance strategies such as use of low-profile sheaths and careful selection and monitoring of...
We should continue to think...
09/02/2015
Journal of Invasive Cardiology

News

Intravascular Imaging
ECLIPSE Trial: Intravascular Imaging Can Improve Outcomes for Complex Stenting Procedures in Patients with High-Risk Calcified CAD
03/31/2025
“The ECLIPSE trial shows that use of intravascular imaging (IVI) to guide coronary stenting in severely calcified lesions prevents death, stent thrombosis, and unplanned repeat procedures in this high-risk patient population,” says first...
“The ECLIPSE trial shows that use of intravascular imaging (IVI) to guide coronary stenting in severely calcified lesions prevents death, stent thrombosis, and unplanned repeat procedures in this high-risk patient population,” says first...
“The ECLIPSE trial shows that...
03/31/2025
Cath Lab Digest
Aortic Stenosis
New Data Confirm Rapid, Unpredictable Progression of Severe Aortic Stenosis and Need for Urgent Referral and Evaluation of Patients
03/31/2025
New data from DETECT AS and the EARLY TAVR Trial were presented at ACC.25 in Chicago, addressing the critical needs of patients with structural heart disease.
New data from DETECT AS and the EARLY TAVR Trial were presented at ACC.25 in Chicago, addressing the critical needs of patients with structural heart disease.
New data from DETECT AS and the...
03/31/2025
Cath Lab Digest
CAD in Women
New Intermountain Health Study Finds Gap Between Heart Disease Outcomes in Men and Women Has Narrowed Over Past 20 Years  
03/31/2025
Women studied tended to be older with more comorbidities (like high blood pressure, diabetes, and history of stroke and heart failure), have more stable chest pain, and experience less severe chest pain or heart attack when they came into the...
Women studied tended to be older with more comorbidities (like high blood pressure, diabetes, and history of stroke and heart failure), have more stable chest pain, and experience less severe chest pain or heart attack when they came into the...
Women studied tended to be older...
03/31/2025
Cath Lab Digest
AI
HeartFocus Clinical Trial Proves AI Can Empower Novices to Deliver Diagnostic-Quality Cardiac Ultrasounds
03/31/2025
Results showed that 100% of exams conducted by novices using HeartFocus met the diagnostic standards for all primary endpoints, with a strong correlation to expert-acquired scans across qualitative and quantitative assessments.
Results showed that 100% of exams conducted by novices using HeartFocus met the diagnostic standards for all primary endpoints, with a strong correlation to expert-acquired scans across qualitative and quantitative assessments.
Results showed that 100% of...
03/31/2025
Cath Lab Digest
plaque analysis
CONFIRM2 Registry: Late-Breaking Clinical Trial Results Demonstrate the Predictive Power of Cleerly's AI-QCT for Women’s Cardiovascular Risk at ACC.25
03/31/2025
The findings demonstrate that AI-QCT features of coronary artery disease (CAD), as detected by Cleerly’s AI-QCT, can identify women at high risk for major adverse cardiovascular events (MACE) and improves risk stratification - a population...
The findings demonstrate that AI-QCT features of coronary artery disease (CAD), as detected by Cleerly’s AI-QCT, can identify women at high risk for major adverse cardiovascular events (MACE) and improves risk stratification - a population...
The findings demonstrate that...
03/31/2025
Cath Lab Digest
Statins
CorCal Outcomes Study: Who Needs a Statin? Intermountain Study Compares Prescribing Recommendations Based on Traditional Risk Factors vs. Coronary Artery Calcium Scoring
03/31/2025
The research is part of CorCal Outcomes, a large, randomized clinical trial at Intermountain Health that is comparing the PCE versus CAC score guidance to initiate a statin prescription for patients for primary prevention of coronary heart...
The research is part of CorCal Outcomes, a large, randomized clinical trial at Intermountain Health that is comparing the PCE versus CAC score guidance to initiate a statin prescription for patients for primary prevention of coronary heart...
The research is part of CorCal...
03/31/2025
Cath Lab Digest
CardiAMP Procedure
Cell Therapy
BioCardia Phase 3 CARDIAMP-HF Trial of Novel Cardiac Cell Therapy for Ischemic Heart Failure Shows Increased Survival, Decreased Cardiac Events, and Improved Quality of Life at Two Years
03/31/2025
"In this rigorous CardiAMP-HF Trial, patients who received the novel cell therapy adjunctive to medication experienced decreased mortality and MACCE, with improved quality of life, when compared to those on medication alone," said...
"In this rigorous CardiAMP-HF Trial, patients who received the novel cell therapy adjunctive to medication experienced decreased mortality and MACCE, with improved quality of life, when compared to those on medication alone," said...
"In this rigorous CardiAMP-HF...
03/31/2025
Cath Lab Digest
Peripheral Arterial Disease
New Study Finds Peripheral Artery Disease Often Underdiagnosed and Undertreated; Opportunity to Improve Treatments and Lower Death Rates
03/31/2025
Researchers identified 7,522 patients who had a symptomatic peripheral artery disease diagnosis at Intermountain Health facilities between January 2006 and December 2021 and were seen once in follow-up within at least 18 months of their...
Researchers identified 7,522 patients who had a symptomatic peripheral artery disease diagnosis at Intermountain Health facilities between January 2006 and December 2021 and were seen once in follow-up within at least 18 months of their...
Researchers identified 7,522...
03/31/2025
Cath Lab Digest
TAVR
Evolut Low Risk Trial: Medtronic Evolut TAVR System Shows Durable Clinical Outcomes and Outstanding Valve Performance at 5 Years in Low-Risk AS Patients
03/31/2025
"Results at five years support Evolut's supra-annular, self-expanding TAVR as a safe, effective, and durable alternative to surgery for patients with severe aortic stenosis, regardless of their surgical risk," said Michael J. Reardon, MD.
"Results at five years support Evolut's supra-annular, self-expanding TAVR as a safe, effective, and durable alternative to surgery for patients with severe aortic stenosis, regardless of their surgical risk," said Michael J. Reardon, MD.
"Results at five years support...
03/31/2025
Cath Lab Digest
Calcium Score
Low Coronary Artery Calcium Score is Associated with An Excellent Prognosis Regardless of a Person’s Age, New Intermountain Health Study Finds
03/31/2025
“We found that a zero-plaque burden is not only highly prognostic of good heart health at any age, but also of excellent overall survival,” said Jeffrey L. Anderson, MD, principal investigator of the study.
“We found that a zero-plaque burden is not only highly prognostic of good heart health at any age, but also of excellent overall survival,” said Jeffrey L. Anderson, MD, principal investigator of the study.
“We found that a zero-plaque...
03/31/2025
Cath Lab Digest

CRT Conference Coverage
Disparities in Interventional Cardiology
04/02/2025
Laura Simson
At the Sunday afternoon "Disparities in Interventional Cardiology" session at CRT 2025, experts presented compelling data and discussed the barriers that limit diverse representation in the field, ranging from clinical trials and...
At the Sunday afternoon "Disparities in Interventional Cardiology" session at CRT 2025, experts presented compelling data and discussed the barriers that limit diverse representation in the field, ranging from clinical trials and...
At the Sunday afternoon...
04/02/2025
Journal of Invasive Cardiology
CRT Conference Coverage
Artificial Intelligence in Coronary Artery Disease Diagnosis and Intervention
04/02/2025
Laura Simson
In his Sunday morning session and ensuing panel discussion at CRT 2025, Dr Ran Kornowski of the Rabin Medical Center in Petach-Tikva, Israel, detailed how AI is transforming clinical practice and research in interventional cardiology.
In his Sunday morning session and ensuing panel discussion at CRT 2025, Dr Ran Kornowski of the Rabin Medical Center in Petach-Tikva, Israel, detailed how AI is transforming clinical practice and research in interventional cardiology.
In his Sunday morning session...
04/02/2025
Journal of Invasive Cardiology
Original Contribution
Polidocanol Ablation in Midventricular Obstructive Cardiomyopathy: Novel Approach and Early Outcomes
04/01/2025
Limited data exist regarding polidocanol use for septal ablation, particularly in the context of midventricular obstruction (MVO) . This study presents the first reported use of polidocanol for septal ablation in patients with MVO.
Limited data exist regarding polidocanol use for septal ablation, particularly in the context of midventricular obstruction (MVO) . This study presents the first reported use of polidocanol for septal ablation in patients with MVO.
Limited data exist regarding...
04/01/2025
Journal of Invasive Cardiology
Original Contribution
Heart Rate Variability of Interventional Cardiology Fellows and Attendings and Changes Over Time
04/01/2025
The study examined the stress levels of interventional cardiology (IC) fellows and attendings using both objective (heart rate variability) and subjective (State Trait Anxiety Inventory) metrics across the IC fellowship.
The study examined the stress levels of interventional cardiology (IC) fellows and attendings using both objective (heart rate variability) and subjective (State Trait Anxiety Inventory) metrics across the IC fellowship.
The study examined the stress...
04/01/2025
Journal of Invasive Cardiology
Intravascular Imaging
ECLIPSE Trial: Intravascular Imaging Can Improve Outcomes for Complex Stenting Procedures in Patients with High-Risk Calcified CAD
03/31/2025
“The ECLIPSE trial shows that use of intravascular imaging (IVI) to guide coronary stenting in severely calcified lesions prevents death, stent thrombosis, and unplanned repeat procedures in this high-risk patient population,” says first...
“The ECLIPSE trial shows that use of intravascular imaging (IVI) to guide coronary stenting in severely calcified lesions prevents death, stent thrombosis, and unplanned repeat procedures in this high-risk patient population,” says first...
“The ECLIPSE trial shows that...
03/31/2025
Cath Lab Digest
Aortic Stenosis
New Data Confirm Rapid, Unpredictable Progression of Severe Aortic Stenosis and Need for Urgent Referral and Evaluation of Patients
03/31/2025
New data from DETECT AS and the EARLY TAVR Trial were presented at ACC.25 in Chicago, addressing the critical needs of patients with structural heart disease.
New data from DETECT AS and the EARLY TAVR Trial were presented at ACC.25 in Chicago, addressing the critical needs of patients with structural heart disease.
New data from DETECT AS and the...
03/31/2025
Cath Lab Digest
CAD in Women
New Intermountain Health Study Finds Gap Between Heart Disease Outcomes in Men and Women Has Narrowed Over Past 20 Years  
03/31/2025
Women studied tended to be older with more comorbidities (like high blood pressure, diabetes, and history of stroke and heart failure), have more stable chest pain, and experience less severe chest pain or heart attack when they came into the...
Women studied tended to be older with more comorbidities (like high blood pressure, diabetes, and history of stroke and heart failure), have more stable chest pain, and experience less severe chest pain or heart attack when they came into the...
Women studied tended to be older...
03/31/2025
Cath Lab Digest
AI
HeartFocus Clinical Trial Proves AI Can Empower Novices to Deliver Diagnostic-Quality Cardiac Ultrasounds
03/31/2025
Results showed that 100% of exams conducted by novices using HeartFocus met the diagnostic standards for all primary endpoints, with a strong correlation to expert-acquired scans across qualitative and quantitative assessments.
Results showed that 100% of exams conducted by novices using HeartFocus met the diagnostic standards for all primary endpoints, with a strong correlation to expert-acquired scans across qualitative and quantitative assessments.
Results showed that 100% of...
03/31/2025
Cath Lab Digest
plaque analysis
CONFIRM2 Registry: Late-Breaking Clinical Trial Results Demonstrate the Predictive Power of Cleerly's AI-QCT for Women’s Cardiovascular Risk at ACC.25
03/31/2025
The findings demonstrate that AI-QCT features of coronary artery disease (CAD), as detected by Cleerly’s AI-QCT, can identify women at high risk for major adverse cardiovascular events (MACE) and improves risk stratification - a population...
The findings demonstrate that AI-QCT features of coronary artery disease (CAD), as detected by Cleerly’s AI-QCT, can identify women at high risk for major adverse cardiovascular events (MACE) and improves risk stratification - a population...
The findings demonstrate that...
03/31/2025
Cath Lab Digest
Statins
CorCal Outcomes Study: Who Needs a Statin? Intermountain Study Compares Prescribing Recommendations Based on Traditional Risk Factors vs. Coronary Artery Calcium Scoring
03/31/2025
The research is part of CorCal Outcomes, a large, randomized clinical trial at Intermountain Health that is comparing the PCE versus CAC score guidance to initiate a statin prescription for patients for primary prevention of coronary heart...
The research is part of CorCal Outcomes, a large, randomized clinical trial at Intermountain Health that is comparing the PCE versus CAC score guidance to initiate a statin prescription for patients for primary prevention of coronary heart...
The research is part of CorCal...
03/31/2025
Cath Lab Digest

September 2015 Volume 27 Issue 9

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