Article
Cardiac & Cardiovascular Systems
Tim Kinnaird, Richard Anderson, Sean Gallagher, Andrew S. P. Sharp, Vasim Farooq, Peter Ludman, Samuel Copt, Nicholas Curzen, Alex Sirker, Jim Nolan, Mamas Mamas
Summary: The study found that the occurrence of VC during IABP-supported PCI increases the risk of transfusion, acute kidney injury, and periprocedural MI, but in-hospital and 1-year survival rates are similar between groups.
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS
(2021)
Article
Cardiac & Cardiovascular Systems
Yasushi Ueki, Tatsuhiko Otsuka, Sarah Bar, Kostantinos C. Koskinas, Dik Heg, Jonas Haener, George C. M. Siontis, Fabien Praz, Lukas Hunziker, Jonas Lanz, Stefan Stortecky, Thomas Pilgrim, Sylvain Losdat, Stephan Windecker, Lorenz Raeber
Summary: This study evaluated the frequency and impact of periprocedural myocardial infarction (MI) using different MI definitions in patients with chronic coronary syndrome (CCS) undergoing percutaneous coronary intervention (PCI). The results showed that periprocedural MI defined by the ARC-2 and SCAI criteria was less frequent compared to the third and fourth UDMI, and was more prognostic for cardiac death at 1 year.
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
(2022)
Article
Multidisciplinary Sciences
Tobias Roeschl, Anas M. Jano, Franziska Fochler, Mona M. Grewe, Marlis Wacker, Kirstin Meier, Christian Schmidt, Lars Maier, Peter H. Grewe
Summary: Transradial access is the preferred method for cardiac catheterization, but difficult vascular anatomy (DVA) can lead to procedural failure. In a retrospective analysis of consecutive cardiac catheterizations, age and the choice of arterial access were identified as predictors of DVA occurrence.
SCIENTIFIC REPORTS
(2022)
Article
Medicine, General & Internal
Sofia Sederholm Lawesson, Eva Swahn, Mats Pihlsgard, Therese Andersson, Oskar Angeras, Elin Bacsovics Brolin, Ellinor Bergdahl, Marie Blomberg, Christina Christersson, Isabel Goncalves, Omar Sigurvin Gunnarsson, Tomas Jernberg, Nina Johnston, Karin Leander, Caroline Lilliecreutz, Moa Pehrson, Annika Rosengren, Anette Sandstrom, Anna Sandstrom, Giovanna Sarno, Sara Sjalander, Teresia Svanvik, Erik Thunstrom, Anna Karin Wikstrom, Simon Timpka
Summary: According to a study in Sweden, there is a significant association between adverse pregnancy outcomes (such as preeclampsia, gestational hypertension, preterm delivery, etc.) and coronary artery disease. This association exists even among women with low cardiovascular disease risk. Further research is needed to understand the clinical importance of these associations.
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
(2023)
Article
Endocrinology & Metabolism
Ying-Ying Zheng, Ting-Ting Wu, Yi Yang, Xian-Geng Hou, You Chen, Xiang Ma, Yi-Tong Ma, Jin-Ying Zhang, Xiang Xie
Summary: The study suggests that personalized antiplatelet therapy based on PLT guidance can reduce ischemic events without increasing bleeding risk in stable CAD patients with or without diabetes undergoing PCI.
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM
(2022)
Article
Multidisciplinary Sciences
Takao Konishi, Saikat Kumar B. Ghosh, Yu Sato, Rika Kawakami, Kenji Kawai, Aimee E. Vozenilek, Weili Xu, Arielle Bellissard, Robert Giasolli, Diljon Chahal, Renu Virmani, Aloke V. V. Finn
Summary: This study investigated the thickness of the coronary medial and found that it varies depending on the coronary artery itself, its segments, and branches. The findings are important for coronary intervention and product development.
Editorial Material
Cardiac & Cardiovascular Systems
Anas Y. Mouchli, Hannan Chaugle, John G. Byrne
Summary: This article reports a technique for effectively repairing left main coronary artery shredding after rotational atherectomy and destruction. The patient was considered inoperable due to diffuse distal coronary disease at another medical center. The complication resulted in cardiac tamponade and hemodynamic collapse, requiring cardiopulmonary resuscitation and salvage surgery. This case may be the first in the literature to demonstrate successful repair of such a complex and significant rupture in a critically ill patient.
ANNALS OF THORACIC SURGERY
(2023)
Article
Clinical Neurology
DeLawnia Comer-HaGans, Shamly Austin, Zo Ramamonjiarivelo, Ledric D. Sherman
Summary: This study found that individuals with mental health stress are less likely to engage in self-management practices for diabetes, especially those with mild/moderate to severe mental health stress. Providing psychosocial services for this population may be beneficial in improving outcomes.
JOURNAL OF AFFECTIVE DISORDERS
(2022)
Article
Cardiac & Cardiovascular Systems
Frederic Bouisset, Flavio Ribichini, Vincent Bataille, Krzysztof Reczuch, Thibault Lhermusier, Slawomir Dobrzycki, Markus Meyer-Gessner, Erwan Bressollette, Wojciech Zajdel, Benjamin Faurie, Nikolaos Mezilis, Jorge Palazuelos, Beatriz Vaquerizo, Miroslaw Ferenc, Guillaume Cayla, Emanuele Barbato, Didier Carrie
Summary: Data on rotational atherectomy percutaneous coronary intervention (RA PCI) angioplasty in the left main (LM) coronary artery are scarce and mostly outdated. This study found that RA PCI is an efficient option for treating calcified LM lesions, providing acceptable clinical outcomes and comparable results.
AMERICAN JOURNAL OF CARDIOLOGY
(2023)
Article
Health Care Sciences & Services
Mohamed Ayoub, Noe Corpataux, Peter Tajti, Michael Behnes, Tobias Schupp, Jan Forner, Ibrahim Akin, Dirk Westermann, Volker Rudolph, Kambis Mashayekhi
Summary: This study examines the safety, feasibility, and long-term outcomes of drug-eluting stent implantation before covered stents for treating coronary artery perforation. The results suggest that the use of covered stents for sealing coronary perforation does not significantly impact the 1-year clinical outcome. The emergent use of drug-eluting stents before covered stent implantation is a safe and effective method to prevent target lesion revascularization in patients treated with covered stents.
JOURNAL OF PERSONALIZED MEDICINE
(2023)
Article
Ophthalmology
Swati Singh, Simmy Chaudhary, Anthony Vipin Das, Sayan Basu
Summary: This study aims to report the clinical course of corneal ulceration/perforation in patients with Sjogren's syndrome. The majority of the corneal ulceration/perforation in these patients is sterile and can be a presenting sign of undiagnosed Sjogren's syndrome. Intensive medical therapy, as well as interventions such as bandage contact lens and isobutylcyanoacrylate patch, can effectively manage these ulcers with a mean healing time of 49 days.
Article
Cardiac & Cardiovascular Systems
Akash Kataruka, Charles C. Maynard, Ravi S. Hira, Larry Dean, Todd Dardas, Hitinder Gurm, Josiah Brown, Michael E. Ring, Jacob A. Doll
Summary: Many PCI programs in Washington State do not meet minimum volume standards despite government regulation. This certificate of need strategy has resulted in a tiered system where low-volume centers treat high-risk patients with poor outcomes, but there is not a significant increase in geographic access.
JOURNAL OF THE AMERICAN HEART ASSOCIATION
(2022)
Article
Cardiac & Cardiovascular Systems
Kevin W. Lobdell, Shannon Crotwell, John Frederick, Larry T. Watts, Bradley LeNoir, Eric R. Skipper, Thomas Maxey, Gregory B. Russell, Robert Habib, Geoffrey A. Rose
Summary: This study investigated the impact of remote perioperative monitoring (RPM) on postoperative length of stay, 30-day readmission and mortality, and other outcomes for adult cardiac surgery patients. Results showed that patients participating in RPM had a significant reduction in postoperative length of stay (15.4% or 1 day) and a 44% reduction in 30-day readmission and mortality compared with matched control patients. More RPM participants were discharged directly home instead of to a facility.
ANNALS OF THORACIC SURGERY
(2023)
Article
Dentistry, Oral Surgery & Medicine
Tingting Wang, Lijuan Ye, Yuanyuan Sun, Yiqun Wu
Summary: This article presents a digital protocol for achieving safe and precise sinus floor elevation with an individualized surgical template combining implant placement and the lateral sinus window technique. The technique allows for precise preplanning and preparation of the osteotomy window and implant site, resulting in reduced surgical complications, shorter duration, and improved patient outcomes.
JOURNAL OF PROSTHETIC DENTISTRY
(2023)
Article
Cardiac & Cardiovascular Systems
Davide Capodanno, Dominick J. Angiolillo, Ryan J. Lennon, Shaun G. Goodman, Sang-Wook Kim, Fearghas O'Cochlain, Derek Y. So, John Sweeney, Charanjit S. Rihal, Michael Farkouh, Naveen L. Pereira
Summary: The ABCD-GENE score can identify high-risk patients who undergo percutaneous coronary intervention and use clopidogrel. It has the potential to improve the selection of P2Y(12) inhibitors, but further research is needed to confirm its effectiveness.
JOURNAL OF THE AMERICAN HEART ASSOCIATION
(2022)
Editorial Material
Cardiac & Cardiovascular Systems
Travis B. DeSa, Sivakumar Sudhakaran, Jeffrey M. Schussler, Jeffrey Emmanouil S. Brilakis, Emmanouil S. Brilakis
AMERICAN JOURNAL OF CARDIOLOGY
(2023)
Article
Cardiac & Cardiovascular Systems
Judit Karacsonyi, Karen Deffenbacher, Keith H. Benzuly, James D. Flaherty, Khaldoon Alaswad, Mir Basir, Michael S. Megaly, Farouc Jaffer, Darshan Doshi, Paul Poommipanit, Jaikirshan Khatri, Mitul Patel, Robert Riley, Abdul Sheikh, Jason R. Wollmuth, Ethan Korngold, Barry F. Uretsky, Robert W. Yeh, Raj H. Chandwaney, Ahmed M. Elguindy, Khalid Tammam, Nidal AbiRafeh, Christian W. Schmidt, Brynn Okeson, Spyridon Kostantinis, Bahadir Simsek, Bavana Rangan, Emmanouil S. Brilakis, Daniel R. Schimmel
Summary: This study analyzed the use of mechanical circulatory support (MCS) in chronic total occlusion (CTO) percutaneous coronary intervention (PCI) and found that MCS was used in 4.5% of CTO PCIs, mostly for prophylactic purposes. Prophylactic MCS patients had a higher risk of complications, while urgent MCS cases had lower success rates and higher complications compared to non-MCS cases.
AMERICAN JOURNAL OF CARDIOLOGY
(2023)
Review
Cardiac & Cardiovascular Systems
Grigorios Tsigkas, Anastasios Apostolos, Aikaterini Trigka, Dimitrios Chlorogiannis, Konstantinos Katsanos, Konstantinos Toutouzas, Dimitrios Alexopoulos, Emmanouil S. Brilakis, Periklis Davlouros
Summary: A systematic review and meta-analysis of randomized controlled trials showed that very short (<= 3 months) duration of dual antiplatelet therapy (VSDAPT) after percutaneous coronary intervention with drug-eluting stent significantly reduced net adverse clinical events (NACE) and major bleeding without increasing ischemic events. VSDAPT could be a well-tolerated and feasible treatment option in this patient population.
AMERICAN JOURNAL OF CARDIOVASCULAR DRUGS
(2023)
Article
Cardiac & Cardiovascular Systems
Athanasios Rempakos, Bahadir Simsek, Spyridon Kostantinis, Judit Karacsonyi, James W. Choi, Paul Poommipanit, Jaikirshan J. Khatri, Wissam Jaber, Stephane Rinfret, William Nicholson, Sevket Gorgulu, Farouc A. Jaffer, Raj Chandwaney, Michael Koutouzis, Ioannis Tsiafoutis, Khaldoon Alaswad, Oleg Krestyaninov, Dmitrii Khelimskii, Dimitrios Karmpaliotis, Barry F. Uretsky, Mitul P. Patel, Ehtisham Mahmud, Srinivasa Potluri, Bavana V. Rangan, Olga C. Mastrodemos, Salman Allana, Yader Sandoval, Nicholas M. Burke, Emmanouil S. Brilakis
Summary: Long occlusions in chronic total occlusion percutaneous coronary intervention are independently associated with lower rates of technical success and higher rates of in-hospital major adverse cardiovascular events.
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS
(2023)
Article
Cardiac & Cardiovascular Systems
Judit Karacsonyi, Khaldoon Alaswad, Oleg Krestyaninov, Dimitri Karmpaliotis, Ajay Kirtane, Ziad Ali, Margaret McEntegart, Amirali Masoumi, Paul Poomipanit, Farouc A. Jaffer, Jaikirshan Khatri, James Choi, Mitul Patel, Michalis Koutouzis, Ioannis Tsiafoutis, Sevket Gorgulu, Abdul M. Sheikh, Basem Elbarouni, Wissam Jaber, Ahmed ElGuindy, Robert Yeh, Spyridon Kostantinis, Bahadir Simsek, Bavana Rangan, Olga C. Mastrodemos, Evangelia Vemmou, Ilias Nikolakopoulos, Imre Ungi, Nidal A. Rafeh, Omer Goktekin, M. Nicholas Burke, Emmanouil S. Brilakis, Yader Sandoval
Summary: This study analyzed data from 9296 chronic total occlusion percutaneous coronary intervention cases and found that 15% of the procedures were performed by multiple operators. Despite the increased complexity, cases performed by multiple operators had similar technical and procedural success rates, as well as risk of complications, compared to cases performed by a single operator.
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS
(2023)
Article
Cardiac & Cardiovascular Systems
Spyridon Kostantinis, Bahadir Simsek, Judit Karacsonyi, Athanasios Rempakos, Khaldoon Alaswad, Michael Megaly, Oleg Krestyaninov, Dmitrii Khelimskii, Dimitrios Karmpaliotis, Farouc A. Jaffer, Jaikirshan J. Khatri, Paul Poommipanit, Mitul P. Patel, Ehtisham Mahmud, Michael Koutouzis, Ioannis Tsiafoutis, Sevket Gorgulu, Basem Elbarouni, William Nicholson, Wissam Jaber, Stephane Rinfret, Nidal Abi Rafeh, Omer Goktekin, Ahmed M. ElGuindy, Salman S. Allana, Bavana V. Rangan, Yader Sandoval, M. Nicholas Burke, Emmanouil S. Brilakis
Summary: This study investigated 9718 cases of CTO PCI conducted at 41 centers between 2012 and 2022. Proximal cap ambiguity was found in 35% of CTO lesions. Patients with proximal cap ambiguity were more likely to have had previous coronary artery bypass graft surgery, had more complex lesions, and had lower success rates. The incidence of in-hospital major adverse cardiovascular events was higher in cases with proximal cap ambiguity.
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS
(2023)
Article
Cardiac & Cardiovascular Systems
Minh N. Vo, Emmanouil S. Brilakis, William Lombardi
Summary: Chronic total occlusions with proximal cap ambiguity are difficult to treat and have a higher failure rate. We introduce the power knuckle technique, which involves safely entering the subintimal space proximal to the proximal cap using a knuckle wire supported by a microcatheter and an inflated balloon. The power knuckle allows for easier access to the extraplaque space for subsequent procedures.
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS
(2023)
Article
Cardiac & Cardiovascular Systems
Bahadir Simsek, Peter Tajti, Mauro Carlino, Soledad Ojeda, Manuel Pan, Stephane Rinfret, Evangelia Vemmou, Spyridon Kostantinis, Ilias Nikolakopoulos, Judit Karacsonyi, Athanasios Rempakos, Joseph A. Dens, Pierfrancesco Agostoni, Khaldoon Alaswad, Michael Megaly, Alexandre Avran, James W. Choi, Farouc A. Jaffer, Darshan Doshi, Dimitri Karmpaliotis, Jaikirshan J. Khatri, Paul Knaapen, Alessio La Manna, James C. Spratt, Masaki Tanabe, Simon Walsh, Olga C. Mastrodemos, Salman Allana, Bavana Rangan, Omer Goktekin, Sevket Gorgulu, Paul Poommipanit, Kathleen E. Kearney, William L. Lombardi, J. Aaron Grantham, Kambis Mashayekhi, Emmanouil S. Brilakis, Lorenzo Azzalini
Summary: A recently developed PROGRESS-CTO perforation risk score was assessed for its usefulness in independent cohorts, and it was found to effectively evaluate the risk of coronary artery perforation in chronic total occlusion percutaneous coronary intervention.
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS
(2023)
Letter
Cardiac & Cardiovascular Systems
Bahadir Simsek, Emmanouil S. Brilakis
INTERNATIONAL JOURNAL OF CARDIOLOGY
(2023)
Review
Cardiac & Cardiovascular Systems
Bahadir Simsek, Athanasios Rempakos, Spyridon Kostantinis, Judit Karacsonyi, Bavana Rangan, Olga C. Mastrodemos, Urvi A. Patel, Salman Allana, Lorenzo Azzalini, Kathleen E. Kearney, Taishi Hirai, Yader Sandoval, Nicholas Burke, Emmanouil S. Brilakis
Summary: This study identified 8 periprocedural complication risk scores specific to CTO-PCI, which can be used for risk assessment and procedural planning in patients who underwent CTO-PCI.
AMERICAN JOURNAL OF CARDIOLOGY
(2023)
Editorial Material
Cardiac & Cardiovascular Systems
Salman S. Allana, Emmanouil S. Brilakis
Summary: Placement of drug eluting stents is the current standard in chronic total occlusion percutaneous coronary intervention after successful lesion crossing. However, using a drug-coated balloon only strategy may be feasible, particularly with intraplaque crossing. Further studies are required to determine the optimal timing and technique for using drug-coated balloons in chronic total occlusion percutaneous coronary intervention.
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS
(2023)
Article
Health Care Sciences & Services
Judit Karacsonyi, Spyridon Kostantinis, Bahadir Simsek, Athanasios Rempakos, Salman S. Allana, Khaldoon Alaswad, Oleg Krestyaninov, Jaikirshan Khatri, Paul Poommipanit, Farouc A. Jaffer, James Choi, Mitul Patel, Sevket Gorgulu, Michalis Koutouzis, Ioannis Tsiafoutis, Abdul M. Sheikh, Ahmed ElGuindy, Basem Elbarouni, Taral Patel, Brian Jefferson, Jason R. Wollmuth, Robert Yeh, Dimitrios Karmpaliotis, Ajay J. Kirtane, Margaret B. McEntegart, Amirali Masoumi, Rhian Davies, Bavana V. Rangan, Olga C. Mastrodemos, Darshan Doshi, Yader Sandoval, Mir B. Basir, Michael S. Megaly, Imre Ungi, Nidal Abi Rafeh, Omer Goktekin, Emmanouil S. Brilakis
Summary: In a study analyzing 8671 cases of percutaneous coronary interventions for chronic total occlusions, it was found that 9.2% of cases had balloon uncrossable lesions. These lesions were associated with lower success rates and higher risk of complications.
JOURNAL OF PERSONALIZED MEDICINE
(2023)
Editorial Material
Cardiac & Cardiovascular Systems
Athanasios Rempakos, Michaella Alexandrou, Emmanouil S. Brilakis
AMERICAN JOURNAL OF CARDIOLOGY
(2023)
Article
Cardiac & Cardiovascular Systems
Mauro Carlino, Barry F. F. Uretsky, Lorenzo Azzalini, Angelo Nascimbene, Emmanouil S. S. Brilakis, Antonio Colombo, Sunao Nakamura, Cosmo Godino, Alexandre Avran, Stephane Rinfret, Benjamin Faurie
Summary: A new ADR method called SAFER is introduced and the results of its first-in-man series show that it is both feasible and effective, with the potential to improve the success rate of antegrade PCI CTO.
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS
(2023)
Review
Cardiac & Cardiovascular Systems
Shu Xian Loh, Emmanuelle Brilakis, Gabriele Gasparini, Pierfrancesco Agostoni, Roberto Garbo, Kambis Mashayekhi, Khaldoon Alaswad, Omer Goktiken, Alexandre Avran, Paul Knaapen, Alex Nap, Ahmed Elguindi, Khalid Tammam, Masahisa Yamane, Gregg W. Stone, Mohaned Egred
Summary: The use of coils is essential in interventional cardiology and can save lives in specific situations. Coils are classified by materials (bare metal, fiber coated, and hydrogel coated) and deliverability method (pushable or detachable). The size of coils is important to ensure compatibility with the delivery catheter's inner diameter and to avoid complications. Clinically, coils are used in acute or elective settings, such as sealing coronary perforation or treating congenital abnormalities, aneurysms, fistulas, or arterial side branch steal syndrome after CABG. Fluoroscopy guidance is necessary for coil delivery, and regular follow-up is required due to associated complications. Education, training, and hands-on workshops are needed to gain experience in using coils in uncommon situations.
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS
(2023)