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August 2019 Table of Contents

August 2019

Coronary Artery Disease

Outcomes of Robotically Assisted Versus Manual Percutaneous Coronary Intervention: A Systematic Review and Meta-Analysis

Joseph Allencherril, MD*;  Daniel Hyman, MD*;  Asad Loya;  Hani Jneid, MD;  Mahboob Alam, MD   *Joint first authors

We performed a systematic review and meta-analysis of existing studies from the literature comparing robotically assisted percutaneous coronary intervention (PCI) with manual PCI. Robotically assisted PCI is a novel technology that allows the operator to perform PCI from a shielded cockpit using a remote-control module.

J INVASIVE CARDIOL 2019;31(8):199-203. Epub 2019 May 15.


Peripheral Vascular Disease

Drug-Coated Versus Uncoated Percutaneous Transluminal Angioplasty in Infrapopliteal Arteries: Six-Month Results of the Lutonix BTK Trial

Jihad A. Mustapha, MD;  Marianne Brodmann, MD;  Patrick J. Geraghty, MD;  Fadi Saab, MD;  Richard A. Settlage, MS;  Michael R. Jaff, DO; on behalf of the Lutonix BTK Study Investigators

We hypothesized that a drug-coated balloon could improve treatment efficacy while maintaining safety when compared with percutaneous transluminal angioplasty for the treatment of atherosclerotic infrapopliteal arterial lesions.

J INVASIVE CARDIOL 2019;31(8):205-211.


Structural Heart Disease

Left Atrial Appendage Occlusion as Adjunctive Therapy to Anticoagulation for Stroke Recurrence

Xavier Freixa, MD, PhD;  Ignacio Cruz-González, MD;  Ander Regueiro, MD;  Luís Nombela-Franco, MD;  Rodrigo Estévez-Loureiro, MD;  Rafael Ruiz-Salmerón, MD;  Armando Bethencourt, MD;  Hipólito Gutiérrez-García, MD;  José Antonio Fernández-Díaz, MD;  José Carlos Moreno-Samos, MD;  Pilar Jiménez-Quevedo, MD;  Victoria Martin-Yuste, MD;  Roman Arnold, MD;  Xavier Millan;  Luis Asmarats, MD;  María Ronquillo, MD;  Víctor Hugo Agudelo-Montañez, MD;  Jose Ramón López-Mínguez, MD;  Javier Goicolea, MD;  Armando Pérez de Prado, MD;  Dabit Arzamendi, MD

Stroke recurrence despite optimal oral anticoagulation might represent a novel indication for left atrial appendage occlusion. The aim of this study was to explore the role of left atrial appendage occlusion as an adjunctive therapy to patients with recurrent stroke despite optimal oral anticoagulation.

J INVASIVE CARDIOL 2019;31(8):212-216. Epub 2019 May 15.


Transcatheter Aortic Valve Replacement

Veterans Affairs Heart Team Experience with Transcatheter Aortic Valve Replacement and Minimally Invasive Surgical Aortic Valve Replacement

Norah E. Liang, AB*;  Andrew D. Wisneski, MD*;  Sue X. Wang, MD;  Kendrick A. Shunk, MD, PhD;  Curtis J. Wozniak, MD; Joseph Yang, MD;  Jeffrey Zimmet, MD, PhD;  Liang Ge, PhD;  Elaine E. Tseng, MD   *Joint first authors

Aortic valve disease is prevalent in the veteran population. The study aim was to evaluate transcatheter aortic valve replacement and minimally invasive surgical aortic valve replacement at a Veterans Affairs Medical Center, since outcomes from lower-volume federal facilities are relatively unknown.

J INVASIVE CARDIOL 2019;31(8):217-222. Epub 2019 May 15.


Transcatheter Aortic Valve Replacement

Improved Transseptal Access for Transcatheter Paravalvular Leak Closure Using Steerable Delivery Sheaths: Data From a Prospective Registry

Michał Kozłowski, MD, PhD;  Piotr Pysz, MD, PhD;  Wojciech Wojakowski, MD;  Grzegorz Smolka, MD

Transcatheter closure of mitral paravalvular leaks can be a lengthy and cumbersome procedure that may not guarantee satisfying results. We used steerable sheaths (FlexCath and Occlutech) in order to perform these procedures in a faster and more controllable manner.

J INVASIVE CARDIOL 2019;31(8):223-228. Epub 2019 April 15.


Fractional Flow Reserve

Impact of Post-Percutaneous Coronary Intervention Fractional Flow Reserve Measurement on Procedural Management and Clinical Outcomes: The REPEAT-FFR Study

Lorenzo Azzalini, MD, PhD, MSc;  Enrico Poletti, MD;  Ozan M Demir, MBBS;  Marco B. Ancona, MD;  Antonio Mangieri, MD;  Francesco Giannini, MD;  Mauro Carlino, MD;  Alaide Chieffo, MD;  Matteo Montorfano, MD;  Antonio Colombo, MD;  Azeem Latib, MD

We evaluated the impact of post-PCI fractional flow reserve (FFR) in a prospective study. The primary endpoint was the proportion of cases in which further action was undertaken in light of a post-PCI FFR value <0.90.

J INVASIVE CARDIOL 2019;31(8):229-234. Epub 2019 June 15.


Coronary Artery Disease

Ticagrelor vs Clopidogrel in Patients With Acute Coronary Syndromes Undergoing Percutaneous Coronary Intervention: Insights From a Single-Institution Registry

Sorin J. Brener, MD;  Venkatesh Alapati, MD;  Max. M. Benson, MD;  Doris Chan, DO;  Gregory Cunn, MD; Saadat Khan, MD;  Issa Kutkut, MD;  C. Arun Narayanan, MD;  John P. O’Laughlin, MD;  Terrence J. Sacchi, MD

Dual-antiplatelet therapy is recommended for all patients with acute coronary syndromes (ACS). Ticagrelor was found superior to clopidogrel in a large, randomized clinical trial, but real-world data are lacking. We identified ACS patients from our institutional registry who underwent PCI and received either ticagrelor or clopidogrel and compared 1-year all-cause death rates.

J INVASIVE CARDIOL 2019;31(8):235-238. Epub 2019 July 15.


Online Exclusive

Original Contribution / Transcatheter Aortic Valve Replacement

Progression of the Ascending Aortic Diameter After Transcatheter Aortic Valve Implantation: Based on Computed Tomography Images

Wen-Yu Lv, MD*; Zhen-Gang Zhao, MD*; Shuang-Jiang Li, MD;  Yi-Jian Li, MD; Yan-Biao Liao, MD; Yuan-weixiang Ou, MD;  Yuan Feng, MD; Mao Chen, MD, PhD*      *Joint first authors

The natural history of ascending aortic diameter after transcatheter aortic valve implantation (TAVI) has not been investigated. Our aim was to determine the progression of ascending aortic diameter in patients undergoing TAVI.

J INVASIVE CARDIOL 2019;31(8):E234-E241.


Original Contribution / Transcatheter Aortic Valve Replacement

Long-Term Outcome After Percutaneous Closure of Patent Foramen Ovale for Cryptogenic Ischemic Events

Julia Seeger, MD; Anja Uber; Jochen Wöhrle, MD

The aim of this long-term follow-up analysis was to validate the impact of patent foramen ovale closure on recurrent ischemic events.

J INVASIVE CARDIOL 2019;31(8):E242-E248.


Original Contribution / Coronary Artery Disease

Comparison of Side-Branch Dilation Techniques After Resorbable Magnesium Scaffold Implantation: A Bench Study

Aurélien de Pommereau, MD; Satoshi Mogi, MD; Quentin de Hemptinne, MD; Julien Adjedj, MD, PhD; Olivier Varenne, MD, PhD; Fabien Picard, MD, MSc

We sought to evaluate different side-branch dilation strategies after provisional T-stenting strategy with resorbable magnesium scaffolds using silicon bifurcation phantoms.

J INVASIVE CARDIOL 2019;31(8):E249-E255.


Letter to the Editor

Vascular Perforation Occurring During Transradial Cardiac Catheterization is More Common Than Thought and Could be Fatal

Mohammad Reza Movahed, MD, PhD, FACP, FACC, FSCAI

J INVASIVE CARDIOL 2019;31(8):E256.


Clinical Images

Pseudoaneurysm Formation After Cardiac Catheterization Using the Distal Transradial Approach

Yukio Mizuguchi, MD; Takeshi Yamada, MD; Norimasa Taniguchi, MD, PhD; Shunsuke Nakajima, MD; Tetsuya Hata, MD; Akihiko Takahashi, MD, PhD

This is the first case report of pseudoaneurysm formation after cardiac catheterization through the distal radial artery, which was easily treated by external compression.

J INVASIVE CARDIOL 2019;31(8):E257.


Snare Technique for Transcatheter Aortic Valve Implantation in a Difficult Anatomy With Calcified Aortic Valve

Athanasios Kolyviras, MD, PhD; Dimitrios Oikonomou, MD; Georgios Georgiopoulos, MD, PhD;  Vaios Tzifos, MD, PhD

Crossing the aortic annulus with a prosthetic valve was impossible due to severe calcification. A snare catheter technique was used to centralize the entire system with the aortic orifice.

J INVASIVE CARDIOL 2019;31(8):E258.


Percutaneous Closure of Mitral Paravalvular Leaks Generating Refractory Heart Failure in the Immediate Postoperative Period

Leire Unzué, MD, PhD; Eulogio García, MD; Belén Díaz-Antón, MD; Ángel González Pinto, MD;  Rodrigo Teijeiro, MD; Miguel Rodríguez del Río, MD

We present two patients with refractory heart failure due to mitral paravalvular leak (PVL) in whom percutaneous PVL closure was performed in the immediate postoperative period.

J INVASIVE CARDIOL 2019;31(8):E259-E260.


A Case of Very Late Stent Thrombosis 11 Years After Drug-Eluting Stent Implantation

Rajesh Vijayvergiya, MD; Basant Kumar, MD; Ganesh Kasinadhuni, MD; Soumitra Mohanty, MD

Eleven years after DES implantation, a patient presented with AMI despite continued dual-antiplatelet therapy. Coronary angiography revealed total occlusion of the proximal LAD.

J INVASIVE CARDIOL 2019;31(8):E261-E262.


Complicated Hematoma After Transradial Catheterization

Gabriel Sánchez-Fernández, MD and Manuel López-Pérez, MD

This case, which almost ended in a compartment syndrome, is an extremely uncommon complication of transradial catheterization, with a described incidence around 0.125%.

J INVASIVE CARDIOL 2019;31(8):E263.


Coronary Artery Air Embolism

Rakesh Agarwal, MBBS, MD and D.P. Sinha, MBBS, MD, DM

Coronary artery air embolism can be fatal if not proficiently managed. Vasospasm is said to be protective in that it breaks the larger air bubbles, as occurred in the present case.

J INVASIVE CARDIOL 2019;31(8):E264.


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