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Chronic Total Occlusion

Original Contribution
Artificial Intelligence for Predicting Primary Antegrade Wiring Success of Chronic Total Occlusion Crossing
09/30/2024
The authors compared the predictions for successful antegrade wiring of chronic total occlusion lesions made by interventional cardiologists with those from a machine learning model.
The authors compared the predictions for successful antegrade wiring of chronic total occlusion lesions made by interventional cardiologists with those from a machine learning model.
The authors compared the...
09/30/2024
Journal of Invasive Cardiology
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
Brilakis preview
Author Interview
Equipment Utilization in Chronic Total Occlusion Percutaneous Coronary Interventions: Update From the PROGRESS-CTO Registry: An Interview With Emmanouil S. Brilakis, MD, PhD
04/04/2024

Emmanouil S. Brilakis, MD, PhD

Emmanouil S. Brilakis, MD, PhD ...
Dr. Deepak L. Bhatt catches up with Dr. Emmanouil S. Brilakis about his Editor’s 2023 Top 10 article, “Equipment Utilization in Chronic Total Occlusion Percutaneous Coronary Interventions: Update From the PROGRESS-CTO Registry.”
Dr. Deepak L. Bhatt catches up with Dr. Emmanouil S. Brilakis about his Editor’s 2023 Top 10 article, “Equipment Utilization in Chronic Total Occlusion Percutaneous Coronary Interventions: Update From the PROGRESS-CTO Registry.”
Dr. Deepak L. Bhatt catches up...
04/04/2024
Journal of Invasive Cardiology
Brilakis preview
Author Interview
Update on Chronic Total Occlusion Percutaneous Coronary Intervention: An Interview With Emmanouil S. Brilakis, MD, PhD
04/02/2024

Emmanouil S. Brilakis, MD, PhD

Emmanouil S. Brilakis, MD, PhD ...
Dr Deepak L. Bhatt and Dr Emmanouil S. Brilakis discuss the latest updates on chronic total occlusion percutaneous coronary intervention.
Dr Deepak L. Bhatt and Dr Emmanouil S. Brilakis discuss the latest updates on chronic total occlusion percutaneous coronary intervention.
Dr Deepak L. Bhatt and Dr...
04/02/2024
Journal of Invasive Cardiology
Figure. Case presentation.
Clinical Videos
Coronary Intervention in Chronic Total Occlusion in Left Main Coronary Artery
03/04/2024

Yoshinobu Murasato, MD, PhD; Kyohei Meno, MD; Takahiro Mori, MD, PhD

Yoshinobu Murasato, MD, PhD; Kyohei M...
Video Supplement to "Coronary Intervention in Chronic Total Occlusion in Left Main Coronary Artery " (Clinical Image).
Video Supplement to "Coronary Intervention in Chronic Total Occlusion in Left Main Coronary Artery " (Clinical Image).
Video Supplement to "Coronary...
03/04/2024
Journal of Invasive Cardiology
Clinical Images
Coronary Intervention in Chronic Total Occlusion in the Left Main Coronary Artery
03/04/2024

Yoshinobu Murasato, MD, PhD; Kyohei Meno, MD; Takahiro Mori, MD, PhD

Yoshinobu Murasato, MD, PhD; Kyohei M...
An 83-year-old man who had undergone coronary aorta bypass graft surgery 25 years ago required treatment for new-onset worsening angina.
An 83-year-old man who had undergone coronary aorta bypass graft surgery 25 years ago required treatment for new-onset worsening angina.
An 83-year-old man who had...
03/04/2024
Journal of Invasive Cardiology
Original Contribution
Predictors of Successful Primary Antegrade Wiring in Chronic Total Occlusion Percutaneous Coronary Intervention
02/29/2024

Athanasios Rempakos, MD1; Michaella Alexandrou, MD1; Deniz Mutlu, MD1; James W. Choi, MD2; Paul Poommipanit, MD3; Jaikirshan J Khatri, MD4; Laura Young, MD4; Philip Dattilo, MD5; Yasser Sadek, MD6; Rhian Davies, DO, MS7; Sevket Gorgulu, MD8; Farouc A Jaffer, MD, PhD9; Raj Chandwaney, MD10; Brian Jefferson, MD11; Baseem Elbarouni, MD12; Lorenzo Azzalini, MD, PhD, MSc13; Kathleen E. Kearney, MD13; Khaldoon Alaswad, MD14; Mir B. Basir, DO14; Oleg Krestyaninov, MD15; Dmitrii Khelimskii, MD15; Nazif Aygul, MD16; Nidal Abi-Rafeh, MD17; Ahmed Elguindy, MD18; Omer Goktekin, MD19;  Bavana V. Rangan, BDS, MPH1; Olga C. Mastrodemos, BA1; Ahmed Al-Ogaili, MD1; Yader Sandoval, MD1; M. Nicholas Burke, MD1; Emmanouil S. Brilakis, MD, PhD1; Arun Kalyanasundaram, MD, MPH20

Athanasios Rempakos, MD1; Michaella A...
The authors examined parameters associated with successful chronic total occlusion (CTO) crossing using antegrade wiring technique as the initial strategy in CTO percutaneous coronary intervention.
The authors examined parameters associated with successful chronic total occlusion (CTO) crossing using antegrade wiring technique as the initial strategy in CTO percutaneous coronary intervention.
The authors examined parameters...
02/29/2024
Journal of Invasive Cardiology

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Structural Heart
Medtronic Begins Multicenter Study to Address Health Disparities in Structural Heart Disease Care
11/20/2024
The study will utilize the Tempus Next platform to identify severe aortic stenosis or moderate to severe mitral regurgitation patients who meet guideline indicated therapy criteria, but do not have a treatment plan in place.
The study will utilize the Tempus Next platform to identify severe aortic stenosis or moderate to severe mitral regurgitation patients who meet guideline indicated therapy criteria, but do not have a treatment plan in place.
The study will utilize the...
11/20/2024
Cath Lab Digest
News
Double Win With Bridging Stents: FEVAR Certifications for BeGraft and BeFlared
11/20/2024
Hechingen, November 20th, 2024. With two certificates granted by TÜV, Bentley achieved another break-through in extending indications for its stents in complex aortic interventions. Thanks to one certificate, the Bentley BeGraft stent now is...
Hechingen, November 20th, 2024. With two certificates granted by TÜV, Bentley achieved another break-through in extending indications for its stents in complex aortic interventions. Thanks to one certificate, the Bentley BeGraft stent now is...
Hechingen, November 20th, 2024....
11/20/2024
Vascular Disease Management
Heart research
Study: Genetic Information Related to Heart Shape Can Provide Risk Score for Heart Disease
11/18/2024
"We've long known that size and volume of the heart matter, but by examining shape, we're uncovering new insights into genetic risks," said study co-author Professor Patricia B. Munroe. Researchers are the first to examine the genetic basis...
"We've long known that size and volume of the heart matter, but by examining shape, we're uncovering new insights into genetic risks," said study co-author Professor Patricia B. Munroe. Researchers are the first to examine the genetic basis...
"We've long known that size and...
11/18/2024
Cath Lab Digest
Coronary Calcium Scores
Intermountain Health Study Finds Prognostic Value of Coronary Calcium Scores Effective in Predicting Risk of Heart Attack
11/18/2024
A major new study by Intermountain Health researchers finds coronary artery calcium scores are not only highly effective in identifying those at risk for future heart attacks, but also for death, and risk prediction was found to be as good in...
A major new study by Intermountain Health researchers finds coronary artery calcium scores are not only highly effective in identifying those at risk for future heart attacks, but also for death, and risk prediction was found to be as good in...
A major new study by...
11/18/2024
Cath Lab Digest
spironolactone
CLEAR SYNERGY Trial: Spironolactone May Reduce Heart Failure Risk But Did Not Significantly Impact Rate of Death, New Heart Attack, or Stroke
11/18/2024
“While spironolactone didn’t reduce deaths or other major heart complications after a heart attack, it did reduce the likelihood of heart failure, which is an important finding for patients and health care professionals," said Sanjit Jolly,...
“While spironolactone didn’t reduce deaths or other major heart complications after a heart attack, it did reduce the likelihood of heart failure, which is an important finding for patients and health care professionals," said Sanjit Jolly,...
“While spironolactone didn’t...
11/18/2024
Cath Lab Digest
Patient Care
AHA: Fear of Another Heart Attack May Be Major Source of Ongoing Stress for Survivors
11/18/2024
The researchers suggest that fear of another heart attack should be evaluated and addressed separately from depression and anxiety. In the survey, the fear of another heart attack was significant at 6 months after the heart attack and still...
The researchers suggest that fear of another heart attack should be evaluated and addressed separately from depression and anxiety. In the survey, the fear of another heart attack was significant at 6 months after the heart attack and still...
The researchers suggest that...
11/18/2024
Cath Lab Digest
Sex Differences
JAMA Network Open: First Extensive Investigation of Sex-Specific Differences in Cerebral Small Vessel Disease
11/18/2024
Men are more frequently affected by cerebral microbleeds (CMBs)—around 28% of patients had at least one microbleeding event, whereby the prevalence in men was significantly higher than in women. In contrast, women appeared to suffer damage to...
Men are more frequently affected by cerebral microbleeds (CMBs)—around 28% of patients had at least one microbleeding event, whereby the prevalence in men was significantly higher than in women. In contrast, women appeared to suffer damage to...
Men are more frequently affected...
11/18/2024
Cath Lab Digest
Kidney Transpant & CVD/Stroke Risk
Innovative Risk Score Accurately Calculates Which Kidney Transplant Candidates Are Also at Risk for Heart Attack or Stroke, Intermountain Health Study Finds
11/18/2024
Using an innovative risk score assessment score, heart researchers at Intermountain Health in Salt Lake City say they can accurately predict whether patients being assessed for kidney transplant will likely have a future major cardiac event,...
Using an innovative risk score assessment score, heart researchers at Intermountain Health in Salt Lake City say they can accurately predict whether patients being assessed for kidney transplant will likely have a future major cardiac event,...
Using an innovative risk score...
11/18/2024
Cath Lab Digest
Inflammation
AHA: Air Pollution Increases Inflammation Primarily in Patients With Heart Disease
11/18/2024
"Individuals with known heart disease, including those diagnosed with heart failure, need to be especially cautious during periods of poor air quality. This includes exercising indoors, making sure to take their prescribed medications, and...
"Individuals with known heart disease, including those diagnosed with heart failure, need to be especially cautious during periods of poor air quality. This includes exercising indoors, making sure to take their prescribed medications, and...
"Individuals with known heart...
11/18/2024
Cath Lab Digest
Bleeding Reduction
AHA: AZALEA-TIMI 71 Study Demonstrates Factor XI Inhibitor Abelacimab Substantially Reduced Bleeding in Patients on Antiplatelet Therapy Compared to Rivaroxaban
11/18/2024
"Given the elevated bleeding risks associated with traditional anticoagulants, particularly when combined with antiplatelet agents, abelacimab may offer a safer alternative for patients with atrial fibrillation,” said Christian T. Ruff, MD,...
"Given the elevated bleeding risks associated with traditional anticoagulants, particularly when combined with antiplatelet agents, abelacimab may offer a safer alternative for patients with atrial fibrillation,” said Christian T. Ruff, MD,...
"Given the elevated bleeding...
11/18/2024
Cath Lab Digest

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Diabetes and Heart Disease
Proactively Screening Diabetics for Heart Disease Does Not Improve Long-term Mortality Rates or Reduce Future Cardiac Events, New Study Finds
11/20/2024
“Our study found that doing these kinds of screenings on patients doesn’t make any marked difference in their long-term survival rates,” said J. Brent Muhlestein, principal investigator of the study and co-director of cardiovascular research...
“Our study found that doing these kinds of screenings on patients doesn’t make any marked difference in their long-term survival rates,” said J. Brent Muhlestein, principal investigator of the study and co-director of cardiovascular research...
“Our study found that doing...
11/20/2024
Cath Lab Digest
Ku Figure
Clinical Videos
Giant Traumatic External Iliac Artery-Femoral Arteriovenous Fistula
11/20/2024
Video Supplement to "Giant Traumatic External Iliac Artery-Femoral Arteriovenous Fistula" (Clinical Image).
Video Supplement to "Giant Traumatic External Iliac Artery-Femoral Arteriovenous Fistula" (Clinical Image).
Video Supplement to "Giant...
11/20/2024
Journal of Invasive Cardiology
Clinical Images
Giant Traumatic External Iliac Artery-Femoral Arteriovenous Fistula
11/20/2024
A 53-year-old woman presented with shortness of breath and fatigue for 1 week. The patient had a medical history of left thigh trauma for more than 20 years.
A 53-year-old woman presented with shortness of breath and fatigue for 1 week. The patient had a medical history of left thigh trauma for more than 20 years.
A 53-year-old woman presented...
11/20/2024
Journal of Invasive Cardiology
Structural Heart
Medtronic Begins Multicenter Study to Address Health Disparities in Structural Heart Disease Care
11/20/2024
The study will utilize the Tempus Next platform to identify severe aortic stenosis or moderate to severe mitral regurgitation patients who meet guideline indicated therapy criteria, but do not have a treatment plan in place.
The study will utilize the Tempus Next platform to identify severe aortic stenosis or moderate to severe mitral regurgitation patients who meet guideline indicated therapy criteria, but do not have a treatment plan in place.
The study will utilize the...
11/20/2024
Cath Lab Digest
News
Double Win With Bridging Stents: FEVAR Certifications for BeGraft and BeFlared
11/20/2024
Hechingen, November 20th, 2024. With two certificates granted by TÜV, Bentley achieved another break-through in extending indications for its stents in complex aortic interventions. Thanks to one certificate, the Bentley BeGraft stent now is...
Hechingen, November 20th, 2024. With two certificates granted by TÜV, Bentley achieved another break-through in extending indications for its stents in complex aortic interventions. Thanks to one certificate, the Bentley BeGraft stent now is...
Hechingen, November 20th, 2024....
11/20/2024
Vascular Disease Management
Original Contribution
Left Atrial Appendage Occlusion in Patients With Non-Valvular Atrial Fibrillation and Cerebral Amyloid Angiopathy
11/19/2024
The aim of this LOGIC (Left atrial appendage Occlusion in patients with Gastrointestinal or IntraCranial bleeding) registry sub-study was to investigate the safety and efficacy of left atrial appendage occlusion in patients with non-valvular...
The aim of this LOGIC (Left atrial appendage Occlusion in patients with Gastrointestinal or IntraCranial bleeding) registry sub-study was to investigate the safety and efficacy of left atrial appendage occlusion in patients with non-valvular...
The aim of this LOGIC (Left...
11/19/2024
Journal of Invasive Cardiology
Review
Update on the Diagnosis and Treatment of Coronary Complications of Percutaneous Coronary Interventions
11/18/2024
The authors summarize studies on percutaneous coronary intervention complications, including coronary dissection, no reflow, perforation, and equipment loss/entrapment.
The authors summarize studies on percutaneous coronary intervention complications, including coronary dissection, no reflow, perforation, and equipment loss/entrapment.
The authors summarize studies on...
11/18/2024
Journal of Invasive Cardiology
Clinical Images
A Precise Endomyocardial Biopsy Method Guided by the Electroanatomical Mapping System
11/18/2024
The authors report a precise endomyocardial biopsy procedure in a patient with unexplained heart failure under guidance of an electroanatomical mapping system, which can avoid the complications of cardiac tamponade and arrhythmias.
The authors report a precise endomyocardial biopsy procedure in a patient with unexplained heart failure under guidance of an electroanatomical mapping system, which can avoid the complications of cardiac tamponade and arrhythmias.
The authors report a precise...
11/18/2024
Journal of Invasive Cardiology
Arrivi Figure
Clinical Videos
Cardiac Rupture Following Myocardial Infarction With Non-Obstructive Coronary Artery Disease
11/18/2024
Video Supplement to "Cardiac Rupture Following Myocardial Infarction With Non-Obstructive Coronary Artery Disease" (Clinical Image).
Video Supplement to "Cardiac Rupture Following Myocardial Infarction With Non-Obstructive Coronary Artery Disease" (Clinical Image).
Video Supplement to "Cardiac...
11/18/2024
Journal of Invasive Cardiology
Clinical Images
Cardiac Rupture Following Myocardial Infarction With Non-Obstructive Coronary Artery Disease
11/18/2024
A 71-year-old man with a history of smoking presented to the emergency room of our hospital complaining of long-lasting angina symptoms. Upon physical examination, he was hypotensive.
A 71-year-old man with a history of smoking presented to the emergency room of our hospital complaining of long-lasting angina symptoms. Upon physical examination, he was hypotensive.
A 71-year-old man with a history...
11/18/2024
Journal of Invasive Cardiology

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