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doi : 10.1161/HCV.0000000000000080
Circulation: Cardiovascular Interventions. 2021;14:e000080
Heart Team/Guidelines Discordance Is Associated With Increased Mortality: Data From a National Survey of Revascularization in Patients With Complex Coronary Artery Disease
Guy Witberg , Amit Segev , Yaron D. Barac , Ehud Raanani , Abid Assali , Ariel Finkelstein , Ariel Roguin , Gideon Sahar , Hana Vaknin-Assa , Gil Bolotin , Amnon Eitan , Robert Klempfner , Ilan Goldenberg , Ran Kornowski
doi : 10.1161/CIRCINTERVENTIONS.120.009686
Circulation: Cardiovascular Interventions. 2021;14:e009686
Practice guidelines emphasize the role of the SYNTAX score (SS; Synergy Between PCI With TAXUS and Cardiac Surgery) in choosing between percutaneous coronary intervention and coronary artery bypass graft surgery in cases of complex coronary artery disease. There is paucity of data on the implementation of these recommendations in daily practice, and on the consequences of guideline discordant revascularization.
Clinical and Anatomic Complexity of Patients Undergoing Coronary Intervention With and Without On-Site Surgical Capabilities
Stephen W. Waldo , Annika Hebbe , Gary K. Grunwald , Jacob A. Doll , Richard Schofield
doi : 10.1161/CIRCINTERVENTIONS.120.009697
Circulation: Cardiovascular Interventions. 2021;14:e009697
Professional society consensus statements articulate the clinical and anatomic complexity of patients that may undergo percutaneous coronary intervention (PCI) without on-site cardiothoracic surgery, although compliance with these recommendations has not been assessed. We sought to evaluate the clinical and anatomic complexity of patients undergoing PCI with and without cardiothoracic surgery on-site.
Feasibility and Validity of Computed Tomography-Derived Fractional Flow Reserve in Patients With Severe Aortic Stenosis
Michael Michail , Abdul-Rahman Ihdayhid , Andrea Comella , Udit Thakur , James D. Cameron , Liam M. McCormick , Robert P. Gooley , Stephen J. Nicholls , Anthony Mathur , Alun D. Hughes , Brian S. Ko , Adam J. Brown
doi : 10.1161/CIRCINTERVENTIONS.120.009586
Circulation: Cardiovascular Interventions. 2021;14:e009586
Coronary artery disease is common in patients with severe aortic stenosis. Computed tomography-derived fractional flow reserve (CT-FFR) is a clinically used modality for assessing coronary artery disease, however, its use has not been validated in patients with severe aortic stenosis. This study assesses the safety, feasibility, and validity of CT-FFR in patients with severe aortic stenosis.
Sex Differences in Ischemic and Bleeding Outcomes in Patients With Non–ST-Segment–Elevation Acute Coronary Syndrome Undergoing Percutaneous Coronary Intervention
Jean-Guillaume Dillinger, Gregory Ducrocq, Yedid Elbez, Marc Cohen, Christoph Bode, Charles Pollack Jr, Birute Petrauskiene, Patrick Henry, Maria Dorobantu, William J. French, Stephen D. Wiviott, Marc S. Sabatine, Shamir R. Mehta, Philippe Gabriel Steg
doi : 10.1161/CIRCINTERVENTIONS.120.009759
Circulation: Cardiovascular Interventions. 2021;14:e009759
Previous studies have observed poorer outcomes in females with myocardial infarction, but older age and lower use of percutaneous coronary intervention in females are factors that potentially explain the worse outcome. This study sought to determine if female sex is an independent factor of ischemic and bleeding outcomes in non–ST-segment–elevation acute coronary syndrome treated with a systematic invasive approach.
Sex Differences in Treatment and Outcomes in Non-ST-Elevation Acute Coronary Syndrome
Jolanta M. Siller-Matula, Binita Shah
doi : 10.1161/CIRCINTERVENTIONS.120.010329
Circulation: Cardiovascular Interventions. 2021;14:e010329
Percutaneous Axillary Access for Placement of Microaxial Ventricular Support Devices
James M. McCabe, Amir A. Kaki, Duane S. Pinto, Ajay J. Kirtane, William J. Nicholson, J. Aaron Grantham, R. Michael Wyman, Jeffery W. Moses, Theodore Schreiber, Alexis K. Okoh, Ranjith Shetty, Kapildeo Lotun, William Lombardi, Navin K. Kapur, Raj Tayal
doi : 10.1161/CIRCINTERVENTIONS.120.009657
Circulation: Cardiovascular Interventions. 2021;14:e009657
There has been increasing utilization of short-term mechanical circulatory support devices for a variety of clinical indications. Many patients have suboptimal iliofemoral access options or reasons why early mobilization is desirable. Axillary artery access is an option for these patients, but little is known about the utility of this approach to facilitate short-term use for circulatory support with microaxial pump devices.
First-in-Human Study to Assess the Safety and Feasibility of the Bashir Endovascular Catheter for the Treatment of Acute Intermediate-Risk Pulmonary Embolism
Akhilesh K. Sista, Rohit Bhatheja, Parth Rali, Kannan Natarajan, Philip Green, Gregory Piazza, Anthony J. Comerota, Sahil A. Parikh, Vladimir Lakhter, Riyaz Bashir, Kenneth Rosenfield
doi : 10.1161/CIRCINTERVENTIONS.120.009611
Circulation: Cardiovascular Interventions. 2021;14:e009611
The Bashir Endovascular Catheter (BEC) is a novel pharmaco-mechanical device designed to enhance thrombolysis by increasing the exposure of thrombus to endogenous and exogenous thrombolytics. The aim of this prospective, multicenter, single-arm study was to evaluate the feasibility and initial safety of the BEC in patients with acute intermediate-risk pulmonary embolism (PE).
Systematic Approach to High Implantation of SAPIEN-3 Valve Achieves a Lower Rate of Conduction Abnormalities Including Pacemaker Implantation
Yasser Sammour, Kinjal Banerjee, Arnav Kumar, Hassan Lak, Sanchit Chawla, Cameron Incognito, Jay Patel, Manpreet Kaur, Omar Abdelfattah, Lars G. Svensson, E. Murat Tuzcu, Grant W. Reed, Rishi Puri, James Yun, Amar Krishnaswamy, Samir Kapadia
doi : 10.1161/CIRCINTERVENTIONS.120.009407
Circulation: Cardiovascular Interventions. 2021;14:e009407
The conventional method of implanting balloon-expandable SAPIEN-3 (S3) valve results in a final 70:30 or 80:20 ratio of the valve in the aorta:left ventricular outflow tract with published rates of permanent pacemaker around 10%. We sought to evaluate whether higher implantation of S3 reduces conduction abnormalities including the need for permanent pacemaker.
Staying in the Shallow End
Amit N. Vora, Hemal Gada
doi : 10.1161/CIRCINTERVENTIONS.120.010330
Circulation: Cardiovascular Interventions. 2021;14:e010330
Safety and Feasibility of Same-Day Discharge After Left Atrial Appendage Closure With the WATCHMAN Device
Bryan E-Xin Tan, Leela Krishna Teja Boppana, Abdullah S. Abdullah, Dmitry Chuprun, Abrar Shah, Mohan Rao, Deepak L. Bhatt, Jeremiah P. Depta
doi : 10.1161/CIRCINTERVENTIONS.120.009669
Circulation: Cardiovascular Interventions. 2021;14:e009669
As the use of left atrial appendage closure (LAAC) becomes more widespread, improvements in resource utilization and cost-effectiveness are necessary. Currently, there are limited data on same-day discharge (SDD) after LAAC. We aimed to evaluate the safety and feasibility of SDD versus non-SDD in patients with nonvalvular atrial fibrillation who underwent LAAC.
Randomized Trial of Aspirin Versus Warfarin After Transcatheter Aortic Valve Replacement in Low-Risk Patients
Toby Rogers, Christian Shults, Rebecca Torguson, Corey Shea, Puja Parikh, Thomas Bilfinger, Thomas Cocke, Mariano E. Brizzio, Robert Levitt, Chiwon Hahn, Nicholas Hanna, George Comas, Paul Mahoney, Joseph Newton, Maurice Buchbinder, Ricardo Moreno, Cheng Zhang, Paige Craig, Federico M. Asch, Gaby Weissman, Hector M. Garcia-Garcia, Itsik Ben-Dor, Lowell F. Satler, Ron Waksman
doi : 10.1161/CIRCINTERVENTIONS.120.009983
Circulation: Cardiovascular Interventions. 2021;14:e009983
The optimal antithrombotic regimen after transcatheter aortic valve replacement remains unclear.
Antithrombotic Regimens in Low-Risk Patients Undergoing Transcatheter Aortic Valve Replacement
Alexander C. Fanaroff, Renato D. Lopes
doi : 10.1161/CIRCINTERVENTIONS.120.010331
Circulation: Cardiovascular Interventions. 2021;14:e010331
Calcific Plaque Modification by Acoustic Shock Waves
Keyvan Karimi Galougahi, Sanjay Patel, Richard A. Shlofmitz, Akiko Maehara, Dean J. Kereiakes, Jonathan M. Hill, Gregg W. Stone, Ziad A. Ali
doi : 10.1161/CIRCINTERVENTIONS.120.009354
Circulation: Cardiovascular Interventions. 2021;14:e009354
Constituting a significant proportion of lesions treated with transcatheter interventions in the coronary arteries, moderate-to-severe calcification portends lower procedural success rates, increased periprocedural major adverse events, and unfavorable long-term clinical outcomes compared with noncalcific plaques. Adapted from the lithotripsy technology for treatment of nephrolithiasis, intravascular lithotripsy is a new technique for treatment of severely calcific lesions that uses acoustic shock waves in a balloon-based system to induce fracture in the calcium deposits to facilitate luminal gain and stent expansion. Herein, we summarize the physics and characteristics of the currently available intravascular lithotripsy system (Shockwave Medical, Santa Clara, CA), the clinical data on intravascular lithotripsy use in the coronary arteries, and future directions for adoption of the technique in percutaneous coronary intervention.
Predicting Technical Success of Chronic Total Occlusion Percutaneous Coronary Intervention
Judit Karacsonyi, Larissa Stanberry, Khaldoon Alaswad, Oleg Krestyaninov, James W. Choi, Bavana V. Rangan, Ilias Nikolakopoulos, Evangelia Vemmou, Imre Ungi, Emmanouil S. Brilakis
doi : 10.1161/CIRCINTERVENTIONS.120.009860
Circulation: Cardiovascular Interventions. 2021;14:e009860
Bleeding Outcomes in Patients Undergoing Combined Percutaneous Coronary Interventions+Transcatheter Aortic Valve Replacement
Aakriti Gupta, Ming Liao, Emily Smyth, Torsten P. Vahl, Matthew Finn, Kathryn Fidlow, Tamim Nazif, Martin B. Leon, Susheel K. Kodali, Ajay J. Kirtane
doi : 10.1161/CIRCINTERVENTIONS.120.009806
Circulation: Cardiovascular Interventions. 2021;14:e009806
Low Rates of Permanent Pacing Are Observed Following Self-Expanding Transcatheter Aortic Valve Replacement Using an Annular Plane Projection for Deployment
Anthony D. Pisaniello, Haytham B.E. Makki, Saleem Jahangeer, Matthew J. Daniels, Ragheb Hasan, Douglas G.W. Fraser
doi : 10.1161/CIRCINTERVENTIONS.120.009258
Circulation: Cardiovascular Interventions. 2021;14:e009258
