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ABSTRACT


01 marzo 2015

JACC: CARDIOVASCULAR INTERVENTIONS. Novel Approaches for Preventing or Limiting Events (Naples) III Trial. Randomized Comparison of Bivalirudin Versus Unfractionated Heparin in Patients at Increased Risk of Bleeding Undergoing Transfemoral Elective Coronary Stenting

Carlo Briguori, MD, PhD∗; Gabriella Visconti, MD∗; Amelia Focaccio, MD∗; Michael Donahue, MD∗; Bruno Golia, MD∗; Lucio Selvetella, MD†; Bruno Ricciardelli, MD∗

Objectives: This study sought to assess the safety and the efficacy of bivalirudin compared with unfractionated heparin (UFH) alone in the subset of patients at increased risk of bleeding undergoing transfemoral elective percutaneous coronary intervention (PCI).

01 mayo 2015

CATHETERIZATION & CARDIOVASCULAR INTERVENTIONS. Variability of fractional flow reserve according to the methods of hyperemia induction

Woo-Hyun Lim MD1, Bon-Kwon Koo MD1,*, Chang-Wook Nam MD2, Joon-Hyung Doh MD3, Jin Joo Park MD4, Han-Mo Yang MD1, Kyung Woo Park MD1, Hyo-Soo Kim MD1, Hiroaki Takashima MD5, Katsuhisa Waseda MD5, Tetsuya Amano MD5, Daiki Kato MD5, Akiyoshi Kurita MD5, Maki Oi MD6, Mamoru Toyofuku MD6, Lokien van Nunen MD6 andNico H.J. Pijls MD7

Objectives: We performed this study to evaluate the variability of fractional flow reserve (FFR) values which were measured from various methods of hyperemia induction.

01 mayo 2015

CATHETERIZATION & CARDIOVASCULAR INTERVENTIONS. Feasibility and efficacy of the 2.5 L and 3.8 L impella percutaneous left ventricular support device during high-risk, percutaneous coronary intervention in patients with severe aortic stenosis

Jon Spiro MRCP MD, Vinod Venugopal MRCP MD, Yogesh Raja MRCP, Peter F. Ludman FRCP MD, Jonathan N. Townend FRCP MD andSagar N. Doshi FRCP MD*

Objective: Assessment of the feasibility and outcomes of the 2.5 L and 3.8 L Impella cardiac pump in patients with severe aortic stenosis (AS) and left ventricular impairment undergoing percutaneous revascularization (PCI) with or without balloon aortic valvuloplasty (BAV).

01 mayo 2015

CATHETERIZATION & CARDIOVASCULAR INTERVENTIONS. Single center experience: Implantation failures, early, and late complications after implantation of a partially biodegradable ASD/PFO-device (BioStar®)

Christoph M. Happel MD, PhD1,*, Kai Thorsten Laser MD1, Matthias Sigler MD, PhD2, Deniz Kececioglu MD, PhD1, Eugen Sandica MD3 andNikolaus A. Haas MD, PhD1

Introduction: In the search for a biodegradable device that leaves nothing but the tissue of the patient after complete endotheliazation and absorption, the BioSTAR® device was introduced in 2007 (CE Mark in European community and HPB in Canada) for ASD and PFO closure. It consists of a metal framework covered by a biodegradable membrane generated from a layer of porcine collagen that is broken down and absorbed over time. In a sheep model, the results were promising, showing complete closure of the defect with degradation of approximately 90% of the implanted membrane material after two years.

01 mayo 2015

CATHETERIZATION & CARDIOVASCULAR INTERVENTIONS. Transseptal puncture to facilitate device closure of “long-tunnel” patent foramen ovale

Alex J. Thompson MD, Donald J. Hagler MD andNathaniel W. Taggart MD*

Background: Patent foramen ovale (PFO) is common and may predispose to paradoxical embolism. Transcatheter device closure of PFO can be challenging in certain cases of “long-tunnel” PFO morphology. We report our experience with device closure of long-tunnel PFO using transseptal puncture.

01 mayo 2015

CATHETERIZATION & CARDIOVASCULAR INTERVENTIONS. The Flatstent versus the conventional umbrella devices in the percutaneous closure of patent foramen ovale

Mert Aral MBBS, MSC, BSC1,* andMichael Mullen MD2

Background: Patent foramen ovale (PFO) has been associated with paradoxical embolism leading to stroke/transient ischemic attack, migraine, and neurological decompression sickness. In search for the optimal device that would achieve effective clinical closure with minimal complications, a better device selection based on PFO anatomy and improvements in device design is needed. The Flatstent is a new device designed to treat the highly prevalent long-tunnel PFOs from within, minimizing the amount of material left behind in an attempt to reduce device-related complications. The objective is to compare the safety and efficacy of the novel Flatstent versus the conventional umbrella devices in the transcatheter closure of PFO in a nonrandomized, retrospective, single-center study.

01 mayo 2015

CATHETERIZATION & CARDIOVASCULAR INTERVENTIONS. Impact of age on the prognostic value of left ventricular function in relation to procedural outcomes following percutaneous coronary intervention: Insights from the British cardiovascular intervention society

Chun Shing Kwok MBBS, MSc, BSc, MRCP1, Simon G. Anderson PhD, MPhil, MSc, MBBCh, MRCP1,2, Katherine S.L. McAllister PhD, MSc, BSc3, Matthew Sperrin PhD, MSc3, Peter D. O`Kane MD, MBBS, BSc, MRCP4, Bernard Keavney DM, BMBCh, BSc, MRCP, FRCP1,2, James Nolan MD, MBChB5, Phyo Kyaw Myint MD, MBBS6, Azfar Zaman MD, MBChB, BSc, FRCP7, Iain Buchan DPH, MD, MBChB, BSc, MFPHM, FACMI3, Peter F. Ludman MD, MA, FRCP, FESC8, Mark A. de Belder MD, MA, FRCP9, Mamas A. Mamas DPhil, BMBCh, MA, MRCP1,2,* andon behalf of the British Cardiovascular Intervention Society and the National Institute for Cardiovascular Outcomes Research

Background: Around one third of patients undergoing percutaneous coronary intervention (PCI) have left ventricular (LV) dysfunction. Whilst the prevalence of LV dysfunction is known to increase with age, the prevalence of LV dysfunction in different age groups in the PCI setting is not known and the effect of age on the prognostic value of LV function in the PCI setting has not been examined.

01 mayo 2015

CATHETERIZATION & CARDIOVASCULAR INTERVENTIONS. Impact of body mass index on long-term clinical outcomes after second-generation drug eluting stent implantation: Insights from the international global RESOLUTE program

Roberto Diletti MD1,*, Hector M. Garcia-Garcia MD, PhD1,2, Christos Bourantas MD, PhD1, Nicolas M. Van Mieghem MD1, Robert Jan van Geuns MD, PhD1, Takashi Muramatsu MD1, Yao-Jun Zhang MD1, Laura Mauri MD, MSC3, Jorge Belardi MD4, Sigmund Silber MD, PhD5, Petr Widimsky MD, DrSc6, Martin Leon MD7, Stephan Windecker MD8, Ian Meredith MBBS, PhD9, Franz-Josef Neumann MD, PhD10, Alan C. Yeung MD11, Shigeru Saito MD12, Minglei Liu PhD13, Frank van Leeuwen MD13 andPatrick W. Serruys MD, PhD1

Background: An increased body mass index (BMI) is associated with a high risk of cardiovascular disease and reduction in life expectancy. However, several studies reported improved clinical outcomes in obese patients treated for cardiovascular diseases. The aim of the present study is to investigate the impact of BMI on long-term clinical outcomes after implantation of zotarolimus eluting stents.

01 mayo 2015

CATHETERIZATION & CARDIOVASCULAR INTERVENTIONS. Coronary artery aneurysms associated with ascending aortic aneurysms and abdominal aortic aneurysms: Pathophysiologic implications

Jessica R. Balderston MD1, Jay Giri MD2, Daniel M. Kolansky MD2, Joseph E. Bavaria MD3 andZachary M. Gertz MD1,*

Background: Coronary artery aneurysms (CAA) are seen in 1–5% of angiograms. Aneurysmal coronary disease has been thought to be a variant of atherosclerotic coronary artery disease (CAD) in most patients, but this has not been systematically studied.

01 marzo 2015

CATHETERIZATION & CARDIOVASCULAR INTERVENTIONS. Periprocedural myocardial infarction is associated with increased mortality in patients with coronary artery bifurcation lesions after implantation of a drug-eluting stent

Shao-Liang Chen MD, FACC1,*, Jun-Jie Zhang PhD2, Fei Ye MD2, Nai-Liang Tian MD1, Imad Sheiban MD, FACC3, Nigel Jepson MD4, Chitprapai Paiboon MD5, Teugh Sansoto MD, FACC6, Tak W. Kwan MD, FACC7, Shang-Yu Wen MD8, Hai-Chang Wang MD9, Tie-Ming Jiang MD10, Yan Wang MD11, Liang-Long Chen MD12, Chun-Guang Qiu MD,13, Yao-Jun Zhang PhD2, Meng-Xuan Chen14 andAnthony De Maria MD15

Objectives: The present study aimed to investigate the association between periprocedural myocardial infarction (PMI), defined by creatine kinase (CK)-MB or troponin I (TNI) level elevations >5 times the 99th percentile of the upper reference limit (URL) within 48 hr after implantation of a drug-eluting stent (DES), and one-year mortality in patients with coronary bifurcation.

01 marzo 2015

CATHETERIZATION & CARDIOVASCULAR INTERVENTIONS. How bifurcation angle impacts the fate of side branch after main vessel stenting: A retrospective analysis of 1,200 consecutive bifurcation lesions in a single center

Dong Zhang MD, Bo Xu MBBS*, Dong Yin MD, Yiping Li MD, Yuan He MD, Shijie You MD, Shubin Qiao MD, Yongjian Wu MD, Hongbing Yan MD, Yuejin Yang MD, Runlin Gao MD andKefei Dou MD*

Objectives: We aimed to investigate the effect of bifurcation angle (BA) on side branch (SB) occlusion after main vessel (MV) stenting. Background: BA is thought to impact the risk of SB occlusion in coronary bifurcation patients undergoing percutaneous coronary intervention (PCI).

01 marzo 2015

CATHETERIZATION & CARDIOVASCULAR INTERVENTIONS. PLATINUM China: A prospective, randomized investigation of the platinum chromium everolimus-eluting stent in de novo coronary artery lesions

Runlin Gao MD1,*, Yaling Han MD2, Yuejin Yang MD1, Jian Zhang MD3, Yuqing Hou MD4, Haichang Wang MD5, Hui Li MD6, Quan Fang MD7, Bo Yu MD8, Bo Xu MD1, Dominic J. Allocco MD9 andKeith D. Dawkins MD9

Objectives: The PLATINUM China clinical trial evaluated the safety and effectiveness of the thin-strut, everolimus-eluting, platinum-chromium PROMUS™ Element™ stent (PtCr-EES) (Boston Scientific, Marlborough, MA) for the treatment of patients in China.

01 marzo 2015

CATHETERIZATION & CARDIOVASCULAR INTERVENTIONS. Association of mean platelet volume with angiographic thrombus burden and short-term mortality in patients with ST-segment elevation myocardial infarction undergoing primary percutaneous coronary intervention

Hong-Mei Lai MD1,2,3,†, Rui Xu MS1,3,†, Yi-Ning Yang PhD1,3,4,*, Yi-Tong Ma PhD1,3, Xiao-Mei Li PhD1,3, Qian Zhao MS1, Qing-Jie Chen PhD1,3, Hui Zhai PhD1,3, Fen Liu BD3,4 andBang-Dang Chen PhD3,4

Objectives: The aim of this study was to evaluate the impact of mean platelet volume (MPV) on the intracoronary thrombus burden and short-term mortality in patients with ST-segment elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (PCI).

01 marzo 2015

CATHETERIZATION & CARDIOVASCULAR INTERVENTIONS. Safety and efficacy of a novel abluminal groove-filled biodegradable polymer sirolimus-eluting stent for the treatment of de novo coronary lesions: Two-year results from a prospective patient-level pooled analysis of TARGET trials

Zhan Gao MD1,†, Ruiyan Zhang MD2,†, Bo Xu MBBS1,*, Yuejin Yang MD1, Changsheng Ma MD3, Hui Li MD4, Shaoliang Chen MD5, Yaling Han MD6, Zuyi Yuan MD7, Alexandra J. Lansky MD8, Changdong Guan MSC1, Martin B. Leon MD9, Runlin Gao MD1,* andfor the TARGET Investigators

Objectives: We aimed to evaluate the safety and effectiveness of the novel abluminal groove-filled biodegradable polymer-coated sirolimus-eluting FIREHAWK stent (MicroPort Medical, Shanghai, China) in a large cohort of patients.

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