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ESTUDIOS


02 noviembre 2020

Feasibility of Transcatheter Aortic Valve Replacement in Prior Aortic Root Surgery

Michael I. Brener, Tsuyoshi Yamabe, Jay Leb, Omar K. Khalique, Hiroo Takayama and Isaac George

Background: Aortic root replacement (ARR) introduces several anatomic complexities relevant to valve-in-valve (VIV)–transcatheter aortic valve replacement (TAVR) that may (1) increase the risk of coronary obstruction, (2) necessitate transcatheter valve overexpansion to accommodate large annuli, and (3) require alternative vascular access to navigate aortic kinking. Therefore, we aimed to quantify the feasibility of VIV-TAVR in patients who underwent aortic root surgery.

10 noviembre 2020

Patient and Provider Risk in Managing ST-Elevation Myocardial Infarction During the COVID-19 Pandemic

Neel M. Butala, Nilay K. Patel, Jagpreet Chhatwal, Vahab Vahdat, Eugene V. Pomerantsev, Mazen Albaghdadi, Rahul Sakhuja, Anthony Rosenzweig and Sammy Elmariah

Background: The optimal treatment strategy for treating ST-segment–elevation myocardial infarction (STEMI) in context of the coronavirus disease 2019 (COVID-19) pandemic is unclear given the potential risk of occupational exposure during primary percutaneous coronary intervention (PPCI). We quantified the impact of different STEMI treatment strategies on patient outcomes and provider risk in context of the COVID-19 pandemic.

27 octubre 2020

Comparison Between Optical Frequency Domain Imaging and Intravascular Ultrasound for Percutaneous Coronary Intervention Guidance in Biolimus A9-Eluting Stent Implantation

Takashi Muramatsu, Yukio Ozaki, Mamoru Nanasato, Masato Ishikawa, Ryo Nagasaka, Masaya Ohota, Yosuke Hashimoto, Yu Yoshiki, Hidemaro Takatsu, Katsuyoshi Ito, Hiroki Kamiya, Yukihiko Yoshida, Toyoaki Murohara, Hideo Izawa and on behalf of the MISTIC-1 Investigators

Background: Given the characteristic differences between intravascular ultrasound (IVUS) and optical frequency domain imaging (OFDI), their approach to therapeutic guidance during percutaneous coronary interventions (PCIs) and arterial healing response after stenting may also vary.

10 noviembre 2020

One-Month Dual Antiplatelet Therapy Following Percutaneous Coronary Intervention With Zotarolimus-Eluting Stents in High-Bleeding-Risk Patients

David E. Kandzari, Ajay J. Kirtane, Stephan Windecker, Azeem Latib, Elvin Kedhi, Roxana Mehran, Matthew J. Price, Alexandre Abizaid, Daniel I. Simon, Stephen G. Worthley, Azfar Zaman, James W. Choi, Ronald Caputo, Mihir Kanitkar, Brent McLaurin, Srinivasa Potluri, Timothy Smith, Douglas Spriggs, Thaddeus Tolleson, Tamim Nazif, Maria Parke, Lilian C. Lee, Te-Hsin Lung, Gregg W. Stone and for the Onyx ONE US/Japan Investigators

Background: Despite treatment guidance endorsing shortened dual antiplatelet therapy (DAPT) duration in high bleeding risk (HBR) patients after drug-eluting stents, limited evidence exists to support these recommendations. The present study was designed to examine the safety and effectiveness of 1-month DAPT duration following percutaneous coronary intervention with zotarolimus-eluting stents in HBR patients.

10 noviembre 2020

Balloon Angioplasty for Native Aortic Coarctation in 3- to 12-Month-Old Infants

Juan Pablo Sandoval, Sok-Leng Kang, Kyong-Jin Lee, Lee Benson, Kentaro Asoh and Rajiv R. Chaturvedi

Background: Balloon angioplasty for native coarctation of the aorta (CoA) is successful in children and adults but in neonates results in frequent restenosis. The efficacy of balloon angioplasty for native CoA during infancy beyond the neonatal period was examined in infants aged 3 to 12 months of age.

05 febrero 2021

Short-Term Outcomes of Transcatheter Versus Isolated Surgical Aortic Valve Replacement for Mediastinal Radiation-Associated Severe Aortic Stenosis

Victor Nauffal, Camden Bay, Pinak B. Shah, Piotr S. Sobieszczyk, Tsuyoshi Kaneko, Patrick O’Gara and Anju Nohria

Background: Surgical aortic valve replacement (SAVR) is associated with adverse outcomes in patients with radiation-associated aortic stenosis. Transcatheter aortic valve replacement (TAVR) may improve outcomes in this population.

05 febrero 2021

Prognostic Impact of Change in Nutritional Risk on Mortality and Heart Failure After Transcatheter Aortic Valve Replacement

Rocío González Ferreiro, Diego López Otero, Leyre Álvarez Rodríguez, Óscar Otero García, Marta Pérez Poza, Pablo José Antúnez Muiños, Carla Cacho Antonio, Javier López Pais, Mária Juskowa, Ana Belén Cid Álvarez, Ramiro Trillo Nouche, Xoan Carlos Sanmartín Pena, Pedro Luis Sánchez Fernández, Ignacio Cruz-González and José Ramón González Juanatey

Background: Limited data are available regarding change in the nutritional status after transcatheter aortic valve replacement (TAVR). This study evaluated the prognostic impact of the change in the geriatric nutritional risk index following TAVR.

05 febrero 2021

Transcatheter Tricuspid Valve Intervention in Patients With Right Ventricular Dysfunction or Pulmonary Hypertension

Guillem Muntané-Carol, Maurizio Taramasso, Mizuki Miura, Mara Gavazzoni, Alberto Pozzoli, Hannes Alessandrini, Azeem Latib, Adrian Attinger-Toller, Luigi Biasco, Daniel Braun, Eric Brochet, Kim A. Connelly, Sabine de Bruijn, Paolo Denti, Florian Deuschl, Edith Lubos, Sebastian Ludwig, Daniel Kalbacher, Rodrigo Estevez-Loureiro, Neil Fam, Christian Frerker, Edwin Ho, Jean-Michel Juliard, Ryan Kaple, Susheel Kodali, Felix Kreidel, Claudia Harr, Alexander Lauten, Julia Lurz, Vanessa Monivas, Michael Mehr, Tamin Nazif, Georg Nickening, Giovanni Pedrazzini, François Philippon, Fabien Praz, Rishi Puri, Ulrich Schäfer, Joachim Schofer, Horst Sievert, Gilbert H.L. Tang, Ahmed A. Khattab, Martin Andreas, Marco Russo, Holger Thiele, Matthias Unterhuber, Dominique Himbert, Marina Urena, Ralph Stephan von Bardeleben, John G. Webb, Marcel Weber, Stephan Windecker, Mirjam Winkel, Michel Zuber, Jörg Hausleiter, Philipp Lurz, Francesco Maisano, Martin B. Leon, Rebecca T. Hahn and Josep Rodés-Cabau

Background: Scarce data exist on patients with right ventricular dysfunction (RVD) or pulmonary hypertension (PH) undergoing transcatheter tricuspid valve intervention. This study aimed to determine the early and midterm outcomes and the factors associated with mortality in this group of patients.

05 febrero 2021

Accuracy of Intravascular Ultrasound-Based Fractional Flow Reserve in Identifying Hemodynamic Significance of Coronary Stenosis

Wei Yu, Toru Tanigaki, Daixin Ding, Peng Wu, Haiyan Du, Li Ling, Biao Huang, Guanyu Li, Wei Yang, Su Zhang, Fuhua Yan, Munenori Okubo, Bo Xu, Hitoshi Matsuo, William Wijns and Shengxian Tu

Background: Ultrasonic flow ratio (UFR) is a novel method for fast computation of fractional flow reserve (FFR) from intravascular ultrasound images. The objective of this study is to evaluate the diagnostic performance of UFR using wire-based FFR as the reference.

09 enero 2020

Optical Coherence Tomography for Coronary Bioresorbable Vascular Scaffold Implantation

Seung-Yul Lee, Do-Yoon Kang, Sung-Jin Hong, Jung-Min Ahn, Chul-Min Ahn, Duk-Woo Park, Jung-Sun Kim, Byeong-Keuk Kim, Young-Guk Ko, Donghoon Choi, Yangsoo Jang, Seung-Jung Park and Myeong-Ki Hong

Abstract Background: We investigated whether optical coherence tomography (OCT) guidance would reduce nonoptimal bioresorbable vascular scaffold (BVS) deployment.

29 enero 2020

Acute Coronary Syndrome Following Transcatheter Aortic Valve Replacement

Laurent Faroux, Erika Munoz-Garcia, Vicenç Serra, Alberto Alperi, Luis Nombela-Franco, Quentin Fischer, Gabriela Veiga, Pierre Donaint, Lluis Asmarats, Victoria Vilalta, Chekrallah Chamandi, Ander Regueiro, Enrique Gutiérrez, Antonio Munoz-Garcia, Bruno Garcia del Blanco, Montserrat Bach-Oller, Cesar Moris, German Armijo, Marina Urena, Victor Fradejas-Sastre, Damien Metz, Pablo Castillo, Eduard Fernandez-Nofrerias, Manel Sabaté, Maria Tamargo, David del Val, Thomas Couture and Josep Rodes-Cabau

Abstract Background: Scarce data exist on coronary events following transcatheter aortic valve replacement (TAVR), and no study has determined the factors associated with poorer outcomes in this setting. This study sought to determine the clinical characteristics, outcomes, and prognostic factors of acute coronary syndrome (ACS) events following TAVR.

24 enero 2020

Temporal Occurrence of Arrhythmic Complications After Alcohol Septal Ablation

Bassim El-Sabawi, Rick A. Nishimura, Gregory W. Barsness, Yong-Mei Cha, Jeffrey B. Geske and Mackram F. Eleid

Abstract Background: The temporal occurrence of arrhythmic complications after alcohol septal ablation (ASA) is unclear. As a result, the appropriate time to monitor patients after ASA is controversial. The purpose of this study is to determine the temporal occurrence of complete heart block (CHB) and ventricular tachyarrhythmia (VT) after ASA to better understand when patients can be safely discharged.

11 febrero 2020

Appropriate Use Criteria and Health Status Outcomes Following Chronic Total Occlusion Percutaneous Coronary Intervention

John T. Saxon, J. Aaron Grantham, Adam C. Salisbury, James Sapontis, William L. Lombardi, Dimitri Karmpaliotis, Jeffery Moses, William J. Nicholson, Yuanyuan Tang, David J. Cohen, John A. Spertus and David M. Safley

Abstract Background: The American College of Cardiology/American Heart Association Appropriate Use Criteria were designed to aid clinical decision-making, yet their association with health status outcomes after chronic total occlusion percutaneous coronary intervention (PCI) is unknown.

07 febrero 2020

Prognostic Effects of Treatment Strategies for Left Main Versus Non-Left Main Bifurcation Percutaneous Coronary Intervention With Current-Generation Drug-Eluting Stent

Ki Hong Choi, Young Bin Song, Joo Myung Lee, Taek Kyu Park, Jeong Hoon Yang, Joo-Yong Hahn, Jin-Ho Choi, Seung-Hyuk Choi, Hyo-Soo Kim, Woo Jung Chun, Seung-Ho Hur, Seung Hwan Han, Seung-Woon Rha, In-Ho Chae, Jin-Ok Jeong, Jung Ho Heo, Junghan Yoon, Do-Sun Lim, Jong-Seon Park, Myeong-Ki Hong, Joon-Hyung Doh, Kwang Soo Cha, Doo-Il Kim, Sang Yeub Lee, Kiyuk Chang, Byung-Hee Hwang, So-Yeon Choi, Myung Ho Jeong, Soon-Jun Hong, Chang-Wook Nam, Bon-Kwon Koo and Hyeon-Cheol Gwon

Abstract Background: Although 1-stent with provisional approach is the preferred strategy for the treatment of bifurcation lesions, the optimal treatment strategy according to lesion location is still debatable. This study aimed to identify whether clinical outcomes according to treatment strategy differed between left main (LM) and non-LM bifurcation lesions in the second-generation drug-eluting stent era.

05 febrero 2020

Stent-Only Versus Adjunctive Balloon Angioplasty Approach for Saphenous Vein Graft Percutaneous Coronary Intervention

Faisal Latif, Lauren Uyeda, Robert Edson, Deepak L. Bhatt, Steven Goldman, David R. Holmes Jr, Sunil V. Rao, Kendrick Shunk, Kul Aggarwal, Barry Uretsky, Islam Bolad, Khaled Ziada, Edward McFalls, Anand Irimpen, Huu Tam Truong, Scott Kinlay, Vasilios Papademetriou, Raghava S. Velagaleti, Bavana V. Rangan, Kreton Mavromatis, Mei-Chiung Shih, Subhash Banerjee and Emmanouil S. Brilakis

Abstract Background: Direct stenting without pre-dilation or post-dilation has been advocated for saphenous vein graft percutaneous coronary intervention to decrease the incidence of distal embolization, periprocedural myocardial infarction, and target lesion revascularization.

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