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Journal of Invasive Cardiology最新文献

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Calcium is not an issue for transcatheter therapy in the mitral valve: the role of independent leaflet grasping. 钙不是二尖瓣经导管治疗的问题:独立瓣叶抓取的作用。
IF 1.6 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-01-01 DOI: 10.25270/jic/24.00213
Kyriakos Dimitriadis, Eirini Beneki, Konstantinos Aznaouridis, Constantina Aggeli, Konstantinos Tsioufis
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引用次数: 0
Relationship between obesity, cardiac hemodynamics, and heart failure in adults with coarctation of aorta. 肥胖、心脏血液动力学和患有主动脉共动脉瘤的成人心力衰竭之间的关系。
IF 1.6 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-01-01 DOI: 10.25270/jic/24.00163
Alexander C Egbe, William R Miranda, C Charles Jain, Heidi M Connolly
{"title":"Relationship between obesity, cardiac hemodynamics, and heart failure in adults with coarctation of aorta.","authors":"Alexander C Egbe, William R Miranda, C Charles Jain, Heidi M Connolly","doi":"10.25270/jic/24.00163","DOIUrl":"10.25270/jic/24.00163","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141861380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Redo transcatheter aortic valve replacement in a young patient with congenital aortic valve disease. 为一名患有先天性主动脉瓣疾病的年轻患者重新进行经导管主动脉瓣置换术。
IF 1.6 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-01-01 DOI: 10.25270/jic/24.00229
Richard Tanner, Francesca R Prandi, Gilbert H L Tang, Ismail El-Hamamsy, Barry A Love, Lucy M Safi, Samin K Sharma, Stamatios Lerakis, Annapoorna S Kini
{"title":"Redo transcatheter aortic valve replacement in a young patient with congenital aortic valve disease.","authors":"Richard Tanner, Francesca R Prandi, Gilbert H L Tang, Ismail El-Hamamsy, Barry A Love, Lucy M Safi, Samin K Sharma, Stamatios Lerakis, Annapoorna S Kini","doi":"10.25270/jic/24.00229","DOIUrl":"10.25270/jic/24.00229","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141910151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Randomized comparison of a Gladius first versus standard antegrade wiring strategy for crossing coronary chronic total occlusions: the Gladius first trial. 通过慢性冠脉全闭塞的角斗士第一次与标准顺行布线策略的随机比较:角斗士第一次试验。
IF 1.6 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-12-30 DOI: 10.25270/jic/24.00316
Maksymilian P Opolski, Antoni Zysk, Wojciech J Skorupski, Artur Debski, Adam Witkowski

Objectives: Antegrade wiring (AW) is the most common coronary chronic total occlusion (CTO) crossing strategy and usually relies upon stepwise guidewire escalation starting from the low tip-load polymer-jacketed wire (standard guidewire escalation). The authors aimed to investigate whether the upfront use of intermediate tip-load polymer-jacketed guidewire translates into improved procedural outcomes of CTO percutaneous coronary intervention (PCI).

Methods: The Gladius First trial was a single-center, investigator-initiated, randomized, prospective trial. The primary endpoint was the time of AW strategy, while the secondary endpoints included CTO crossing success, procedural success, contrast volume, radiation dose, total procedural time, safety parameters, equipment use, and cost.

Results: Between 2021 and 2023, 69 patients with 70 CTO lesions (J-CTO score ≥ 1) were randomized to either upfront Gladius EX (Asahi Intecc) AW (n = 33) or standard guidewire escalation AW (n = 37). The clinical and angiographic characteristics of 2 groups were similar. Overall, CTO crossing and procedural success were 92.9% and 90%, respectively, and similar between groups. Although the AW time was significantly shorter in the Gladius AW group (10 minutes; IQR: 4-16 minutes) than in the standard AW group (21 minutes; IQR: 11-28 minutes, P = .001), the total procedural time, procedural success, safety parameters, resource use, and equipment cost were similar between groups.

Conclusions: Compared with standard guidewire escalation, the upfront use of the Gladius guidewire was associated with a shorter AW time but similar total procedural time, procedural success, safety, and cost.

目的:前向穿刺(AW)是最常见的冠状动脉慢性全闭塞(CTO)穿刺策略,通常依赖于从低尖端负荷聚合物护套导丝(标准导丝升级)开始逐步升级导丝。作者旨在研究前期使用中等尖端负荷聚合物护套导丝是否能改善 CTO 经皮冠状动脉介入治疗(PCI)的疗效:Gladius First试验是一项由研究者发起的单中心、随机、前瞻性试验。主要终点是 AW 策略的时间,次要终点包括 CTO 穿刺成功率、手术成功率、造影剂用量、辐射剂量、总手术时间、安全参数、设备使用和成本:2021年至2023年间,69例70个CTO病变(J-CTO评分≥1)的患者被随机分配到前期Gladius EX(Asahi Intecc)AW(33例)或标准导丝升级AW(37例)。两组的临床和血管造影特征相似。总体而言,CTO穿越率和手术成功率分别为92.9%和90%,组间相似。虽然Gladius AW组的AW时间(10分钟;IQR:4-16分钟)明显短于标准AW组(21分钟;IQR:11-28分钟,P = .001),但两组的总手术时间、手术成功率、安全参数、资源使用和设备成本相似:结论:与标准导丝升级相比,前期使用Gladius导丝的AW时间更短,但总手术时间、手术成功率、安全性和成本相似。
{"title":"Randomized comparison of a Gladius first versus standard antegrade wiring strategy for crossing coronary chronic total occlusions: the Gladius first trial.","authors":"Maksymilian P Opolski, Antoni Zysk, Wojciech J Skorupski, Artur Debski, Adam Witkowski","doi":"10.25270/jic/24.00316","DOIUrl":"https://doi.org/10.25270/jic/24.00316","url":null,"abstract":"<p><strong>Objectives: </strong>Antegrade wiring (AW) is the most common coronary chronic total occlusion (CTO) crossing strategy and usually relies upon stepwise guidewire escalation starting from the low tip-load polymer-jacketed wire (standard guidewire escalation). The authors aimed to investigate whether the upfront use of intermediate tip-load polymer-jacketed guidewire translates into improved procedural outcomes of CTO percutaneous coronary intervention (PCI).</p><p><strong>Methods: </strong>The Gladius First trial was a single-center, investigator-initiated, randomized, prospective trial. The primary endpoint was the time of AW strategy, while the secondary endpoints included CTO crossing success, procedural success, contrast volume, radiation dose, total procedural time, safety parameters, equipment use, and cost.</p><p><strong>Results: </strong>Between 2021 and 2023, 69 patients with 70 CTO lesions (J-CTO score ≥ 1) were randomized to either upfront Gladius EX (Asahi Intecc) AW (n = 33) or standard guidewire escalation AW (n = 37). The clinical and angiographic characteristics of 2 groups were similar. Overall, CTO crossing and procedural success were 92.9% and 90%, respectively, and similar between groups. Although the AW time was significantly shorter in the Gladius AW group (10 minutes; IQR: 4-16 minutes) than in the standard AW group (21 minutes; IQR: 11-28 minutes, P = .001), the total procedural time, procedural success, safety parameters, resource use, and equipment cost were similar between groups.</p><p><strong>Conclusions: </strong>Compared with standard guidewire escalation, the upfront use of the Gladius guidewire was associated with a shorter AW time but similar total procedural time, procedural success, safety, and cost.</p>","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Percutaneous coronary intervention during the shortage of iodinated contrast. 缺乏碘造影剂时经皮冠状动脉介入治疗。
IF 1.6 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-12-30 DOI: 10.25270/jic/24.00242
Zachary Gertz, Brian K Mitchell, Michael C Kontos, Nicholas R Teman, Anthony Norman, Raza Ahmad, Raymond J Strobel, Abdulla A Damluji, Robert A Shor, Alan Spier, Mohammed A Qauder

Objectives: A recent coronavirus-related factory shutdown led to a global shortage of iodinated contrast. The authors evaluated how the contrast shortage impacted percutaneous coronary interventions (PCI).

Methods: Using a statewide database incorporating CathPCI registry data from 19 hospitals, the authors evaluated 2 time periods: pre-shortage (May 1, 2021 - April 30, 2022) and during the shortage (May 1, 2022 - October 31, 2022). They compared procedure volumes, patient and procedure characteristics, and short-term outcomes, including acute kidney injury (AKI). Of primary interest was the difference in contrast volume per PCI and the incidence of AKI between periods.

Results: There were 8980 patients treated pre-shortage and 4046 during the shortage. Procedure volumes per hospital remained similar, as did patient characteristics. Multivessel procedures declined during the shortage (45.3% vs 42.8%, P = .007). There was a significant decline in contrast per procedure (149.9 ± 68.1 mL to 137.5 ± 62.4 mL per case, P less than .0001) that began at the start of the shortage and continued throughout. There were no differences in patient outcomes, including AKI (7.9% vs 7.4%, P = .40), between study periods. When limited to patients at increased risk of AKI, there remained no difference in AKI between the study periods, despite a similar decrease in contrast volume in that cohort. Multivariable analysis showed a strong correlation between baseline risk of AKI and subsequent AKI (P less than .0001), but no impact of procedure characteristics or time period.

Conclusions: The global shortage of iodinated contrast led to a significant decline in contrast use during PCI, with no impact on patient outcomes.

最近与冠状病毒相关的工厂停工导致全球碘造影剂短缺。作者评估了造影剂短缺对经皮冠状动脉介入治疗(PCI)的影响。方法:使用包含19家医院CathPCI注册数据的全州数据库,作者评估了两个时间段:短缺前(2021年5月1日至2022年4月30日)和短缺期间(2022年5月1日至2022年10月31日)。他们比较了手术量、患者和手术特点以及短期结果,包括急性肾损伤(AKI)。主要关注的是每次PCI造影剂体积的差异和不同时期AKI的发生率。结果:短缺前8980例,短缺中4046例。每家医院的手术量保持相似,患者特征也是如此。多船手术在短缺期间下降(45.3% vs 42.8%, P = 0.007)。从短缺开始并持续到整个过程中,每个手术的对比度显著下降(149.9±68.1 mL至137.5±62.4 mL, P < 0.0001)。在两个研究期间,包括AKI在内的患者结局没有差异(7.9% vs 7.4%, P = 0.40)。当限于AKI风险增加的患者时,尽管在该队列中造影剂体积相似地减少,但在研究期间AKI仍然没有差异。多变量分析显示AKI的基线风险与随后的AKI之间有很强的相关性(P < 0.0001),但手术特征或时间段没有影响。结论:全球碘化造影剂短缺导致PCI期间造影剂使用显著下降,对患者预后无影响。
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引用次数: 0
Uncommon etiology of ST-elevation myocardial infarction: Behçet's disease-induced coronary aneurysm. st段抬高型心肌梗死的罕见病因:behaperet病引起的冠状动脉瘤。
IF 1.6 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-12-30 DOI: 10.25270/jic/24.00352
Deniz Mutlu, Zafer Akman, Mehmet Semih Belpinar, Cezar A Iliescu, Konstantinos Marmagkiolis, Mehmet Cilingiroglu
{"title":"Uncommon etiology of ST-elevation myocardial infarction: Behçet's disease-induced coronary aneurysm.","authors":"Deniz Mutlu, Zafer Akman, Mehmet Semih Belpinar, Cezar A Iliescu, Konstantinos Marmagkiolis, Mehmet Cilingiroglu","doi":"10.25270/jic/24.00352","DOIUrl":"https://doi.org/10.25270/jic/24.00352","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Coronary access after ascending aorta repair. 升主动脉修复后冠状动脉通路。
IF 1.6 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-12-30 DOI: 10.25270/jic/24.00348
Rimmy Farrakhan, Puja Parikh, John P Reilly, Maroun Yammine, On Chen
{"title":"Coronary access after ascending aorta repair.","authors":"Rimmy Farrakhan, Puja Parikh, John P Reilly, Maroun Yammine, On Chen","doi":"10.25270/jic/24.00348","DOIUrl":"https://doi.org/10.25270/jic/24.00348","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Transcatheter closure of a complex paravalvular leak associated with a large ventricular pseudoaneurysm. 经导管闭合复杂的瓣旁漏伴大脑室假性动脉瘤。
IF 1.6 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-12-30 DOI: 10.25270/jic/24.00351
Craig Basman, Ryan Kaple, Sung-Han Yoon, Vladimir Jelnin, Jessica Willert, Perry Wengrofsky, George Stoupakis
{"title":"Transcatheter closure of a complex paravalvular leak associated with a large ventricular pseudoaneurysm.","authors":"Craig Basman, Ryan Kaple, Sung-Han Yoon, Vladimir Jelnin, Jessica Willert, Perry Wengrofsky, George Stoupakis","doi":"10.25270/jic/24.00351","DOIUrl":"https://doi.org/10.25270/jic/24.00351","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Coronary-pulmonary artery fistula with aneurysm formations. 冠状肺动脉瘘伴动脉瘤形成。
IF 1.6 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-12-23 DOI: 10.25270/jic/24.00345
Zhenzhen Xiao, Li Zhu
{"title":"Coronary-pulmonary artery fistula with aneurysm formations.","authors":"Zhenzhen Xiao, Li Zhu","doi":"10.25270/jic/24.00345","DOIUrl":"https://doi.org/10.25270/jic/24.00345","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Emergency repair of stent misplacement in a false lumen. 假腔内支架错位的紧急修复。
IF 1.6 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-12-03 DOI: 10.25270/jic/24.00333
Jingjing Chen, Li Zhu
{"title":"Emergency repair of stent misplacement in a false lumen.","authors":"Jingjing Chen, Li Zhu","doi":"10.25270/jic/24.00333","DOIUrl":"https://doi.org/10.25270/jic/24.00333","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Journal of Invasive Cardiology
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