Oscar Lagos Degrande, Carmen Lluch Requerey, Miguel Angel Montilla, Santiago Camacho Freire, Jessica Roa Garrido, Elena Izaga, Antonio Gomez Menchero
{"title":"Plaque modification using the new LithiX hertz contact lithotripsy balloon and a super high-pressure OPN NC balloon in a severely calcified coronary artery with undilatable plaque: a case report.","authors":"Oscar Lagos Degrande, Carmen Lluch Requerey, Miguel Angel Montilla, Santiago Camacho Freire, Jessica Roa Garrido, Elena Izaga, Antonio Gomez Menchero","doi":"10.25270/jic/25.00195","DOIUrl":"10.25270/jic/25.00195","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700198","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}
Objectives: Leadless pacemakers provide an alternative to transvenous pacing in patients at risk for lead- and pocket-related complications. While the femoral vein is the standard route of implantation, certain anatomical or clinical factors may make this approach technically challenging. The objective of this study was to evaluate the feasibility and safety of AVEIR (Abbott) implantation through the right internal jugular (RIJ) vein in patients in whom the femoral approach was not feasible.
Methods: The authors report a single-center case series of patients who underwent AVEIR implantation using the RIJ vein. Procedural techniques, periprocedural management, and early clinical outcomes were reviewed.
Results: Eight patients (8 VR and 1 DR) underwent successful implantation through the RIJ approach. Device deployment was accomplished with stable electrical parameters and without acute complications.
Conclusions: This case series demonstrates that AVEIR implantation via the RIJ is both technically feasible and safe. These findings expand access strategies for leadless pacing and may provide a foundation for future applications of conduction system pacing using superior venous routes.
{"title":"Right internal jugular implantation of the AVEIR leadless pacemaker: a case series demonstrating feasibility and safety.","authors":"Leili Pourafkari, Jeong Hwan J Kim, Ali Sovari","doi":"10.25270/jic/25.00304","DOIUrl":"https://doi.org/10.25270/jic/25.00304","url":null,"abstract":"<p><strong>Objectives: </strong>Leadless pacemakers provide an alternative to transvenous pacing in patients at risk for lead- and pocket-related complications. While the femoral vein is the standard route of implantation, certain anatomical or clinical factors may make this approach technically challenging. The objective of this study was to evaluate the feasibility and safety of AVEIR (Abbott) implantation through the right internal jugular (RIJ) vein in patients in whom the femoral approach was not feasible.</p><p><strong>Methods: </strong>The authors report a single-center case series of patients who underwent AVEIR implantation using the RIJ vein. Procedural techniques, periprocedural management, and early clinical outcomes were reviewed.</p><p><strong>Results: </strong>Eight patients (8 VR and 1 DR) underwent successful implantation through the RIJ approach. Device deployment was accomplished with stable electrical parameters and without acute complications.</p><p><strong>Conclusions: </strong>This case series demonstrates that AVEIR implantation via the RIJ is both technically feasible and safe. These findings expand access strategies for leadless pacing and may provide a foundation for future applications of conduction system pacing using superior venous routes.</p>","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145642018","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}
Leili Pourafkari, Jeong Hwan J Kim, Jonathan Lalezari, Ali Sovari
{"title":"Hybrid left atrial appendage exclusion management: WATCHMAN after AtriClip.","authors":"Leili Pourafkari, Jeong Hwan J Kim, Jonathan Lalezari, Ali Sovari","doi":"10.25270/jic/25.00353","DOIUrl":"https://doi.org/10.25270/jic/25.00353","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145597272","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}
Attilio Lauretti, Iginio Colaiori, Simone Calcagno, Enrico Romagnoli, Fabrizio D'Ascenzo, Antonio Di Matteo, Francesco Gemelli, Gaetano Pero, Marco Bernardi, Luigi Spadafora, Antonio Esposito, Marco Borgi, Giuseppe Biondi-Zoccai, Francesco Versaci
Objectives: Large language models (LLMs) have the potential to assist in complex decision making for interventional cardiology (IC). However, their comparative performance in providing clinical recommendations remains uncertain. In this blinded model‑comparison study, the authors evaluated and compared the quality of recommendations produced by 6 LLMs for complex IC cases.
Methods: Twenty detailed and complex clinical cases focusing on coronary artery disease (n=10) and structural heart disease (n=10) were developed. Six LLMs were tested: default ChatGPT (ChatGPTd), ChatGPT with European Society of Cardiology guidelines (ChatGPT-gl), ChatGPT with internet search enabled (ChatGPTi), Gemini (Google), Mistral 7B (Mistral AI), and Perplexity AI (Perplexity AI, Inc.). Only the ordering of anonymized outputs was randomized to ensure blinding. Five expert ICs independently assessed the anonymized and randomized responses using a 0 to 10 scale for appropriateness, accuracy, relevance, clarity, and clinical utility, generating a composite score. Statistical analysis was performed using a mixed linear model.
Results: Six hundred blinded evaluations (20 cases x 6 models x 5 raters) were analyzed, yielding an overall composite score of 7.1 (95% CI, 7.0-7.2). Performance significantly varied across LLMs (P less than .001), with ChatGPTi (7.8 [7.5-8.0]) and ChatGPT-gl (7.7 [7.4-7.9]) outperforming others. ChatGPTd (6.9 [6.6-7.3]), Mistral 7B (7.0 [6.7-7.3]), and Perplexity AI (7.0 [6.7-7.3]) performed moderately, while Gemini had the lowest score (6.3 [6.0-6.7]). These differences were consistent across all scoring dimensions (P less than .001). Case type did not affect LLM performance (P = .900).
Conclusions: LLMs show promise in IC decision making, but their performance remains suboptimal. Maximizing their potential requires systematic integration of web search capabilities and guideline-based knowledge retrieval.
{"title":"Performance of large language models in interventional cardiology: the ILLUMINATE blinded model-comparison study.","authors":"Attilio Lauretti, Iginio Colaiori, Simone Calcagno, Enrico Romagnoli, Fabrizio D'Ascenzo, Antonio Di Matteo, Francesco Gemelli, Gaetano Pero, Marco Bernardi, Luigi Spadafora, Antonio Esposito, Marco Borgi, Giuseppe Biondi-Zoccai, Francesco Versaci","doi":"10.25270/jic/25.00104","DOIUrl":"https://doi.org/10.25270/jic/25.00104","url":null,"abstract":"<p><strong>Objectives: </strong>Large language models (LLMs) have the potential to assist in complex decision making for interventional cardiology (IC). However, their comparative performance in providing clinical recommendations remains uncertain. In this blinded model‑comparison study, the authors evaluated and compared the quality of recommendations produced by 6 LLMs for complex IC cases.</p><p><strong>Methods: </strong>Twenty detailed and complex clinical cases focusing on coronary artery disease (n=10) and structural heart disease (n=10) were developed. Six LLMs were tested: default ChatGPT (ChatGPTd), ChatGPT with European Society of Cardiology guidelines (ChatGPT-gl), ChatGPT with internet search enabled (ChatGPTi), Gemini (Google), Mistral 7B (Mistral AI), and Perplexity AI (Perplexity AI, Inc.). Only the ordering of anonymized outputs was randomized to ensure blinding. Five expert ICs independently assessed the anonymized and randomized responses using a 0 to 10 scale for appropriateness, accuracy, relevance, clarity, and clinical utility, generating a composite score. Statistical analysis was performed using a mixed linear model.</p><p><strong>Results: </strong>Six hundred blinded evaluations (20 cases x 6 models x 5 raters) were analyzed, yielding an overall composite score of 7.1 (95% CI, 7.0-7.2). Performance significantly varied across LLMs (P less than .001), with ChatGPTi (7.8 [7.5-8.0]) and ChatGPT-gl (7.7 [7.4-7.9]) outperforming others. ChatGPTd (6.9 [6.6-7.3]), Mistral 7B (7.0 [6.7-7.3]), and Perplexity AI (7.0 [6.7-7.3]) performed moderately, while Gemini had the lowest score (6.3 [6.0-6.7]). These differences were consistent across all scoring dimensions (P less than .001). Case type did not affect LLM performance (P = .900).</p><p><strong>Conclusions: </strong>LLMs show promise in IC decision making, but their performance remains suboptimal. Maximizing their potential requires systematic integration of web search capabilities and guideline-based knowledge retrieval.</p>","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145607229","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}
{"title":"Webs and lakes in the heart: the forgotten image.","authors":"Shivam Arora, Neha Chopra, Shitij Chaudhary","doi":"10.25270/jic/25.00350","DOIUrl":"https://doi.org/10.25270/jic/25.00350","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145597751","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}
Gabriele L Gasparini, Laura Novelli, Jacopo A Oreglia, Yoshihisa Kinoshita, Jorge Sanz-Sanchez
{"title":"Catch the branch: the new Miracle Neo 3 guidewire for complex bifurcation rewiring.","authors":"Gabriele L Gasparini, Laura Novelli, Jacopo A Oreglia, Yoshihisa Kinoshita, Jorge Sanz-Sanchez","doi":"10.25270/jic/25.00343","DOIUrl":"https://doi.org/10.25270/jic/25.00343","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145596973","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}
{"title":"Endovascular repair of a complex thoracoabdominal aneurysm using thoracoabdominal branch endoprosthesis (TAMBE) in a high-risk vascular patient.","authors":"Chaitanya Tumuluri, M Fuad Jan, Prabhjot Hundal, Niloufar Javadi, Rajeev Gupta, Tanvir Bajwa","doi":"10.25270/jic/25.00280","DOIUrl":"https://doi.org/10.25270/jic/25.00280","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145490671","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}
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