Waqas Qureshi, Summer Aldrugh, Jeffrey Rade, Craig Smith, Alvaro Alonso, Youssef Rahban, Kurt G Barringhaus, Nikolaos Kakouros
{"title":"Technical success and long-term experience of a novel radial guide-catheter shape: the JCLRAD.","authors":"Waqas Qureshi, Summer Aldrugh, Jeffrey Rade, Craig Smith, Alvaro Alonso, Youssef Rahban, Kurt G Barringhaus, Nikolaos Kakouros","doi":"10.25270/jic/24.0114","DOIUrl":"https://doi.org/10.25270/jic/24.0114","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142562956","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":"Gas wala pain: an unusual association of acute gastric dilatation and myocardial infarction.","authors":"Neelam Dahiya, Somyata Somendra","doi":"10.25270/jic/24.00167","DOIUrl":"https://doi.org/10.25270/jic/24.00167","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141499423","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}
J Dawn Abbott, George Adams, Nicholas Amoroso, Herbert Aronow, Itsik Ben-Dor, Sam Conaway, Megan Coylewright, Eric Dippel, Dmitriy Feldman, Kirk Garratt, Adam Greenbaum, George Hanzel, Jimmy Kerrigan, Ayman Magd, Sundeep Mishra, Piotr Musialek, Jihad Mustapha, Sigrid Nikol, William O'Neill, Rajan Patel, Charanjit Rihal, Michael Rinaldi, Toby Rogers, Souheil Saddekni, Jonathan Schwartz, Richard Smalling, Molly Szerlip, Jacqueline Tamis-Holland, Alexander Truesdell, Bonnie Weiner, David Wood
{"title":"Clinical conference proceedings: 17th biennial International Andreas Gruentzig Society meeting.","authors":"J Dawn Abbott, George Adams, Nicholas Amoroso, Herbert Aronow, Itsik Ben-Dor, Sam Conaway, Megan Coylewright, Eric Dippel, Dmitriy Feldman, Kirk Garratt, Adam Greenbaum, George Hanzel, Jimmy Kerrigan, Ayman Magd, Sundeep Mishra, Piotr Musialek, Jihad Mustapha, Sigrid Nikol, William O'Neill, Rajan Patel, Charanjit Rihal, Michael Rinaldi, Toby Rogers, Souheil Saddekni, Jonathan Schwartz, Richard Smalling, Molly Szerlip, Jacqueline Tamis-Holland, Alexander Truesdell, Bonnie Weiner, David Wood","doi":"10.25270/jic/24.10000","DOIUrl":"10.25270/jic/24.10000","url":null,"abstract":"","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141499422","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}
Robert S Zhang, Eugene Yuriditsky, Eric Bailey, Lindsay Elbaum, Allison A Greco, Radu Postelnicu, Vikramjit Mukherjee, Norma Keller, Carlos L Alviar, James M Horowitz, Sripal Bangalore
Objectives: The aim of this study was to compare the hemodynamic impact and clinical outcomes of saddle vs non-saddle pulmonary embolism (PE).
Methods: This was a retrospective analysis of clinical characteristics and outcomes among patients with saddle and non-saddle PE within a cohort referred for catheter-based thrombectomy (CBT) with invasive hemodynamic assessments. Patients who underwent CBT between August 2020 and January 2024 were included. The primary outcome was the proportion of patients with a low cardiac index (CI < 2.2 L/min/m²). Secondary outcomes included 30-day mortality, intensive care unit (ICU) length of stay (LOS), and hospital LOS.
Results: A total of 107 patients (84 intermediate risk, 23 high-risk; mean age 58 years, 47.6% female) were included in the study, with 44 patients having saddle PE and 63 having non-saddle PE. There were no significant differences in baseline demographics and clinical characteristics between saddle and non-saddle PE, including rates of high-risk PE (25% vs 16%, P = .24), rates of RV dysfunction, pulmonary artery systolic pressure (55 vs 53 mm Hg, P = .74), mean pulmonary artery pressure (34 mm Hg vs 33 mm Hg), low cardiac index (56% vs 51%, P = .64), rates of normotensive shock (27% vs 20%, P = .44), or Composite Pulmonary Embolism Shock scores (4.5 vs 4.7, P = .25). Additionally, 30-day mortality (6% vs 5%, P = .69), ICU LOS, and hospital LOS were similar between the groups.
Conclusions: Among patients undergoing CBT, there were no significant differences in invasive hemodynamic parameters or clinical outcomes between those with saddle and non-saddle PE.
研究目的本研究旨在比较鞍型与非鞍型肺栓塞（PE）对血液动力学的影响和临床结果：这是对转诊接受导管血栓切除术（CBT）并进行侵入性血液动力学评估的鞍部和非鞍部肺栓塞患者的临床特征和预后进行的回顾性分析。研究纳入了 2020 年 8 月至 2024 年 1 月期间接受 CBT 的患者。主要结果是低心脏指数（CI < 2.2 L/min/m²）患者的比例。次要结果包括 30 天死亡率、重症监护室（ICU）住院时间和住院时间：共有 107 名患者（中危 84 人，高危 23 人；平均年龄 58 岁，47.6% 为女性）参与了研究，其中 44 名患者为鞍部 PE，63 名患者为非鞍部 PE。鞍式和非鞍式 PE 的基线人口统计学和临床特征无明显差异，包括高风险 PE 的发生率（25% vs 16%，P = .24）、RV 功能障碍的发生率、肺动脉收缩压（55 vs 53 mm Hg，P = .74）、肺动脉平均压（34 mm Hg vs 33 mm Hg）、低心脏指数（56% vs 51%，P = .64）、血压正常休克率（27% vs 20%，P = .44）或肺栓塞休克综合评分（4.5 vs 4.7，P = .25）。此外，两组患者的30天死亡率（6% vs 5%，P = .69）、重症监护室住院时间和住院时间相似：结论：在接受 CBT 治疗的患者中，鞍上和非鞍上 PE 患者的有创血流动力学参数或临床结果无明显差异。
{"title":"Evaluating the hemodynamic impact of saddle versus non-saddle pulmonary embolism: insights from a thrombectomy cohort.","authors":"Robert S Zhang, Eugene Yuriditsky, Eric Bailey, Lindsay Elbaum, Allison A Greco, Radu Postelnicu, Vikramjit Mukherjee, Norma Keller, Carlos L Alviar, James M Horowitz, Sripal Bangalore","doi":"10.25270/jic/24.00156","DOIUrl":"10.25270/jic/24.00156","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study was to compare the hemodynamic impact and clinical outcomes of saddle vs non-saddle pulmonary embolism (PE).</p><p><strong>Methods: </strong>This was a retrospective analysis of clinical characteristics and outcomes among patients with saddle and non-saddle PE within a cohort referred for catheter-based thrombectomy (CBT) with invasive hemodynamic assessments. Patients who underwent CBT between August 2020 and January 2024 were included. The primary outcome was the proportion of patients with a low cardiac index (CI < 2.2 L/min/m²). Secondary outcomes included 30-day mortality, intensive care unit (ICU) length of stay (LOS), and hospital LOS.</p><p><strong>Results: </strong>A total of 107 patients (84 intermediate risk, 23 high-risk; mean age 58 years, 47.6% female) were included in the study, with 44 patients having saddle PE and 63 having non-saddle PE. There were no significant differences in baseline demographics and clinical characteristics between saddle and non-saddle PE, including rates of high-risk PE (25% vs 16%, P = .24), rates of RV dysfunction, pulmonary artery systolic pressure (55 vs 53 mm Hg, P = .74), mean pulmonary artery pressure (34 mm Hg vs 33 mm Hg), low cardiac index (56% vs 51%, P = .64), rates of normotensive shock (27% vs 20%, P = .44), or Composite Pulmonary Embolism Shock scores (4.5 vs 4.7, P = .25). Additionally, 30-day mortality (6% vs 5%, P = .69), ICU LOS, and hospital LOS were similar between the groups.</p><p><strong>Conclusions: </strong>Among patients undergoing CBT, there were no significant differences in invasive hemodynamic parameters or clinical outcomes between those with saddle and non-saddle PE.</p>","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141471943","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}
Kewel Kanabar, Rujuta Parikh, Pooja Vyas, Vishal Sharma, Apoorva M
A 55-year-old female patient with unstable angina and accelerated hypertension was planned for invasive coronary and renal angiogram.
一名 55 岁的女性患者患有不稳定型心绞痛和加速性高血压，计划进行有创冠状动脉和肾血管造影。
{"title":"Retrieval of a severely double-kinked catheter in the right brachial artery by internal fixation with a peripheral angioplasty balloon.","authors":"Kewel Kanabar, Rujuta Parikh, Pooja Vyas, Vishal Sharma, Apoorva M","doi":"10.25270/jic/24.00003","DOIUrl":"10.25270/jic/24.00003","url":null,"abstract":"<p><p>A 55-year-old female patient with unstable angina and accelerated hypertension was planned for invasive coronary and renal angiogram.</p>","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140040705","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}
A 24-year-old man was referred to our tertiary care center for the management of uncontrolled hypertension secondary to severe coarctation of aorta.
一名 24 岁的男子被转诊到我们的三级医疗中心，以治疗继发于严重主动脉缩窄的未控制高血压。
{"title":"Transcatheter management of acquired atresia of aorta.","authors":"Sourabh Agstam, Zia Abdullah, Shitij Chaudhary, Satyavir Yadav, Sivasubramanian Ramakrishnan","doi":"10.25270/jic/23.00298","DOIUrl":"10.25270/jic/23.00298","url":null,"abstract":"<p><p>A 24-year-old man was referred to our tertiary care center for the management of uncontrolled hypertension secondary to severe coarctation of aorta.</p>","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139998045","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}
Luis Fernandez Gonzalez, Koldobika Garcia San Román, Alejandro Crespo Hubsch, Roberto Blanco Mata
We present a 70-year-old man with rheumatic mitral valve disease who had undergone 3 previous open-heart surgeries, the last of which was a new mitral valve replacement for a mechanical prosthesis due to early bioprosthetic endocarditis.
{"title":"Percutaneous treatment of an early complication after endocarditis surgery with Cabrol type repair.","authors":"Luis Fernandez Gonzalez, Koldobika Garcia San Román, Alejandro Crespo Hubsch, Roberto Blanco Mata","doi":"10.25270/jic/24.00017","DOIUrl":"10.25270/jic/24.00017","url":null,"abstract":"<p><p>We present a 70-year-old man with rheumatic mitral valve disease who had undergone 3 previous open-heart surgeries, the last of which was a new mitral valve replacement for a mechanical prosthesis due to early bioprosthetic endocarditis.</p>","PeriodicalId":49261,"journal":{"name":"Journal of Invasive Cardiology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140040703","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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