{"title":"DEBS-074 | Drug Coated Balloons in All Comer Population-Results from a Prospective Two Centre Registry- The Ballist Registry","authors":"Florin-Leontin Lazar , Teodor Kacso, Calin Homorodean, Horea-Laurentiu Onea, Ioan-Cornel Bitea, Mihai Ober, Oana Stoia, Minodora Teodoru, Dan-Mircea Olinic","doi":"10.1016/j.jscai.2025.104226","DOIUrl":"10.1016/j.jscai.2025.104226","url":null,"abstract":"","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"5 2","pages":"Article 104226"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147407266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01Epub Date: 2026-02-19DOI: 10.1016/j.jscai.2025.104246
Maroua Dali, Richard Bogle PhD
{"title":"DEBS-072 | False reassurance after drug-coated balloon angioplasty: when angiographic success conceals a silent coronary dissection","authors":"Maroua Dali, Richard Bogle PhD","doi":"10.1016/j.jscai.2025.104246","DOIUrl":"10.1016/j.jscai.2025.104246","url":null,"abstract":"","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"5 2","pages":"Article 104246"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147407470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"DEBS-052 | Aggressive Predilation Improves Outcomes in In-Stent Restenosis Treated with Drug-Coated Balloons: A Pooled Lesion-Level Analysis","authors":"Bharat Khialani , Filippo Luca Gurgoglione, Sylwia Iwanczyk, Wojciech Wańha, Cuneyt Ada, Bernardo Cortese","doi":"10.1016/j.jscai.2025.104217","DOIUrl":"10.1016/j.jscai.2025.104217","url":null,"abstract":"","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"5 2","pages":"Article 104217"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147407484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01Epub Date: 2026-01-13DOI: 10.1016/j.jscai.2025.104162
Naeem Tahirkheli MD , Mishal Zehra MBBS , Sufyan Shahid MBBS , Zaigham ul Islam MBBS , Muzaffar Ali Zahidi MBBS , Minahil Iqbal MBBS , Ahsan Ahmad MBBS , Muhammad Shuaib Abid MBBS , Humza Saeed MBBS , Iftikhar Ch MD , Ahmed Arham Niaz MBBS , Mishal Afzal MBBS , Poonam Bai MBBS , Wajahat Lodhi MBBS , Salman Khalid MD
Background
Saphenous vein graft (SVG) percutaneous coronary intervention (PCI) carries a high-risk of slow or no-reflow (SNR)—up to 15% in stable ischemia and 29% in acute coronary syndrome (ACS)—leading to higher major adverse cardiovascular event rates. Evidence on high-dose intracoronary adenosine for SNR prevention remains limited.
Methods
We analyzed 171 patients with stable ischemic heart disease or ACS who underwent SVG PCI without embolic protection devices from 2010 to 2024 at our center. All received 200 to 400 μg intracoronary adenosine within 30 seconds just prior to each balloon or stent inflation, and post-PCI outcomes were evaluated.
Results
Of 171 patients, 71.2% were mene, and 83% presented with ACS. Pre-PCI Thrombolysis in Myocardial Infarction (TIMI) flow was <3 in 41.1% of the patients. Using the adenosine protocol, no-reflow occurred in 1.2% and slow flow in 4.7%. SNR incidence was 0% in patients with pre-PCI TIMI flow 3 vs higher in those with pre-PCI TIMI <3 (P = .01). Major adverse cardiovascular event rates were 2.3%, 4.6%, and 8.7% at in-hospital, 30-day, and 1-year follow-up, respectively, with significantly better outcomes in the TIMI 3 group (P = .020). Target vessel revascularization was 3.5% at both 30 days and 1 year.
Conclusions
High-dose intracoronary adenosine protocol described in this study markedly reduced the incidence of SNR and was associated with improved short- and long-term outcomes in patients undergoing SVG PCI.
{"title":"Outcomes of High-Dose Intracoronary Adenosine Protocol in Saphenous Venous Graft Percutaneous Coronary Intervention: A 15-Year Single-Center Experience","authors":"Naeem Tahirkheli MD , Mishal Zehra MBBS , Sufyan Shahid MBBS , Zaigham ul Islam MBBS , Muzaffar Ali Zahidi MBBS , Minahil Iqbal MBBS , Ahsan Ahmad MBBS , Muhammad Shuaib Abid MBBS , Humza Saeed MBBS , Iftikhar Ch MD , Ahmed Arham Niaz MBBS , Mishal Afzal MBBS , Poonam Bai MBBS , Wajahat Lodhi MBBS , Salman Khalid MD","doi":"10.1016/j.jscai.2025.104162","DOIUrl":"10.1016/j.jscai.2025.104162","url":null,"abstract":"<div><h3>Background</h3><div>Saphenous vein graft (SVG) percutaneous coronary intervention (PCI) carries a high-risk of slow or no-reflow (SNR)—up to 15% in stable ischemia and 29% in acute coronary syndrome (ACS)—leading to higher major adverse cardiovascular event rates. Evidence on high-dose intracoronary adenosine for SNR prevention remains limited.</div></div><div><h3>Methods</h3><div>We analyzed 171 patients with stable ischemic heart disease or ACS who underwent SVG PCI without embolic protection devices from 2010 to 2024 at our center. All received 200 to 400 μg intracoronary adenosine within 30 seconds just prior to each balloon or stent inflation, and post-PCI outcomes were evaluated.</div></div><div><h3>Results</h3><div>Of 171 patients, 71.2% were mene, and 83% presented with ACS. Pre-PCI Thrombolysis in Myocardial Infarction (TIMI) flow was <3 in 41.1% of the patients. Using the adenosine protocol, no-reflow occurred in 1.2% and slow flow in 4.7%. SNR incidence was 0% in patients with pre-PCI TIMI flow 3 vs higher in those with pre-PCI TIMI <3 (<em>P</em> = .01). Major adverse cardiovascular event rates were 2.3%, 4.6%, and 8.7% at in-hospital, 30-day, and 1-year follow-up, respectively, with significantly better outcomes in the TIMI 3 group (<em>P</em> = .020). Target vessel revascularization was 3.5% at both 30 days and 1 year.</div></div><div><h3>Conclusions</h3><div>High-dose intracoronary adenosine protocol described in this study markedly reduced the incidence of SNR and was associated with improved short- and long-term outcomes in patients undergoing SVG PCI.</div></div>","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"5 2","pages":"Article 104162"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147273356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01Epub Date: 2026-02-19DOI: 10.1016/j.jscai.2025.104207
Salman Sahibzada
{"title":"DEBS-026 | Outcomes of Drug-Eluting Balloon–Only versus Hybrid Drug-Eluting Balloon plus Drug-Eluting Stent Strategies in Chronic Total Occlusion PCI: A Single-Center Cohort Study","authors":"Salman Sahibzada","doi":"10.1016/j.jscai.2025.104207","DOIUrl":"10.1016/j.jscai.2025.104207","url":null,"abstract":"","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"5 2","pages":"Article 104207"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147394640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01Epub Date: 2026-02-19DOI: 10.1016/j.jscai.2025.104208
Sophia Khattak , Muhammad Abubakar, Arva Zahid, Jerome Ment, Burbir Bhatia, Beth Freestone, Sandeep Basavarajaiah
{"title":"DEBS-027 | Lesion-Level Stent Length and Lesion Characteristics in CTO PCI: Comparison of CTO-DES versus Hybrid Strategy","authors":"Sophia Khattak , Muhammad Abubakar, Arva Zahid, Jerome Ment, Burbir Bhatia, Beth Freestone, Sandeep Basavarajaiah","doi":"10.1016/j.jscai.2025.104208","DOIUrl":"10.1016/j.jscai.2025.104208","url":null,"abstract":"","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"5 2","pages":"Article 104208"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147394643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"DEBS-050 | Stentless but Not Risk-Free: Late Aneurysm After DCB-Only CTO PCI With Subintimal Injury","authors":"Bharat Khialani, Eran Sim Wen Jun, Filippo Luca Gurgoglione, Bernardo Cortese","doi":"10.1016/j.jscai.2025.104241","DOIUrl":"10.1016/j.jscai.2025.104241","url":null,"abstract":"","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"5 2","pages":"Article 104241"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147394949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01Epub Date: 2026-02-19DOI: 10.1016/j.jscai.2025.104238
Gupta Ankit , Bhushan Shah, A.P. Singh
{"title":"DEBS-038 | Winning the Battle Against Fibrotic LAD Disease: IVUS-Guided DCB Angioplasty in a 29-Year-Old Soldier","authors":"Gupta Ankit , Bhushan Shah, A.P. Singh","doi":"10.1016/j.jscai.2025.104238","DOIUrl":"10.1016/j.jscai.2025.104238","url":null,"abstract":"","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"5 2","pages":"Article 104238"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147394952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01Epub Date: 2026-02-19DOI: 10.1016/j.jscai.2025.104231
Johanna Jones , Bianca Coldea, Ramsay Tabbara, Fizzah Choudry, Krishna Rathod, Daniel Jones
{"title":"DEBS-011 | Drug coated balloon PCI of a subtotal LAD occlusion in a renal transplant recipient","authors":"Johanna Jones , Bianca Coldea, Ramsay Tabbara, Fizzah Choudry, Krishna Rathod, Daniel Jones","doi":"10.1016/j.jscai.2025.104231","DOIUrl":"10.1016/j.jscai.2025.104231","url":null,"abstract":"","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"5 2","pages":"Article 104231"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147407268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-01Epub Date: 2026-02-19DOI: 10.1016/j.jscai.2025.104236
Jozica Sikic , Bernardo Cortese
{"title":"DEBS-036 | Avoiding a Full Metal Jacket: Successful DCB-Only Strategy for Long RCA Dissection in a High-Risk Patient","authors":"Jozica Sikic , Bernardo Cortese","doi":"10.1016/j.jscai.2025.104236","DOIUrl":"10.1016/j.jscai.2025.104236","url":null,"abstract":"","PeriodicalId":73990,"journal":{"name":"Journal of the Society for Cardiovascular Angiography & Interventions","volume":"5 2","pages":"Article 104236"},"PeriodicalIF":0.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147408075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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