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State-of-the-art percutaneous coronary intervention for left main coronary artery disease in Japan. 日本最先进的经皮冠状动脉介入治疗左主干冠状动脉疾病。
IF 3.1 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Cardiovascular Intervention and Therapeutics
Pub Date : 2024-10-01 Epub Date: 2024-07-30 DOI: 10.1007/s12928-024-01030-4
Takayuki Warisawa, Shinjo Sonoda, Kyohei Yamaji, Tetsuya Amano, Shun Kohsaka, Masahiro Natsuaki, Kenichi Tsujita, Kiyoshi Hibi, Yoshio Kobayashi, Ken Kozuma

Percutaneous coronary intervention for left main coronary artery disease (LM-PCI) represents a high-risk yet life-saving procedure that has evolved significantly over the years. This review outlines the current state-of-the-art practices for LM-PCI in Japan in detail, emphasizing the integration of coronary physiology and intracoronary imaging alongside with evidence-based standardized technique using latest drug-eluting stents. These advancements enable precise lesion assessment, stent sizing, and optimal deployment, thereby enhancing procedural safety and efficacy. Despite discrepancies between current guidelines favoring coronary artery bypass grafting and real-world practice trends towards increased LM-PCI adoption, particularly in elderly populations with multiple comorbidities, careful patient selection and procedural planning are critical. Future perspectives include further refining LM-PCI through conducting randomized controlled trials integrating advanced techniques and addressing the issue of ostial left circumflex lesions and nationwide standardization of medical care for LM disease.

经皮冠状动脉介入治疗左主干冠状动脉疾病（LM-PCI）是一种高风险但能挽救生命的手术，多年来已取得了长足的发展。本综述详细概述了日本目前最先进的左主干冠状动脉介入治疗方法，强调了冠状动脉生理学和冠状动脉内成像的整合，以及使用最新药物洗脱支架的循证标准化技术。这些先进技术可实现精确的病变评估、支架尺寸和最佳部署，从而提高手术的安全性和有效性。尽管目前的指南倾向于冠状动脉旁路移植术，而现实世界的实践趋势是越来越多地采用 LM-PCI，尤其是在患有多种合并症的老年人群中，但两者之间存在差异，因此谨慎选择患者和制定手术计划至关重要。未来的发展方向包括：通过开展随机对照试验，整合先进技术，进一步完善左冠状动脉造影术；解决左圆周骨干病变问题；在全国范围内实现左冠状动脉疾病医疗护理的标准化。
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引用次数: 0
PASCAL device implantation for severe mitral regurgitation with acute chordae rupture and small calcified mitral valve annulus. PASCAL 装置植入术治疗伴有急性腱膜破裂和二尖瓣环小钙化的严重二尖瓣反流。
IF 3.1 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Cardiovascular Intervention and Therapeutics
Pub Date : 2024-10-01 Epub Date: 2024-05-05 DOI: 10.1007/s12928-024-01006-4
Naoki Nishiura, Shunsuke Kubo, Sachiyo Ono, Kohei Osakada, Takeshi Maruo, Kazushige Kadota
{"title":"PASCAL device implantation for severe mitral regurgitation with acute chordae rupture and small calcified mitral valve annulus.","authors":"Naoki Nishiura, Shunsuke Kubo, Sachiyo Ono, Kohei Osakada, Takeshi Maruo, Kazushige Kadota","doi":"10.1007/s12928-024-01006-4","DOIUrl":"10.1007/s12928-024-01006-4","url":null,"abstract":"","PeriodicalId":9439,"journal":{"name":"Cardiovascular Intervention and Therapeutics","volume":" ","pages":"509-510"},"PeriodicalIF":3.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140857003","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}
引用次数: 0
New transcatheter approach combining transcatheter thrombectomy and returning filtrated blood under intubated respiratory management with high positive end-expiratory pressure for pulmonary thromboembolism. 新的经导管方法，结合经导管血栓切除术和在高呼气末正压插管呼吸管理下回流过滤血液治疗肺血栓栓塞症。
IF 3.1 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Cardiovascular Intervention and Therapeutics
Pub Date : 2024-10-01 Epub Date: 2024-05-13 DOI: 10.1007/s12928-024-01013-5
Shinya Fujii, Shinya Nagayoshi, Takashi Miyamoto
{"title":"New transcatheter approach combining transcatheter thrombectomy and returning filtrated blood under intubated respiratory management with high positive end-expiratory pressure for pulmonary thromboembolism.","authors":"Shinya Fujii, Shinya Nagayoshi, Takashi Miyamoto","doi":"10.1007/s12928-024-01013-5","DOIUrl":"10.1007/s12928-024-01013-5","url":null,"abstract":"","PeriodicalId":9439,"journal":{"name":"Cardiovascular Intervention and Therapeutics","volume":" ","pages":"511-512"},"PeriodicalIF":3.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140915903","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}
引用次数: 0
Chronic thromboembolic pulmonary hypertension and iodine allergy successfully treated using gadolinium contrast and pressure catheter. 使用钆造影剂和压力导管成功治疗慢性血栓栓塞性肺动脉高压和碘过敏症。
IF 3.1 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Cardiovascular Intervention and Therapeutics
Pub Date : 2024-09-25 DOI: 10.1007/s12928-024-01047-9
Shuji Sato, Takuro Ito, Shunsuke Todani, Shoya Nonaka, Hiroshi Mikamo, Kazuhiro Shimizu
{"title":"Chronic thromboembolic pulmonary hypertension and iodine allergy successfully treated using gadolinium contrast and pressure catheter.","authors":"Shuji Sato, Takuro Ito, Shunsuke Todani, Shoya Nonaka, Hiroshi Mikamo, Kazuhiro Shimizu","doi":"10.1007/s12928-024-01047-9","DOIUrl":"https://doi.org/10.1007/s12928-024-01047-9","url":null,"abstract":"","PeriodicalId":9439,"journal":{"name":"Cardiovascular Intervention and Therapeutics","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142342170","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}
引用次数: 0
Transcatheter closure of mitral paravalvular leak by transapical approach with rectangular paravalvular leak device. 使用矩形瓣旁漏装置通过经心尖方法经导管关闭二尖瓣瓣旁漏。
IF 3.1 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Cardiovascular Intervention and Therapeutics
Pub Date : 2024-07-01 Epub Date: 2024-02-28 DOI: 10.1007/s12928-024-00985-8
Kenji Makino, Go Hashimoto, Hidehiko Hara, Yoshiyuki Yazaki, Mikio Takato, Shigeyuki Ozaki
{"title":"Transcatheter closure of mitral paravalvular leak by transapical approach with rectangular paravalvular leak device.","authors":"Kenji Makino, Go Hashimoto, Hidehiko Hara, Yoshiyuki Yazaki, Mikio Takato, Shigeyuki Ozaki","doi":"10.1007/s12928-024-00985-8","DOIUrl":"10.1007/s12928-024-00985-8","url":null,"abstract":"","PeriodicalId":9439,"journal":{"name":"Cardiovascular Intervention and Therapeutics","volume":" ","pages":"333-334"},"PeriodicalIF":3.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139982434","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}
引用次数: 0
Successful endovascular treatment of an occluded external iliac artery with a minimum outer vessel diameter of 2.5 mm. 成功对血管外径最小为 2.5 毫米的闭塞髂外动脉进行血管内治疗。
IF 3.1 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Cardiovascular Intervention and Therapeutics
Pub Date : 2024-07-01 Epub Date: 2024-05-02 DOI: 10.1007/s12928-024-01004-6
Kentaro Fukuda, Mitsuhiro Takeuchi, Hiroshi Tamura, Kikuo Isoda
{"title":"Successful endovascular treatment of an occluded external iliac artery with a minimum outer vessel diameter of 2.5 mm.","authors":"Kentaro Fukuda, Mitsuhiro Takeuchi, Hiroshi Tamura, Kikuo Isoda","doi":"10.1007/s12928-024-01004-6","DOIUrl":"10.1007/s12928-024-01004-6","url":null,"abstract":"","PeriodicalId":9439,"journal":{"name":"Cardiovascular Intervention and Therapeutics","volume":" ","pages":"324-326"},"PeriodicalIF":3.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140848019","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}
引用次数: 0
Effect of the jailed Corsair technique on the polymer of drug-eluting stents: insights from electron microscopy analyses. 囚禁 Corsair 技术对药物洗脱支架聚合物的影响：电子显微镜分析的启示。
IF 3.1 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Cardiovascular Intervention and Therapeutics
Pub Date : 2024-07-01 Epub Date: 2024-03-24 DOI: 10.1007/s12928-024-00992-9
Yohei Numasawa, Kei Kamata, Tadafumi Tamura, Souichi Yokokura, Hidenori Kojima, Makoto Tanaka
{"title":"Effect of the jailed Corsair technique on the polymer of drug-eluting stents: insights from electron microscopy analyses.","authors":"Yohei Numasawa, Kei Kamata, Tadafumi Tamura, Souichi Yokokura, Hidenori Kojima, Makoto Tanaka","doi":"10.1007/s12928-024-00992-9","DOIUrl":"10.1007/s12928-024-00992-9","url":null,"abstract":"","PeriodicalId":9439,"journal":{"name":"Cardiovascular Intervention and Therapeutics","volume":" ","pages":"314-315"},"PeriodicalIF":3.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140193462","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}
引用次数: 0
Left ventricular perforation caused by Impella repositioning after wire removal. 移除导线后，Impella 重新定位导致左心室穿孔。
IF 3.1 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Cardiovascular Intervention and Therapeutics
Pub Date : 2024-07-01 Epub Date: 2024-03-30 DOI: 10.1007/s12928-024-00990-x
Shunsuke Matsushita, Shunsuke Kubo, Go Yamashita, Hiroyuki Tanaka, Tatsuhiko Komiya, Kazushige Kadota
{"title":"Left ventricular perforation caused by Impella repositioning after wire removal.","authors":"Shunsuke Matsushita, Shunsuke Kubo, Go Yamashita, Hiroyuki Tanaka, Tatsuhiko Komiya, Kazushige Kadota","doi":"10.1007/s12928-024-00990-x","DOIUrl":"10.1007/s12928-024-00990-x","url":null,"abstract":"","PeriodicalId":9439,"journal":{"name":"Cardiovascular Intervention and Therapeutics","volume":" ","pages":"320-321"},"PeriodicalIF":3.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140329598","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}
引用次数: 0
Spontaneous hemodynamic improvement after balloon pulmonary angioplasty in patients with chronic thromboembolic pulmonary hypertension is observed within a short term after balloon pulmonary angioplasty. 慢性血栓栓塞性肺动脉高压患者在接受球囊肺血管成形术后短期内可观察到血流动力学自发改善。
IF 3.2 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Cardiovascular Intervention and Therapeutics
Pub Date : 2024-07-01 Epub Date: 2024-02-08 DOI: 10.1007/s12928-024-00987-6
Shinya Fujii, Shinya Nagayoshi, Takuya Matsumoto, Takashi Miyamoto, Kazuo Ogawa, Michihiro Yoshimura

Natural hemodynamic changes after balloon pulmonary artery angioplasty (BPA) in a unified state without oxygen administration in patients with chronic thromboembolic pulmonary hypertension (CTEPH) remains undetermined. This study aimed to clarify the delayed changes in the hemodynamics after BPA in patients with CTEPH. We analyzed 73 consecutive patients with CTEPH who underwent BPA between July 2014 and December 2022. We extracted and evaluated hemodynamic data of the right heart catheter without oxygen administration immediately before and after the first BPA; and immediately before the second BPA, as the "post-delayed changes" after BPA. BPA significantly improved the mean pulmonary artery pressure (mPAP, mmHg) and pulmonary vascular resistance (PVR, dyn-s/cm5) from 36 (32-43) mmHg and 449 (312-627) dyn-s/cm5 before the first BPA to 28 (23-32) mmHg and 275 (217-366) dyn-s/cm5 immediately after BPA, and further significantly improved the values to 23 (20-28) mmHg and 225 (175-301) dyn-s/cm5 post-delayed changes after BPA, respectively. Improvement observed on account of delayed changes was observed both with and without pulmonary hypertension drugs. The delayed changes were observed during a period of 5-180 days, which did not correlate with the changes in mPAP and PVR. Hemodynamic improvement owing to BPA was observed immediately after BPA; however, further improvement was observed as a result of delayed changes. mPAP improved by 3.4 ± 5.2 mmHg and PVR by 53 (10-99) dyn-s/cm5 as delayed improvement. mPAP and PVR showed delayed improved by approximately 10% of their values before BPA.

慢性血栓栓塞性肺动脉高压（CTEPH）患者在不给氧的统一状态下进行球囊肺动脉血管成形术（BPA）后的自然血流动力学变化仍未确定。本研究旨在阐明 CTEPH 患者 BPA 术后血液动力学的延迟变化。我们分析了 2014 年 7 月至 2022 年 12 月间接受 BPA 的 73 例 CTEPH 连续患者。我们提取并评估了第一次BPA前后和第二次BPA前后右心导管不给氧的血流动力学数据，作为BPA后的 "延迟变化"。BPA 显着改善了平均肺动脉压（mPAP，mmHg）和肺血管阻力（PVR，dyn-s/cm5），分别从第一次 BPA 前的 36 (32-43) mmHg 和 449 (312-627) dyn-s/cm5 降至 BPA 后的 28 (23-32) mmHg 和 275 (217-366) dyn-s/cm5、并在双酚 A 诱导的延迟变化后分别进一步大幅提高到 23 (20-28) mmHg 和 225 (175-301) dyn-s/cm5。在使用和不使用肺动脉高压药物的情况下，都能观察到延迟变化带来的改善。延迟变化的观察期为 5-180 天，与 mPAP 和 PVR 的变化无关。mPAP 改善了 3.4 ± 5.2 mmHg，PVR 改善了 53 (10-99) dyn-s/cm5 作为延迟改善。
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引用次数: 0
Acute leaflet malfunction of Navitor valve with severe intraprosthetic aortic insufficiency immediately after implantation. Navitor 瓣膜在植入后立即出现急性瓣叶故障，并伴有严重的人工主动脉瓣内功能不全。
IF 3.1 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Cardiovascular Intervention and Therapeutics
Pub Date : 2024-07-01 Epub Date: 2024-03-29 DOI: 10.1007/s12928-024-00995-6
Ryo Horita, Daisuke Hachinohe, Ryo Otake, Juan Armando Diaz, Hidemasa Shitan, Tsutomu Fujita
{"title":"Acute leaflet malfunction of Navitor valve with severe intraprosthetic aortic insufficiency immediately after implantation.","authors":"Ryo Horita, Daisuke Hachinohe, Ryo Otake, Juan Armando Diaz, Hidemasa Shitan, Tsutomu Fujita","doi":"10.1007/s12928-024-00995-6","DOIUrl":"10.1007/s12928-024-00995-6","url":null,"abstract":"","PeriodicalId":9439,"journal":{"name":"Cardiovascular Intervention and Therapeutics","volume":" ","pages":"331-332"},"PeriodicalIF":3.1,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11164749/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140326363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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