From the Journal

Alcohol Septal Ablation for Hypertrophic Obstructive Cardiomyopathy: Safe and Apparently Efficacious But Does Reporting of Aggregate Outcomes Hide Less-Favorable Results, Experienced by a Substantial Proportion of Patients?

Robert M. Cooper, MBChB, MRCP1,2;  Adeel Shahzad, MBBS, MRCP1,2;  James McShane2;  Rodney H. Stables, MA (Cantab), DM (Oxon), BM BCH (Oxon)1,2

A retrospective case series reviewing all patients undergoing alcohol septal ablation at a United Kingdom tertiary referral center from 2000-2012 with the aim of describing aggregate and individual outcomes in terms of symptomatic and hemodynamic response.  ...

Impact of a Disposable Sterile Radiation Shield on Operator Radiation Exposure During Percutaneous Coronary Intervention of Chronic Total Occlusions

Deborah Shorrock1,2;  Georgios Christopoulos, MD1;  Jedrek Wosik, MD1;  Anna Kotsia, MD1;  Bavana Rangan, BDS, MPH1;  Shuaib Abdullah, MD1;  Daisha Cipher, MD1;  Subhash Banerjee, MD1;  Emmanouil S. Brilakis, MD, PhD1  

Daily radiation exposure in the cath lab over many years can adversely impact the health of medical professionals. This study recorded operator radiation exposure at a single institution and compared exposure of operators using the Radpad disposable radiation protection sterile drape in all CTO-PCI cases, versus no protection for operators in non-CTO PCI cases. ...

Physician, Shield Thyself!

Srikanth Vallurupalli, MD and Barry F. Uretsky, MD

CTO-PCI operators should plan effective shielding techniques to minimize risk to themselves and their lab personnel and consider use of the Radpad drape when a case is expected to require a relatively high radiation dose....

Ahead of Print

A Meta-Analysis of Randomized Controlled Trials of Conventional Stenting Versus Direct Stenting in Patients With Acute Myocardial Infarction

Aiman Alak, MD1;  Peter Lugomirski, MD2;  Natasha Aleksova, MD1;  Sanjit S. Jolly, MD, MSc1

Published online ahead of print on 2015 Jun 15

Direct stenting (DS) is commonly used during percutaneous coronary intervention for acute myocardial infarction (AMI) to prevent distal embolization. We compare DS with conventional stenting (CS) in patients presenting with AMI in a meta-analysis of randomized controlled trials; small trials suggest a potential benefit to DS in AMI.

Transradial Approach for Cardiac Catheterization in Patients With Negative Allen’s Test

Christos Maniotis, MD, PhD1;  Michalis Koutouzis, MD, PhD1;  Constantinos Andreou, MD1;  Evangelos Lazaris, MD1;  Ioannis Tsiafoutis, MD2;  Theodoros Zografos, MD, PhD2;  Klio Chantziara, MD, PhD3;  Savas Nikolidakis, MD1;  Zenon S. Kyriakides, MD, PhD1

Published online ahead of print on 2015 Jun 15

This study assesses the efficacy and safety of the transradial approach regardless of the Allen’s test results for coronary angiography and angioplasty. The transradial approach for coronary angiography and ad hoc angioplasty can be performed with similar efficacy and safety regardless of preprocedural Allen’s test results.

Coronary Artery Bypass Surgery Compared With Percutaneous Coronary Intervention for Proximal Left Anterior Descending Artery Treatment in Patients With Acute Coronary Syndrome: Analysis From the ACUITY Trial

Marco G. Mennuni, MD1;  George D. Dangas, MD, PhD1,2;  Roxana Mehran, MD1,2;  Yanai Ben-Gal, MD3;  Ke Xu, PhD2;  Philippe Généreux, MD2,4,5;  Sorin J. Brener, MD2,6;  Frederick Feit, MD7;  A. Michael Lincoff, MD8;  E. Magnus Ohman, MD9;  Martial Hamon, MD10;  Gregg W. Stone, MD2,4

Published online ahead of print on 2015 Jun 15

This study compares the outcomes of acute coronary syndrome patients with proximal LAD culprit lesions receiving PCI vs CABG, and found that an initial revascularization strategy of PCI compared with CABG yielded similar 1-year death, MI, and MACE rates, although unplanned revascularization was more common after PCI.

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