From the Journal

Hemodynamic Effects of Standard Versus Larger-Capacity Intraaortic Balloon Counterpulsation Pumps

Navin K. Kapur, MD;  Vikram Paruchuri, MD;  Arjun Majithia, MD;  Michele Esposito, MD;  Henry Shih, MD;  Andrew Weintraub, MD;  Michael Kiernan, MD;  Duc Thinh Pham, MD;  David Denofrio, MD;  Carey Kimmelstiel, MD

Several recent trials have examined the clinical utility of intraaortic balloon counterpulsation pumps (IABPs) in cardiogenic shock and acute coronary syndromes. More recently, a larger-capacity 50 cc IABP was introduced into practice. This study explores the hemodynamic effects of the 50 cc IABP in real-world clinical practice. ...

Commentary: Differential Hemodynamic Profile of High-Capacity Intraaortic Balloon Pumps — New Promise for an Antiquated Technology?

Jonathan Grinstein, MD and Sandeep Nathan, MD, MSc

IABPs likely still have a role in the management of high-risk patients with and without cardiogenic shock. The 50 cc balloon appears to offer both an enhanced as well as more consistent hemodynamic response when compared with the 40 cc balloon; whether this will translate into meaningful morbidity and mortality benefits remains to be seen and should whet our appetite for future prospective studies....

First Optical Coherence Tomography Follow-up of Coronary Bifurcation Lesions Treated by Drug-Eluting Balloons

Gregory A. Sgueglia, MD, PhD1;  Nicolas Foin, MSc, PhD2;  Daniel Todaro, MD, PhD3;  Antonino Stipo, MD3; Justin E. Davies, MD, PhD2;  Achille Gaspardone, MD, MPhil1;  Carlo Di Mario, MD, PhD4;  Edoardo Pucci, MD3

Percutaneous bifurcation intervention with provisional bare-metal stent (BMS) implantation followed by drug-eluting balloon (DEB) treatment represents a valuable opportunity in patients not compliant with long-duration dual-antiplatelet therapy. This study uses optical coherence tomography to assess coronary bifurcation lesions treated by BMS and DEB and explores the association between stent geometry and tissue coverage....

Comparison of Fluoro and Cine Coronary Angiography: Balancing Acceptable Outcomes With a Reduction in Radiation Dose

Ayhan Olcay, MD1;  Ekrem Guler, MD1;  Ibrahim Oguz Karaca, MD1;  Mehmet Onur Omaygenc, MD1; Filiz Kizilirmak, MD1;  Erkam Olgun, MD1;  Esra Yenipinar, RN1;  Huseyin Altug Cakmak, MD2;  Dursun Duman, MD

Use of last fluoro hold (LFH) mode in fluoroscopy, which enables the last live image to be saved and displayed, could reduce radiation during percutaneous coronary intervention when compared with cine mode. This is the first study to compare coronary angiography radiation doses and image quality between LFH and conventional cine mode techniques. ...

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