Volume 26 - Issue 8 - August 2014

Pooled Analysis of the CONFIRM Registries: Outcomes in Renal Disease Patients Treated for Peripheral Arterial Disease Using Orbital Atherectomy

Michael S. Lee, MD1;  Tae Yang, MD2;  George L. Adams, MD, MHS3;  Jihad Mustapha, MD4;  Tony Das, MD5

This subanalysis of the CONFIRM I-III registries compared the composite procedural complication rates of patients with versus without renal disease who underwent orbital atherectomy for peripheral arterial disease....

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Atherectomy for Calcified Femoropopliteal Disease: Are We Making Progress?

Dmitriy N. Feldman, MD

Femoropopliteal (FP) atherosclerotic disease is responsible for the majority of cases of symptomatic lower-extremity peripheral artery disease (PAD). Dr Feldman offers a thoughtful commentary on the results of the COMPLIANCE 360° Trial and the current state of orbital atherectomy for calcified femorpopliteal disease....

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Crossing of Infrainguinal Peripheral Arterial Chronic Total Occlusion With a Blunt Microdissection Catheter

Subhash Banerjee, MD1,2;  Rahul Thomas, MD1;  Karan Sarode, MA1,2;  Atif Mohammad, MD1,2;  Salil Sethi, MD3; Mirza S. Baig, MD1,2;  Osvaldo S. Gigliotti, MD4;  M. Ishti Ali, MD5;  Andrew Klein, MD6;  Mazen S. Abu-Fadel, MD7;  Nicolas W. Shammas, MD8;  Anand Prasad, MD3;  Emmanouil S. Brilakis, MD, PhD1,2

Crossing of lower-extremity arterial chronic total occlusion (CTO) can be challenging. This study examines the use of the Viance peripheral CTO crossing device (Covidien) in the superficial femoral, popliteal, and below-the knee arterial locations....

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Guidewire-Induced Coronary Artery Perforation and Tamponade During PCI: In-Hospital Outcomes and Impact on Long-Term Survival

Ioannis Stathopoulos, MD, PhD;  Georgia Panagopoulos, PhD;  Konstantinos Kossidas, MD;  Marcelo Jimenez, MD;  Kirk Garratt, MD, MSc

Guidewire-induced coronary perforation (CP) rate is reported to have increased. We analyzed 23,399 PCIs to evaluate the independent contribution of guidewire-induced CP on mortality. ...

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Long-Term Comparative Analysis From an All-Comer Cohort of Coronary Patients Treated Using First- and Second-Generation Drug-Eluting Stents

Pablo Codner, MD;  Tamir Bental, MD;  Abid Assali, MD;  Hana Vaknin-Assa, MD;  Eli Lev, MD;  Ran Kornowski, MD

Second-generation drug-eluting stent (DES) implantation gradually replaced the first-generation DES in clinical practice. This study explored the differences of clinical outcomes among DESs....

Preliminary Experience in the Use of CERA Occluders for Closure of Different Intracardiac and Extracardiac Shunts

Roland Fiszer, MD1;  Malgorzata Szkutnik, MD2;  Beata Chodor, MD1;  Jacek Bialkowski, MD2

We present our preliminary experience in transcatheter closure of atrial septal defect, patent foramen ovale, patent ductus arteriosus, and postinfarction ventricular septal defect with the Cera occluder from Lifetech Scientific. ...

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Characteristics and Management of Patients With Acute Coronary Syndrome and Normal or Non-Significant Coronary Artery Disease: Results From Acute Coronary Syndrome Israeli Survey (ACSIS) 2004-2010

Sa’ar Minha, MD1,5,6;  Shmuel Gottlieb, MD2,3,5;  Marco A. Magalhaes, MD6;  Natalie Gavrielov-Yusim, MSc3;  Rikardo Krakover, MD1,5;  Ilan Goldenberg, MD3,4,5;  Zvi Vered, MD1,5;  Alex Blatt, MD1,5

An important subset of patients presenting with acute coronary syndrome are found to have either normal coronaries or non-obstructive coronary artery disease. We explore the characteristics and management strategies of this population in a real-world setting....

The Safety and Efficacy of Temporary Distal Aortic Occlusion to Facilitate TAVR Large-Bore Arterial Closure

Bruce Bowers, MD1;  John Anderson2;  David Brown, MD3

Ipsilateral iliac artery occlusion and temporary distal aortic occlusion (TDAO) have been used to facilitate TAVR delivery sheath access-site closure, but ipsilateral iliac artery occlusion has been associated with arterial complications at the balloon site. This study evaluates the safety and efficacy of TDAO for facilitated large-bore arterial closure during TAVR. ...

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Predictors and Outcomes Associated With Radial Versus Femoral Access for Intervention in Patients With Acute Coronary Syndrome in a Real-World Setting: Results From the Acute Coronary Syndrome Israeli Survey (ACSIS) 2010

Paul Fefer, MD1;  Shlomi Matetzky, MD1;  Sharon Gannot, MD1;  Shmuel Gottlieb, MD2;  David Meerkin, MD2;  Liudmila Bubyr, MD1;  Natalie Gavrielov, MD1;  Doron Zahger, MD3;  Ilan Goldenberg, MD1;  Ran Kornowski, MD4;  Amit Segev, MD1

Use of transradial intervention is becoming more popular, and recent studies suggest an advantage for TRI in high-risk patients presenting with acute coronary syndrome. This study describes current utilization and outcomes of transradial intervention in real-world patients presenting with ACS.  ...

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