July 2020 Table of Contents

Peripheral Vascular Disease

Total IN.PACT All-Subjects One-Year Analysis and Standard vs Broader Implications

Daniel S. Kobe, MD; Michael R. Jaff, DO; Thomas Zeller, MD, PhD; Peter A. Schneider, MD; Mehdi H. Shishehbor, DO, MPH, PhD

Drug-coated balloons (DCBs) have been shown to be superior to percutaneous transluminal angioplasty (PTA) for symptomatic femoropopliteal disease in randomized clinical trials; however, their clinical effectiveness and safety in more complex disease is less defined. This study sought to conduct a patient-level pooled analysis of all prospective randomized and single-arm studies evaluating the safety and efficacy of IN.PACT Admiral DCB (Medtronic) worldwide and in patients with complex disease. Subjects were treated with either IN.PACT Admiral DCB (n = 1837) or PTA (n = 143). 

J INVASIVE CARDIOL 2020;32(7):243-248. 

Safety Evaluation

Safety and Accuracy of a Novel Bioimpedance System for Real-Time Detection and Monitoring of Endovascular Procedure-Related Bleeding in a Porcine Model

Philippe Généreux, MD; Kenneth Bueche, MS; Jennifer Vondran, MS; Alice Chuang, PhD; Mehdi Razavi, MD

Periprocedural bleeding events during endovascular procedures are frequent and are associated with increased morbidity, mortality, and healthcare costs. The aim of this study was to determine the safety and accuracy of a novel bleed detection system, the Early Bird Bleed Monitoring System (Saranas) for the detection of simulated internal bleeding and the monitoring of bleed progression associated with endovascular procedures.

J INVASIVE CARDIOL 2020;32(7):249-254. Epub 2020 June 8.

Access-Site Bleeding

First-in-Human Study of the Saranas Early Bird Bleed Monitoring System for the Detection of Endovascular Procedure-Related Bleeding Events

Philippe Généreux, MD; Tamim M. Nazif, MD; Joggy K. George, MD; Colin M. Barker, MD; Charles T. Klodell, MD; James P. Slater, MD; Mehdi Razavi, MD; Ken Bueche, MS; Manesh R. Patel, MD; Amir Kaki, MD; Ajay J. Kirtane, MD, SM; Zaffer A. Syed, MS; Bart E. Muhs, MD, PhD; Dimitri Karmpaliotis, MD, PhD

Bleeding complications after endovascular procedures are frequent and associated with poor prognosis. Our aim was to evaluate the safety and accuracy of the Early Bird Bleed Monitoring System (Saranas) for the detection of access-site related bleeds in humans undergoing endovascular procedures. 

J INVASIVE CARDIOL 2020;32(7):255-261. Epub 2020 June 8.

Transcatheter Aortic Valve Replacement

Insights From Modern Imaging and Catheter Wire Measurements in Patients Undergoing Transcatheter Aortic Valve Replacement

Jessica Roback, BS; Zara Ammar; Saagar Shah; Anthony DeFranco, MD; Arshad Jahangir, MD; M. Fuad Jan, MBBS, MD; Suhail Q. Allaqaband, MD; Tanvir Bajwa, MD; Khawaja Afzal Ammar, MD

This study describes methods for crossing a severely stenotic aortic valve in light of modern imaging modalities (echocardiography, computed tomography, and fluoroscopy) and characterizes a successful crossing. 

J INVASIVE CARDIOL 2020;32(7):262-268. 

Transcatheter Aortic Valve Replacement

Urologic Complications in Patients Receiving Indwelling Urinary Catheters During Transcatheter Aortic Valve Replacement

Joshua Lampert, MD; Matthew T. Finn, MD, MS; Alex Kantor, BS; Deniz Akkoc, BS; Shmuel Chen, MD, PhD; Russel Brandwein, PA-C; Kathryn Fidlow, BSN; Ming Liao, MS; Omar Khalique, MD; Rebecca T. Hahn, MD; Torsten P. Vahl, MD; Isaac George, MD; Ajay Kirtane, MD, SM; Martin B. Leon, MD; Susheel K. Kodali, MD; Tamim M. Nazif, MD

The minimalist approach to transcatheter aortic valve replacement (TAVR) focuses on avoiding extraneous invasive measures. Data describing the clinical impact of routine indwelling urinary catheter in TAVR patients are limited. We sought to examine outcomes after indwelling urinary catheter placement in patients undergoing TAVR. 

J INVASIVE CARDIOL 2020;32(7):269-274. 

Peripheral Vascular Disease

An Overview of Contrast-Associated Acute Kidney Injury Following Lower-Extremity Percutaneous Peripheral Interventions

Tung H. Nguyen, MD; Omar Sheikh, MD; Momhammed Sha’ar, MD; Shweta Bansal, MD; Anand Prasad, MD

There is an abundance of literature studying acute kidney injury following percutaneous coronary interventions, with very few studies done in the setting of percutaneous peripheral intervention. This article aims to review what we currently know about contrast-associated acute kidney injury and available prevention strategies, specifically following percutaneous peripheral interventions.

J INVASIVE CARDIOL 2020;32(7):276-282. 

Rapid Communication 

Non-Elective Pediatric Cardiac Catheterization During COVID-19 Pandemic: A New York Center Experience

Kristin T. Oshiro, MD; Mariel E. Turner, MD; Alejandro J. Torres, MD; Matthew A. Crystal, MD; Julie A. Vincent, MD; Oliver M. Barry, MD

The novel coronavirus (COVID-19) pandemic has led to major changes in hospital systems across the world. In an effort to reduce viral transmission, conserve resources, and in accordance with institutional and state mandates, all elective procedures and surgeries were postponed during the initial outbreak. Our objective was to report the protocols and case selection of a high-volume pediatric cardiac catheterization laboratory in the epicenter of the COVID-19 pandemic. 

J INVASIVE CARDIOL 2020;32(7):E178-E181.

Rapid Communication 

Bioprosthetic Valve Fracture for Early Severe Prosthesis Mismatch After SAVR

Ashleigh Long, MD, PhD and Paul Mahoney, MD

Bioprosthetic valve fracture, where high-pressure balloon inflation is employed to fracture the surgical valve sewing ring to increase the effective orifice area (EOA), has been used as an adjunct for valve-in-valve procedures for degenerated surgical valves to increase EOA, but has not been reported as standalone therapy for early permanent pacemaker implantation after surgical aortic valve replacement. 

J INVASIVE CARDIOL 2020;32(7):E182-E185.

Brief Communication 

The Original Coronary “Full Metal Jacket”: A 30-Year Journey

John Lawrence, MD; Michael P. Savage, MD; Sheldon Goldberg, MD; David L. Fischman, MD

This report provides a 30-year follow-up on a noteworthy case first described in 1989 by Fischman et al in the Journal of Invasive Cardiology. The original article provided the first known report of extensive intracoronary stenting, deployed in tandem, now colloquially referred to as a “full metal jacket.”

J INVASIVE CARDIOL 2020;32(7):E186-E189.

Clinical Images

May-Thurner Syndrome Results in Life-Threatening Condition: Phlegmasia Cerulea Dolens and Rhabdomyolysis   

Wai Kin Chi, MBChB; G.M. Tan, MBChB; Bryan P. Yan, MBBS, MD

Venography alone may underestimate the extent of common iliac vein compression in May-Thurner syndrome. Peripheral intravascular ultrasound is mandatory to better assess common iliac vein compression.

J INVASIVE CARDIOL 2020;32(7):E190.

Clinical Images

Post Heart Transplantation Coronary Artery Fistula and Coronary Artery Aneurysm Successfully Managed With the Implantation of Covered Stents   

Felipe H. Valle, MD, PhD; Bruno S. Matte, MD, MSc; Joana Brum, MD; Nadine Clausell, MD, PhD; Livia A. Goldraich, MD, MSc

Coronary-to-cardiac chamber fistulae and coronary aneurysms are potential complications after heart transplantation. In the setting of exercise intolerance and large fistulae at major coronary vessels, covered stents may provide an effective interventional strategy.

J INVASIVE CARDIOL 2020;32(7):E191-E192.

Clinical Images

“Avulsion Injury” of the Artery by a Suture-Mediated Closure System During Transcatheter Aortic Valve Implantation   

Toshiki Kaihara, MD, PhD; Takumi Higuma, MD, PhD; Shingo Kuwata, MD, PhD; Masashi Koga, MD; Mika Watanabe, MD; Kazuaki Okuyama, MD; Ryo Kamijima, MD, PhD; Masaki Izumo, MD, PhD; Yuki Ishibashi, MD, PhD; Yasuhiro Tanabe, MD, PhD; Yoshihiro J. Akashi, MD, PhD 

We describe a cut-down method that is useful in cases with calcification restricted to the region surrounding the puncture site in transcatheter aortic valve implantation patients with severe aortic stenosis.

J INVASIVE CARDIOL 2020;32(7):E193.

Clinical Images

Optical Coherence Tomography Imaging in Acute Myocardial Infarction: Calcified Nodule as a Culprit Lesion   

Rajesh Vijayvergiya, MD; Basant Kumar, MD; Saroj Sahoo, MD; Sudhanshu Budhakoty, MD; Ganesh Kasinadhuni, MD

A calcified nodule is an infrequent pathological substrate in acute coronary syndrome patients. This case demonstrates the technical challenges of intervening an eccentric, severely calcified, balloon-uncrossable coronary lesion.

J INVASIVE CARDIOL 2020;32(7):E194-E195.

Clinical Images

Complex Plug-Prosthesis Interaction During Percutaneous Closure of Mitral Paravalvular Leak: The Butterfly Effect   

Francesco Melillo, MD; Daniele Cocco, MD; Stefano Stella, MD; Giacomo Ingallina, MD; Luigi Pannone, MD; Barbara Bellini, MD; Vittorio Romano, RT; Luca Ferri, MD; Matteo Montorfano, MD; Eustachio Agricola, MD

This case shows how interaction between imaging experts and interventionists allowed us to overcome the challenge of plug-prosthesis interaction in a complex procedure.

J INVASIVE CARDIOL 2020;32(7):E196-E197.

Clinical Images

Distal Radial Access for Percutaneous Endovascular Repair of a Radial Artery Pseudoaneurysm   

Ioannis Tsiafoutis, MD; Theodoros Zografos, MD; Michael Koutouzis, MD; Apostolos Katsivas, MD

Percutaneous pseudoaneurysm repair through the ipsilateral ulnar artery is an alternative to surgical repair; however, distal radial access, as described in this case, may offer increased safety.

J INVASIVE CARDIOL 2020;32(7):E198.

Clinical Images

TAVR in a 65-Year-Old Man With a Bicuspid Aortic Valve With Extremely Large Annulus and Severe Left Ventricular Dysfunction   

Puja B. Parikh, MD; Michelle W. Bloom, MD; Robert Pyo, MD; Neal Patel, MD; Bharathi Scott, MD; Kathleen Stergiopoulos, MD, PhD; Henry Tannous, MD

This case illustrates that transfemoral transcatheter aortic valve replacement is safe and feasible in patients with bicuspid aortic stenosis with extremely large annulus and concomitant severe left ventricular dysfunction. 

J INVASIVE CARDIOL 2020;32(7):E199.

Letter to the Editor

Calcified Coronary Lesions Treated With Intravascular Lithotripsy: One-Year Outcomes

Bernard Wong, MBChB; Seif El-Jack, MBBS; Ruth Newcombe; Timothy Glenie, MBChB; Guy Armstrong, MBChB; Ali Khan, MBBS

J INVASIVE CARDIOL 2020;32(7):E200-E201.

Letter to the Editor

Adversity as a Catalyst for Change

Mayank Dalakoti, MBBS, MRCP; Koo Chieh Yang, MBBS, MRCP; Saurabh Rastogi, MD, FACC; Pipin Kojodjojo, MD, PhD

J INVASIVE CARDIOL 2020;32(7):E202.

Letter to the Editor

The ISCHEMIA Algorithm or the FAME-2 Algorithm to Detect Ischemia? 

J. Alberto San Roman, MD, PhD

Authors’ Reply

Suraj Dahal, MD and Matthew J. Budoff, MD

J INVASIVE CARDIOL 2020;32(7):E203.

Letter to the Editor

LAA Closure With Thrombus: There is More To It Than Meets the Eye! 

Ashutosh Yadav, MD, DM and Sourabh Agstam, MBBS, MD

Authors’ Reply

Levent Sahiner, MD; Cem Coteli, MD; Ergun Baris Kaya, MD; Ahmet Ates, MD; Gul Sinem Kilic, MD; Hikmet Yorgun, MD; Kudret Aytemir, MD

J INVASIVE CARDIOL 2020;32(7):E204-E205.