Top Ten 2020 • Journal of Invasive Cardiology • Vol. 32 • Dr. Bhatt’s Top Ten List
Our top ten articles published during 2020, curated by Deepak L. Bhatt, MD, MPH, editor-in-chief of the Journal of Invasive Cardiology. If you’ve missed reading any of these innovative and insightful papers, be sure to follow the links below to full text and videos.
Chronic Total Occlusions
Electrocautery-Facilitated Crossing (ECFC) of Chronic Total Occlusions
Saroj Neupane, MD; Mir Basir, DO; Khaldoon Alaswad, MD
The use of electrocautery (EC)-facilitated re-entry in an aorto-ostial chronic total occlusion (CTO) of the right coronary artery was first described in 2016. Since then, little has been reported about the use of EC in lesion crossing during CTO percutaneous coronary intervention. This case series demonstrates that the use of energized stiff guidewires to perform EC-facilitated crossing can be of great value for CTO lesions when standard CTO techniques fail.
J INVASIVE CARDIOL 2020;32(2):55-57
Initiation of Extracorporeal Membrane Oxygenation in the Cardiac Catheterization Laboratory: The Mayo Clinic Experience
Bradley Ternus, MD; Jacob Jentzer, MD; Kyle Bohman, MD; Gregory Barsness, MD; Gregory Schears, MD; Charanjit Rihal, MD; Gurpreet Sandhu, MD, PhD
Extracorporeal membrane oxygenation (ECMO) support is indicated for the management of patients with cardiogenic shock or refractory cardiac arrest in the cardiac catheterization laboratory. We reviewed 25 patients initiated on ECMO support and assessed outcomes for 30-day mortality, blood product transfusion, vascular injury, prolonged respiratory failure, stroke, ischemic bowel, renal failure requiring hemodialysis, and compartment syndrome.
J INVASIVE CARDIOL 2020;32(2):64-69
Excimer Laser Coronary Angioplasty (ELCA): Fundamentals, Mechanism of Action, and Clinical Applications
Mohaned Egred, BSc (Hons), MB ChB, MD and Emmanouil S. Brilakis, MD, PhD
Laser coronary angioplasty was developed to modify atherosclerotic plaque and help with the limitations of balloon angioplasty. We outline the practical procedural techniques and clinical applications of ELCA.
J INVASIVE CARDIOL 2020;32(2):E27-E35
Chronic Total Occlusions
Planned Robotic Chronic Total Occlusion Percutaneous Coronary Intervention: Feasibility Report
Daniel Walters, MD; Mitul Patel, MD; Ryan Reeves, MD; Lawrence Ang, MD; Belal Al Khiami, MD; Ehtisham Mahmud, MD
Complex robotic percutaneous coronary intervention (PCI) is technically possible and leads to clinically comparable outcomes compared with the manual approach. However, there are limited data on the feasibility of chronic total occlusion revascularization via the robotic PCI approach. Ten consecutive patients undergoing robotic PCI for a coronary chronic total occlusion at a single tertiary academic center were analyzed. The PRECISION, PRECISION GRX, and PROGRESS CTO registries were utilized for data collection with regard to procedural/clinical details and results.
J INVASIVE CARDIOL 2020;32(6):201-205
Mitral Valve Disease
Percutaneous Mitral Valve Repair With MitraClip in Inoperable Patients With Severe Mitral Regurgitation Complicated by Cardiogenic Shock
Santiago Garcia, MD; Said Alsidawi, MD; Richard Bae, MD; Joao Cavalcante, MD; Peter Eckman, MD; Mario Gössl, MD, PhD; Robert Steffen, MD; Benjamin Sun, MD; Christian W. Schmidt, MS; Paul Sorajja, MD
Severe mitral regurgitation (MR) complicated by cardiogenic shock has high operative mortality. Percutaneous leaflet repair with MitraClip (Abbott Vascular) is a less invasive alternative to surgery. The effectiveness and safety of this approach is unknown. We retrospectively analyzed procedural characteristics of shock patients with severe MR treated with MitraClip in a tertiary, high-volume program (Abbott Northwestern Hospital, Minneapolis, Minnesota) during 2010-2019. The primary outcome of the study was 30-day survival free of significant MR (grade ≤2). One-year mortality was a secondary outcome.
J INVASIVE CARDIOL 2020;32(6):228-231
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
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
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
Brief Communication / Innovative Technique
Right Heart Catheterization: Right From the Anatomical Snuffbox
Hady Lichaa, MD
We present two cases where a right heart catheterization was performed from the anatomical snuffbox through the distal cephalic vein along with a left heart catheterization from the distal radial artery.
J INVASIVE CARDIOL 2020;32(9):E233-E237
Music Can Reduce the Need for Pharmacologic Conscious Sedation During Invasive Coronary Angiography
Ramin Ebrahimi, MD; A. Laurie Shroyer, PhD; Paul Dennis, PhD; Jesse Currier, MD; Dora Lendvai Wischik, RN
Opiates and benzodiazepines are commonly used during invasive coronary angiography to address pain and anxiety. In the United States, these medications are used in more than 90% of such cases. We aimed to evaluate the impact of music on levels of pain and anxiety in patients undergoing invasive coronary angiography.
J INVASIVE CARDIOL 2020;32(11):440-444