Current Table of Contents

from October • Vol 32, No. 10

Original Contribution

Vascular Closure Devices Attenuate Femoral Access Complications of Primary Percutaneous Coronary Intervention

Pedro Beraldo de Andrade, MD, PhD; José de Ribamar Costa Jr, MD, PhD; Fábio Salerno Rinaldi, MD; Igor Ribeiro de Castro Bienert, MD, PhD; Robson Alves Barbosa, RN; Vinícius Esteves, MD, PhD; Marden Tebet, MD; Cleverson Zukowski, MD, PhD; Felipe Maia, MD; Luiz Alberto Piva e Mattos, MD, PhD; André Labrunie, MD, PhD; Alexandre Abizaid, MD, PhD; Amanda R. Sousa, MD, PhD

Our randomized study evaluates severe access-related complications using vascular closure devices for patients undergoing primary percutaneous coronary intervention (PCI) by comparing radial access with a compression device and anatomic landmark-guided femoral access with a hemostatic vascular closure device. 

J INVASIVE CARDIOL 2020;32(10):364-370. 

Original Contribution

Cardiogenic Shock Management: International Survey of Contemporary Practices

Angie S. Lobo, MD; Yader Sandoval, MD; Jose P. Henriques, MD, PhD; Stavros G. Drakos, MD, PhD; Iosif Taleb, MD; Jayant Bagai, MD; Mauricio G. Cohen, MD; Yiannis S. Chatzizisis, MD, PhD; Benjamin Sun, MD; Katarzyna Hryniewicz, MD; Peter M. Eckman, MD; Holger Thiele, MD, PhD; Emmanouil S. Brilakis, MD, PhD

Limited data exist on current cardiogenic shock (CS) management strategies. We distributed a 48-question survey on the diagnosis and management of CS. Our survey suggests opportunities for standardization of care.

J INVASIVE CARDIOL 2020;32(10):371-374.

Transcatheter Aortic Valve Replacement 

Quality of Life Outcomes After Transcatheter Aortic Valve Replacement in Nonagenarians 

Houman Khalili, MD; Priya Bansal, MD; Haider Al Taii, MD; Ramez Morcos, MD, MBA; Michael Kucharik, BS; Adithya Mathews, MD, MBA; Hamza Lodhi, MD; Sanjay Chandrasekhar, BS; Andrew Fahmy, BS; Divyesh Doddapaneni, BS; Brijeshwar Maini, MD

Transcatheter aortic valve replacement for severe aortic stenosis is an increasingly prevalent treatment in patients who are intermediate or high risk for surgical intervention. This study explores symptomatic relief and quality of life outcomes in a nonagenarian patient population, which has been underrepresented in landmark clinical trials. 

J INVASIVE CARDIOL 2020;32(10):375-379. 

Peripheral Vascular Disease 

Robotic Peripheral Vascular Intervention With Drug-Coated Balloons is Feasible and Reduces Operator Radiation Exposure: Results of the Robotic-Assisted Peripheral Intervention for Peripheral Artery Disease (RAPID) Study II

Ehtisham Mahmud, MD; Florian Schmid, MD; Peter Kalmar, MD; Hannes Deutschmann, MD; Franz Hafner, MD; Peter Rief, MD; Chris Cain, RN; Lawrence Ang, MD; Marianne Brodmann, MD

This study was designed to determine the feasibility and safety of robotic peripheral vascular intervention (PVI) with the CorPath System (Corindus Vascular Robotics) for treating femoropopliteal lesions with drug-coated balloon, and to evaluate the effect of robotic PVI on operator radiation exposure during robotic PVI. 

J INVASIVE CARDIOL 2020;32(10):380-384.

Original Contribution 

Left Atrial Appendage Closure in Patients With Atrial Fibrillation at Very High Bleeding Risk Without Postimplantation Antithrombotic Therapy 

Arthur Darmon, MD; Etienne L. Couture MD, MPH; Gauthier Stein MD; Bertrand Cormier, MD; Bernard Chevalier, MD; Thierry Lefèvre, MD; Antoinette Neylon, MD; Francesca Sanguineti, MD; Jerome Horvilleur, MD; Philippe Garot, MD

A substantial proportion of patients have high bleeding risk and are contraindicated to antithrombotic therapy. We assess a cohort of very high bleeding risk patients discharged with no antithrombotics after left atrial appendage closure. 

J INVASIVE CARDIOL 2020;32(10):385-391.

Original Contribution

Impact of Intravascular Ultrasound Utilization for Stent Optimization on 1-Year Outcomes After Chronic Total Occlusion Percutaneous Coronary Intervention

Evangelia Vemmou, MD; Jaikirshan Khatri, MD; Anthony H. Doing, MD; Phil Dattilo, MD; Catalin Toma, MD; Abdul Sheikh, MD; Khaldoon Alaswad, MD; Brian K. Jefferson, MD; Taral N. Patel, MD; Raj H. Chandwaney, MD; Farouc A. Jaffer, MD, PhD; Wissam Jaber, MD; Habib Samady, MD; Fotios Gkargkoulas, MD; Jeffrey W. Moses, MD; Nicholas J. Lembo, MD; Ajay J. Kirtane, MD; Manish Parikh, MD; Ziad A. Ali, MD; Michael Megaly, MD; Mohamed Omer, MD; Ilias Nikolakopoulos, MD; Iosif Xenogiannis, MD, PhD; Larissa Stanberry, PhD; Ross F. Garberich, MS; Bavana V. Rangan, BDS, MPH; Santiago Garcia, MD; M. Nicholas Burke, MD; Shuaib Abdullah, MD; Subhash Banerjee, MD; Emmanouil S. Brilakis, MD, PhD; Dimitri Karmpaliotis, MD, PhD

The impact of intravascular ultrasound (IVUS) utilization for stent optimization on the long-term outcomes in chronic total occlusion (CTO) PCI has received limited study. We examined the outcomes of CTO-PCI with and without IVUS use for stent optimization in 922 CTO-PCIs performed between 2012 and 2019 at 12 United States centers. 

J INVASIVE CARDIOL 2020;32(10):392-399. Epub 2020 July 22.

Transcatheter Aortic Valve Replacement 

Comparison in Clinical Outcomes Between Leadless and Conventional Transvenous Pacemaker Following Transcatheter Aortic Valve Implantation

Kazuaki Okuyama, MD; Masaki Izumo, MD; Kenichi Sasaki, MD; Shingo Kuwata, MD; Toshiki Kaihara, MD; Mika Watanabe, MD; Masashi Koga, MD; Ryo Kamijima, MD; Makoto Takano, MD; Yuki Ishibashi, MD; Yasuhiro Tanabe, MD; Takumi Higuma, MD; Tomoo Harada, MD; Yoshihiro J. Akashi, MD

Atrioventricular block is a common complication of transcatheter aortic valve implantation (TAVI). Although conventional transvenous dual-chamber pacemaker (PM) is ideal for atrioventricular block, leadless PM is less invasive and may be suitable for frail TAVI patients. We studied 24 PM cases without atrial fibrillation. Indication for leadless PM was based on heart team discussion.  

J INVASIVE CARDIOL 2020;32(10):400-404.

Rapid Communication  / Peripheral Vascular Disease  

Worsening Back and Lower Leg Pain Post Stenting of the Common Iliac Vein: Is There Evidence it is Related to Stent Size? 

Nicolas W. Shammas, MD, MS

Sizing of iliac vein stents remains controversial. We present the first Venovo venous stent (BD/Bard) that was explanted because of worsening of back and leg pain post treatment and analyze data from the first 50 consecutive Venovo venous stents from our center. Stent size was obtained with intravascular ultrasound of the ipsilateral common iliac vein. 

J INVASIVE CARDIOL 2020;32(10):E250-E253. 

Brief Communication

Improvement in Pulmonary Vascular Resistance After Relief of Fontan Circuit Obstruction

Joshua Yell, BS; Preston J. Boyer, MD; Alyssa Bernardi, DO; Scott Klewer, MD; Michael D. Seckeler, MD, MSc

Patients with single-ventricle congenital heart disease undergo staged surgical palliations leading to a final Fontan procedure. After Fontan, cardiac index is primarily determined by pulmonary vascular resistance (PVR); we therefore hypothesized that there would be significant reduction in PVR after relief of obstruction within the Fontan circuit.

J INVASIVE CARDIOL 2020;32(10):E254-E257. 

Brief Communication 

Transvalvular Gradients for Balloon-Expandable and Self-Expanding Valves

Anthony A. Bavry, MD, MPH; Seyed Hossein Aalaei-Andabili, MD; Taishi Okuno, MD; Dharam J. Kumbhani, MD, SM; Stefan Stortecky, MD; Masahiko Asami, MD; Jonas Lanz, MD; Stephan Windecker, MD; Thomas Pilgrim, MD

Self-expanding valves have been associated with superior hemodynamics versus balloon-expandable valves. Our aim was to compare invasive gradients between valve types for similarly sized valves in 499 patients who underwent transcatheter aortic valve replacement. 

J INVASIVE CARDIOL 2020;32(10):E258-E260. 

Clinical Images

Virtual Histology Optical Coherence Tomography Imaging of Orbital Rotational Atherectomy for Calcified Peripheral Arterial Disease

Mehmet Cilingiroglu, MD; Taylor Hoyt, PhD; Tom Milner, PhD; Ismail Ates, MD; Marc Feldman, MD

In order to assess the vascular effects of rotational orbital atherectomy, we performed intravascular imaging with virtual histology intravascular optical coherence tomography in a 72-year-old man with critical limb ischemia of the right lower extremity.

J INVASIVE CARDIOL 2020;32(10):E261-E262. 

Clinical Images

Sheath-Induced Sterile Abscesses

Rakesh Agarwal, MBBS, MD, DM and D.P. Sinha, MBBS, MD, DM

Sterile inflammatory reactions at vascular access sites have rarely been reported in the literature. Simple conservative treatment, as in this case, can lead to resolution of even extensive sterile abscesses.

J INVASIVE CARDIOL 2020;32(10):E263.

Clinical Images

Endovascular Embolization of Intrapulmonary Sequestration

Rakesh Agarwal, MBBS, MD, DM and D.P. Sinha, MBBS, MD, DM

Traditionally, management of lung sequestrations has been surgical. This is one of the few reports where a percutaneous management has resulted in resolution of symptoms and offers a novel approach for management.

J INVASIVE CARDIOL 2020;32(10):E264.

Clinical Images

Which is the Best Option in Calcified Leaflets? MitraClip NTR or XTR?

Shu-I Lin, MD; Maurizio Taramasso, MD; Mizuki Miura, MD, PhD; Francesco Maisano, MD

In the current era of transcatheter edge-to-edge repair, deciding clip size in each case is still a challenge. We demonstrate that the XTR clip can achieve a better outcome than the NTR clip in a calcified leaflet. 

J INVASIVE CARDIOL 2020;32(10):E265.

Clinical Images

Coronary Thrombosis From Superficial Calcific Sheet

Ariana Gonzálvez-García, MD; Harold Hernández-Matamoros, MD; Santiago Jiménez-Valero, MD; Alfonso Jurado-Román, MD, PhD; Guillermo Galeote, MD, PhD; Raúl Moreno, MD, PhD; José Luis López-Sendón, MD, PhD

We present a case in which optical coherence tomography was useful to characterize in vivo superficial calcific sheet and exclude other causes of acute coronary syndromes. 

J INVASIVE CARDIOL 2020;32(10):E266.

Clinical Images

Complete Revascularization of Simultaneous Acute Occlusion of Three Major Coronary Arteries

Toshihiro Suga, MD; Yuko Suga, MD; Keita Oyama, MD; Mikoto Yoshida, MD; Takashi Hatori, MD

Our case demonstrates that rapid and complete revascularization by PCI can save a patient with acute myocardial infarction caused by simultaneous acute occlusion of the three major coronary arteries.

J INVASIVE CARDIOL 2020;32(10):E267.