Long-term outcomes after transcatheter tricuspid valve-in-valve replacement
Transcatheter tricuspid valve-in-valve (ViV) replacement has emerged as a less invasive alternative to redo surgery in patients with failing bioprosthetic tricuspid valves. While short- and mid-term outcomes have been reported, data on long-term follow-up remain limited.
Excessive force-induced eversion endarterectomy on the radial artery spasm: uncontrolled force is not force
Multipurpose radiofrequency wire system improves procedural workflow compared with mechanical needle for left atrial appendage closure
Percutaneous left atrial appendage closure (LAAC) is a rapidly emerging therapy for atrial fibrillation patients not suitable for anticoagulation. The study compared procedural time and adverse events between mechanical Brockenbrough needle and the VersaCross radiofrequency system for WATCHMAN implantation. All patients undergoing LAAC at Vancouver General Hospital were prospectively enrolled. Procedural workflow, times, and complications were compared in 20 patients: 10 using VersaCross radiofrequency system and 10 using Brockenbrough needle. Transseptal puncture success was 100%. The radiofrequency wire reduced total procedural time by 27% (21.5 vs 29.5 minutes; P=.008) and fluoroscopy and contrast use without increasing complications. One ischemic stroke occurred during 360-day follow-up unrelated to the device. The multipurpose radiofrequency system streamlines LAAC workflow and is a safe, efficient alternative to mechanical puncture. Larger randomized trials are warranted to confirm these benefits.
Vascular access and mortality outcomes: insights from the Percutaneous Coronary Interventions registry from the Netherlands Heart Registration
While the transradial approach (TRA) is associated with fewer bleeding complications than the transfemoral approach (TFA), its effect on mortality outcomes in real-world clinical practice remains unclear. This study examines the relationship between vascular access site and mortality in patients undergoing percutaneous coronary intervention (PCI).
Performance of large language models in interventional cardiology: the ILLUMINATE blinded model-comparison study
Large language models (LLMs) have the potential to assist in complex decision making for interventional cardiology (IC). However, their comparative performance in providing clinical recommendations remains uncertain. In this blinded model‑comparison study, the authors evaluated and compared the quality of recommendations produced by 6 LLMs for complex IC cases.
Endovascular repair of a complex thoracoabdominal aneurysm using thoracoabdominal branch endoprosthesis (TAMBE) in a high-risk vascular patient
Occluded left circumflex artery in a patient with the de Winter sign on electrocardiography
Real-time intravascular ultrasound-assisted wiring of subtotal left anterior descending artery ostial lesion to achieve percutaneous coronary intervention with minimal contrast
Ruptured intra-aortic balloon pump balloon entrapment successfully removed percutaneously without vascular repair
Hybrid left atrial appendage exclusion management: WATCHMAN after AtriClip
Catch the branch: the new Miracle Neo 3 guidewire for complex bifurcation rewiring
Coronary artery ectasia with optical coherence tomography-confirmed acute coronary syndrome with intact fibrous cap
The importance of utilizing the Movahed coronary bifurcation classification for bifurcation research
Right internal jugular implantation of the AVEIR leadless pacemaker: a case series demonstrating feasibility and safety
Leadless pacemakers provide an alternative to transvenous pacing in patients at risk for lead- and pocket-related complications. While the femoral vein is the standard route of implantation, certain anatomical or clinical factors may make this approach technically challenging. The objective of this study was to evaluate the feasibility and safety of AVEIR (Abbott) implantation through the right internal jugular (RIJ) vein in patients in whom the femoral approach was not feasible.
Comparison of excimer laser coronary atherectomy as a sole device or as part of a multimodality technique
There are limited data on the use of excimer laser coronary atherectomy (ELCA) in conjunction with other calcium modification devices (intravascular lithotripsy [IVL], rotational/orbital atherectomy [RA/OA]). The aim of this analysis was to compare the use of ELCA as a sole device for coronary intervention with ELCA in combination with additional calcium modification devices.
Ventricular septal rupture after anterior wall myocardial infarction
Coring aspiration thrombectomy or "CAT Pounce" technique for large coronary thrombi resistant to aspiration alone
Thebesian veins causing severe myocardial ischemia due to coronary steal
Percutaneous retrieval of an intracardiac fractured vascular access port catheter using a looped guidewire
Hospital outcomes of patients with acute myocardial infarction-related cardiogenic shock with and without revascularization
An early invasive strategy is recommended for patients with acute myocardial infarction-related cardiogenic shock (AMICS). However, data on outcomes of patients undergoing early coronary angiography (CA) without subsequent percutaneous coronary intervention (PCI) are limited. The authors examined the characteristics and outcomes of patients with AMICS who underwent early CA and were treated with or without acute PCI.
