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Optical coherence tomography findings after chronic total occlusion interventions: Insights from the “AngiographiC evaluation of the everolimus-eluting stent in chronic Total occlusions” (ACE-CTO) study (NCT01012869)
There is limited information on optical coherence tomography (OCT) findings after percutaneous coronary intervention (PCI) of chronic total occlusions (CTOs). OCT allows high resolution imaging that can enhance understanding of the vascular response after stenting of chronically occluded vessels. (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - April 14, 2016 Category: Cardiology Authors: Daniel P. Sherbet, Georgios Christopoulos, Aris Karatasakis, Barbara Anna Danek, Anna Kotsia, Rachita Navara, Tesfaldet T. Michael, Michele Roesle, Bavana V. Rangan, Donald Haagen, Santiago Garcia, Calin Maniu, Ashish Pershad, Shuaib M. Abdullah, Jeffrey Source Type: research

A 2-step optical coherence tomography guided therapeutic approach to acute myocardial infarction secondary to stent thrombosis
Myocardial infarction secondary to stent thrombosis has high mortality and recurrence rate. Emergency PCI has high risk of no-reflow. We used a 2-step approach of early recanalization with minimal mechanical intervention followed by delayed PCI 1 –2days later guided by Optical Coherence Tomography (OCT). From October 2011 to December 2013, we treated 5 patients with this approach. Time from early recanalization to the delayed definitive PCI was 1day (median, range 1–3days). All the OCT images were diagnostic with a clear view of the unde rlying structures. (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - April 14, 2016 Category: Cardiology Authors: Nigussie Bogale, Mathieu Lempereur, Anthony Y. Fung Tags: Case Report Source Type: research

Clinical impact of undersized- versus oversized-stenting approaches in ST-elevation myocardial infarction
Primary percutaneous coronary intervention (PCI) is the standard treatment in patients with ST-elevation myocardial infarction (STEMI). However, some patients still develop ST re-elevation during PCI, resulting in further myocardial damage and a poor outcome. An undersized-stenting approach may prevent ST re-elevation. We aimed to determine the association between final stent area and ST re-elevation during primary PCI for STEMI. (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - April 14, 2016 Category: Cardiology Authors: Sakura Nagumo, Kohei Wakabayashi, Miki Tsujiuchi, Chisato Sato, Takenori Yamauchi, Toshio Nakadate, Hiroshi Suzuki Source Type: research

A randomized comparison of novel bioresorbable polymer sirolimus-eluting stent and durable polymer everolimus-eluting stent in patients with acute coronary syndromes: The CENTURY II high risk ACS substudy
To investigate clinical outcomes of percutaneous coronary intervention using a sirolimus-eluting stent with bioresorbable polymer, Ultimaster (BP-SES) compared with a permanent polymer everolimus-eluting stent, Xience (PP-EES) in patients with high risk (ST-segment elevation and non-ST-segment elevation myocardial infarction) acute coronary syndromes (ACS) enrolled in the CENTURY II trial. (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - April 14, 2016 Category: Cardiology Authors: Victor A. Jiménez, Andrés Iñiguez, José A. Baz, Mariano Valdés, Alberto Ortiz, André Vuilliomenet, Vicente Mainar, Dariusz Dudek, Shmuel Banai, David Tüller, Jean-Louis Bonnet, Antonio De Miguel, Guillermo Bastos, William Wijns, Shigeru Saito Source Type: research

A randomized comparison of novel bioresorbable polymer sirolimus-eluting stent and durable polymer– everolimus-eluting stent in patients with acute coronary syndromes: The CENTURY II high risk ACS substudy
To investigate clinical outcomes of percutaneous coronary intervention using a sirolimus-eluting stent with bioresorbable polymer, Ultimaster (BP-SES) compared with a permanent polymer everolimus-eluting stent, Xience (PP-EES) in patients with high risk (ST-segment elevation and non ST-segment elevation myocardial infarction) acute coronary syndromes (ACS) enrolled in the CENTURY II trial. (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - April 14, 2016 Category: Cardiology Authors: Victor A. Jiménez, Andrés Iñiguez, José A. Baz, Mariano Valdés, Alberto Ortiz, André Vuilliomenet, Vicente Mainar, Dariusz Dudek, Shmuel Banai, David Tüller, Jean-Louis Bonnet, Antonio De Miguel, Guillermo Bastos, William Wijns, Shigeru Saito Source Type: research

Optical coherence tomography findings after chronic Total occlusion interventions: Insights from the “AngiographiC evaluation of the everolimus-eluting stent in chronic Total occlusions” (ACE-CTO) study (NCT01012869)
There is limited information on optical coherence tomography (OCT) findings after percutaneous coronary intervention (PCI) of chronic total occlusions (CTOs). OCT allows high resolution imaging that can enhance understanding of the vascular response after stenting of chronically occluded vessels. (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - April 14, 2016 Category: Cardiology Authors: Daniel P. Sherbet, Georgios Christopoulos, Aris Karatasakis, Barbara Anna Danek, Anna Kotsia, Rachita Navara, Tesfaldet T. Michael, Michele Roesle, Bavana Rangan, Donald Haagen, Santiago Garcia, Calin Maniu, Ashish Pershad, Shuaib M. Abdullah, Jeffrey L. Source Type: research

A 2-step optical coherence tomography guided therapeutic approach to acute myocardial infarction secondary to stent thrombosis
Myocardial infarction secondary to stent thrombosis has high mortality and recurrence rate. Emergency PCI has high risk of no-reflow. We used a 2-step approach of early recanalization with minimal mechanical intervention followed by delayed PCI 1–2days later guided by Optical Coherence Tomography (OCT). From October 2011 to December 2013, we treated 5 patients with this approach. Time from early recanalization to the delayed definitive PCI was 1day (median, range 1–3days). All the OCT images were diagnostic with a clear view of the underlying structures. (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - April 14, 2016 Category: Cardiology Authors: Nigussie Bogale, Mathieu Lempereur, Anthony Y. Fung Source Type: research

Clinical impact of undersized- versus oversized-stenting approaches in ST-elevation myocardial infarction
Primary percutaneous coronary intervention (PCI) is the standard treatment in patients with ST-elevation myocardial infarction (STEMI). However, some patients still develop ST re-elevation during PCI, resulting in further myocardial damage and a poor outcome. An undersized-stenting approach may prevent ST re-elevation. We aimed to determine the association between final stent area and ST re-elevation during primary PCI for STEMI. (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - April 14, 2016 Category: Cardiology Authors: Sakura Nagumo, Kohei Wakabayashi, Miki Tsujiuchi, Chisato Sato, Takenori Yamauchi, Toshio Nakadate, Hiroshi Suzuki Source Type: research

Natriuretic peptides in percutaneous coronary intervention: Aren't they all the same?
Natriuretic peptides are hormones produced in the heart that serve as vasodilators and play a critical role in regulating fluid volume homeostasis. These peptides feature a similar amino acid ring structure that likely contributes to their biological activity. Atrial myocytes synthesize the precursor prepro atrial natriuretic peptide (ANP), which is a 151 amino acid polypeptide, that is stored in intracellular granules as the 126 amino acid proANP [1]. In response to hypervolemic states, the atrial myocytes release proANP, which is converted by the cardiac transmembrane serine protease corin to the active 28 amino acid C-t...
Source: Cardiovascular Revascularization Medicine - March 31, 2016 Category: Cardiology Authors: Michael J. Lipinski Tags: Editorial Source Type: research

Catheter tip erosion due to Rotablator burr: An unusual complication
We report the occurrence of catheter tip erosion during use of a Rotablator, a rare but serious complication. A heavily calcified lesion of the right coronary artery ostium required use of a Rotablator, and the need for strong push led to the choice of an Amplatz Left guiding catheter. The traction of the catheter toward the ostium and the subsequent angle generated led to friction of the burr against the catheter and the erosion of its tip. If judged essential to get strong support, the Amplatz catheter should be used with caution in this setting. (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - March 29, 2016 Category: Cardiology Authors: Christopher Hurt, Guillaume Schurtz, Gilles Lemesle, Arnaud Sudre, Eric Van Belle, C édric Delhaye Tags: Case Report Source Type: research

Catheter tip erosion due to rotablator burr: an unusual complication
We report the case of an 80-year-old woman having recently undergone non-ST elevation myocardial infarction revealing diffusely hypokinetic dilated cardiomyopathy with LVEF of 30%. Coronary angiogram showed a multi vessel coronary artery disease with heavily calcified atherosclerotic lesions. We found a stenotic proximal left anterior descending (LAD) coronary artery and a sub occluded proximal left circumflex artery branching out into a large obtuse marginal artery (video A & B). However, the most severe lesion was the critically stenotic ostium of a severely calcified right coronary artery (RCA) followed by a calcified s...
Source: Cardiovascular Revascularization Medicine - March 29, 2016 Category: Cardiology Authors: Christopher Hurt, Guillaume Schurtz, Gilles Lemesle, Arnaud Sudre, Eric Van Belle, Cédric Delhaye Source Type: research

Effectiveness of the implementation of a simple radiation reduction protocol in the catheterization laboratory
A reduction in radiation doses at the catheterization laboratory, maintaining the quality of procedures is essential. Our objective was to analyze the results of a simple radiation reduction protocol at a high-volume interventional cardiology unit. (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - March 28, 2016 Category: Cardiology Authors: Alfonso Jurado-Rom án, Ignacio Sánchez-Pérez, Fernando Lozano Ruíz-Poveda, María T. López-Lluva, Natalia Pinilla-Echeverri, Andrea Moreno Arciniegas, Pilar Agudo-Quilez, Antonio Gil Agudo Tags: Clinical Source Type: research

Radial versus femoral access for percutaneous coronary intervention in ST-elevation myocardial infarction patients treated with fibrinolysis: Results from the randomized routine early invasive clinical trials
To investigate the relationship between arterial access site choice (radial versus femoral) and clinical outcomes among STEMI patients undergoing routine PCI after fibrinolysis. (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - March 27, 2016 Category: Cardiology Authors: John J. Graham, Andrew T. Yan, Mary K. Tan, Warren J. Cantor, Carlo DiMario, Sanjit S. Jolly, Sigrun Halvorsen, Francisco Fernandez-Aviles, Michel R. Le May, Bruno Scheller, Francesco Borgia, Federico Piscione, Mina Madan, Shaun G. Goodman Tags: Clinical Source Type: research

Objectifying the level of incomplete revascularization by the residual SYNTAX score and evaluating its impact on the one-year outcome of percutaneous coronary intervention in patients with multi-vessel disease
Previous studies reported conflicting results regarding the impact of incomplete revascularization on the outcome of percutaneous coronary intervention (PCI). We evaluated the association between residual SYNTAX score (RSS) as a quantitative measure of incomplete revascularization and one-year outcome of patients with native multi-vessel disease undergoing PCI. (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - March 27, 2016 Category: Cardiology Authors: Mohammad Alidoosti, Sepideh Saroukhani, Masoumeh Lotfi-Tokaldany, Arash Jalali, Amir Sobh-Rakhshankhah Tags: Clinical Source Type: research