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Long Term Follow-Up of First Generation versus New Generation Drug-Eluting Stents in Three-Vessel Coronary Artery Disease
Backgrounds.Few reports have primarily focused on long-term clinical outcomes in three-vessel disease when patients were treated with either first- or new-generation drug-eluting stents (DES).The purpose of this study was to investigate different clinical outcomes after percutaneous coronary intervention (PCI) for three-vessel disease with first- or new-generation DES. (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - April 21, 2017 Category: Cardiology Authors: Toru Yoshizaki, Toru Naganuma, Tsuyoshi Kobayashi, Takeo Horikoshi, Hirokazu Onishi, Hiroyoshi Kawamoto, Shotaro Nakamura, Sunao Nakamura Source Type: research

The promise of leaving nothing behind – and how to manage its failure
Until a few years ago, the world of percutaneous coronary intervention (PCI) was clear and simple: coronary arteries require metallic stent implantation with controlled release of rapamycin analogues. Stents were introduced to cover flow-limiting dissections [1]. Later on, it was realized that stenting creates more favorable acute results and reduces restenosis compared to angioplasty alone [2]. Stents became standard of care despite the fact that a provisional stent rate of 20 to 40% would have been appropriate [3]. (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - April 21, 2017 Category: Cardiology Authors: Bruno Scheller Source Type: research

Impact of Ranolazine on Coronary Microvascular Dysfunction (MICRO) Study
Patients with angina and coronary microvascular dysfunction, without evidence of structural or epicardial coronary disease (Type I CMVD) remain without evidence based treatment options. Previous work has demonstrated that ranolazine can improve angina frequency and stability among patients with Type 1 CMVD however the mechanism remains unclear. Therefore, the objective of this pilot project was to assess the impact of ranolazine on Type I CMVD as measured using an invasive tool to measure global resistance (index of microcirculatory resistance (IMR)). (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - April 21, 2017 Category: Cardiology Authors: Bina Ahmed, Judith Mondragon, Mark Sheldon, Stacey Clegg Source Type: research

Controlled antegrade intimal tracking with subintimal balloon inflation as a novel bailout technique for chronic total occlusion after failed intravascular ultrasound-guided parallel wire technique
We present a successful second attempt at left anterior descending artery CTO PCI with no interventional collaterals. (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - April 21, 2017 Category: Cardiology Authors: Yuta Imai, Junji Yajima, Fumitaka Hosaka Source Type: research

Impact of Right Ventricular Side Branch Occlusion during Percutaneous Coronary Intervention of Chronic Total Occlusions on Right Ventricular Function
To determine the impact of right ventricular side branch (RVB) occlusion, during percutaneous coronary interventions (PCI) of chronic total occlusions (CTO) of the right coronary artery (RCA), on right ventricular (RV) function. (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - April 11, 2017 Category: Cardiology Authors: Pepijn A. van Diemen, Wijnand J. Stuijfzand, P. Stefan Biesbroek, Pieter G. Raijmakers, Roel S. Driessen, Stefan P. Schumacher, Alexander Nap, Albert C. van Rossum, Niels van Royen, Robin Nijveldt, Paul Knaapen Source Type: research

Radial/Ulnar angioplasty in selected patients undergoing elective angiography or PCI using complex forearm approach
Angioplasty on the radial artery have been performed with good success rates in patients with critical hand ischemia. We sought to assess the feasibility and safety of radial angioplasty on complex radial access in patients undergoing coronary angiography. (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - April 11, 2017 Category: Cardiology Authors: Santiago Jes ús Camacho Freire, Antonio Enrique Gómez Menchero, Javier León Jiménez, Jessica Roa Garrido, Rosa Cardenal Piris, José Francisco Díaz Fernández Source Type: research

Stepwise use of circulatory support devices in a patient refractory to cardiopulmonary resuscitation
This case describes the management of a patient admitted to an emergency department with general malaise, who deteriorated into cardiac arrest and refractory to advanced life support measures. After extracorporeal cardiopulmonary resuscitation (eCPR) with veno-arterial extracorporeal membrane oxygenation in association with an Impella 2.5 device, the patient underwent cardiac surgery (tissue aortic valve replacement, coronary artery bypass grafting and implantation of short-term paracorporeal left ventricular assist device). (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - April 8, 2017 Category: Cardiology Authors: Marco Spartera, Richard Jabbour, Mauro Chiarito, Michele De Bonis, Federico Pappalardo Source Type: research

The Effectiveness of Super-Selective Injection with Anchor Balloon Technique for Collateral Channel Assessment
The careful assessment of collateral channels is important for a retrograde approach for a chronic total coronary occlusion (CTO). This case report describes a percutaneous coronary intervention for CTO of the distal right coronary artery with good collateral circulation. All visible collateral channels failed by the retrograde approach; however, the procedure was successful using the distal atrial circumflex (AC) channel. Although this distal channel was poorly visualized on standard coronary angiography, it was clearly contrasted retrogradely from the CTO exit using a super-selective injection through the proximal AC cha...
Source: Cardiovascular Revascularization Medicine - April 8, 2017 Category: Cardiology Authors: Hiroki Shibutani, Yuzo Akita, Yumie Matsui, Masahiro Yoshinaga, Masahiro Karakawa, Etsuo Tsuchikane Source Type: research

Management Strategies and Possible risk factors for Ventricular Septal Defects after Transcatheter Aortic Valve Replacement: Case series from a single center and review of literature
We present two cases of this rare but serious complication; one was successfully managed conservatively and the other with valve-in-valve therapy. Management strategies for post-TAVR VSDs varies, but should be individualized to the clinical scenario. We performed a literature search and sought to identify various risk factors which may predispose patients to the development of VSD after TAVR. (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - April 8, 2017 Category: Cardiology Authors: M. Rizwan Sardar, Zubair A Khan, Anu Abraham, Wajeeha Saeed, Muhammad Farhan, Dhaval Kolte, Barry Sharaf, Paul Gordon, Frank Sellke, Neil Sodha, Herbert Aronow, Afshin Ehsan Source Type: research

Percutaneous Balloon Pericardiotomy: Treatment Of Choice In Patients With Advanced Oncological Disease And Severe Pericardial Effusion
Malignant pericardial effusion has a high recurrence rate after pericardiocentesis. We sought to confirm the efficacy and feasibility of percutaneous balloon pericardiotomy (PBP) as the initial treatment of choice for these effusions. (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - April 3, 2017 Category: Cardiology Authors: Francisco Javier Irazusta, Santiago Jim énez-Valero, Daniele Gemma, Pablo Meras, Guillermo Galeote, Angel Sanchez-Recalde, Veronica Rial, Raul Moreno, Jose Luis Lopez-Sendon Source Type: research

Does the New Generation of Drug-Eluting Stents Render Bare Metal Stents Obsolete?
The development of bare metal coronary stents revolutionized the treatment of coronary artery disease by reducing rates of acute vessel closure and restenosis associated with balloon angioplasty. However, bare metal stents (BMS) resulted in high rates of restenosis and led to the development of drug-eluting stents (DES). Those first-generation DES were followed by successive generations of DES that included improvements, such as biodegradable and more biocompatible polymers. Despite the superiority of the current DES compared to BMS, a subset of patients still receives BMS. (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - April 2, 2017 Category: Cardiology Authors: Kyle Buchanan, Arie Steinvil, Ron Waksman Source Type: research

Editor ’s Picks
Every issue, the Editor-in-Chief selects one to three articles that are particularly interesting or have important implications in interventional cardiology. Here are the picks for this issue. (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - April 1, 2017 Category: Cardiology Tags: Editorial Source Type: research

A “Double Crossover Technique” in an Obese Patient Undergoing Transfemoral Transcatheter Aortic Valve Implantation: How to Accomplish Hemostasis Percutaneously?
This report aimed to describe a case of successful performance of our “double crossover technique” in an obese patient undergoing TF-TAVI with a percutaneous transfemoral intra-aortic balloon pump (TF-IABP). A 75-year-old man presented with heart failure due to a left ventricular ejection fraction of 35% and low-flow, low-gradient severe aortic stenosis. (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - April 1, 2017 Category: Cardiology Authors: Hirokazu Onishi, Toru Naganuma, Sunao Nakamura Source Type: research

Potential of Transcatheter Aortic Valve Replacement to Improve Post-Procedure Renal Function
Baseline comorbidities including renal dysfunction are frequently found in patients treated with transcatheter aortic valve replacement (TAVR) and may increase the risks of acute kidney injury (AKI), although some of them may actually improve renal function. We aimed to evaluate the potential of TAVR to acutely improve post-procedure renal function. (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - April 1, 2017 Category: Cardiology Authors: Bruno L.R. Faillace, Henrique B. Ribeiro, Carlos M. Campos, Adriano A.M. Truffa, Fernando L. Bernardi, Marcos D.P. Oliveira, Jos é Mariani, Julio F. Marchini, Flavio Tarasoutchi, Pedro A. Lemos Source Type: research

Multivessel stent thrombosis with Optical Coherence Tomography (OCT) utilization for therapeutic guidance
63 year old male presents with anterior ST elevation myocardial infarction. Two years prior he had PCI with DES to the proximal left anterior descending (LAD) and circumflex arteries following an abnormal stress test. Clopidogrel was discontinued several weeks prior to this presentation. (Source: Cardiovascular Revascularization Medicine)
Source: Cardiovascular Revascularization Medicine - March 30, 2017 Category: Cardiology Authors: Neil Yager, Arjun Majithia, Sergio Waxman Source Type: research