Postocclusional Hyperemia for Fractional Flow Reserve After Percutaneous Coronary Intervention [Coronary Physiologic Assessment and Imaging]
Conclusions— Strong correlations were found between FFRoccl and FFR measured by intravenous ATP and FFRoccl and FFRpap. Hyperemia caused by FFRoccl was significantly longer than that caused by FFRpap. (Source: Circulation: Cardiovascular Interventions)
Source: Circulation: Cardiovascular Interventions - December 15, 2017 Category: Cardiology Authors: Kawase, Y., Omori, H., Kawasaki, M., Tanigaki, T., Hirata, T., Okamoto, S., Ota, H., Kikuchi, J., Okubo, M., Kamiya, H., Hirakawa, A., Suzuki, T., Matsuo, H. Tags: Diagnostic Testing, Catheter-Based Coronary and Valvular Interventions, Percutaneous Coronary Intervention Coronary Physiologic Assessment and Imaging Source Type: research

Outcomes of Saphenous Vein Graft Intervention With and Without Embolic Protection Device: A Comprehensive Review and Meta-Analysis [Coronary Interventions]
Conclusions— This study including 52 893 patients suggests no apparent benefit in routine use of EPD during SVG intervention in the contemporary real-world practice. Further randomized clinical trials are needed in current era to evaluate long-term outcomes in routine use of EPD, and meanwhile, current guideline recommendations on EPD use should be revisited. (Source: Circulation: Cardiovascular Interventions)
Source: Circulation: Cardiovascular Interventions - December 15, 2017 Category: Cardiology Authors: Paul, T. K., Bhatheja, S., Panchal, H. B., Zheng, S., Banerjee, S., Rao, S. V., Guzman, L., Beohar, N., Zhao, D., Mehran, R., Mukherjee, D. Tags: Catheter-Based Coronary and Valvular Interventions, Percutaneous Coronary Intervention, Revascularization Coronary Interventions Source Type: research

Three-Year Outcomes of Surgical Versus Endovascular Revascularization for Critical Limb Ischemia: The SPINACH Study (Surgical Reconstruction Versus Peripheral Intervention in Patients With Critical Limb Ischemia) [Peripheral Vascular Disease]
Conclusions— The 3-year amputation-free survival was not different between surgical reconstruction and EVT in the overall CLI population. The subsequent interaction analysis suggested that there would be a subgroup more suited for surgical reconstruction and another benefiting more from EVT. Clinical Trial Registration— URL: http://www.umin.ac.jp/ctr/. Unique identifier: UMIN000007050. (Source: Circulation: Cardiovascular Interventions)
Source: Circulation: Cardiovascular Interventions - December 15, 2017 Category: Cardiology Authors: Iida, O., Takahara, M., Soga, Y., Kodama, A., Terashi, H., Azuma, N., on behalf of the SPINACH Investigators Tags: Peripheral Vascular Disease Source Type: research

Radial Versus Femoral Access for Rotational Atherectomy: A UK Observational Study of 8622 Patients [Coronary Interventions]
Conclusions— In this large real-world study of patients undergoing RA, radial access was associated with equivalent 30-day mortality and procedural success, but reduced major bleeding and access site complications, compared with femoral access. (Source: Circulation: Cardiovascular Interventions)
Source: Circulation: Cardiovascular Interventions - December 15, 2017 Category: Cardiology Authors: Watt, J., Austin, D., Mackay, D., Nolan, J., Oldroyd, K. G. Tags: Catheter-Based Coronary and Valvular Interventions, Percutaneous Coronary Intervention, Revascularization, Stent Coronary Interventions Source Type: research

Serial Assessment of Strut Coverage of Biodegradable Polymer Drug-Eluting Stent at 1, 2, and 3 Months After Stent Implantation by Optical Frequency Domain Imaging: The DISCOVERY 1TO3 Study (Evaluation With OFDI of Strut Coverage of Terumo New Drug Eluting Stent With Biodegradable Polymer at 1, 2, and 3 Months) [Coronary Interventions]
Conclusions— Nearly complete strut coverage was observed in this complex population very early after implantation of Ultimaster drug-eluting stent. Clinical Trial Registration— URL: https://www.clinicaltrials.gov. Unique identifier: NCT01844843. (Source: Circulation: Cardiovascular Interventions)
Source: Circulation: Cardiovascular Interventions - December 15, 2017 Category: Cardiology Authors: Chevalier, B., Smits, P. C., Carrie, D., Mehilli, J., Van Boven, A. J., Regar, E., Sawaya, F. J., Chamie, D., Kraaijeveld, A. O., Hovasse, T., Vlachojannis, G. J. Tags: Percutaneous Coronary Intervention Coronary Interventions Source Type: research

GDF-15 (Growth Differentiation Factor 15) Is Associated With Lack of Ventricular Recovery and Mortality After Transcatheter Aortic Valve Replacement [Structural Heart Disease]
Conclusions— Elevated GDF-15 correlates with lack of reverse remodeling and increased mortality after TAVR and improves risk prediction of mortality when added to the Society of Thoracic Surgeons score. (Source: Circulation: Cardiovascular Interventions)
Source: Circulation: Cardiovascular Interventions - December 8, 2017 Category: Cardiology Authors: Kim, J. B., Kobayashi, Y., Moneghetti, K. J., Brenner, D. A., OMalley, R., Schnittger, I., Wu, J. C., Murtagh, G., Beshiri, A., Fischbein, M., Miller, D. C., Liang, D., Yeung, A. C., Haddad, F., Fearon, W. F. Tags: Biomarkers, Translational Studies, Valvular Heart Disease, Aortic Valve Replacement/Transcatheter Aortic Valve Implantation Structural Heart Disease Source Type: research

Invasive Assessment of the Coronary Microvasculature: The Index of Microcirculatory Resistance [Advances in Interventional Cardiology]
Traditionally, invasive coronary physiological assessment has focused on the epicardial coronary artery. More recently, appreciation of the importance of the coronary microvasculature in determining patient outcomes has grown. Several invasive modalities for interrogating microvascular function have been proposed. Angiographic techniques have been limited by their qualitative and subjective nature. Doppler wire-derived coronary flow reserve has been applied in research studies, but its clinical role has been limited by its lack of reproducibility, its lack of a clear normal value, and the fact that it is not specific for t...
Source: Circulation: Cardiovascular Interventions - December 8, 2017 Category: Cardiology Authors: Fearon, W. F., Kobayashi, Y. Tags: Coronary Circulation, Prognosis, Percutaneous Coronary Intervention, Revascularization, Transplantation Advances in Interventional Cardiology Source Type: research

Q Waves at Presentation in Patients With ST-Segment-Elevation Myocardial Infarction: An Underappreciated Marker of Risk [Editorials]
(Source: Circulation: Cardiovascular Interventions)
Source: Circulation: Cardiovascular Interventions - November 16, 2017 Category: Cardiology Authors: Kochar, A., Granger, C. B. Tags: Catheter-Based Coronary and Valvular Interventions, Revascularization, Quality and Outcomes Editorials Source Type: research

Needles in Our Technology Haystacks: Defining Efficacy Is Easy, Characterizing Complications Is the Challenge [Editorials]
(Source: Circulation: Cardiovascular Interventions)
Source: Circulation: Cardiovascular Interventions - November 16, 2017 Category: Cardiology Authors: Edelman, E. R., Wang, P.-J. Tags: Stent Editorials Source Type: research

What Can We Do About Cardiogenic Shock? [Editorials]
(Source: Circulation: Cardiovascular Interventions)
Source: Circulation: Cardiovascular Interventions - November 16, 2017 Category: Cardiology Authors: Gershlick, A. H., Banning, A. S. Tags: Catheter-Based Coronary and Valvular Interventions Editorials Source Type: research

Culprit Vessel-Only Versus Multivessel Percutaneous Coronary Intervention in Patients With Cardiogenic Shock Complicating ST-Segment-Elevation Myocardial Infarction: A Collaborative Meta-Analysis [Coronary Interventions]
Conclusions— This meta-analysis of nonrandomized studies suggests that in patients with cardiogenic shock complicating ST-segment–elevation myocardial infarction, there may be no significant benefit with single-stage MV-PCI compared with CO-PCI. Given the limitations of observational data, randomized trials are needed to determine the role of MV-PCI in this setting. (Source: Circulation: Cardiovascular Interventions)
Source: Circulation: Cardiovascular Interventions - November 16, 2017 Category: Cardiology Authors: Kolte, D., Sardar, P., Khera, S., Zeymer, U., Thiele, H., Hochadel, M., Radovanovic, D., Erne, P., Hambraeus, K., James, S., Claessen, B. E., Henriques, J. P. S., Mylotte, D., Garot, P., Aronow, W. S., Owan, T., Jain, D., Panza, J. A., Frishman, W. H., Fo Tags: Percutaneous Coronary Intervention, Revascularization, Meta Analysis, Acute Coronary Syndromes Coronary Interventions Source Type: research

Predictors and Long-Term Clinical Outcome of Longitudinal Stent Deformation: Insights From Pooled Analysis of Korean Multicenter Drug-Eluting Stent Cohort [Coronary Interventions]
Conclusions— LSD is uncommon with contemporary drug-eluting stents, regardless of the type of stent platform. LSD is mainly associated with procedural factors, especially with additional downstream procedures which require the passage of devices through the stent. Careful manipulation of poststent imaging or procedural devices is required to prevent LSD. More data are needed to clarify the impact of LSD on clinical events. (Source: Circulation: Cardiovascular Interventions)
Source: Circulation: Cardiovascular Interventions - November 16, 2017 Category: Cardiology Authors: Rhee, T.-M., Park, K. W., Lee, J. M., Lee, M. S., Jeon, K.-H., Kang, H.-J., Koo, B.-K., Rhew, J. Y., Cha, K. S., Bae, J.-H., Han, K.-R., Park, S.-H., Park, W.-J., Rha, S.-W., Oh, S.-K., Kwon, H. M., Seung, K.-B., Ahn, T., Kim, S.-H., Kim, H.-S. Tags: Percutaneous Coronary Intervention, Stent Coronary Interventions Source Type: research

Three-Vessel Assessment of Coronary Microvascular Dysfunction in Patients With Clinical Suspicion of Ischemia: Prospective Observational Study With the Index of Microcirculatory Resistance [Coronary Physiologic Assessment and Imaging]
Conclusions— Clinical factors and epicardial coronary disease severity are not predictors of the extent of CMD. Clinical Trial Registration— URL: https://www.clinicaltrials.gov. Unique identifier: NCT01621438. (Source: Circulation: Cardiovascular Interventions)
Source: Circulation: Cardiovascular Interventions - November 16, 2017 Category: Cardiology Authors: Kobayashi, Y., Lee, J. M., Fearon, W. F., Lee, J. H., Nishi, T., Choi, D.-H., Zimmermann, F. M., Jung, J.-H., Lee, H.-J., Doh, J.-H., Nam, C.-W., Shin, E.-S., Koo, B.-K. Tags: Coronary Circulation, Diagnostic Testing Coronary Physiologic Assessment and Imaging Source Type: research

Relationships Between Baseline Q Waves, Time From Symptom Onset, and Clinical Outcomes in ST-Segment-Elevation Myocardial Infarction Patients: Insights From the Vital Heart Response Registry [Myocardial Infarction]
Conclusions— The presence of baseline Q waves, rather than time to treatment, was significantly associated with adverse in-hospital events in real-world patients, regardless of reperfusion strategy used. (Source: Circulation: Cardiovascular Interventions)
Source: Circulation: Cardiovascular Interventions - November 16, 2017 Category: Cardiology Authors: Zheng, Y., Bainey, K. R., Tyrrell, B. D., Brass, N., Armstrong, P. W., Welsh, R. C. Tags: Myocardial Infarction, Electrocardiology (ECG) Source Type: research

Percutaneous Left Atrial Appendage Closure: Current Devices and Clinical Outcomes [Advances in Interventional Cardiology]
Chronic oral anticoagulation therapy is the standard therapy for preventing thromboembolic events in patients with atrial fibrillation. However, oral anticoagulation has been associated with an increased risk of bleeding events, and despite the improvements linked to the introduction of direct oral anticoagulants, more than one third of atrial fibrillation patients still remain untreated. Over the past decade, percutaneous left atrial appendage closure has emerged as a valid alternative to anticoagulation therapy for the prevention of stroke/systemic embolism in patients with atrial fibrillation. In this article, we provid...
Source: Circulation: Cardiovascular Interventions - November 16, 2017 Category: Cardiology Authors: Asmarats, L., Rodes-Cabau, J. Tags: Atrial Fibrillation Advances in Interventional Cardiology Source Type: research