Interventional Cardiology

This cardiac subspecialty uses minimally invasive, catheter-based technologies in a cath lab to diagnose and treat coronary artery disease (CAD). The main focus in on percutaneous coronary interventions (PCI) to revascularize patients with CAD that is causing blockages resulting in ischemia or myocardial infarction. PCI mainly consists of angioplasty and implanting stents. Interventional cardiology has greatly expanded in scope over recent years to include a number of transcatheter structural heart interventions.

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Unprotected left main PCI remains rare in US

Despite recent clinical trial evidence suggesting the outcomes of unprotected left main PCI rival those of coronary artery bypass grafting (CABG), very few unprotected left main PCIs are performed in everyday clinical practice in the United States.

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Study suggests upcoding to unstable angina is prevalent in outpatient PCI

Outpatient centers across three states may have upcoded patients from stable angina to unstable angina to mask their use of inappropriate percutaneous coronary intervention (PCI), according to a report published Dec. 17 in JAMA Internal Medicine.

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Changes to patients’ memory similar after cardiac surgery, catheterization

Patients who receive heart surgery experience minimal changes to their memory up to two years after their operations compared to those who undergo less-invasive cardiac catheterization, according to a new study, offering reassurance that postoperative cognitive decline may be temporary in many cases.

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Fewer seniors receiving inpatient PCIs since 2006

An analysis of more than 3.5 million percutaneous coronary intervention (PCI) patients found the procedure was initially popular with an older demographic starting in 1998, but after 2006 the overall number of PCIs in those aged 70 and up started to decline.

Appropriate use criteria give edge to endovascular therapies for treating PAD

Several professional societies collaborated to release appropriate use criteria for peripheral artery intervention (PAI), a field the authors acknowledged still has an emerging evidence base that is likely to change these recommendations in the future.

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Cardiac surgery for opioid users linked to more complications, higher costs

People with opioid use disorder (OUD) who have heart surgery suffer in-hospital mortality at a rate on par with other patients but are more likely to experience complications and require longer hospital stays, according to an analysis published in JAMA Surgery.

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Walking speed predicts midterm mortality in older heart surgery patients

A simple test to measure walking speed can indicate frailty and inform survival predictions for older patients undergoing cardiac surgery, suggests a study published in the Journal of the American Heart Association.