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.

Thumbnail

Time to nearest PCI hospital determines reperfusion strategy in STEMI

The majority of ST-segment elevation myocardial infarction (STEMI) patients in the Midwest live within an hour of their nearest percutaneous coronary intervention (PCI)-capable hospital and are able to undergo primary PCI within two hours of an MI, researchers reported in the American Journal of Cardiology.

Prior PCI does little to affect CABG outcomes

Despite past research suggesting a history of percutaneous coronary intervention (PCI) could complicate coronary artery bypass grafting (CABG) outcomes, a study published in the Journal of the American Heart Association Oct. 16 reported prior PCI has little to do with how a patient recovers from subsequent surgeries.

Thumbnail

Complete revascularization tops culprit-only PCI for long-term survival after NSTEMI

For patients with non-ST-segment elevation myocardial infarction (NSTEMI) and multivessel disease, complete revascularization is associated with greater in-hospital mortality but better long-term survival, according to an observational study published Oct. 15 in the Journal of the American College of Cardiology.

Study debunks idea of ‘weekend effect’ after major cardiac surgery

Despite the myth of a “weekend effect” in cardiac surgery—the idea that patients discharged from the hospital on weekends and holidays face higher readmission rates—a team of UCLA researchers concluded that heart patients face a similar risk of readmission regardless of the day of week they’re discharged.

Thumbnail

Registry study details advancement of CTO interventions in Europe

Experienced operators in Europe are treating chronic total occlusions (CTOs) with increasing procedural success despite attempting more complex lesions over time, according to a report from the European Registry of CTO published in Circulation: Cardiovascular Interventions.

Thumbnail

Longer hospital stays after elective PCI mean higher costs, more readmissions

The shorter a patient’s hospital stay after elective percutaneous coronary intervention (PCI), the better, according to recent research out of the U.K. that linked longer lengths of stay to an increase in unplanned readmissions and healthcare costs.

Thumbnail

Radial artery use for CABG doesn’t impact blood flow 20 years later

Forearm blood flow is preserved two decades after coronary artery bypass graft (CABG) surgery using radial artery grafts, Australian researchers reported in a letter published in the Journal of the American College of Cardiology.

Thumbnail

Base excess trumps lactate levels in predicting mortality after heart surgery

A low measure of base excess (BE) upon admission to the ICU following cardiac surgery was independently predictive of ICU mortality—more so than increased lactate levels, researchers reported in PLOS One.