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.

Many heart patients overestimate the benefits of PCI

A study published in the European Journal of Cardiovascular Nursing Nov. 28 found that nearly half of heart patients undergoing PCI admit to not understanding or remembering the bulk of the informed consent process, leaving them without a clear picture of the procedure and its potential benefits.

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ISCHEMIA: Invasive therapy no better than meds for reducing CV events

People with severe but stable ischemic heart disease don’t benefit any more from invasive CV procedures than they do from optimal medical therapy and lifestyle changes alone, according to results from the highly anticipated ISCHEMIA trial.

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Do hospitals have too much control over who receives heart transplants?

Research published in JAMA Nov. 12 suggests that, despite the Organ Procurement and Transplant Network’s overhaul of the U.S. heart allocation system in 2018, CV transplant programs still suffer from variability in survival benefit and a lack of standardized guidelines for ranking candidates.

Risk of bleeding, hemorrhagic stroke notably higher in women than men after PCI

Women face a greater risk of bleeding and hemorrhagic stroke after PCI than men, according to a new subgroup analysis of the GLOBAL LEADERS trial.

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West Virginia achieves 1st-ever heart transplant

A 61-year-old patient at the West Virginia University Heart and Vascular Institute is the first in the state to receive a successful heart transplant, WVU reported Nov. 10.

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Multiarterial CABG deemed superior to single-arterial approach

Multiarterial CABG was linked to lower rates of long-term mortality, reintervention and MI than single-arterial CABG in a recent study of heart patients, suggesting the multiarterial approach is underused in contemporary practice.

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Destination Question: Should All STEMI Patients Recover in the ICU?

Two studies reach conflicting conclusions while underscoring the need for best practice guidelines to fill the current vacuum.

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1st US center performs PCI using Impella 5.5

Hackensack University Medical Center is the first practice in the U.S. to successfully perform heart surgeries using Abiomed’s Impella 5.5 LVAD.