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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Frailty screening in CABG patients cuts costs, but there’s a catch

Frailty assessments are a good value for their money in older patients considering CABG, according to a study published in the Canadian Journal of Cardiology, but a limited geriatric consultation workforce could curb that benefit in real-life practice.

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UFR-guided hydration minimizes contrast-induced complications in CKD patients

Urine flow rate-guided hydration, as opposed to left ventricular end-diastolic pressure-guided hydration, could prevent more complications in CKD patients who are at a high risk for contrast-induced kidney injury.

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Ticagrelor alone reduces bleeding risk after PCI, DAPT

Results from the late-breaking TWILIGHT trial suggest that, among high-risk patients who have undergone PCI and completed three months of dual antiplatelet therapy, it’s safer to continue treatment with ticagrelor alone rather than add aspirin to that cocktail.

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Shorter-duration DAPT looks favorable for patients at a high risk of bleeding after PCI

A shortened, three-month course of dual antiplatelet therapy might be a safer bet than 12-month treatment for patients at a high risk of bleeding after PCI and implantation of a drug-eluting stent.

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Robocath completes 1st in-human robotic angioplasties

French company Robocath announced Sept. 24 it had successfully completed its first two in-human coronary angioplasties performed with assistance from its R-One robotic platform.

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ABSORB III: 5-year results offer renewed hope for bioresorbable stents

Five-year results of the ABSORB III trial suggest that, while target lesion failure and scaffold thrombosis have remained apparent in patients implanted with bioresorbable vascular scaffolds, the poor outcomes associated with BVS seemed to subside after three years, when the stents had completely dissolved.

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PCI mortality rates poor indicators of hospital quality

Annual hospital PCI-related mortality rates might be unreliable measures of a center’s performance, according to work published in JAMA Cardiology, proving unhelpful for identifying high-quality care in a study of 67 New York hospitals.

Surgical bailout during TAVR linked to poor outcomes

The need for surgical bailout in heart patients undergoing TAVR is low, according to research published in JACC: Cardiovascular Interventions, but when it is performed outcomes are poor, reaching 50% mortality at 30 days.