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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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.

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As Surgery Gives Way to Transcatheter Procedures, Is the Cardiology Cash Cow in Jeopardy?

With minimally invasive structural procedures crowding out their surgical counterparts, how are physicians and hospitals preparing for the new reality? 

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Biodegradable polymer-coated DES safe, effective at 3 years

Three-year results from the BIO-RESORT trial revealed that despite significant differences in stent backbone and polymer coating, the ultrathin sirolimus-eluting stent, very-thin everolimus-eluting stent and thin-strut zotarolimus-eluting stent remained equally safe and effective through follow-up.

Complete revascularization more beneficial than culprit-only PCI after STEMI

Complete revascularization is superior to culprit-lesion-only PCI in patients with both STEMI and multivessel disease, according to results from the COMPLETE trial, published Sept. 1 in the New England Journal of Medicine.

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TBI donor hearts found viable for transplant

Using donor hearts from patients who died of traumatic brain injury might be a more viable option for transplant candidates than previously thought, according to an analysis published in the Journal of the American Heart Association Aug. 30.

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Jewish Hospital scraps plan to suspend heart transplant program

KentuckyOne Health is nixing its month-old plan to inactivate its heart transplant program at Jewish Hospital in Louisville, instead opting to work with the University of Louisville to keep the program alive.

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Simvastatin protects donor hearts against ischemic damage

A single dose of the lipid-lowerer simvastatin, delivered to an organ donor pre-heart transplant, could decrease postoperative troponin levels in transplant recipients and protect the donor heart against perioperative myocardial ischemic damage.