Coronary Intervention & Surgery

Percutaneous coronary intervention is being offered to a greater proportion of older adults with ST-segment elevation myocardial infarction (STEMI) complicated by cardiogenic shock over the past two decades—a trend that’s been paralleled by declining mortality rates, according to a study in the Journal of the American College of Cardiology.

More than 80% of stable patients with ST-segment elevation myocardial infarction (STEMI) are treated in the intensive care unit despite only 16% of them experiencing complications that require an ICU stay, according to a U.S. registry analysis published in JACC: Cardiovascular Interventions.

Domestic responsibilities put a damper on career satisfaction for proceduralist mothers more than for physician mothers in nonprocedural specialties, suggests a study published April 10 in JAMA Surgery.

A new pilot study out of Germany suggests a comic-style graphic supplement can improve the informed consent process before coronary angiography by putting patients at ease and helping them understand the procedure.

Once the artery has been opened with PCI, the treatment involves mixing a patient’s own blood with oxygenated saline and then infusing that superoxygenated mixture to the targeted ischemic area for 60 minutes.

Colorado became the second state to pass legislation requiring surgical smoke evacuation systems at hospitals and ambulatory surgical centers on March 28, when Gov. Jared Polis signed the bill into law. Rhode Island passed a similar law in June 2018.

Intravascular ultrasound (IVUS)-guided PCI was associated with lower long-term risk of cardiac death than an angiography-guided approach in patients with complex lesions, according to a single-center study published in JACC: Cardiovascular Interventions.

To conquer STEMI’s “last frontier,” cardiologists are tapping into an evolving arsenal of strategies while calling for more data and standardized definitions to guide treating physicians.

Tracking patients’ changes in fractional flow reserve (FFR) from before to after a percutaneous coronary intervention (PCI) may provide useful information, according to new research published in JAMA Cardiology. Individuals with the greatest change in FFR were less likely to experience vessel-related events and demonstrated greater symptomatic relief.

The older patients get, the higher their risk of death or bleeding after percutaneous coronary intervention (PCI). But a new study from a Japanese PCI registry suggests a transradial approach can prevent some of those complications, particularly in nonagenarians.

Delay to hospital presentation and suboptimal post-percutaneous coronary intervention (PCI) TIMI flow grades are both independently associated with excess mortality in women who suffer ST-segment elevation myocardial infarction (STEMI), according to a study that sought to better define the disproportionate sex gap in STEMI mortality.

Overlapping surgery—in which a surgeon moves from one procedure to the next before the first is finished, leaving junior surgeons and trainees to wrap up the noncritical portions of the surgery—isn’t associated with increased mortality or post-op complications in most cases. But, according to a study published in JAMA Feb. 26, it can raise the risk of adverse events in high-risk patients and those undergoing coronary artery bypass graft (CABG) surgery.