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Coronary Intervention & Surgery

 

A cross-sectional study of nearly 1,300 patients revealed Chinese physicians systematically overestimate the severity of coronary stenosis, perhaps even more so than in the United States, likely leading to many patients being inappropriately treated with percutaneous coronary intervention (PCI).

The risk of another heart attack following percutaneous coronary intervention (PCI) was twice as likely to originate from a previously untreated lesion versus the stented lesion, according to a study of a large Swedish cohort published in the Journal of the American Heart Association.

Patients are significantly more likely to die within one year of coronary artery bypass graft (CABG) surgery or PCI in New York state than in England where the procedures are roughly four times cheaper, according to a study in Open Heart.

Temporarily cooling part of the heart during myocardial infarction (MI) and again immediately after angioplasty may reduce damage to the heart, said a cardiologist who participated in the first in-human study of the technique.

Charles E. Chambers, MD, spoke with Cardiovascular Business about the risks of radiation exposure to interventional cardiologists and potential solutions.

 

Recent Headlines

TCT 2017: DK crush proves more effective than PS in first large-scale study of its kind

Though provisional stenting (PS) is the most popular PCI technique used to treat distal left main (LM) bifurcation lesions, a double kissing (DK) crush two-stent technique yielded more positive results in a large-scale randomized trial comparing the two, according to research presented at the 29th annual Transcatheter Cardiovascular Therapeutics (TCT) conference.

TCT 2017: PCI, CABG yield similar long-term results for left main CAD patients

Heart patients with left main coronary artery disease (LMCAD) could benefit from more immediate results when receiving percutaneous coronary intervention (PCI) over coronary artery bypass graft surgery (CABG), according to research presented at this year’s Transcatheter Cardiovascular Therapeutics (TCT) symposium, though both procedures yield similar quality of life improvements after three years.

TCT 2017: PCI, TAVR anniversaries spur forward-looking discussions

DENVER — Before the 29th annual Transcatheter Cardiovascular Therapeutics (TCT) scientific symposium kicked into full swing Oct. 30, a pair of doctors drew attention to two important anniversaries for interventional cardiology. The first PCI was performed 40 years ago and the first transcatheter aortic valve replacement (TAVR) was completed 15 years ago.

Cardiologist’s Twitter poll highlights TCT trials of greatest interest

Several of the late-breaking clinical trials presented at the 29th annual Transcatheter Cardiovascular Therapeutics (TCT) scientific symposium in Denver next week are sure to generate significant interest in the cardiology community. Some could even change practice, according to experts in the field.

Chewing—not just swallowing—ticagrelor helps the blood thinner work faster

Chewing blood thinner ticagrelor rather than simply swallowing the pill could yield more effective results in patients suffering from ST-segment elevation myocardial infarction (STEMI), research published in JAMA Cardiology this week suggests.

Women, minorities see higher risk of ischemic events than white men following stent implantation

Women and minorities experience a higher risk of recurrent ischemic events than white men following everolimus-eluting stent implantation, a JAMA Cardiology study recently found.

5 topics to watch at TCT 2017

The 29th annual Transcatheter Cardiovascular Therapeutics (TCT) scientific symposium kicks off in Denver in less than two weeks. In preparation, Gregg W. Stone, MD, co-director of medical research and education at the Cardiovascular Research Foundation, provided some expected highlights of this year’s session Oct. 16 during a press briefing.

Internists, surgeons both overestimate risk; researcher calls for curriculum revamp

Residents in general surgery and internal medicine both vastly overestimated patients’ risk of postsurgical complications compared to a validated algorithm, a new study found.

Long-term study supports broader use of multiple arterial grafting

Multiple arterial grafting (MAG) was associated with lower rates of death and revascularization over 15 years of follow-up than the standard form of coronary artery bypass grafting (CABG), according to a study in JAMA Cardiology.

Inexpensive urine test helps surgeons ID kidney injury after open heart surgery

New research out of a Fort Meyers, Florida, health center has yielded a simple and effective urine test that can detect a patient’s risk for kidney injury after open heart surgery.

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