Coronary Intervention & Surgery

An analysis of more than 3.5 million percutaneous coronary intervention (PCI) patients found the procedure was initially popular with an older demographic starting in 1998, but after 2006 the overall number of PCIs in those aged 70 and up started to decline.

People with opioid use disorder (OUD) who have heart surgery suffer in-hospital mortality at a rate on par with other patients but are more likely to experience complications and require longer hospital stays, according to an analysis published in JAMA Surgery.

A simple test to measure walking speed can indicate frailty and inform survival predictions for older patients undergoing cardiac surgery, suggests a study published in the Journal of the American Heart Association.

An interventional cardiologist performed percutaneous coronary interventions (PCIs) on five patients located 20 miles away—the first truly remote PCIs in human patients.

Fractional flow reserve (FFR) assessment before coronary artery bypass grafting (CABG) didn’t improve outcomes compared to angiography-guided surgery, Danish researchers reported Nov. 26 in the Journal of the American College of Cardiology.

A team in the U.K. published research Nov. 30 suggesting cancer patients are at an elevated risk for major bleeding events and in-hospital death following percutaneous coronary intervention (PCI), the most common interventional treatment in patients with coronary heart disease.

People who are frail and older than 65 are at a 50 percent increased risk of major bleeding during hospitalizations for heart attack compared to nonfrail patients, according to research published Nov. 19 in JACC: Cardiovascular Interventions.

The use of intravascular ultrasound (IVUS) to guide PCI leads to further improvements in event-free survival between one and two years post-procedure, according to a report from the ADAPT-DES study published in Circulation: Cardiovascular Interventions.

A miniature pacemaker developed for use in infants and those with limited vascular access has passed a proof-of-concept simulation and is entering its second phase of testing, researchers from Children’s National Health System in Washington, D.C., have reported.

The Door-to-Unload pilot study concluded without any “prohibitive safety signals,” researchers reported at the American Heart Association 2018 Scientific Sessions, clearing the path for a larger trial to test the hypothesis that ventricular unloading prior to PCI with the Impella CP heart pump can reduce reperfusion injury.

Physicians successfully reversed the bleeding risk-treatment paradox in percutaneous coronary intervention (PCI) by prioritizing risk-concordant use of bleeding avoidance strategies like bivalirudin, radial access and vascular closure devices, according to a report published Oct. 31 in the Journal of the American Heart Association.

The majority of ST-segment elevation myocardial infarction (STEMI) patients in the Midwest live within an hour of their nearest percutaneous coronary intervention (PCI)-capable hospital and are able to undergo primary PCI within two hours of an MI, researchers reported in the American Journal of Cardiology.