Coronary Intervention & Surgery

Despite past research suggesting a history of percutaneous coronary intervention (PCI) could complicate coronary artery bypass grafting (CABG) outcomes, a study published in the Journal of the American Heart Association Oct. 16 reported prior PCI has little to do with how a patient recovers from subsequent surgeries.

For patients with non-ST-segment elevation myocardial infarction (NSTEMI) and multivessel disease, complete revascularization is associated with greater in-hospital mortality but better long-term survival, according to an observational study published Oct. 15 in the Journal of the American College of Cardiology.

The Leapfrog Group, a nonprofit organization that grades nearly 2,000 U.S. hospitals, is expanding its safety and quality ratings to outpatient surgery centers. The group plans to survey 250 centers in 2019 and up to 5,600 in 2020.

Despite the myth of a “weekend effect” in cardiac surgery—the idea that patients discharged from the hospital on weekends and holidays face higher readmission rates—a team of UCLA researchers concluded that heart patients face a similar risk of readmission regardless of the day of week they’re discharged.

Indian-American cardiologist and serial entrepreneur Kiran Patel announced he’s investing $60 million in Concept Medical Inc., a company looking to test its novel sirolimus-coated balloon.

Experienced operators in Europe are treating chronic total occlusions (CTOs) with increasing procedural success despite attempting more complex lesions over time, according to a report from the European Registry of CTO published in Circulation: Cardiovascular Interventions.

The shorter a patient’s hospital stay after elective percutaneous coronary intervention (PCI), the better, according to recent research out of the U.K. that linked longer lengths of stay to an increase in unplanned readmissions and healthcare costs.

Forearm blood flow is preserved two decades after coronary artery bypass graft (CABG) surgery using radial artery grafts, Australian researchers reported in a letter published in the Journal of the American College of Cardiology.

A low measure of base excess (BE) upon admission to the ICU following cardiac surgery was independently predictive of ICU mortality—more so than increased lactate levels, researchers reported in PLOS One.

The considerable survival advantage observed in female patients undergoing transcatheter aortic valve implantation (TAVI) during the procedure’s earlier years has diminished in the contemporary TAVI era, according to research out of Petah Tikva, Israel, meaning men and women are seeing similar outcomes post-procedure.

Fractional flow reserve (FFR) can be closely approximated using conventional coronary angiography and propriety software, according to the FAST-FFR study published online in Circulation. The findings offer a potential route for more patients with suspected coronary artery disease to receive functional assessment of lesions without the need for a guidewire or hyperemic agents.

In patients with atrial fibrillation who have experienced MI or undergone percutaneous coronary intervention (PCI), treatment with a combination of direct oral anticoagulants (DOACs) and dual antiplatelet therapy (DAPT) could significantly decrease the risk of bleeding and other major thromboembolic events, according to research published ahead of print in the Journal of the American College of Cardiology.