Coronary Intervention & Surgery

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.

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.