Interventional Cardiology

This cardiac subspecialty uses minimally invasive, catheter-based technologies in a cath lab to diagnose and treat coronary artery disease (CAD). The main focus in on percutaneous coronary interventions (PCI) to revascularize patients with CAD that is causing blockages resulting in ischemia or myocardial infarction. PCI mainly consists of angioplasty and implanting stents. Interventional cardiology has greatly expanded in scope over recent years to include a number of transcatheter structural heart interventions.

surgeons operating

AHA.15: Two-year survival similar among surgical options for severe ischemic mitral regurgitation

After two years, patients who underwent mitral valve repair or replacement for severe ischemic mitral regurgitation had no statistically significant difference in mortality, overall readmissions or serious adverse events, according to a randomized trial. However, patients in the repair group had a higher rate of recurrent mitral regurgitation and were more likely to have a heart failure adverse event, cardiovascular readmission and quality of life score.

November 11, 2015
Selecting_No

AHA.15: Appropriate use criteria significantly changes patient selection for PCI

Since the American College of Cardiology, American Heart Association (AHA) and other medical societies released appropriate use criteria for coronary revascularization in 2009, the number of nonacute PCIs has significantly decreased, according to a multicenter, longitudinal, cross-sectional analysis. 

November 11, 2015

Thousands of patients may be exposed to bacterial infection caused by heater-cooler devices

Thousands of patients at two Pennsylvania hospitals may have been exposed to a bacterial infection, Penn Live reports. The Pennsylvania Department of Health said the infections were traced to heater-cooler devices that are used in open heart surgeries.

November 11, 2015
Tim Casey

Researchers attempt to allay TAVR concerns

Soon after a study appeared in The New England Journal of Medicine on Oct. 5 finding potential issues with bioprosthetic aortic valves, the results generated national attention, causing some to question the use of transcatheter aortic valve replacement (TAVR) treatment.

November 6, 2015
HF-related mortality among older adults improved from 1999 to 2012, but then decreased considerably over the next several years. Researchers explored the latest data at length, sharing their findings in JACC: Heart Failure.

Artificial heart provides option for some patients

Only a handful of patients receive artificial hearts each year, but The Verge reports the device's manufacturers are hoping they can one day replace real hearts. Artificial hearts are now used as life support for people waiting for transplants.

November 5, 2015
surgery

Early invasive treatment strategy after acute coronary syndrome appears to be effective

Patients with acute coronary syndromes who underwent an early invasive strategy had a lower risk of cardiac death and hospitalization for MI compared with those who received a conservative approach, according to a retrospective cohort study.

November 3, 2015

IABP therapy is associated with higher mortality in patients undergoing PCI

An observational study involving Japanese patients undergoing PCI found the use of intra-aortic balloon pump (IABP) therapy was associated with a significantly higher risk of in-hospital mortality.

November 3, 2015
University of Washington Medical Center heart team

[ARTICLE] Building a Protected PCI Program: The Programmatic Approach

Offered in cooperation with Abiomed

The University of Washington Medical Center in Seattle, already a major national referral center, has recently undergone a significant culture shift. The change began when Robb MacLellan, MD, joined as chief of cardiology of UW Medicine Regional Heart Center in 2011.

November 1, 2015

Around the web

Eleven medical societies have signed on to a consensus statement aimed at standardizing imaging for suspected cardiovascular infections.

Kate Hanneman, MD, explains why many vendors and hospitals want to lower radiology's impact on the environment. "Taking steps to reduce the carbon footprint in healthcare isn’t just an opportunity," she said. "It’s also a responsibility."

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