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.

Edwards’ Pascal TMVR system gains CE mark

The Pascal transcatheter mitral valve repair (TMVR) system has received its CE mark for the treatment of patients with mitral regurgitation, device manufacturer Edwards Lifesciences announced Feb. 19.

Off-pump vs. on-pump CABG: Does it really matter?

Five-year survival rates and cardiovascular outcomes are similar between elderly patients who undergo both off- and on-pump coronary artery bypass grafting (CABG), according to research out of Germany.

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Data-driven initiative slashes blood transfusion rates, costs for heart surgery

A simple educational initiative designed to show cardiac surgeons how often they used blood transfusions—and how much they cost—helped one heart center significantly cut its rate of blood utilization and save a projected $500,000 each year.

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Under-table shields reduce radiation to operators during PCI, angiography

Placing homemade shields under the angiographic table during percutaneous coronary procedures cut operators’ exposure to radiation at the pelvic level by a median of 72 percent, according to a single-center study in Circulation: Cardiovascular Interventions.

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Optimism boosts post-PCI recovery in patients with chronic angina

Patients with chronic angina pectoris who experience incomplete revascularization after percutaneous coronary intervention (PCI) may fare better if they’re optimistic about their own recovery, according to a study published in the American Journal of Cardiology Feb. 7.

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Deferring revascularization in LAD deemed safe with iFR

Instantaneous wave-free ratio (iFR) can safely guide revascularization decisions in left anterior descending (LAD) arteries with moderate stenosis, according to an analysis of the DEFINE-FLAIR study published in the Journal of the American College of Cardiology

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DMC cardiology residency program to face accreditation review after leadership shifts

The interventional cardiology residency program at Detroit Medical Center will undergo an accreditation inspection Feb. 8 following controversial leadership changes within the organization last fall, Crain’s Detroit Business reported.

Self-donating blood for heart surgery cuts patients’ hospital stays, lowers transfusion rate

Patients undergoing heart surgery might see better outcomes and shorter hospital stays if they opt for intraoperative autologous blood donation, according to research out of New York.

Around the web

Ron Blankstein, MD, professor of radiology, Harvard Medical School, explains the use of artificial intelligence to detect heart disease in non-cardiac CT exams.

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