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.

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Changes to patients’ memory similar after cardiac surgery, catheterization

Patients who receive heart surgery experience minimal changes to their memory up to two years after their operations compared to those who undergo less-invasive cardiac catheterization, according to a new study, offering reassurance that postoperative cognitive decline may be temporary in many cases.

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Fewer seniors receiving inpatient PCIs since 2006

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.

Appropriate use criteria give edge to endovascular therapies for treating PAD

Several professional societies collaborated to release appropriate use criteria for peripheral artery intervention (PAI), a field the authors acknowledged still has an emerging evidence base that is likely to change these recommendations in the future.

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Cardiac surgery for opioid users linked to more complications, higher costs

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.

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Walking speed predicts midterm mortality in older heart surgery patients

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.

‘A landmark event’: First human patients receive remote PCI

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

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FFR fails to improve CABG outcomes in randomized trial

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.

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Cancer patients 3 times more likely to die in-hospital after PCI

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.

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.