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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USPSTF: Evidence insufficient to assess benefits, harms of using ABI to screen for PAD

The U.S. Preventive Services Task Force (USPSTF) issued a Grade I recommendation for screening peripheral artery disease (PAD) and cardiovascular disease (CVD) risk with the ankle-brachial index (ABI), indicating current evidence is insufficient to recommend screening without signs or symptoms of disease.

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Thinner-strut DES linked to better 1-year outcomes

New ultra-thin drug-eluting stents (DES) are associated with a 16 percent reduction in target lesion failure (TLF) at one year compared to thicker-strut, second-generation DES, according to a meta-analysis published June 26 in Circulation.

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Triple therapy: ‘Acceptable’ safety, fewer strokes for AFib patients after PCI

A triple therapy approach of warfarin, clopidogrel and aspirin substantially reduces the risk of ischemic stroke and stent thrombosis compared to dual antiplatelet therapy (DAPT), according to a meta-analysis of patients with atrial fibrillation (AFib) undergoing coronary stenting. However, the three-medication strategy is associated with a higher bleeding risk.

FFR-guided CABG linked to reduction in heart attacks, deaths

Coronary artery bypass graft (CABG) surgery guided by fractional flow reserve (FFR) significantly reduced the incidence of death or myocardial infarction when compared to angiography-guided CABG, according to an observational study with an average follow-up of seven years.

Nitric oxide reduces kidney injury following cardiopulmonary bypass

Nitric oxide administration during and after multiple-valve heart surgery significantly reduced patients’ chances of developing acute and chronic kidney problems, according to a randomized trial published in the American Journal of Respiratory and Critical Care Medicine.

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Sunil Rao, MD, to take over as editor of Circulation: Cardiovascular Interventions

Sunil V. Rao, MD, will become the editor-in-chief of the American Heart Association’s journal Circulation: Cardiovascular Interventions on July 1.

Guidelines: Limit prescriptions to 30 pain pills after CABG

A multidisciplinary group of physicians, nurses, pharmacists and patients teamed up to provide guidelines on how many opioid painkillers should be prescribed following specific procedures.

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‘Smart stent’ can wirelessly notify clinicians of restenosis

Researchers at the University of British Columbia have developed a “smart stent” that can monitor hemodynamic changes in the artery and warn clinicians of restenosis at its earliest stages.

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.