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.

PCI outcomes similar at top-ranked, unranked hospitals

Hospitals ranked in the top 50 for cardiology and heart surgery by U.S. News and World Report appear no better at performing PCI than unranked hospitals, according to an analysis of more than 500,000 procedures performed at 654 hospitals.

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Studies in JACC show progress for PCI of CTOs

PCI of chronic total occlusions (CTOs) can be safely performed by expert operators and provides significant benefit to patients with reduced left ventricular ejection fraction (LVEF) or diabetes, according to a series of studies published Nov. 13 in JACC: Cardiovascular Interventions.

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Bioresorbable scaffold discontinuity a major mechanism of very late thrombosis

Scaffold discontinuity, malapposition and neoatherosclerosis were found to be the leading mechanisms behind very late scaffold thrombosis (VLScT) in cardiac patients implanted with bioresorbable devices, investigators from the INVEST registry have reported.

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TCT 2017: Could doctors perform robot-assisted PCI over long distances?

Recent studies have shown robotic PCI to be a feasible way to treat coronary artery disease. But at the annual Transcatheter Cardiovascular Therapeutics (TCT) conference Oct. 30, Ryan D. Madder, MD, took the conversation a step further: Will it eventually be possible to perform “tele-stenting” over long distances?

TCT 2017: PCI clinically superior, cost-effective versus medical therapy for patients with reduced FFR

Research presented Nov. 2 at the Transcatheter Cardiovascular Therapeutics scientific symposium in Denver demonstrates patients with stable coronary artery disease (CAD) and abnormal fractional flow reserve (FFR) derive better clinical outcomes with PCI at similar cost to medical therapy alone.

TCT 2017: Investigational device repairs mitral valves while heart beats

An image-guided cardiac device designed to repair the mitral valve while a patient’s heart is still beating could provide a safe, effective alternative to traditional open heart surgery, according to research presented Nov. 1 at the Transcatheter Cardiovascular Therapeutics (TCT) meeting in Denver.

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TCT 2017: Innovative trial suggests placebo effect plays role in symptomatic improvement from PCI

Differences in exercise duration for patients with stable angina who received either PCI or a placebo treatment were not statistically significant, according to research presented Nov. 2 at the annual Transcatheter Cardiovascular Therapeutics (TCT) scientific symposium and published simultaneously in The Lancet.

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TCT 2017: Cath lab radiation down 20% when lead-free pad placed on patient

Interventional cardiologists are exposed to chronic low-dose radiation, which can lead to adverse health conditions. At a Nov. 1 presentation at the Transcatheter Cardiovascular Therapeutics (TCT) scientific symposium in Denver, Wieneke Vlastra, MD, reported a 20 percent decrease in radiation exposure for operators when a lead-free disposable pad was placed on the patient.

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