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.

FDA clears Medtronic’s catheter for use in the peripheral vascular system

The FDA cleared the TrailBlazer angled support catheter Sept. 23 for use in the peripheral vascular system.

Artificial blood vessels may reduce need for multiple surgeries in young heart patients

Open-heart surgery is an especially risky procedure for children, with mortality rates reaching 20 percent for complex operations. Also, because their hearts are still growing, some children may require up to five open-heart procedures to resize conduits.

Early detection, surgery shorten recovery time for stroke victims

Time and surgery are of the essence when it comes to stroke treatment. A study published in the Sept. 27 issue of JAMA found that earlier treatment with endovascular thrombectomy plus medical therapy was associated with less disability after three months.

Women on the heart transplant list face a greater risk of death

Women on the heart transplant list are more likely than their male counterparts to die while waiting for a heart transplant, according to a poster presented at the Heart Failure Society of America Scientific Assembly.

Obesity epidemic threatens to end trend of longer lifespans

Americans’ lives have been getting steadily longer since the 1960s, thanks in part to a steady decline in heart disease rates. However, that trend of longer, healthier lives may soon be coming to an end.

Retired surgeon admits he lied to protect partner in malpractice lawsuit

A retired surgeon from South Dakota admitted that he lied under oath two decades ago when he testified in a malpractice lawsuit against one of his partners, NPR and ProPublica report.

Developing infective endocarditis following TAVR is associated with high mortality rates

Patients who developed infective endocarditis after undergoing transcatheter aortic valve replacement (TAVR) had high rates of morbidity and mortality, according to a registry analysis. The in-hospital mortality rate was 36 percent, while the two-year mortality rate was 66.7 percent.

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Open and endovascular AAA repair have similar cost-effectiveness and survival rates

A randomized trial found that patients had similar rates of survival and quality of life whether they underwent elective open and endovascular repair of their aortic abdominal aneurysm (AAA). The procedures also had similar costs and cost-effectiveness ratios.

Around the web

Several key trends were evident at the Radiological Society of North America 2024 meeting, including new CT and MR technology and evolving adoption of artificial intelligence.

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