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.

TCT.15: Thrombus aspiration does not improve long-term outcomes during PCI for STEMI

After a year of follow-up, patients with STEMI who received thrombus aspiration during PCI had similar results in the primary outcome of cardiovascular death, recurrent MI, cardiogenic shock or class IV heart failure compared with patients undergoing PCI alone, according to a prospective, randomized trial.

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TCT.15: Ranolazine does not improve outcomes in patients with incomplete revascularization after PCI

Providing ranolazine to patients with chronic angina and incomplete revascularization after undergoing PCI did not reduce the composite end point of ischemia-driven revascularization or hospitalization without revascularization, according to a multicenter, randomized, double-blind, placebo-controlled study.

TCT.15: Real world data with CoreValve TAVR system is similar to trial results

More than a year’s worth of real world data in more than 6,000 patients showed that all-cause mortality rates and stroke at 30 days with Medtronic’s CoreValve transcatheter aortic valve replacement (TAVR) system were comparable with findings in the pivotal trial that led to the device’s approval.

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TCT.15: Early results are promising for second-generation drug-eluting absorbable metal scaffold

Patients undergoing PCI who received a second-generation drug-eluting absorbable metal scaffold had favorable angiographic and clinical outcomes after six months, according to the first in-man study of the device.

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TCT.15: Absorb scaffold is noninferior to Xience stent at 1 year

The results of the ABSORB III trial were within the prespecified margin for noninferiority with regards to the primary end point of target-lesion failure, which researchers defined as cardiac death, target-vessel MI or ischemia-driven target-lesion revascularization.

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Nonsurgical cardiac procedures are most common in first six months after PCI

Within two years following PCIs, 13.3 percent of subsequent scheduled noncardiac surgical procedures were cancelled, according to an analysis of all PCIs performed at the Veterans Affairs (VA) Healthcare System from fiscal year 2000 to 2010.

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TCT scientific symposium features major coronary intervention trials

From Oct. 11 to 15, leaders in interventional cardiovascular medicine will gather in San Francisco for the annual Transcatheter Cardiovascular Therapeutics (TCT) scientific symposium.

Cardinal Health completes Cordis acquisition for $1.944 billion

Cardinal Health completed its acquisition of Johnson and Johnson’s Cordis business on Oct. 4 for $1.944 billion, seven months after Cardinal Health announced its offer.

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.