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.

More than 80% of 30-day readmissions following surgery are due to patient factors

An analysis of eight surgical subspecialties at Johns Hopkins hospital found that more than 80 percent of the variability in 30-day readmissions was due to individual patient factors. The overall readmission rate was 13.2 percent, including 9.6 percent of patients who underwent cardiac surgery.

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Cook Medical recalls 38,000 angiographic catheters

Cook Medical recalled more than 38,000 of its angiographic catheters in the U.S. after receiving reports that the catheter tip may split or separate from the catheter. Of the 26 reports, 14 resulted in adverse events.

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At 5 years, everolimus-eluting stent is superior to paclitaxel-eluting stent

After five years, patients undergoing PCI had better safety and efficacy outcomes if they received an everolimus-eluting stent (EES) compared with a paclitaxel-eluting stent (PES), according to a long-term analysis of a clinical trial. The results, which were published online in JACC: Cardiovascular Interventions on July 22, confirmed previous findings at one and two years follow-up.

American College of Surgeons responds to new surgeon rating websites

Following the release of two websites ranking the best and worst surgeons in the U.S., the American College of Surgeons (ACS) responded by questioning their usefulness.

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Costs of PCIs vary widely across the U.S.

Prices for PCIs differ significantly in various parts of the U.S., according to a report released on July 16 from the Blue Cross Blue Shield Association. Within the same metropolitan area, costs varied by as much as 532 percent.

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Is annual imaging surveillance necessary following EVAR?

For more than a decade, endovascular aneurysm repair (EVAR) has been the most popular technique to repair abdominal aortic aneurysms, even as questions were raised about its long-term efficacy. Some patients, however, may not benefit from the frequent imaging, according to a study published online in JAMA Surgery on July 8.

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SCAI.15 From Atherectomies to Antiplatelets

The Society for Cardiovascular Angiography and Interventions (SCAI) held its annual meeting May 6-9 in San Diego. Here are some highlights from the late-breaking clinical trials.

FDA clears guide wire for patients with peripheral artery disease

The FDA cleared a new guide wire from Cardiovascular Systems, Inc. on July 6 for use in the company’s peripheral orbital atherectomy systems.

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.