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 perplexities: Radial shunned despite bleeding advantage

Operators more often chose transfemoral over transradial PCI in a patients with higher predicted bleeding risks, despite evidence of fewer bleeding complications with the latter approach. Transfemoral PCI patients also tended to be sicker, according to this observational study.

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Truly informed PCI patients

Sometimes a finding doesn’t reach the bar for statistical significance, but that doesn’t mean it isn’t intriguing. Interventional cardiologists might take note of a study on informed decision making that showed them more likely to touch on key elements than general cardiologists.

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Informed patients more likely to opt against angiography, PCIs

Patients who were more fully informed about angiography and the possibility of PCI were more likely to decide against it, a study published online May 18 in JAMA Internal Medicine found. Overall, the cardiologist-patient discussions were short and incomplete.

SCAI honors members for outstanding service, dedication

Awards presented today at the Society for Cardiovascular Angiography and Interventions (SCAI) 2015 Scientific Sessions in San Diego recognize outstanding SCAI members for their ongoing contributions to the field of interventional cardiology, the Society and patient care. Honorees span a broad spectrum of practitioners, all of whom have demonstrated a commitment to excellence throughout their careers, helping to shape the Society as well as the lives of patients and mentees.

Quitting smoking after PCI leads to quality of life improvements

More than a quarter of patients undergoing PCI are smokers at the time of treatment. If they quit smoking following the procedure, they are more likely to have improvements in quality of life and have less chest pain and angina than if they continue to smoke, according to a prospective analysis of a PCI registry.

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Hospital traits may explain deficiencies in PCI rehab referrals

Only about 60 percent of PCI patients get referred to a cardiac rehabilitation program, according to a recent study, and the barrier is more likely due to hospital characteristics than insurance. 

SCAI.15: In practice, prasugrel use may not mimic trials

Cardiologists in real-world practice may not be optimizing the benefit of prasugrel in patients undergoing PCI but they also don’t appear to be putting them in harm’s way, according to results released May 8 at the Society for Cardiovascular Angiography and Interventions (SCAI) 2015 scientific session in San Diego.

Dr. James C. Blankenship inducted as 39th SCAI president

As the healthcare environment changes, interventional cardiologists and cath lab professionals have many reasons to be optimistic about the future of the specialty and their ability to help patients live longer and feel better, according to James C. Blankenship, MD, MHCM, FSCAI, MACC. Dr. Blankenship was inducted today as the 39th president of the Society for Cardiovascular Angiography and Interventions (SCAI) during its 2015 Scientific Sessions. 

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.