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: Promus Element, Resolute Integrity offer similar outcomes

SAN FRANCISCO—Two third-generation polymer-based drug-eluting stents performed comparably in DUTCH PEERS (TWENTE II), an all-comers trial that compared the flexible-design stents. The results were presented Oct. 31 at the Transcatheter Cardiovascular Therapeutics scientific session in San Francisco

Hospital volume independently predicts AVR mortality

High-risk patients who need aortic valve replacements (AVR) with or without CABG may benefit from hospitals that perform a high volume of these procedures, according to a study published in the November issue of Annals of Thoracic Surgery.

TCT: OPTIMIZE supports 3-month DAPT in some patients

SAN FRANCISCO—Some patients implanted with a newer generation drug-eluting stent (DES) may safely discontinue dual antiplatelet therapy (DAPT) at three months, results from the OPTIMIZE trial presented Oct. 31 at the Transcatheter Cardiovascular Therapeutics (TCT) scientific session in San Francisco showed. 

TCT recap: TRYTON, EuroMax, CoreValve, TAVR with CoreValve

In case you missed it, here is our previous coverage from TCT.

TCT: ADVISE II offers adenosine-free approach to assess lesions

SAN FRANCISCO—Would interventional cardiologists be more amenable to incorporating tools for assessing coronary stenosis before performing PCI or CABG if they could ditch the use of vasodilator drugs? Results from the ADVISE II registry trial presented Oct. 30 at the Transcatheter Cardiovascular Therapeutics (TCT) conference in San Francisco may nudge them in that direction.

TCT recap: SAFE PCI, CHAMPION PHOENIX & OPEN II

In case you missed it, here is our previous coverage from the conference.

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TCT: Giving bivalirudin in ambulance improves STEMI outcomes

SAN FRANCISCO—Research presented Oct. 30 at the Transcatheter Cardiovascular Therapeutics (TCT) scientific session in San Francisco showed that administering bivalirudin to STEMI patients in an ambulance reduces the risk of death and major bleeding complications compared to heparin. But don’t expect quick adoption of the strategy in the U.S.

TCT: TRYTON misses the mark but reasons under debate

SAN FRANCISCO—The pivotal TRYTON trial failed to meet its primary clinical endpoint, findings that underscore limitations with classical clinical trial criteria, the lead investigator and panelists suggested Oct. 30 at the Transcatheter Cardiovascular Therapeutics (TCT) scientific session in San Francisco.

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.