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.

CTOs: Experience & Equipment Open Door to New Service Area

In unblocking chronic total occlusions (CTOs), experience helps, but only a handful of U.S. interventional cardiologists perform approximately 150 CTO recanalizations annually. Richard R. Heuser, MD, chief of cardiology and chief of the cardiac cath lab at St. Lukes Hospital and Medical Center in Phoenix, is one of them.

FDA prolongs ticagrelor decision again

The FDA issued a complete response letter for the new drug application for the antiplatelet drug ticagrelor (Brilinta, AstraZeneca), requesting additional analyses of the PLATO clinical trial data.

Circ Feature: FFR-guided PCI is cost savings at one year

Fractional flow reserve (FFR)-guided PCI in patients with multivessel coronary disease is one of those rare situations in which a new technology not only improves outcomes but also saves resources, according to an economic evaluation of the FAME study published in the Dec. 14 issue of Circulation.

Mount Sinai: Nurse-doc partnership essential in todays cath labs

To quote Henry Ford: "Coming together is a beginning. Keeping together is progress. Working together is success." This applies to the relationship between nurse and physician leaders, especially in today's cath labs. The days of nurses and physicians staying in their own silos can no longer be sustained. By Beth Oliver, RN

CCI: Sheathless transradial PCI safely treats complex lesions

Researchers reported that sheathless transradial PCI using standard large-bore guiding catheters can successfully and safely treat complex lesions, according to the study published in the December edition of Catheterization and Cardiovascular Interventions (CCI).

Abiomed Impella trial stopped short

The Data Safety Monitoring Board has stopped Abiomeds PROTECT II study based on a futility determination at the planned interim analysis regarding the primary endpoint, which the company views as likely to be due to unanticipated confounding variables related to the use of rotational atherectomy in the study, the company reported.

AIM: Hemorrhages should be considered with dual-antiplatelet therapy

While prescribing dual-antiplatelet therapyclopidogrel and aspirinmay be a common strategy to prevent blood clots in cardiovascular disease patients, it also may cause hemorrhage, and should be administered with caveats, according to a study in the Nov. 22 issue of the Archives of Internal Medicine.

Bioabsorbable stents could fuel interventional cardiology market

The majority of cardiologists in the U.S., Europe, South Korea, China, India, Middle East and Africa would use a bioabsorbable stent for the treatment of coronary angioplasty. In contrast, the majority of cardiologist in Japan and Latin America would not, according to a report by Vancouver-based iData Research.

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.