Clinical

This channel newsfeed includes clinical content on treating patients or the clinical implications in a variety of cardiac subspecialties and disease states. The channel includes news on cardiac surgery, interventional cardiologyheart failure, electrophysiologyhypertension, structural heart disease, use of pharmaceuticals, and COVID-19.   

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Physicians still use Lariat device despite FDA safety alert

Despite an FDA safety alert in July, physicians are still using the Lariat suture delivery device, STAT reports. SentreHeart CEO Russell Seiber, who founded the company in 2005, defended the Lariat device in an interview.

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AHA.15: Watchman device is safe at 30 days in real-world registry

After 30 days of follow-up, 92.7 percent of patients with atrial fibrillation at high-risk for stroke who were implanted with the Watchman device did not have any serious adverse events, according to an analysis of an international registry. In addition, 98.5 percent of patients had a successful implantation, which was defined as deployment and release of the device into the left atrial appendage.

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AHA.15: Micra leadless pacemaker is safe and effective at 6 months

Six months after implantation with an investigational leadless intracardiac transcatheter pacing system from Medtronic, 96 percent of patients did not have system-related or procedure-related major complications, according to a prespecified interim analysis of a prospective, multicenter study.

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Researchers attempt to allay TAVR concerns

Soon after a study appeared in The New England Journal of Medicine on Oct. 5 finding potential issues with bioprosthetic aortic valves, the results generated national attention, causing some to question the use of transcatheter aortic valve replacement (TAVR) treatment.

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Artificial heart provides option for some patients

Only a handful of patients receive artificial hearts each year, but The Verge reports the device's manufacturers are hoping they can one day replace real hearts. Artificial hearts are now used as life support for people waiting for transplants.

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DOJ investigation in ICD misuse continues

Although the Department of Justice (DOJ) announced on Oct. 30 that it had settled with 457 hospitals for allegedly improperly implanting implantable cardioverter defibrillators (ICDs), it said it will to continue to investigate hospitals and health systems that fail to comply with the ICD implantation rules.

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Early invasive treatment strategy after acute coronary syndrome appears to be effective

Patients with acute coronary syndromes who underwent an early invasive strategy had a lower risk of cardiac death and hospitalization for MI compared with those who received a conservative approach, according to a retrospective cohort study.

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IABP therapy is associated with higher mortality in patients undergoing PCI

An observational study involving Japanese patients undergoing PCI found the use of intra-aortic balloon pump (IABP) therapy was associated with a significantly higher risk of in-hospital mortality.

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.