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Journal News Tuesday, March 09, 2010 \| Source: Archives of Surgery Minorities Less Likely to Receive Surgery from High-Volume Providers By L.A. McKeown Compared with whites, black, Asian, and Hispanic patients are less likely to receive surgery, including interventional procedures, from high volume… Monday, March 08, 2010 \| Source: Journal of the American College of Cardiology Moderate-Severe Kidney Disease Predicts High Platelet Reactivity in Diabetics By Kim Dalton Diabetics with coronary artery disease (CAD) who are on maintenance dual antiplatelet therapy are at increased risk of high platelet reactivity if… Monday, March 08, 2010 \| Source: Archives of Neurology Stroke Patients Already on Warfarin at Risk of Intracerebral Bleeding After tPA By Jason Kahn Patients treated with intravenous tissue plasminogen activator (tPA) for acute ischemic stroke may be at higher risk of intracerebral hemorrhage if… Friday, March 05, 2010 \| Source: Circulation Switching to Ticagrelor Overcomes Clopidogrel Nonresponsiveness By L.A. McKeown Switching patients with stable coronary artery disease (CAD) who do not respond to clopidogrel to the reversible P2Y12 receptor antagonist ticagrelor… Friday, March 05, 2010 \| Source: Circulation BBC ONE Published: Simple Strategy Best for Bifurcation Lesions By Caitlin E. Cox Patients whose coronary bifurcation lesions are treated with a technique of single stent implantation (with provisional side branch stenting) rather… Thursday, March 04, 2010 \| Source: Archives of Neurology Intensive Medical Therapy Decreases Events in Asymptomatic Carotid Patients By Jason Kahn Intensive medical therapy including statin drugs and other risk factor modifications can drastically reduce the incidence of cardiovascular events… Wednesday, March 03, 2010 \| Source: American Journal of Cardiology History of Stroke-TIA Leads to Underuse of Evidence-Based Therapies in NSTE ACS Patients By Caitlin E. Cox Patients presenting with non ST segment elevation acute coronary syndromes (NSTE ACS) who have had previous strokes or transient ischemic attacks (TIAs)… Wednesday, March 03, 2010 \| Source: American Journal of Cardiology Meta-analysis: DES Superior to BMS in Saphenous Vein Grafts By Kim Dalton Implanting drug eluting stents (DES) in diseased saphenous vein grafts (SVG) prevents restenosis and the need for repeat revascularization more effectively… Tuesday, March 02, 2010 \| Source: Stroke Careful Patient Selection Critical to Carotid Stenting Success in Elderly Patients By L.A. McKeown New data from a large carotid stenting registry show that while patients age ≥ 80 years have higher 30 day rates of death and stroke than younger patients,… Tuesday, March 02, 2010 \| Source: Journal of the American College of Cardiology Percutaneous Lead Extraction Safe, Feasible for ICD Infections By Alison Palkhivala Pacemaker and implantable cardioverter defibrillator (ICD) leads can be extracted successfully and safely via percutaneous means even in patients with… Monday, March 01, 2010 \| Source: Journal of the American College of Cardiology Prognostic Value of CTA Enhanced by CAD Severity, LVEF, Plaque Burden By Kim Dalton Assessing the trio of coronary artery disease (CAD) severity, total plaque score, and left ventricular ejection fraction (LVEF) using 64 slice computed… Monday, March 01, 2010 \| Source: Lancet Remote Conditioning in Ambulance Increases Myocardial Salvage After AMI By Jason Kahn Remote ischemic conditioning by inflating and deflating a blood pressure cuff can increase myocardial salvage when performed on patients with acute… Friday, February 26, 2010 \| Source: European Heart Journal Coumarin Derivative Interferes with Clopidogrel By Alison Palkhivala Concomitant use of the coumarin derivative phenprocoumon among patients who are on maintenance dual antiplatelet therapy with aspirin and clopidogrel… Friday, February 26, 2010 \|Breaking News \| Source: American Stroke Association’s International Stroke Conference 2010 CREST: Safety and Efficacy Similar for Carotid Surgery, Stenting By L.A. McKeown Long awaited results from a large trial of carotid endarterectomy vs. stenting show that both procedures are equally safe and effective for the treatment… Thursday, February 25, 2010 \| Source: American Journal of Cardiology It is All in the Timing: Balloon Pump Prior to PCI May Help AMI and Shock Patients By Jason Kahn A small retrospective study shows that intra aortic balloon pump (IABP) therapy started prior to percutaneous coronary intervention (PCI)—as opposed… Wednesday, February 24, 2010 \| Source: New England Journal of Medicine Letters to NEJM Challenge ASTRAL`s Conclusions By Caitlin E. Cox In a controversial study published last November in the New England Journal of Medicine, researchers concluded that no evidence exists for any long… Wednesday, February 24, 2010 \| Source: Radiology Volume Scanning Dramatically Cuts Radiation vs. 64-Row CTA By Kim Dalton Volume scanning using 320 row computed tomography angiography (CTA) can reduce radiation exposure by 91% compared with conventional 64 slice helical… Tuesday, February 23, 2010 \| Source: Journal of the American Medical Association Only Some Platelet Function Tests Predict Outcome in PCI Patients By L.A. McKeown In a head to head comparison of multiple platelet function tests, 3 of 6 tests showed a modest ability to predict outcomes in patients undergoing elective… Monday, February 22, 2010 \| Source: Journal of the American College of Cardiology Distal Protection May Lead to Worse Outcomes In STEMI Patients By Jason Kahn While several previous studies have shown that distal embolic protection adds no benefit to primary percutaneous coronary intervention (PCI), a new… Monday, February 22, 2010 \| Source: British Medical Journal No Difference in Intermediate Outcomes for Carotid Endarterectomy vs. Stenting By Kim Dalton Carotid endarterectomy (CEA) and carotid artery stenting (CAS) result in comparable longer term outcomes, while the composite of short term stroke… Friday, February 19, 2010 \| Source: TCTMD Feature Interventional Cardiologist Sets His Sights on Congress By L.A. McKeown With health care reform on the minds of many Americans these days, it may not be surprising that some physicians think the most practical way of dealing… Friday, February 19, 2010 \| Source: JACC: Cardiovascular Interventions A Little FINESSE Shows Positive Signs for Enoxaparin in PCI for STEMI By Caitlin E. Cox In patients with ST segment elevation myocardial infarction (STEMI) who undergo percutaneous coronary intervention (PCI), low molecular weight heparin… Thursday, February 18, 2010 \| Source: JACC: Cardiovascular Interventions Study Evaluates Stable CAD Outcomes Across Different PCI Eras By Jason Kahn From 1979—the era of basic balloon angioplasty—up until 2006 and the era of drug eluting stents, in hospital death and target lesion revascularization… Wednesday, February 17, 2010 \| Source: Journal of the American College of Cardiology At 5 Years, Cypher Matches CABG on Hard Outcomes in Multivessel Disease By Kim Dalton After 5 years, patients with multivessel disease who are treated with sirolimus eluting stents (SES) have a safety record similar to that produced… Wednesday, February 17, 2010 \| Source: Journal of the American College of Cardiology At 3 Years, SES Maintain Lead Over BMS for STEMI By Caitlin E. Cox The superior clinical benefit of sirolimus eluting stents (SES) over bare metal stents (BMS) observed in ST segment elevation myocardial infarction… Tuesday, February 16, 2010 \| Source: TCTMD Feature President Clinton’s Bypass Scare Presents Patient Education Opportunities By L.A. McKeown In the days following former President Bill Clinton’s PCI procedure, there has been much speculation as to the nature and progression of his cardiovascular… Tuesday, February 16, 2010 \| Source: JACC: Cardiovascular Interventions Vitamin C Improves Myocardial Perfusion in Elective PCI By Kim Dalton In patients undergoing elective percutaneous coronary intervention (PCI), vitamin C infusion both improves microperfusion and reduces markers of oxidative… Friday, February 12, 2010 \| Source: American Journal of Cardiology Coronary CTA Bests Exercise Testing as Diagnostic Tool for Suspected CAD By L.A. McKeown Even when multiple factors—such as angina, ST segment changes, and hemodynamic variables—are incorporated into exercise stress testing, cardiac computed… Friday, February 12, 2010 \| Source: Circulation: Cardiovascular Interventions Factors Affecting Carotid Stenting Outcomes in Symptomatic Patients Identified By Caitlin E. Cox A new registry bolsters the limited data available on the “real world” use of carotid artery stents in symptomatic patients. The report, published… Thursday, February 11, 2010 \| Source: American Journal of Cardiology More Data, More Confusion Over Interaction Between Clopidogrel, PPIs By Jason Kahn Adding to an already confusing picture, a small study reports a higher incidence of adverse events in patients on dual antiplatelet therapy after percutaneous… view all journal news Conference News Monday, February 08, 2010 \| Source: Chronic Total Occlusion Summit 2010 Promising New CTO Tools Await Clinical Validation By Kim Dalton NEW YORK—Innovative technologies specifically designed to improve percutaneous treatment of chronic total occlusions (CTOs)—some in development for… Friday, February 05, 2010 \| Source: Chronic Total Occlusion Summit 2010 Europe, North America Gaining CTO Experience But Attempt Rates Still Low By Caitlin E. Cox NEW YORK—Percutaneous coronary intervention (PCI) for chronic total occlusions (CTOs) is an evolving field, with more and more operators willing to… Wednesday, January 20, 2010 \| Source: International Symposium on Endovascular Therapy Non-Ablative Radiofrequency Treatment Tested for PAD By Caitlin E. Cox A balloon angioplasty catheter that delivers non ablative low dose radiofrequency energy to peripheral artery lesions has shown encouraging results… Wednesday, January 20, 2010 \| Source: International Symposium on Endovascular Therapy New Renal Stent Appears Safe, with Early BP Improvements By Kim Dalton Preliminary results indicate that a new dedicated renal stent is highly deliverable and safe when implanted in patients who failed previous angioplasty,… Monday, November 30, 2009 \| Source: AHA Scientific Sessions 2009 Drug-Eluting Balloons Lose Steam in Latest Study By Jason Kahn ORLANDO, FL—Despite their intriguing technology, drug eluting balloons continue to produce mixed results. In the latest study, a system combining a… Monday, November 23, 2009 \| Source: AHA Scientific Sessions 2009 Antiplatelet Agents, PCI Outcomes Highlight Interventional Sessions at AHA 2009 By Jason Kahn ORLANDO, FL—Having dipped its feet in the waters of dedicated interventional content at last year’s meeting, the American Heart Association Scientific… Thursday, November 19, 2009 \| Source: AHA Scientific Sessions 2009 RE-DEEM: Dabigatran Found Safe in ACS Patients on Dual Therapy By Jason Kahn ORLANDO, FL—In patients with acute coronary syndromes (ACS), the reversible direct thrombin inhibitor dabigatran appears safe while showing signs of… Wednesday, November 18, 2009 \| Source: AHA Scientific Sessions 2009 CT Angiography Faster, Cheaper Way to Diagnose Low-Risk Chest Pain By Jason Kahn ORLANDO, FL—Coronary computed tomographic angiography (CTA) is a more rapid, less costly alternative to standard myocardial perfusion stress imaging… Wednesday, November 18, 2009 \| Source: Announced at AHA Scientific Sessions 2009 Fast-Track Update of Clinical Guidelines for PCI and STEMI By L.A. McKeown New focused updates to clinical guidelines on the management of patients with ST elevation myocardial infarction (STEMI) and on the use of percutaneous… Tuesday, November 17, 2009 \| Source: AHA Scientific Sessions 2009 BARI 2D: Sub-analyses Explore Nuances of Revascularization vs. Medical Therapy Alone By Jason Kahn ORLANDO, FL—Medical therapy alone and revascularization in patients with type 2 diabetes and stable coronary artery disease produce equivalent cardiac… Tuesday, November 17, 2009 \| Source: AHA Scientific Sessions 2009 OCTOPUS Hints at Worse Cognitive Outcomes with PCI vs. Off-Pump CABG By Jason Kahn ORLANDO, FL—In the first long term study to directly compare percutaneous coronary intervention (PCI) and off pump coronary artery bypass grafting… Monday, November 16, 2009 \| Source: AHA Scientific Sessions 2009 Learning Curve Not So Steep for Transradial Access By Jason Kahn ORLANDO, FL—Interventional cardiologists experienced with the femoral approach can switch to a radial based practice with relative ease, achieving… Monday, November 16, 2009 \| Source: AHA Scientific Sessions 2009 MI, Mortality Similar for Primary PCI With or Without Surgical Backup By Jason Kahn ORLANDO, FL—Mortality at 1 year is the same for patients with ST segment elevation myocardial infarction (STEMI) whether they receive primary percutaneous… Sunday, November 15, 2009 \| Source: AHA Scientific Sessions 2009 EXPIRA: Cardiac Death Still Lower With Thrombectomy at 2 Years By Jason Kahn ORLANDO, FL—Building on results published earlier this year, 2 year follow up data from the EXPIRA trial continue to show the benefits of adjunctive… Sunday, November 15, 2009 \| Source: AHA Scientific Sessions 2009 New Antiplatelets vs. Clopidogrel: Ticagrelor Hits, Cangrelor Misses By Jason Kahn ORLANDO, FL—It was a good news, bad news day for novel antiplatelet agents in patients with ST segment elevation myocardial infarction (STEMI) and… Sunday, November 15, 2009 \| Source: AHA Scientific Sessions 2009 POPULAR: Some Platelet Function Tests Predict Clinical Outcomes, Some Do Not By Jason Kahn ORLANDO, FL—In the first head to head trial comparing multiple platelet function tests, 3 of the 6 tests evaluated were able to accurately predict… Thursday, October 08, 2009 New Options May Help Prevent Contrast-Induced Nephropathy By TCT Daily Staff SAN FRANCISCO—While there are few proven strategies to prevent contrast induced acute kidney injury, preliminary data support some general approaches… Wednesday, October 07, 2009 Data Indicate Sustained Safety for Full Metal Jacket PCI with DES By TCT Daily Staff SAN FRANCISCO—The use of a full metal jacket PCI procedure with drug eluting stents was found safe at a median follow up of 39 months, according to… Wednesday, October 07, 2009 Causal Relationship Exists Between Bleeding and Mortality By TCT Daily Staff SAN FRANCISCO—Data regarding the relationship between bleeding and mortality “strongly support” a causal relationship, according to Shamir R. Mehta,… Tuesday, October 06, 2009 Conduction Disorders May Be Prevalent in Degenerative Aortic Valvulopathy By TCT Daily Staff SAN FRANCISCO—There is a high prevalence of atrio ventricular and intra ventricular conduction disorders among patients with degenerative aortic valvulopathy,… Tuesday, October 06, 2009 MRI Detected Lesions in Majority of Patients Undergoing TAVI By TCT Daily Staff SAN FRANCISCO—Prospective examination of 32 patients who underwent percutaneous transfemoral aortic valve implantation revealed 115 new diffusion weighted… Monday, October 05, 2009 Antiplatelet Therapy Considerations Reviewed By TCT Daily Staff SAN FRANCISCO—Four presenters discussed antiplatelet therapy and testing in an afternoon session at TCT 2009. George D. Dangas, MD, PhD, said dual… Monday, October 05, 2009 Less Side-Branch Occlusion Seen with Everolimus-Eluting Stent By TCT Daily Staff SAN FRANCISCO—Patients treated with the Xience V everolimus eluting stent (Abbott) may be less likely to develop side branch occlusion during stent… Monday, October 05, 2009 DES Appear Safe in Saphenous Vein Grafts By TCT Daily Staff SAN FRANCISCO—Drug eluting stents were safe with a short term advantage over bare metal stents for reducing TVR in a group of patients who underwent… Friday, October 02, 2009 Clinical Criteria Should Guide Choice of BMS vs. DES By TCT Daily Staff SAN FRANCISCO—By relying on established, uniform clinical criteria to help decide between use of a bare metal or a drug eluting stent, physicians can… Friday, October 02, 2009 Study: Variety of DES Safe for Chronic Total Occlusions By TCT Daily Staff SAN FRANCISCO—In patients with chronic total occlusions, first and second generation DES demonstrate low rates of acute complications, according to… Thursday, October 01, 2009 Nevo Stent Shows Promise for Patients with CAD By TCT Daily Staff SAN FRANCISCO—The new cobalt chromium Nevo stent, featuring a novel design, demonstrates significantly less neointimal proliferation compared with… Thursday, October 01, 2009 TAXUS V: Five-Year Data Show Stent Safe, Effective for Focal De Novo Lesions By TCT Daily Staff SAN FRANCISCO—Five year results of the prospective randomized TAXUS V trial show that the paclitaxel eluting Taxus Express stent achieved sustained… Wednesday, September 30, 2009 Novel Catheter-Based Treatment Reduces Resistant Hypertension By Kim Dalton SAN FRANCISCO, Calif.—Catheter based renal denervation by radiofrequency (RF) ablation results in substantial and sustained blood pressure reduction… Wednesday, September 30, 2009 Implantable Device Offers Feasible Way to Monitor ST-Segment Shifts By TCT Daily Staff SAN FRANCISCO—Pilot study results presented here show that an implantable intracardiac ischemia detection system can identify ST segment shifts caused… view all conference news