Focus on CORONARY CHRONIC TOTAL OCCLUSION. Read our State-of-the-Art on history, indications and treatment strategies for recanalisation of CTOs.
#EAPCI
STATE OF THE ART ON BIFURCATIONS: In this
#EIJBestOf
review the authors describe technically important characteristics of bifurcation lesions and summarize the evidence and outcomes supporting contemporary
#bifurcation
techniques.
@Ryvetsprog
Save the date for a new
#EIJonAir
!
📅Thursday, September 9th - 7:00 PM (CET – Paris time)
@GLGasparini
and
@NicolaRyanI1
will discuss incidence and management strategies of device entrapment during PCI of CTOs.
This review reported a detailed overview of the history, indications and treatment strategies for CTO recanalisation, providing a practical guide for operators new to this field to orient themselves in the variety of techniques and algorithms.
This
#EIJBestOf
State-of-the-Art paper reviews the management of
#cardiogenicshock
, especially after acute myocardial infarction, with a major focus on current treatments and practices based on the latest clinical literature.
@thiele_holger
#EAPCI
Congratulations to
@DFCapodanno
on being newly appointed as Editor-in-Chief of EuroIntervention.
He succeeds the co-founder of the Journal, Patrick W. Serruys! (effective as of 1 January 2020) 👏👏
Short-term angiographic follow-up of patients developing intraprocedural right coronary artery deformation after transcatheter tricuspid valve repair with the Cardioband
#tricuspid
system.
Treatment of coronary bifurcation lesions, part II: implanting two stents. The 16th expert consensus document of the European Bifurcation Club.
#EAPCI
#Cardiotwitter
#bifurcation
How to benefit from 10 simultaneous connections to the peer-reviewed, trusted content of EuroIntervention? Easy: request an institutional online subscription! No more usernames or passwords to remember😉.
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In-stent restenosis (ISR) is the leading cause of stent failure following percutaneous coronary intervention (PCI), which is estimated to occur in 5-10% of all PCI cases in modern clinical settings. The State-of-the-Art review concentrates on managing ISR, starting with its…
From the Bifurcation Academic Research Consortium, this Consensus provides standardized definitions for bifurcation lesions, the criteria to judge the side branch relevance, the procedural, mechanistic, and clinical endpoints for every type of bifurcation study, and the follow-up…
❗NEW ISSUE❗ STATE-OF-THE-ART on RECANALISATION OF CORONARY CHRONIC TOTAL OCCLUSION: a detailed overview of the history, indications and treatment strategies for CTO recanalisation.
#EAPCI
#cardiotwitter
"Crush techniques for percutaneous coronary intervention of bifurcation lesions." An Expert Review on the technical aspects and outcomes of the variants of the crush technique from the first description in the early 2000s to the present.
#EIJBestOf
"Proximal Optimisation Technique Versus Final Kissing Balloon Inflation in Coronary Bifurcation Lesions: the Randomised, Multicenter PROPOT Trial" by Yusuke Watanabe et al.
#EAPCI
Lipid content measured by near-infrared spectroscopy (
#NIRS
) in infarct-related lesions is associated with occurrence of microvascular obstruction after primary PCI in STEMI. NIRS might be useful for risk stratification purposes in this setting.
This consensus provides standardized definitions for bifurcation lesions; the criteria to judge the side branch relevance; the procedural, mechanistic, and clinical endpoints for every type of bifurcation study; and the follow-up methods. Considering the complexity of bifurcation…
🆕 STATE OF THE ART: Functional coronary angiography for the assessment of the epicardial vessels and the microcirculation by Faria D, et al. angiography-for-the-assessment-of-the-epicardial-vessels-and-the-microcirculation
In this bench testing study the proximal optimisation technique in bifurcation PCI resulted in significant elongation, rather than shortening, of the proximal stent segment.
#bifurcationPCI
#EAPCI
"You never know what is enough unless you know what is more than enough"
➡️"PCI for the left main stem and other bifurcation lesions: 12th consensus document from the European Bifurcation Club" by Jens Flensted Lassen
@GoranEBC
et al.
#EIJBestOf
RADIAL ACCESS: A detailed step-by-step guide for performing distal radial access using sonographic and anatomical correlation, thereby facilitating safe access and optimising technical success.
#EIJBestOf
ANTIPLATELET THERAPY AFTER PCI: A State-of-the-Art review that summarises the evidence, and discuss current and future directions of antiplatelet treatment regimens after percutaneous coronary intervention.
In patients with severe AS and stable CAD scheduled for TAVI, performance of PCI after TAVI seems to be associated with improved 2-year clinical outcomes compared with other revascularisation timing strategies.
Simulated residual Optical Flow Ratio (OFR) may be helpful in informing procedural strategies, optimizing coronary interventions and enabling complete revascularization.
MINI FOCUS ON RADIAL ACCESS: "Ultrasound-guided access to the distal radial artery at the anatomical snuffbox for catheter-based vascular interventions: a technical guide" by Hadjivassiliou A, et al.
#EIJBestOf
#radialaccess
This review aims to summarise literature data about coronary access after TAVI and examine the underlying conditions that make coronary re-engagement more challenging or even impossible.
#PCRLV
This consensus document of the Euro-CTO Club describes the technical characteristics and use of commercially available dual lumen microcatheters.
#EAPCI
Part I of the 16th EBC CONSENSUS PAPER provides a detailed step-by-step overview of the pitfalls and technical troubleshooting during the implantation of the first stent using the PS strategy for the treatment of coronary bifurcation lesions.
#EAPCI
The etiology of stroke and the location of the thrombotic occlusion play an important role in the angiographic and clinical outcomes of patients with acute ischaemic stroke treated by thrombectomy.
#EIJBestOf
#EAPCI
The 16th expert consensus document of the European Bifurcation Club. Treatment of coronary bifurcation lesions, PART II: implanting two stents.
#EUROPCR
#EAPCI
#bifurcation
Save the date for our
#EIJOnAir
2 on March 10 at 6 PM (Paris time) with
@alaide_chief
and
@nickaram
as moderator! We’ll discuss the
#EAPCI
position paper on elective cardiac invasive procedures.
#EIJBestOf
The European Bifurcation Club (EBC) emphasizes ongoing improvement and discussion in coronary artery bifurcation interventions, focusing on technical aspects of bifurcation stenting. Recognizing the impact of pre-procedural planning, stent technique choice, procedural…
Contemporary issues of percutaneous coronary intervention
in heavily calcified chronic total occlusions: an expert review
from the European CTO Club.
#EAPCI
Treatment of coronary bifurcation lesions, part II: implanting two stents. The 16th EXPERT CONSENSUS DOCUMENT of the European Bifurcation Club.
#EAPCI
#EIJBestOf
@GoranEBC
.
In this review, in-depth knowledge and understanding of procedural steps, equipment, echocardiographic views, fossa ovalis anatomy and how to manage the most frequent complications is critical to performing a successful trans-septal puncture.
#EIJBestOf
In 4,395 patients with
#bifurcation
lesions from the multicenter e-ULTIMASTER registry, the use of the proximal optimization technique (
#POT
) was independently associated with a reduction in target lesion failure, with uniform benefit across subgroups.
An algorithm to define the anatomical eligibility to transcatheter mitral valve replacement (
#TMVR
), which can contribute to improve the identification of best candidates and reduce the occurrence of screening failures.
#EIJBestOf
#EAPCI
The PROMISE trial is a randomised, multicentre trial that will include 180 MINOCA patients randomised 1:1 to a "precision-medicine approach"versus a "standard of care” approach.
This clinical consensus statement proposed a rationale for the diagnostic evaluation and indications for percutaneous revascularisation of CAD in patients with severe aortic stenosis undergoing transcatheter treatment.
#EIJBestOf
"MANAGEMENT OF IN-STENT RESTENOSIS": this State-of-the-Art review by F. Alfonso et al, details the evidence base underpinning the various therapeutic strategies and proposes an ISR management algorithm based on current scientific data.
#EIJBestOf
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MANAGEMENT OF IN-STENT RESTENOSIS: this State-of-the-Art review comprehensively discusses current evidence-based strategies for the management of ISR in contemporary interventional practice.
#EIJBestOf
#EAPCI
@robebyrne
#Cardiotwitter
Patients with severe aortic stenosis managed conservatively before urgent noncardiac surgery are at high risk of events. A systematic invasive strategy using balloon aortic valvuloplasty does not seem to provide significant improvement in clinical outcome.
Must read👉 Guidelines on myocardial revascularization by The Task Force on myocardial revascularization of the
@escardio
and European Association for Cardio-Thoracic Surgery (EACTS)
A State-of-the-Art on the current understanding of myocardial infarction with non-obstructive coronary arteries (
#MINOCA
), with knowledge and future directions in its diagnosis and treatment.
#EAPCI
#EIJBestOf
A comprehensive overview on the utility of
#OCT
in coronary artery disease, including technical details, device set-up, simplified OCT image interpretation, recognition of imaging artefacts, and an algorithmic approach for using OCT in PCI guidance.
In this trial of
#bifurcation
PCI, the rates of malapposed and jailed struts around the bifurcation were not significantly different between POT with side branch dilatation and conventional kissing balloon inflation, and clinical events at 1 year were low.
This EAPCI clinical consensus statement reviews the available scientific evidence on the management of cardiogenic shock associated with left-sided valvular heart disease.
@ChiaraFraccaro
et al.
This study introduced RV-PA coupling and TAPSE/PASP ratio as key factors influencing tricuspid regurgitation (TR) outcomes, proposing a novel framework for assessing TR's clinical relevance based on severity and RV-PA coupling.
#EAPCI
#EIJBestOf
A comprehensive review on leaflet related adverse events associated to edge-to-edge mitral valve repair by a multi-disciplinary expert physician panel.
EIJ EXPERT REVIEW: A detailed step-by-step description and troubleshooting for each stage of the double kissing crush technique.
#EIJBestOf
#dkcrush
#EAPCI
Percutaneous treatment of coronary chronic total occlusions (CTO) has significantly advanced since its advent in the late 1970s. This review reports a detailed overview of the history, indications and treatment strategies for CTO recanalisation.
#EIJBestOf
This
#EIJBestOf
State-of-the-Art paper reviewed the management of cardiogenic shock, especially after acute myocardial infarction, with a major focus on current treatments and practices based on the latest clinical literature.
On-treatment high platelet reactivity (HPR) is a potential concern with clopidogrel monotherapy. In this SMART-CHOICE sub-study clopidogrel monotherapy and clopidogrel plus aspirin showed comparable treatment effects among patients with or without HPR.
The EBC TWO Trial, a multicentre study, compared provisional stenting to systematic culotte stenting in non-left main true bifurcation lesions over a 5-year period. Involving 200 patients, the study found no significant difference in the primary composite endpoint of all-cause…
Introducing the “Tunnel in Landslide Technique” (TILT), a strategy to facilitate equipment delivery in severely tortuous or uncrossable lesions during percutaneous coronary intervention.
This study showed that in patients with severe AS and stable CAD scheduled for TAVI, performance of PCI after TAVI seems to be associated with improved 2-year clinical outcomes compared with other revascularisation timing strategies.
#EAPCI
You are a PCR Companion AND a
#EuroPCR
2021 participant? Here's a treat for you🎁!
Benefit from a free one-year subscription to EuroIntervention: digital, print or both😉!
This
#EAPCI
consensus statement provides current evidence and expert insights on coronary physiology's application in procedural planning, disease pattern recognition, and post-PCI optimization.
#EAPCI
@JEscaned
@G_Tarantini01
Using contemporary data from nationwide population-based registries, this study showed early discharge (i.e., within 2 days of admission) to be safe in low-risk patients with STEMI treated with primary PCI.
#EAPCI
This State-of-the-Art review comprehensively discusses current evidence-based strategies for the management of ISR in contemporary interventional practice.
#EAPCI
In this review, in-depth knowledge and understanding of procedural steps, equipment, echocardiographic views, fossa ovalis anatomy and how to manage the most frequent complications is critical to performing a successful trans-septal puncture.
#EAPCI
An algorithm to define the anatomical eligibility to transcatheter mitral valve replacement (
#TMVR
), which can contribute to improve the identification of best candidates and reduce the occurrence of screening failures.
#EIJBestOf
"Transcatheter aortic valve implantation in degenerated surgical aortic valves": a fully illustrated overview of the most significant periprocedural operative considerations for valve-in-valve TAVI by Tarantini et al.
#EIJBestOf
Save the date for the new edition of
#EIJCardioChat
!
@PighiMichele
,
@jedicath
and
@Ortega_Paz
will discuss the feasibility and usefulness of IVUS analysis of the coronary ostia to predict and prevent CAO after VIV-TAVI🫀🔍
All you need to know to join👉
This richly illustrated State-of-the-Art review focuses on echocardiographic guidance for the most common catheter-based interventions, providing several tips and tricks for practical interventional cardiologists.
#EAPCI
🔥 In this expert review, the European CTO Club provides a contemporary, methodological approach, specifically addressing heavily calcified CTOs, suggesting evidence-based diagnostic methods to tailored percutaneous therapeutic options.
#EAPCI
"The Application of Predefined Optimization Criteria for Intravascular Ultrasound Guidance of Left Main Stenting Improves Outcomes" by Jose Maria De la Torre Hernandez et al.
#EAPCI