Interventional

Cardiac Surgery: Restrictive vs Liberal Threshold for Red-Cell Transfusion

Cardiac Surgery: Restrictive vs Liberal Threshold for Red-Cell Transfusion

A restrictive threshold for red-cell transfusion is noninferior to a liberal threshold for patients undergoing cardiac surgery.

Necessity of PCI in Stable Coronary Artery Disease Questioned

Necessity of PCI in Stable Coronary Artery Disease Questioned

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No evidence shows efficacy of PCI procedures for patients with stable coronary artery disease with angina.

Exercise Time After Percutaneous Coronary Intervention for Angina

Exercise Time After Percutaneous Coronary Intervention for Angina

Percutaneous coronary intervention does not increase exercise time more than a placebo procedure in patients with angina and severe coronary stenosis.

Genotype-Guided Antiplatelet Therapy Post-PCI May Be Beneficial

Genotype-Guided Antiplatelet Therapy Post-PCI May Be Beneficial

Alternative antiplatelet therapy after percutaneous coronary intervention in patients with a CYP2C19 loss-of-function allele may have lower risk of MACE compared to clopidogrel.

Culprit Lesion PCI Superior to Immediate Multivessel PCI in CAD

Culprit Lesion PCI Superior to Immediate Multivessel PCI in CAD

Percutaneous coronary intervention of the culprit lesion is associated with better 30-day outcomes than immediate multivessel PCI in patients with patients with multivessel CAD and acute MI.

Target Vessel Thrombosis in BVS vs Everolimus-Eluting Stents

Target Vessel Thrombosis in BVS vs Everolimus-Eluting Stents

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Patients who received bioresorbable vascular scaffolds had higher rates of device thrombosis and target vessel MI compared with those who received everolimus-eluting stents.

Vessel Sizing Optimization in BVS Implantation

Vessel Sizing Optimization in BVS Implantation

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Researchers analyzed 3-year outcomes in patients implanted with bioresorbable vascular scaffolds for the treatment of coronary lesions.

PCI and CABG Provide Similar Intermediate-Term Outcomes in Left Main CAD

PCI and CABG Provide Similar Intermediate-Term Outcomes in Left Main CAD

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A substudy analyzed whether PCI outcomes using second generation drug eluting stents were comparable to CABG in patients with low or intermediated complexity left main coronary artery disease.

Aortic Valve Replacement: Better Outcomes When Performed in Afternoon

Aortic Valve Replacement: Better Outcomes When Performed in Afternoon

Perioperative myocardial injury occurs more with morning surgery than with afternoon surgery in patients undergoing aortic valve replacement.

Atrial Fibrillation Survival Better With Cardiac Surgery, Cox-Maze IV

Atrial Fibrillation Survival Better With Cardiac Surgery, Cox-Maze IV

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Patients with atrial fibrillation had improved late survival when treated with ablation-assisted Cox-Maze IV and cardiac surgery.

Additional Ablation for Atrial Fibrillation Not Warranted After Change in Inducibility

Additional Ablation for Atrial Fibrillation Not Warranted After Change in Inducibility

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Change in inducibility status after pulmonary vein isolation is not associated with long-term freedom from recurrent arrhythmia.

Insertable Cardiac Monitor Compatible With Smartphones Approved by FDA

Insertable Cardiac Monitor Compatible With Smartphones Approved by FDA

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The FDA approved the Confirm Rx insertable cardiac monitor, which is implanted under the skin in a minimally-invasive outpatient procedure.

Post-PCI MACE Risk in Women, Minorities, and White Men

Post-PCI MACE Risk in Women, Minorities, and White Men

Women and minorities undergoing PCI with everolimus-eluting stents have a risk of MACE similar to that of white men.

Heart Failure Outcomes Improved With TAVR or SAVR

Heart Failure Outcomes Improved With TAVR or SAVR

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Patients with heart failure who received transcatheter aortic valve replacements saw decrease in aortic valve mean gradient.

Thrombosis Odds Up With Bioresorbable Vascular Scaffolds

Thrombosis Odds Up With Bioresorbable Vascular Scaffolds

Everolimus-eluting bioresorbable vascular scaffolds are associated with increased odds of scaffold thrombosis and other thrombotic events.

TAVR and SAVR Appropriate Use Criteria Established for Severe Aortic Stenosis

TAVR and SAVR Appropriate Use Criteria Established for Severe Aortic Stenosis

Appropriate use criteria have been developed for the treatment of patients with severe aortic stenosis.

Improved Prediction of TAVR-Related Mortality Risk With Albumin

Improved Prediction of TAVR-Related Mortality Risk With Albumin

Serum albumin can predict transcatheter aortic valve replacement-related mortality.

Stent Retriever vs Contact Aspiration for Ischemic Stroke Treatment

Stent Retriever vs Contact Aspiration for Ischemic Stroke Treatment

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A first-line contact aspiration technique demonstrates no significant benefit over the stent retriever technique in achieving revascularization in patients with acute ischemic stroke.

Faulty Pacemakers, Defibrillators to Be Replaced by Medicare

Faulty Pacemakers, Defibrillators to Be Replaced by Medicare

Medicare paid at least $1.5 billion over a decade to replace 7 types of defective heart devices that apparently failed.

No Screening Necessary for Asymptomatic Patient With Carotid Artery Stenosis

No Screening Necessary for Asymptomatic Patient With Carotid Artery Stenosis

No screening necessary for an asymptomatic patient with cardiovascular risk and stenosis of 50% on screening carotid ultrasonography.

Wireless Pulmonary Artery Sensor Safely Reduces Heart Failure Hospitalizations

Wireless Pulmonary Artery Sensor Safely Reduces Heart Failure Hospitalizations

Postmarketing adverse events related to the CardioMEMS HF System are infrequent, but can be serious.

Non-PV Triggers Responsible for AF Maintenance After Multiple Failed PV Isolation

Non-PV Triggers Responsible for AF Maintenance After Multiple Failed PV Isolation

Ablating non-PV triggers is associated with improved outcomes in patients with atrial fibrillation with 2 or more failed PVI procedures.

Vitamin D as a Means of Cardioprotection in Elective PCI

Vitamin D as a Means of Cardioprotection in Elective PCI

Vitamin D did not produce a substantial preventive effect on cardiac injury during percutaneous coronary intervention.

Long-Term Aspirin Unnecessary Following Atrial Fibrillation Ablation

Long-Term Aspirin Unnecessary Following Atrial Fibrillation Ablation

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Patients with atrial fibrillation who are at a low risk for stroke do not receive a major benefit from long-term aspirin therapy.

Is Echocardiography Missing Mild CTEPH Cases That May Benefit From Endarterectomy?

Is Echocardiography Missing Mild CTEPH Cases That May Benefit From Endarterectomy?

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Pulmonary endarterectomy is an effective treatment for patients with chronic thromboembolic pulmonary hypertension.

Bleeding Risk Reduced in Atrial Fibrillation After PCI With Dual Therapy

Bleeding Risk Reduced in Atrial Fibrillation After PCI With Dual Therapy

For patients with atrial fibrillation who undergo percutaneous coronary intervention, the risk of bleeding is lower with dual therapy vs triple therapy.

Comparison of PCI Outcomes With Bivalirudin vs Heparin Post-STEMI or NSTEMI

Comparison of PCI Outcomes With Bivalirudin vs Heparin Post-STEMI or NSTEMI

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In patients undergoing percutaneous coronary intervention for either STEMI or NSTEMI, bivalirudin and heparin produce similar outcomes.

Which Revascularization Strategy Produces Better Outcomes in Type 1 Diabetes?

Which Revascularization Strategy Produces Better Outcomes in Type 1 Diabetes?

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Coronary artery bypass grafting yielded better outcomes in patients with type 1 diabetes who had multivessel disease compared with percutaneous coronary intervention.

Lower Event Free Survival With Off-Pump vs On-Pump CABG

Lower Event Free Survival With Off-Pump vs On-Pump CABG

Coronary-artery bypass grafting patients were found to live longer if their surgeons performed the operation with cardiopulmonary bypass.

After Cardiac Surgery, Patients With Obesity Require More ICU Resources

After Cardiac Surgery, Patients With Obesity Require More ICU Resources

For patients undergoing cardiac surgery, increasing obesity is associated with increased intensive care unit resource utilization.

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