Angioplasty
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Dr. Hiroki Shiomi
"The Result of ReACT May Amend Japanese Practice in the Near Future."
Interview with Dr. Hiroki Shiomi
Unlike in the U.S., routine angiographic follow-up is done in 80% of PCI cases in Japan. In this interview, Dr. Shiomi discusses the ReACT Study, which shows no difference in outcomes if follow-up is clinical instead of angiographic, a significant savings in healthcare costs. (This interview marks the beginning of our collaboration with TCROSS NEWS.)
Medtronic's IN.PACT Drug-Coated Balloon: First to Gain FDA OK for Treatment of In-Stent Restenosis in the Peripheral Vessels
IN.PACT™ Admiral™ drug-coated balloon (DCB)
The FDA has approved the 1st drug-coated balloon in the U.S. for treatment of in-stent restenosis in the peripherals: Medtronic's IN.PACT Admiral drug-coated balloon. One-year outcomes from the IN.PACT Global ISR Imaging Cohort were: primary patency rate of 88.7%; clinically-driven target revascularization rate of 7.3%.
NORSTENT: Drug-Eluting Stents – Doing What They’re Supposed To
HawkOne atherectomy device and IN.PACT drug-coated balloon
At this week’s annual European Society of Cardiology Congress in Rome, an important randomized clinical trial on stents was presented by Professor Kaare H. Bønaa, MD, PhD. Called NORSTENT, short for the “Norwegian Coronary Stent Trial,” this was the largest stent trial ever conducted, with 9,013 patients followed for six years. That’s serious!
CoreValve Evolut R First TAVR to Receive CE Mark for Intermediate Risk Patients
CoreValve® Evolut® R Transcatheter Aortic Valve in situ
Medtronic's recapturable and repositionable CoreValve Evolut R System has received the CE Mark to treat patients with severe aortic stenosis who are at intermediate risk for open-heart surgery, making this the first TAVR device to obtain approval for this patient population. Previously TAVR devices were indicated for use only in patients at high risk for surgery.
Will Abbott's Absorb Bioresorbable Vascular Scaffold Revolutionize Treatment of Coronary Artery Disease?
Absorb BVS with question mark
In Part One of this feature, we reported on the various positives and negatives of the BVS, as presented to the FDA panel that recommended approval. Now that this device has been approved by the FDA, we discuss in Part Two the Absorb's potential impact in the U.S. with three leading interventional cardiologists, Drs. Ajay Kirtane, James Blankenship, and Daniel Simon.
COURAGE: Does 15-Year Data Have Any Clinical Relevance?
Pills and stent
From the Editor: "I think that this 15-year analysis has so many statistical weaknesses, and is looking at a snapshot in time that has long been surpassed by advances in technology and practice, that the conclusion of this “extended survival analysis” is basically irrelevant to current practice."
European Guidelines Say "Radial First"
transradial access
Today the European Society of Cardiology (ESC) gave the highest recommendation to the radial (wrist) approach for catheter-based interventions in patients with acute coronary syndromes (ACS). The "ACS without persistent ST-segment elevation (NSTE-ACS) guidelines," drafted by an international multidisciplinary Task Force, were introduced as part of this year's annual ESC meeting, and are now published online.
"A Type of Interventional Radiology": A Quaint Memory from the New York Times
NY Times Magazine from 1983
I recently was rifling through some old files of news clippings (you remember those pesky things, don't you?) and came across a major New York Times Magazine feature from 1983. It was titled, "Toward the Conquest of Heart Disease." Near the end of the article, the author briefly mentions something he calls "a type of interventional radiology" which has "great potential advantages but remains experimental."
Medtronic Begins Trial for Next-Generation Drug-Eluting Stent in Small Arteries
Medtronic Resolute Onyx stent picture on map of U.S.
Medtronic is beginning the U.S. pivotal trial for its new drug-eluting stent, the Resolute Onyx™. The Onyx received the European CE Mark in November and has been available in countries that recognize the CE Mark. The first phase of this trial will be studying one of the most challenging clinical scenarios: blockages in arteries that measure as small as 2.0mm.
Consumer Reports Overstates Cardiac CT Radiation Dose
Cardiac CT 3D image
Consumer Reports regularly publishes health information to aid the consumer/patient in making decisions. That's good, but also important is having the most current information, which their recent article about CT scans does not. The article states that a Cardiac CT Angiogram (CTA) exposes the patient to 12 mSv of ionizing radiation, or 120 times that of a chest X-ray. This was true years ago, when CTA was first being used to diagnose coronary artery disease. But it is not true today.
FDA Approves HeartFlow FFR-CT: Non-Invasive Method for Determining Coronary Ischemia
HeartFlow FFR-CT 3D Analysis
The FDA has approved HeartFlow's FFR-CT software for measuring coronary blockages non-invasively. While the accuracy of FFR-CT to correctly differentiate significant blockages from those not needing revascularization is only in the mid-80% range, the fact that a CT scan can be performed quickly, non-invasively, and with relatively low radiation doses, makes this procedure a significant contender to the extremely common nuclear stress test, and a potential game-changer in the diagnosis of coronary artery disease.
FFR and iFR: Roadmapping Your Heart, With Traffic
Road map with traffic
What has become clearer in the past few years is that seeing is not believing. The angiogram may show a narrowing, but that narrowing may not be causing a reduced flow of blood to the heart, a.k.a. "ischemia." Stenting or bypassing such a "non-ischemic" narrowing may not be of much benefit to the patient, but it will add a small risk factor of stent restenosis or perhaps a surgical complication.
Interventional Cardiologist Dr. Sanjay Patel
"The Whole Story is About Increasing Patient Happiness."
Interview with Dr. Ferdinand Kiemeneij
In this two-part 20th anniversary interview, the "father of transradial intervention, " talks about the history and future of TRI.
Interventional Cardiologist Dr.Ron Caputo
"Transradial Has Gone From a Physician-Centered to an Institutional Concern."
Interview with Dr. Ron Caputo
The landscape of transradial has changed in the past 5 years from introductory "evangelical" didactic lectures to mentorship and adoption by hospitals for economic benefit and improved patient care..

Angioplasty News

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CoreValve Gets Reimbursement OK in Japan (Dec 1)
Interview with Dr. Hiroki Shiomi About the ReACT Study (Nov 4)
FDA OKs New Recaptureable CoreValve TAVR for Patients with Large Anatomies (Oct 26)
Coronary Angioplasty Enters Its 40th Year (Sep 16)
Medtronic's IN.PACT DCB Gets FDA OK for ISR in Peripherals (Sep 13)
NORSTENT: Drug-Eluting Stents – Doing What They’re Supposed To (Aug 30)
Medtronic Technologies Improve Delivery of Cardiac Resynchronization Therapy (Aug 29)
New Long-Term Data Reinforce Safety Benefits of the World's Smallest Pacemaker (Aug 28)
AimRADIAL Masterclass V + FFR Workshop in Budapest (Aug 25)
Edwards SAPIEN3 Gets FDA OK for Intermediate Risk Patients (Aug 21)
Drug-Coated Balloon + Atherectomy for Calcified FemPop PAD? (Aug 4)
Urgent Recall for Lotus Valve (Aug 3)
CoreValve TAVR Gets CE Mark for Intermediate Risk patients (Aug 1)
Will Abbott's Absorb Bioresorbable Vascular Scaffold Revolutionize Treatment of CAD? (July 24)
Health Canada Approval for Abbott's Absorb "Dissolving Stent" (July 14)
FDA OK to 150mm IN.PACT DCB for Long Lesions in SFA (July 13)
Absorb Bioresorbable Vascular Scaffold Gets FDA OK (July 5)
Philips Volcano Activities at EuroPCR (May 15)
InterZENtion: Transradial PCI as an Art (May 13)
An American Cardiologist in Paris (May 11)
FDA Approves World's Smallest Pacemaker for U.S. Patients (Apr 6)
CoreValve: 3-yr Survival Advantages Over Surgery in High Risk Aortic Stenosis Patients (Apr 3)
30 Day Data on Medtronic's Drug-Filled Stent (Apr 3)
CoreValve Bests SAVR in "Intermediate Risk" Aortic Stenosis Patients (Apr 2)
Philips Volcano: 5,000+ Patients Enrolled in 3 iFR Trials (Apr 1)
Low-Risk Trial for CoreValve Evolut R Enrolls 1st Patients (Mar 31)
ACC/AHA Update Guidelines for Dual Antiplatelet Therapy (Mar 29)
FDA Panel Recommends Abbott's Absorb Bioresorbable Vascular Scaffold - Part 1 (Mar 21)
Opsens Receives FDA 510(K) Clearance for the OptoWire II (Mar 16)
St. Jude's Nanostim Gets CE Mark for MRI Compatibility (Mar 10)
CoreValve Evolut R "Real World" TAVR Study Begins (Mar 7)
Pete Nicholas to Retire from Boston Scientific Board Chair (Mar 6)
FDA Approves New CoreValve Low-Risk TAVR Study (Feb 22)
CE Mark to Medtronic's Full Line of CRT-Defibrillators for Compatibility with MRI Scans (sFeb 22)
CE Mark for Boston Scientific's Eluvia Peripheral DES (Feb 22)
Medtronic's Solitaire Stent Retriever Improves Ischemic Stroke Outcomes, Reduces Mortality for 80+ (Feb 18)
Study of Medtronic's Valiant TAAA (Thoracoabdominal Aortic Aneurysm) Stent Graft Begins (Feb 10)
"Alarming" Increase in Heart Attacks Among Young Adults in India Due to Smoking and Lifestyle (Feb 10)
Real-World Comparison: Similar Efficacy for Lutonix® & IN.PACT™ Drug-Coated Balloons (Feb 9)
St. Jude Launches Mobile OCT/FFR/Angio System for Cath Labs in Europe and Japan (Feb 9)
FDA Nod to Medtronic MR-Conditional CRT-Defibrillators (Feb 5)
FDA OKs Expanded Patient Population for CoreValve (Feb 3)
CE Mark for 4.5 and 5.0mm Sizes of Medtronic Resolute Onyx Drug-Eluting Stent (Feb 1)
FDA Panel to Look At Data on Medtronic's Miniature Leadless Micra® Pacing System (Jan 29)
Patient Ed About Aortic Stenosis? There's an App for That! (Jan 25)
Svelte Launches Slender IDS Stent-on-a-Wire System in Europe (Jan 24)
Clinical Trial of Novel Infusion Device for Below the Knee Angioplasty Begins in Germany (Jan 21)
Edwards Receives FDA Approval For Expanded Indication Study Of SAPIEN 3 Valve (Jan 15)
CE Mark for Medtronic's IN.PACT Admiral DEB: to keep AV access viable for dialysis patients (Jan 11)
Medtronic to Build New Plant in Ireland for Manufacturing the IN.PACT Drug-Coated Balloon (Dec 17)
Svelte's Stent-on-a-Wire Gains CE Mark (Dec 15)
Happy 100th Anniversary to the RSNA (Nov 30)
Four Year Data for Medtronic's Endurant AAA Stent Graft Shows Durable, Consistent Outcomes in Real-World Setting (Nov 30)
COURAGE: Does 15-Year Data Have Any Clinical Relevance? (Nov 15)
IN.PACT Drug-Coated Balloon Cost-Effective (Nov 2)
Eric Topol & Paul Teirstein to do book signing at TCT (Oct 13)
Medtronic's Drug-Filled Stent: First Data (Oct 13)
FDA Approves Boston's SYNERGY Bioabsorbable Polymer DES (Oct 5)
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  • I had radial angiography 2 days ago...it was a fascinating experience and was able to watch part of the procedure. I feel fantastic, have no "heart ache" or any problems with my arm.
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Plavix and Stent
Patient Alert!: How to Get the Best Price on New Generic Plavix
Our survey found prices from 35¢ to $6 per pill. Read on for more resources to help you get the most affordable antiplatelet drugs, plus a look at the role of online patient communities.
5 Crucial Questions To Ask Your Doctor About New Heart Disease Treatments
Make sure you are benefiting from the most up-to-date research, and have access to the treatments that best fit your needs and preferences.
   Doctor and Patient
Radial Hospital Locator
A list of physicians and hospitals offering the transradial (wrist) approach to angiograms, angioplasty and stent procedures.
  Transradial Hospital
Read patient stories and Learn about medications after stenting, symptoms and complications, care giving, taking charge of your health, communicating with your cardiologist and much more in our Patient Center.
Angioplasty Inventor, Dr. Andreas Gruentzig
see video clip:
" The 1st Angioplasty"
ANGIOPLASTY AT 35: 2012 marked the 35th anniversary of coronary angioplasty. In 1977 in Zurich, Switzerland, a young physician named Andreas Gruentzig inserted a catheter into a patient's coronary artery and inflated a tiny balloon, successfully opening a blockage and restoring blood flow to a human heart.
Today over two million coronary angioplasties are performed worldwide each year and angioplasty has become the gold standard for emergency heart attack treament.
(View videos, interviews, and photos in our Angioplasty History Center, or order our DVD, "PTCA: A History.") Angioplasty History DVD
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