Interventional cardiology news to note
"Bleeding is never intended, but rarely is it prohibitive. This boy is not that bad," said an editorial commenting on a study of bleeding events in the COMPASS trial of rivaroxaban (Xarelto) and aspirin in coronary and peripheral artery disease. (Journal of the American College of Cardiology)
A new technique to prevent left ventricular (LV) outflow tract obstruction during transcatheter mitral valve replacement -- translocation of the mitral anterior leaflet, via perforation of the anterior mitral leaflet and inflation of a balloon, before valve deployment -- has worked in three patients so far. (Catheterization & Cardiovascular Interventions)
Cardiac CT seemed to match transesophageal echocardiography (TEE) in catching device-related thrombosis following left atrial appendage occlusion
, but it also shows low-grade hypo-attenuating thickening on the device. (Circulation: Cardiovascular Interventions
Representation of women and minorities remains low in the U.S. cardiology workforce, a group showed in JAMA Cardiology. In 2016, 9.8% of interventional cardiology fellowships were filled by women.
More evidence that men and women remodel differently in aortic valve stenosis: the expansion of extracellular volume appears driven by stenosis severity and extent of LV hypertrophy in men, whereas women's LV response to pressure overload is more heterogeneous and multi-factorial in terms of remodelling, hypertrophy, and fibrosis. (JACC: Cardiovascular Imaging)
People at higher myocardial fibrosis risk at baseline were less likely to show LV reverse remodeling 1 year after transcatheter aortic valve replacement. A higher mid-wall fibrosis risk score did not impact 5-year mortality, however, a German center reported. (EuroIntervention)
Among stroke patients over 90 years of age getting endovascular therapy, thrombectomy was only associated with better odds of survival and good outcome in those with successful reperfusion after the first pass, ETIS investigators showed in a Stroke registry study.
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Read the original article on Medpage Today: 'Bad Boy Bleeding'; LVOT Obstruction Technique; Women Still Outnumbered