Interventional/Surgery
5 COMMENTS - Aug 19, 2008 17:00 EDT
More and more surgeons and interventionalists are getting their hands on the Edwards transcatheter aortic valve, now that it has CE Mark approval in Europe and the PARTNER trial ramps up in the US. Rumors of higher mortality rates with the transapical delivery method are fueling debate over appropriate patient selection, delivery technique, and what the future holds.

Irvine, CA - More physicians in Europe and the US are getting the chance to try out the Sapien transcatheter aortic valve developed by the industry heavyweight, Edwards Lifesciences, and most are still excited about the technology, despite recent reports highlighting the mortality associated with different device-delivery methods, the tremendous skill required to implant it, and nuances of appropriate patient selection. In Europe, the Sapien has been available since late 2007, while in the US, interventionalists and surgeons are getting their hands on the device as the pivotal US PARTNER trial ramps up enrollment. Read full article »

Inside: Interventional/Surgery
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Acute coronary syndrome
Aug 25, 2008 17:00 EDT
Thirty-day differences in bleeding, favoring bivalirudin monotherapy over UFH or enoxaparin plus GP IIb/IIIa inhibitor or bivalirudin plus GP IIb/IIIa inhibitor, did not influence one-year outcomes; investigators point out that the trial was not powered to reflect any benefit of the reduced bleeding at one year. (White H et al. J Am Coll Cardiol 2008; 52:807-814.)
Interventional/Surgery
19 COMMENTS - Aug 21, 2008 16:30 EDT
Without sacrificing any procedural success and with nearly 60% fewer bleeding complications when operators navigate through the radial artery instead of the femoral route, radial access will eventually be the default mode in PCI, one expert said. (Rao SV et al. J Am Coll Cardiol Intv 2008; 1:379-386.)
Acute coronary syndrome
2 COMMENTS - Aug 15, 2008 16:45 EDT
Adding tirofiban to therapy with clopidogrel, aspirin, and heparin while the patient is in transit to a PCI center improves ST-segment resolution; outcomes may also improve, the trial hinted. (van't Hof AWJ et al. Lancet 2008; 372:537-546.)
Interventional/Surgery
Aug 15, 2008 12:45 EDT
The FDA and Boston Scientific announced a class 1 recall of the NexStent Monorail, NexStent carotid stent, and Monorail delivery system, distributed between June 2007 and May 2008, because the tip of the stent-delivery system may detach.
Interventional/Surgery
4 COMMENTS - Aug 15, 2008 10:00 EDT
Two-year "real-world" follow-up of patients has shown that those treated with drug-eluting stents have lower target-vessel revascularization rates than those treated with bare-metal stents, but the absolute benefit is less than observed in clinical trials. (Anstrom KJ et al. Arch Intern Med 2008; 168:1647-1655.)
MediaPulse
Aug 14, 2008 14:15 EDT
WSJ reporter Keith Winstein alleges that the statistical method used by Boston Scientific to demonstrate noninferiority of its second-generation DES was flawed and that other "standard" statistical methods would suggest that the Liberté is not up to snuff.
Interventional/Surgery
Aug 14, 2008 11:30 EDT
Further studies may clarify whether one therapy may be better in specific subgroups of elective PCI patients pretreated with clopidogrel or whether a lower heparin bolus would produce different results. In the meantime, the lead investigator for ISAR-REACT 3 says UFH's low price makes it the clear choice. (Kastrati A et al. N Engl J Med 2008; 359:688-696.)
Interventional/Surgery
13 COMMENTS - Aug 13, 2008 17:00 EDT
The angina relief and better quality of life provided by PCI-based management in the controversial trial was modest and temporary, some observers say. But critics maintain, as they have all along, that the deck was stacked against PCI in favor of the strategy based on optimal medical therapy. (Weintraub WS et al. N Engl J Med 2008; 359:677-687.)
Interventional/Surgery
Aug 13, 2008 17:00 EDT
US doctors have reported the first experiences of heart transplant in three infants after cardiac death in the donors, rather than brain death. The controversial procedure "has opened the door to heart transplant after cardiac death," says an accompanying perspective. (Boucek MM et al. New Engl J Med 2008; 359: 709-714.)
Lipid/Metabolic
3 COMMENTS - Aug 12, 2008 09:45 EDT
The presentation should give clinicians a better look at the data, said SEAS steering committee chair Dr Terje Pedersen, and provide more information about the end points and the incidence of clinical events in patients, as well as information on the incidence and types of cancer observed in the trial.
Clinical cardiology
Aug 7, 2008 11:30 EDT
ACC CEO Dr Jack Lewin says he believes the committee's concerns have been assuaged.
Interventional/Surgery
3 COMMENTS - Aug 5, 2008 09:00 EDT
Current smokers have increased platelet inhibition and lower platelet aggregation on clopidogrel than nonsmokers, a new study has shown. (Bliden KP et al. J Am Coll Cardiol 2008; 52:531-533.)
Clinical cardiology
Aug 1, 2008 10:00 EDT
Antibiotic prophylaxis in susceptible individuals does not prevent endocarditis enough to justify the downside of using such large quantities of antibiotics, according to the writing committee. (Nishimura R et al. J Am Coll Cardiol; Circulation; published online before print July 28, 2008.)
Academic partnership
Academic series
2 COMMENTS - Mar 1, 2008 15:50 EST
A series of interactive, evidence-based programs designed to improve the care of patients requiring cardiac catheterization and interventions
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See: COURAGE quality-of-life analysis: Slim early gains with PCI soon disappear
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