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PFO Requirements; Catheter Coating Emboli; BASILICA for Leaflet Thrombosis

Among the new operator and institutional requirements for patent foramen ovale (PFO) closure by the Society for Cardiovascular Angiography and Interventions and the American Academy of Neurology: operators should maintain a volume of at least 30 septal interventions (or 15 PFO device placements specifically) every 2 years. (Catheterization and Cardiovascular Interventions)

Coating separation in catheters has resulted in embolic events and at least three deaths in Vancouver, according to a study in Cardiovascular Pathology. “Plastics are ubiquitous in medicine and all around us. So it is clear we need to be more vigilant in monitoring and reporting the complications, not to mention making improvements in the design of devices,” one of the researchers told the Vancouver Sun.

The AF-FICIENT I study showed safety and efficacy for the Luminize radiofrequency balloon catheter in atrial fibrillation ablation, as reported at the annual meeting of the European Heart Rhythm Association and announced by Boston Scientific.

Rather than taking a test every 10 years to maintain board certification, cardiologists now have the option of a Cardiovascular Disease Collaborative Maintenance Pathway (CMP) offered by the American Board of Internal Medicine and American College of Cardiology. A CMP in Interventional Cardiology is expected to arrive in 2020.

During valve-in-valve transcatheter aortic valve replacement, the BASILICA technique of leaflet laceration may help prevent leaflet thrombosis on top of coronary artery obstruction, a simulation study reported in EuroIntervention.

Stroke patients with large ischemic cores are more likely to have good outcomes after mechanical thrombectomy if successfully recanalized, a registry study showed. On the other hand, older age and increased lesion volume were linked to worse outcomes. (Stroke)

Prior coronary artery bypass grafting was associated with less success in chronic total occlusion percutaneous coronary intervention as well as worse in-hospital mortality and coronary perforation rates, according to a multicenter registry study in Circulation: Cardiovascular Interventions.


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