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SCAI
 Check out highlights from the SCAI 2017 Scientific Sessions, SCAI-QIT Tip of the Month, and more!
Healio
Patients with diabetes treated with an orbital atherectomy system for severely calcified coronary lesions prior to stenting had low rates of adverse clinical events at one year that were similar to outcomes in patients without diabetes, according to a subanalysis of the ORBIT II study.
“Compared to patients in general, diabetic patients have a higher prevalence of severe coronary artery calcification, which increases the complexity of percutaneous coronary intervention and is associated with higher risk of coronary procedural complications including death and myocardial infarction,” Michael S. Lee, MD, associate professor of medicine in the division of cardiology at UCLA Medical Center, and colleagues wrote in Catheterization and Cardiovascular Interventions.
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Cardiovascular Business
Compared with six other scales that measure frailty, one called the Essential Frailty Toolset stands out for its ability to predict mortality 30 days after two types of valve replacement surgery. It can also predict worsening disability at one year, according to a new study.
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Pulsara
St. Elizabeth Healthcare, in Edgewood, Kentucky, serves a population of more than 400,000 across the Greater Cincinnati area, from Northern Kentucky to Indiana and Ohio. At St. Elizabeth, like most health systems in the U.S., there was no overarching way to organize all the different cardiac team members and stakeholders, which could cause treatment delays and disorganization. After adopting a set of recommended changes in the process of responding to heart attack patients including the implementation of Pulsara, the time from first medical contact to the moment of artery-opening treatment dropped 30 percent. See the full story here.
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TCTMD
So-called safety-net hospitals are often thought to be hindered by a lack of resources and more difficult cases and thus to achieve less positive outcomes than hospitals that treat higher-income patients who have health insurance. However, new study results suggest otherwise, showing similar results for percutaneous coronary intervention patients no matter whether their hospital is “safety net” or not.
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Healio
Testing strategies are rapidly evolving to determine which patients with chest pain have coronary artery disease, and which of those have high enough risk to warrant revascularization. Driving reexamination of historical approaches to evaluate such patients are advances in coronary CT angiography technology, including new capabilities to determine coronary fractional flow reserve from CT images (FFR-CT).
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© 2017 Medtronic. UC201802492EN
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The Cardiology Advisor
The Avalus pericardial aortic surgical valve (Medtronic; Dublin, Ireland) received approval from both the U.S. Food and Drug Administration and the European Commission for the treatment of aortic valve disease.
Avalus is a stented surgical aortic valve that has been deemed safe for magnetic resonance imaging and is designed for "excellent implantability."
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TCTMD
Taking on the controversy over the use and impact of permanent pacemakers (PPMs) after transcatheter aortic valve replacement, a new meta-analysis has found that their implantation does not raise the risk of patients dying or experiencing myocardial infarction or stroke. Even so, PPMs are linked to less robust left ventricular ejection fraction recovery, which researchers say bolsters previous reports.
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