Hot topics in interventional cardiology: Proceedings from the Society for Cardiovascular Angiography and Interventions (SCAI) 2019 Think Tank

Naidu, Srihari S.; Daniels, Matthew J.; Elmariah, Sammy; García, Santiago; Klein, Andrew J.; Feldman, Dmitriy N.; Ing, Frank F.; Kavinsky, Clifford J.; Devireddy, Chandan; Mahmud, Ehtisham; Grines, Cindy L.; Henry, Timothy D.; Duffy, Peter L.; Amin, Zahid; Aronow, Herbert D.; Banerjee, Subhash; Brilakis, Emmanouil S.; Herrmann, Howard C.; Hijazi, Ziyad M.; Jaffer, Farouc A.; Latif, Faisal; Messenger, John C.; Parikh, Sahil A.; Poulin, Marie-France; Reilly, John P.; Rosenfield, Kenneth; Vincent, Robert; Cox, David A.; Baker, David; Bhalla, Narinder; Bowen, Rosanne; Camp, Callie A.; Govender, Devi; Haggstrom, Kurt; Hargus, Nick J.; Hite, Denise; Meikle, Joie; Mylor, Beth; Pierce, Valerie; Prince, Brett; Roach, Jeff; Rudy, Jason R.; Schludi, Belinda; Struck, Jason; Tochterman, Andrew; Tolve, Mercy; William, David M.; Yowe, Susan

doi:10.1002/ccd.28449

Cited by 3 publications

(4 citation statements)

References 24 publications

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“…In last year's think tank, we outlined guiding principles for a dedicated year of structural heart training for fellows. 7 Many interventionists, however, become structural operators later in their career, often with a specific focus on one therapy. This year, we brainstormed how to design and deliver state-of-the-art training for experienced interventional cardiologists (EICs) in the most broadly available and mature structural heart therapy: transcatheter aortic valve replacement (TAVR).…”

Section: Pcimentioning

confidence: 99%

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Hot topics in interventional cardiology: Proceedings from the society for cardiovascular angiography and interventions 2020 think tank

Naidu

Coylewright

Hawkins

et al. 2020

Cathet Cardio Intervent

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The society for cardiovascular angiography and interventions (SCAI) think tank is a collaborative venture that brings together interventional cardiologists, administrative partners, and select members of the cardiovascular industry community for high‐level field‐wide discussions. The 2020 think tank was organized into four parallel sessions reflective of the field of interventional cardiology: (a) coronary intervention, (b) endovascular medicine, (c) structural heart disease, and (d) congenital heart disease (CHD). Each session was moderated by a senior content expert and co‐moderated by a member of SCAI's emerging leader mentorship program. This document presents the proceedings to the wider cardiovascular community in order to enhance participation in this discussion, create additional dialogue from a broader base, and thereby aid SCAI and the industry community in developing specific action items to move these areas forward.

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Section: Pcimentioning

confidence: 99%

“…In last year's think tank, we outlined guiding principles for a dedicated year of structural heart training for fellows 7 . Many interventionists, however, become structural operators later in their career, often with a specific focus on one therapy.…”

Section: Structural: Training Of Existing Operators In New Proceduresmentioning

confidence: 99%

Hot topics in interventional cardiology: Proceedings from the society for cardiovascular angiography and interventions 2020 think tank

Naidu

Coylewright

Hawkins

et al. 2020

Cathet Cardio Intervent

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Section: Introductionmentioning

confidence: 99%

“…13 With recent advancements in medical therapy, revascularizations and reinforcement from vascular society guidelines, it was hypothesized that proportion of diagnostic and therapeutic revascularizations should be higher in contemporary practice. [16][17][18] Non traumatic lower extremity amputations are presumed to be predominantly due to CLI, though the true prevalence and severity of atherosclerotic vascular disease (ASVD) remains unknown since vascular studies are not routinely preformed and primary amputation remains a common first line of treatment. There are only limited studies that have evaluated rates of ASVD and tissue viability in amputated specimens.…”

Section: Introductionmentioning

confidence: 99%

Utilization Rates of Diagnostic and Therapeutic Vascular Procedures Among Patients Undergoing Lower Extremity Amputations in a Rural Community Hospital: A Clinicopathological Correlation

Varghese

Estes

Martinsen

et al. 2020

Vasc Endovascular Surg

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Background: Significant geographical variations exist in amputation rates and utilization of diagnostic and therapeutic vascular procedures before lower extremity amputations in the United States. The purpose of this study was to evaluate the rates of diagnostic and therapeutic vascular procedures in the year prior to amputation in a contemporary population and correlate with pathological findings of the amputation specimens. Methods: A retrospective analysis was conducted of non-traumatic amputations from 2011 to 2017 at a rural community hospital. We reviewed the proportion of patients undergoing diagnostic (ankle brachial index with duplex ultrasound, computerized tomography angiogram and invasive angiogram) and therapeutic (endovascular and surgical revascularization) vascular procedures in the year prior to amputation. Prevalence of tissue viability and osteomyelitis were evaluated in all amputated specimens and atherosclerotic vascular disease (ASVD) was evaluated in major amputations. We also analyzed primary amputation rates among different subgroups. Results: 698 patients were included with 248 (36%) major amputations and 450 (64%) minor amputations. Any diagnostic procedure was performed in 59% of the major amputations and 49% of the minor amputations (P = 0.01). Any therapeutic revascularization procedure was performed in 34% of the major amputations and 28% of the minor amputations (P = 0.08). The pathology of major amputation specimens revealed severe ASVD in 57% and mild-moderate ASVD in 27% of specimens. Tissue viability was significantly higher in major amputations (90% vs 30%, P = 0.04) and osteomyelitis was significantly higher in minor amputations (50% vs 14%, P = 0.03). Primary amputations were performed in 66% of major amputations, 72% of minor amputations, 81% with mild to moderate ASVD and 54% with severe ASVD. Conclusion: Diagnostic and therapeutic vascular procedures appear under-utilized for patients undergoing lower extremity amputations at a rural community hospital. ASVD rates and tissue viability imply that revascularization could be of significant benefit to avoid major amputation.

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Interventional cardiologists’ perceptions of percutaneous coronary intervention quality measurement and feedback

Prabhu

Don

Sayre

et al. 2021

American Heart Journal

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Hot topics in interventional cardiology: Proceedings from the Society for Cardiovascular Angiography and Interventions (SCAI) 2019 Think Tank

Cited by 3 publications

References 24 publications

Hot topics in interventional cardiology: Proceedings from the society for cardiovascular angiography and interventions 2020 think tank

Hot topics in interventional cardiology: Proceedings from the society for cardiovascular angiography and interventions 2020 think tank

Utilization Rates of Diagnostic and Therapeutic Vascular Procedures Among Patients Undergoing Lower Extremity Amputations in a Rural Community Hospital: A Clinicopathological Correlation

Interventional cardiologists’ perceptions of percutaneous coronary intervention quality measurement and feedback

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