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VIDEO: Early Discontinuation of DAPT in High Bleeding Risk Patients With the Synergy Stent

Ajay J. Kirtane, M.D., associate professor of medicine at Columbia University Irving Medical Center and director of the cardiac catheterization laboratories at NewYork-Presbyterian (NYP) Hospital, shares the findings of the late-breaking EVOLVE Short DAPT study presented as a late-breaking trial at the 2019 Transcatheter Cardiovascular Therapeutics (TCT) meeting. It evaluated the safety of early dual antiplatelet therapy (DAPT) discontinuation in patients with high bleeding risk treated with the a Boston Scientific Synergy bioabsorbable polymer coated drug-eluting stent (DES).

With the advancement of new DES technologies using thinner struts and new types of drug-carrier polymer techniques, the risk of late-stennt thrombosis has been greatly reduced, meaning there is less need for long-term DAPT. For patients who are at high risk for bleeding, who have ulcers or other types of gastrointestinal (GI) bleeding, or those going into surgery, it would be beneficial to reduce the time period for DAPT, and several late-breaking trials examined this at TCT 2019.
 

Here are the other late-breaking DAPT studies:

 

Find more news and videos from TCT 2019

Recent Video

Cath Lab | September 19, 2018

William O’Neill, M.D., outlines his recent clinical publication of AMICS patients from the Impella Quality (IQ) database. Learn more at ProtectedPCI.com.

Stents | September 11, 2018

This is an animation showing how the dedicated bifurcation stent developed by Advanced Bifurcation Systems (ABS) is deployed in coronary vessels. The vendor made its debute on the expo floor of the 2018 Transcatheter Cardiovascular Therapeutics (TCT) annual meeting. The ABS system is in the process of obtaining regulatory approval and no products are currently for sale.

Cardiac Imaging | September 10, 2018

Leslee Shaw, Ph.D., professor of cardiology and radiology, Weill Cornell Medical Center, New York, and past-president of the Society of Cardiovascular Computed Tomography (SCCT), explains how cardiac imaging will be used in the ISCHEMIA Trial to assess treatment strategies for patients with stable ischemic heart disease. The trial was discussed by Shaw at the 2018 American Society of Nuclear Cardiology (ASNC) meeting.

Watch the related VIDEO Role of Cardiac CT in Value-based Medicine, an interview with Shaw at SCCT 2017.

Hemodynamic Support Devices | August 31, 2018

Behnam Tehrani, M.D., FSCAI, director of the cardiac cath lab, INOVA Heart and Vascular Institute, Fairfax, Va., discusses a complex, high-risk percutaneous coronary intervention (PCI) case where hemodynamic support from an Abiomed Impella device is used to support the patient. 

Visit ProtectedPCI.com for more video cases. The website also has additional information on protocols for protected PCI and cardiogenic shock hemodynamic support.

Watch a VIDEO demonstration of how the Impella percutaneous hemodynamic support pump works.

 

 

 

Nuclear Imaging | August 22, 2018

Kim A. Williams, Sr., M.D., MACC, MASNC, FAHA, FESC, cardiology division chief and James B. Herrick professor at Rush University Medical Center, discusses the importance of nuclear cardiology in preventive medicine, and previews his upcoming keynote lecture at the 2018 annual meeting of the American Society of Nuclear Cardiology (ASNC), Sept. 6-9 in San Francisco.

Watch the related VIDEO ASNC 2018 Program Preview, where Rami Doukky, M.D., professor of medicine, preventive medicine and radiology, and chief of the Division of Cardiology at Cook County Health and Hospitals System, discusses new additions to the ASNC meeting program for 2018.

Watch the VIDEO MACRA's Impact on Cardiology, an interview with Williams on the impact of healthcare reform on cardiology and specifically on nuclear perfusion imaging.

Nuclear Imaging | August 21, 2018

Rami Doukky, M.D., professor of medicine, preventive medicine and radiology, and chief of the Division of Cardiology at Cook County Health and Hospitals System, discusses new additions to the program for the 2018 annual meeting of the American Society of Nuclear Cardiology (ASNC), Sept. 6-9 in San Francisco.

Watch the VIDEO: Imaging in the Assessment of Preventive Cardiology — interview with Kim Williams, M.D., about his key note lecture at the 2018 ASNC.

Watch the VIDEO: American Society of Nuclear Cardiology (ASNC) Celebrates 25 Years — interview with Robert C. Hendel, M.D.

Watch the VIDEO Clinical Decision Support Requirements for Cardiac Imaging, an interview with Doukky at the 2017 ASNC Today meeting.

Cath Lab | August 13, 2018

Jeffrey Schussler, M.D., FACC, FSCAI, FSCCT, FACP, interventional cardiologist at Baylor Scott White Heart and Vascular Hospital, Dallas, explains some of the key innovations his institution is using to improve cardiovascular care. These include the use of robotic percutaneous coronary intervention (PCI), FFR-CT imaging and transcatheter valve technologies.

Take a 360 photo look inside a Baylor combo cardiac cath/EP lab. 

Watch the VIDEO: Dedicated Cardiac MRI Use at the Baylor Scott White Heart Hospital — an interview with Haojie Wang, M.D., director of advanced cardiovascular MRI and a member of the heart valve clinic at Baylor Scott White Heart Hospital, Dallas.

 

 

Magnetic Resonance Imaging (MRI) | August 13, 2018

Haojie Wang, M.D., director of advanced cardiovascular MRI and a member of the heart valve clinic at Baylor Scott White Heart Hospital, Dallas, explains the utility of magnetic resonance imaging (MRI) in cardiology and the implementation of the cardiac MRI program at his hospital.

See a 360 degree photo of the Baylor MRI control room.

Watch the VIDEO: Implementation of New Cardiovascular Technologies at Baylor Scott White Heart Hospital — interview with Jeffrey Schussler, M.D., FACC, FSCAI, FSCCT, FACP, interventional cardiologist at Baylor Scott White Heart and Vascular Hospital, Dallas.
 

Stents Bioresorbable | August 06, 2018

Patrick Serruys, M.D., Ph.D., Imperial College London, explains where development of bioresorbable scaffolds stands in 2018. He spoke to DAIC at the Society of Cardiovascular Computed Tomography (SCCT) 2018 meeting. 

Watch the related VIDEO What Went Wrong With the Absorb Stent?

Read the related article Current State of Bioresorbable Stent Technology

Read the related article Amaranth Unveils 85-micron Bioresorbable Stent

 

ASNC | July 25, 2018

Robert C. Hendel, M.D., FACC, FAHA, MASNC, director, Tulane Heart and Vascular Institute, explains the impact the ASNC has had on cardiac nuclear imaging during this anniversary year. 

The Annual Scientific Session of the American Society of Nuclear Cardiology is Sept. 6-9, 2018, at the San Francisco Marriott Marquis.

#ASNC2018

Computed Tomography (CT) | July 25, 2018

A discussion with Patricia Dickson, LRT(CT), director of imaging and outpatient services, Capital Cardiology Associates, Albany, N.Y., and Nikki Weber, RT(R)(CT)(M), a lead CT technologist at the Mayo Clinic, Rochester, Minn. They presented in sessions at the Society of Cardiovascular Computed Tomography (SCCT) 2018 meeting.

 

Related Tips to Improve CT Imaging Content:

VIDEO: Tips and Tricks to Aid Cardiac CT Technologist Workflow

VIDEO: How to Prepare a Patient for a Cardiac CT Scan

VIDEO: 10 Tips to Improve Cardiac CT Imaging

Find more SCCT news and videos

 

Computed Tomography (CT) | July 23, 2018

Ed Nicol, M.D., FSCCT, MBA, head of cardiac CT, Royal Brompton Hospital, London, and chair of the Society of Cardiovascular Computed Tomography (SCCT) Education Committee. He outlined new initiatives by SCCT to expand its educational offerings. For more information on SCCT's online educational links go to https://scct.org/page/Education.

Link to the technologist video referenced in this interview that is among the most viewed videos on DAIC — VIDEO: How to Prepare a Patient for a Cardiac CT Scan.

CT Angiography (CTA) | July 19, 2018

Kavitha Chinnaiyan, M.D., FACC, FSCCT, associate professor, Oakland University, William Beaumont School of Medicine, Royal Oak, Mich. She presented at the Society of Cardiovascular Computed Tomography (SCCT) 2018 meeting. 

 

Related FFR-CT Content:

Clinical Applications of FFR-CT

VIDEO: Implementation and the Science Behind FFR-CT — interview with James Min, M.D.

VIDEO: Early U.S. Experience With FFR-CT in Evaluating ED Chest Pain Presentation — interview with Simon Dixon, M.D.

VIDEO: Status of FFR-CT Adoption in the United States — interview with Campbell Rogers, M.D.

 

July 18, 2018

Suhny Abbara, M.D., FSCCT, chief of cardiothoracic imaging and chair of the CT operations committee, University of Texas Southwestern Medical Center, Dallas, incoming president of the Society of Cardiovascular Computed Tomography (SCCT), and editor of the new RSNA journal Radiology: Cardiothoracic Imaging. He spoke to DAIC at SCCT 2018 meeting. 

Read the related article "Spectral Imaging Brings New Light to CT."

 

 

CT Angiography (CTA) | July 18, 2018

A discussion with Gianluca Pontone, M.D., Ph.D., FSCCT, director of cardiovascular MRI, Centro Cardiologico Manzino, Milan, Italy, at the Society of Cardiovascular Computed Tomography (SCCT) 2018 meeting. He said CT can be comparable to the gold-standards of nuclear and MRI perfusion depending on the scanner used to acquire the images. 

Read the article "CT Perfusion Imaging Ready for Mainstream." 

Heart Valve Technology | July 18, 2018

Jonathon Leipsic, M.D., FSCCT, professor of radiology and cardiology at the University of British Columbia, Vancouver, Canada, and an expert in transcatheter valve imaging. He spoke about his experiences with TAVR and TMVR trials and devices planning at the the Society of Cardiovascular Computed Tomography (SCCT) 2018 meeting.

Read the related article "The Essentials of Structural Heart Imaging."

Watch the VIDEO "What to Look for in CT Structural Heart Planning Software."
 

 

 

Computed Tomography (CT) | July 17, 2018

An interview with Patrick Serruys, M.D., Ph.D., Imperial College London, principal investigator of the SYNTAX III Trial presented earlier this year as a late-breaker at EuroPCR. He presented the trial again at the Society of Cardiovascular Computed Tomography (SCCT) 2018 meeting. 

Read the article "SYNTAX III Revolution Trial Shows CT-FFR Could Replace Cine-angiography in Coming Years."

CT Angiography (CTA) | July 17, 2018

A discussion with Todd Villines, M.D., FACC, FAHA, FSCCT, director of cardiovascular research and cardiac CT programs at the Walter Reed National Military Medical Center in Bethesda, Md., and president of the Society of Cardiovascular Computed Tomography (SCCT). He outlines key technology trends at the 2018 SCCT meeting.

 

Related CT Technology Advances Content:

New Cardiovascular CT Technology Entering the Market

PODCAST: Shortcomings of CTA in Cardiology — Interview with Todd C. Villines, M.D.,

VIDEO: Editor's Choice of Most Innovative New Cardiac CT Technology

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VIDEO: Cardiovascular CT Educational Initiatives by SCCT — Interview with Ed Nicol, M.D.

VIDEO: Using FFR-CT in Everyday Practice — Kavitha Chinnaiyan, M.D.

VIDEO: Applications of Spectral CT — Interview with Suhny Abbara, M.D.

VIDEO: The Essentials of CT Transcatheter Valve Imaging — Interview with Jonathon Leipsic, M.D.

VIDEO: The State of CT Myocardial Perfusion Imaging — Interview with Gianluca Pontone, M.D.

 

 

 

 

 

Heart Valve Technology | July 10, 2018

Ori Ben-Yehuda, M.D., executive director of the Cardiovascular Research Foundation Clinical Trial Center, discusses the latest data from clinical trials focusing on transcatheter tricuspid valve repair (TTVR) technologies, at the 2018 Transcatheter Valve Therapies (TVT) annual meeting in Chicago.

 

Related Transcatheter Tricuspid Valve Content

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VIDEO: Tricuspid Valve Imaging and Interventions Developing Hand-in-hand 

VIDEO: Mitral and Tricuspid Valve Repair Technologies

 

 

Cardiovascular Ultrasound | July 10, 2018

DAIC Editor Dave Fornell highlights some of the most innovative new technology on the show floor of the American Society of Echocardiography (ASE) 2018 meeting. The segments include virtual reality workstations, advanced 3-D cardiac ultrasound quantification and visualization, improved echo-fluoro image fusion technology, and imaging aided by artificial intelligence.

 

 

 

Artificial Intelligence | July 10, 2018

Partho Sengupta, M.D., DM, FACC, FASE, chief division of cardiology, director of cardiac imaging, West Virginia University Heart and Vascular Institute, explains how artificial intelligence is being integrated into echocardiography and used to mine big data to better assess patients at the American Society of Echocardiography (ASE) 2018 meeting. 

Watch the VIDEO: Ultrasound's Integration of Artificial Intelligence and Robotic Echo, with Senguta at the ASE 2017 meeting

 

 

 

 

Heart Valve Technology | July 05, 2018

Rebecca Hahn, M.D., professor of medicine and director of interventional echocardiography, Columbia University Medical Center, New York, explains that techniques for imaging the tricuspid valve, the  advanced study of its disease etiology and the rapid development of transcatheter devices to treat tricuspid valve disease are all developing together. She spoke on these topics during sessions at both the American Society of Echocardiography (ASE) 2018 meeting and at the Transcatheter Valve Therapies (TVT) conference in June. 

Related Transcatheter Tricuspid Valve Content:
Recent Advances in Transcatheter Valve Technology

VIDEO: Mitral and Tricuspid Valve Repair Technologies — interview with Azeem Latib, M.D.

VIDEO: Transcatheter Tricuspid Valve Repair and Replacement Technologies — interview with Rebecca Hahn, M.D.

Minneapolis Heart Institute Foundation Enrolls First Patient in TRILUMINATE Tricuspid Repair Trial

Positive, Sustained Improvement at One Year in SCOUT I Transcatheter Tricuspid Repair Trial

Gate Bioprosthesis Used in Canada's First Transcatheter Valve Replacement for Tricuspid Regurgitation

Womens Cardiovascular Health | July 05, 2018

Malissa Wood, M.D., co-director of the Corrigan Women’s Heart Health Program, Massachusetts General Hospital, explains the need for and how to create a women’s cardiovascular health center, during the American Society of Echocardiography (ASE) 2018 meeting. 

Learn more about Mass General's cardio-obstetrics program. 

 

Related Women's Heart Health Content:

Diagnostic Differences in Women’s Heart Health

VIDEO: Differences in Cardiac Complications and Presentation Between Men and Women — Interview with Cindy Grines, M.D.

VIDEO: Creating a Cardio-Obstetrics Team — Doreen DeFaria Yeh, M.D.

VIDEO: Sex Differences in Diagnosing Heart Disease in Women — Interview with Doreen DeFaria Yeh, M.D.

Find more articles on women's heart issues in the Women's Cardiovascular Health channel

Cardiovascular Ultrasound | July 03, 2018

Michael Lanspa, M.D., director of critical care echocardiography services, Intermountain Medical Center, Salt Lake City, Utah, explains the training initiatives by the American Society of Echocardiography (ASE) for point-of-care ultrasound. Lanspa serves on the educational committees for ASE, the American Thoracic Society (ATS) and the Society of Critical Care Medicine. 

POC ultrasound was discussed as one of the big recent developments at ASE 2018

Cardiovascular Ultrasound | July 02, 2018

Lissa Sugeng, M.D., associate professor of medicine, director of echocardiography and of the Yale Echo Core Lab, Yale School of Medicine, explains the advances and advantages of using 3-D cardiac ultrasound during the American Society of Echocardiography (ASE) 2018 meeting. She said 3-D echo still has slower frame rates than 2-D, but offers some advantages. Sugeng said echo labs should consider adding at least 3-D machine, as this technology will become the way of the future in echo. Read more about recent advances in cardiac ultrasound. 

Cardiovascular Ultrasound | July 02, 2018

This is an example of the a mitral valve with regurgitation imaged with 3-D echocardiography using the Siemens SC2000 cardiac ultrasound system. The first video clip shows the 3-D anatomy of the heart, the mitral valve, its leaflet cusps tabled and the left ventricular outflow track (LVOT) of the aortic valve. The second clip shows how the software can automatically extract and quantify the regurgitant volume. The last clip shows an isolation of the mitral valve and the regurgitant jet, showing the exact location of the source, which can be used aid surgical planning. This video was shot at the American Society of Echocardiography (ASE) 2018.

Find additional technology video clips, video interviews and news from ASE.

 

Cardiovascular Ultrasound | June 28, 2018

Sunil Mankad, M.D., FASE, ASE 2018 meeting program chair and director of transesophageal echocardiography at Mayo Clinic, Rochester, Minn., explains four big trends in cardiac ultrasound during the American Society of Echocardiography (ASE) 2018 meeting. These include the advancement of 3D echo, point-of-care ultrasound, artificial intelligence and new forms of image visualization. Read more about recent advances in cardiac ultrasound. 

Cardiovascular Ultrasound | June 28, 2018

This is a demonstration of the the Philips TrueVue photo-realistic rendering and lighting source technology. This example highlights a transcatheter ASD closure with two Amplatzer occluders. The technology allows users to changing the lighting conditions to improve contrast. The light source can also be moved around to change the shadows and add more depth perception. The light source also can be pushed through the tissue to back light the anatomical structures, as shown in this example at the American Society of Echocardiography (ASE) 2018 meeting. The backlighting confirms a gap at the top of the image where part of the septal defect remains exposed. 

Find more videos and news from ASE 

Cardiovascular Ultrasound | June 11, 2018

Thomas Porter, M.D., professor of medicine and director of the echocardiography lab at the University of Nebraska Medical Center, discusses potential therapeutic uses for microbubble contrast ultrasound at the 2017 American Society of Echocardiography (ASE) annual meeting.

Stroke | May 09, 2018

A new clinical trial at The Ohio State University Wexner Medical Center is examining an implanted device that uses vagus nerve stimulation to help stroke patients regain motor function. The Vivistim device is similar to a pacemaker, which uses leads to electrically stimulate the brain. 

Read the article "New Therapy Rewires the Brain to Improve Stoke Recovery."
 

 

Cath Lab | May 07, 2018

Imran Ahmad, M.D., medical director of interventional cardiology, explains some of the new technologies his labs have integrated. He also explains how incorporation of his suburban hospital with Northwestern’s Bluhm Cardiovascular Institute has enabled a new TAVR program.

Read the related article on this hospital, "Hospital Consolidation May Increase Access to TAVR, New Cardiac Technologies."

View a 360 photo in his cath lab.

 

Stroke | April 30, 2018

ITN Associate Editor Jeff Zagoudis explores how the mobile stroke unit (MSU) program at Northwestern Medicine Central DuPage Hospital in Winfield, Ill., is changing the paradigm of care for stroke patients in the western suburbs of Chicago and beyond. 

Realted Mobile Stroke Content:

Northwestern Medicine Mobile Stroke Unit Delivers Life-Saving Care 30 Minutes Sooner

NewYork-Presbyterian Expands Mobile Stroke Treatment Unit Fleet

Enterprise Imaging | April 26, 2018

Organizations who are embarking on an enterprise imaging journey share many of the same questions and concerns regarding how to best optimize workflow across providers, departments and facilities; which technologies will provide the best fit for achieving the future vision; and how to maximize value and accelerate return on investment by driving adoption and improving satisfaction among providers and healthcare consumers (patients).

We, Paragon Consulting Partners LLC (PCP Imaging), are a team of passionate healthcare professionals that bring over 100 years of collective clinical, technical and business leadership experience within the healthcare IT and imaging informatics industries. In this video we address the key challenges and considerations faced by organizations undertaking an Enterprise Imaging journey, and how a trusted partner can contribute valuable expertise and guidance that enable healthcare organizations and vendors of any size to successfully tackle even their most challenging enterprise imaging initiatives. For more information, visit pcpimaging.com.

Heart Valve Technology | April 18, 2018

Northwestern Medicine has purchased several smaller Chicago suburban hospitals in the past few years to expand its healthcare system. This has enabled these smaller community hospitals to offer new, cutting-edge cardiovascular medical technologies much sooner than might have otherwise been possible due to its association with Northwestern Medicine's luminary Bluhm Cardiovascular Institute in Chicago. Central DuPage Hospital is one of the newer hospitals in the network and now offers transcatheter aortic valve replacements (TAVR), transcatheter leadless pacemakers, minimally invasive left atrial appendage (LAA) occlusions and the latest surgical valve replacement technologies. 

Read the article "Hospital Consolidation May Increase Access to TAVR, New Cardiac Technologies."

Cath Lab | March 27, 2018

Roxana Mehran, M.D., FACC, FACP, FCCP, FESC, FAHA, FSCAI, professor of medicine and director of interventional cardiovascular research and clinical trials at the Zena and Michael A. Wiener Cardiovascular Institute at Mount Sinai School of Medicine. She spoke on how to avoid acute kidney injury (AKI) and contrast-induced nephropathy (CIN) using various strategies in the cath lab to reduce iodine contrast use at the American College of Cardiology (ACC) 2018 meeting. 

 

 

Related CIN Content:

Sliding Scale Hydration Washes Out Contrast-Induced Kidney Complications

Contrast-Induced Kidney Injury Prevented With RenalGuard in REMEDIAL III Trial

VIDEO: How to Avoid Acute Kidney Injury in the Cath Lab — Interview with Hitinder Gurm, M.D.

VIDEO: Combating Contrast Induced Nephropathy in the POSEIDON Trial — Presentation by Sonjot Brar, M.D.
 

 

Intravascular Imaging | March 27, 2018

A discussion with Ron Waksman, M.D., associate director of the division of cardiology and director of cardiovascular research and advanced education at MedStar Heart Institute, and professor of medicine (cardiology) at Georgetown University. He explained the ongoing clinical trials using near infrared spectroscopy to detect lipid rich plaque in the coronary arteries. He spoke to DAIC at the 2018 American College of Cardiology (ACC) meeting.

Find out the late-breaking results of the LRP Study in a VIDEO with Waksman at TCT 2018. 

 

Heart Failure | March 23, 2018

David Lanfear M.D., FACC, head of advanced heart failure and cardiac transplantation, Henry Ford Hospital, Detroit, discusses LVAD support technologies at the 2018 American College of Cardiology (ACC) meeting. Read the article “Device Technologies to Reduce Heart Failure Readmissions.” Watch the VIDEO “Technologies to Reduce Heart Failure Readmissions,” an interview with William Abraham, M.D., The Ohio State University Wexner Medical Center.

Additional articles and videos on Henry Ford Hospital 

ACC | March 21, 2018

DAIC Editor Dave Fornell takes a tour of some of the most interesting new technologies on the expo floor at the 2018 meeting of the American College of Cardiology (ACC). Find links to other videos and the ACC 2018 Late-Breaking Trials.
 

 

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