CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS导管插入术与心血管介入
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS(英文缩写 CATHETER CARDIO INTE),ISSN 1522-1946,eISSN 1522-726X,中文译名:导管插入术与心血管介入 是一本学术期刊。本页汇总该期刊的最新影响因子、分区信息以及最新收录于 PubMed 的文献,帮助您快速了解期刊全貌。
发文量统计区间：2025-09-27 至 2026-09-27，按本站收录文献的发表日期统计。
期刊介绍
历年影响因子趋势
| JCR 数据年份 | 影响因子 | JCR 分区 |
|---|---|---|
| 2021 | 2.585 | Q3 |
| 2022 | 2.300 | Q3 |
| 2023 | 2.100 | Q3 |
| 2024 | 1.900 | Q3 |
| 2025 | 1.900 | Q3 |
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS 最新收录文献
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1. Renal Denervation via Left Transradial Artery Approach to Circumvent Infrarenal Aortic Tortuosity.
PMID:期刊:日期:2026-09-25Infrarenal aortic pathology can complicate the approach to renal denervation using currently approved transfemoral systems. We describe a case of infrarenal aortic tortuosity precluding stable engagement of the right renal artery. Based on the patient's height and the treatment catheter's length, we successfully converted to a left transradial approach to complete the procedure without complication.
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2. Sex Differences in Cardiac Rehabilitation Access and Utilization: A Systematic Review of Barriers and Facilitators in Cardiovascular Care.
PMID:期刊:日期:2026-09-25Cardiac rehabilitation (CR) is central to secondary prevention, but women remain less likely than men to access and fully utilize CR. This systematic review examined sex differences across the CR utilization continuum, separating referral, enrollment, attendance or session exposure, and program completion, and evaluated barriers and facilitators at each stage. PubMed was searched for studies published from January 1, 2000 through March 2025 reporting sex-specific CR utilization outcomes. Supplementary citation searching was undertaken to improve completeness. Outcomes were classified as referral, enrollment, attendance or session exposure, and completion or dropout. Forty-six unique study cohorts, including over one million patients, met the inclusion criteria. Women were most consistently disadvantaged at referral and initial access. In several cohorts, sex differences narrowed after referral or after adjustment for clinical, psychosocial, and structural factors. A large multicentre referral-strategy cohort reported lower overall referral (57.8% vs. 67.2%) and enrollment (49.3% vs. 58.6%) in women than men, but among referred patients, subsequent enrollment was similar (82% vs. 85%). Across studies, transport, caregiving, comorbidity, financial constraints, and lower CR awareness disproportionately affected women, while work and time conflicts were more prominent among men. The largest completion analysis (n = 5922) found that sex was not an independent predictor of withdrawal after adjustment (OR 0.89, 95% CI 0.76-1.05). Automatic or systematic referral, liaison-supported referral, geographic matching to nearer programs, flexible delivery models, and targeted navigation were identified as facilitators of access and utilization. Sex disparities in CR are stage-specific rather than a single "adherence" phenomenon. The strongest and most consistent gap occurs at referral and initial access, while differences may narrow once patients are referred or when systematic referral pathways are used. Equity-focused CR services should combine system-level referral strategies with interventions addressing transport, caregiving, comorbidity, financial, and program-fit barriers.
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3. Early Discharge With Fast-Track Protocol After Median Full Sternotomy in Cardiac Surgery.
PMID:期刊:日期:2026-09-24Fast-track (FT) protocol is an established but not standardized approach in cardiac surgery. We aimed to describe our FT protocol and to compare outcomes before and after the protocol implementation (non-FT group and FT group, respectively). Fast-track protocol was implemented in March 2021 in our institution. All patients who underwent median sternotomy from January 2018 to June 2024 were identified. Patient characteristics and outcomes were compared between the FT group and non-FT group, using propensity-score matching. A total of 456 patients, primarily aortic valve replacement, mitral valve repair or replacement, and root and ascending aortic surgery, were included. Of 456, 261 patients were the FT group and 195 patients were the non-FT group. In the FT group, 91.6% of patients were extubated in the OR (vs. 42.1% in the non-FT group, p < 0.001). In the FT group, 193 (73.9%) were discharged within 2 or 3 days after surgery. After propensity-score matching, the median hospital length of stays (LOS) was significantly shorter in the FT group (3 days vs. 4 days, p < 0.001). Baseline characteristics, operations, and perioperative outcomes were similar between the groups, including 30-day mortality (0.5% vs. 0.5%, p = 1.0), prolonged ventilation (1.1% vs. 1.1%, p = 1.0), discharge to home (1.6% vs. 2.2%, p = 0.72), and readmission (3.8% vs. 4.3%, p = 0.80). The FT protocol was associated with decreased hospital LOS. Additionally, this study suggested that discharge within 3 postoperative days is feasible after most valve surgeries.
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4. Prevalence and Influencing Factors of Chronic Disease Multimorbidity Among Elderly Inpatients in a General Practice Department.
PMID:期刊:日期:2026-09-23Chronic disease multimorbidity is increasingly common among older adults and poses substantial challenges to disease management and healthcare delivery. This study aimed to investigate the prevalence and associated factors of chronic disease multimorbidity among elderly inpatients in a general medicine department. Elderly inpatients admitted between January 2022 and December 2024 were included. Demographic data and chronic disease information were collected. Ordinal logistic regression was used to identify factors associated with multimorbidity. The mean age of the patients was 71.5 ± 8.2 years, and 58.56% were male. Among all participants, 5.78% had no chronic disease, 15.67% had one chronic disease, and 78.55% had multimorbidity. The five most prevalent chronic diseases were hypertension (65.33%), diabetes or elevated blood glucose (53.11%), heart disease (46.89%), cerebrovascular disease (42.33%), and gastric or digestive system disorders (38.00%). Patients with neurocognitive and neurological disorders had the highest comorbidity burden (4.57 ± 1.46 conditions). Common two-disease combinations included heart disease plus hypertension (8.08%), while the most frequent three-disease cluster was hypertension combined with heart disease and cerebrovascular disease (7.44%). Ordinal logistic regression analysis showed that sex (OR = 0.684, P = 0.023), age (OR = 0.537, P = 0.012), occupation (OR = 0.296, P < 0.001; OR = 0.589, P = 0.050), and length of hospital stay (OR = 1.118, P < 0.001) were significantly associated with chronic disease multimorbidity among elderly inpatients. Hypertension, diabetes, heart disease, and cerebrovascular disease commonly co-occurred as major multimorbidity patterns, highlighting the need for targeted management. Female sex, age 60-65 years, and employment were associated with a lower likelihood of multimorbidity.
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5. Rethinking Percutaneous Coronary Intervention: The Era of Ultra-Low-Contrast Intervention.
PMID:期刊:日期:2026-09-23Iodinated contrast remains a key component of percutaneous coronary intervention, yet it poses a significant risk for contrast-associated acute kidney injury (CA-AKI), particularly in patients with chronic kidney disease (CKD). This review summarizes the evidence, procedural workflow with stepwise approach including clinical implications of ultra-low-contrast PCI (ULC-PCI). We reviewed recent literature describing strategies for contrast reduction, imaging and physiology-guided PCI, and subsequent clinical outcomes. ULC-PCI incorporates techniques such as intravascular imaging (IVUS/OCT), fractional flow reserve (FFR/iFR), and dynamic coronary roadmap imaging to safely reduce contrast exposure while maintaining procedural quality. It, thus, represents a paradigm shift toward a safer, precision-guided revascularization. Broader implementation requires structured training in this aspect and further outcome validation.
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6. Drug-Coated Balloon Versus Stenting for Medina 0.0.1 Coronary Bifurcation Lesions: One-Year Clinical and Angiographic Outcomes of a Leave-Nothing-Behind Strategy.
PMID:期刊:日期:2026-09-23The optimal treatment for isolated side-branch coronary bifurcation lesions (Medina 0.0.1) remains debated. Drug-coated balloons (DCB) offer a "leave-nothing-behind" alternative to drug-eluting stents (DES), but comparative data for this specific lesion subset is limited. This study aimed to compare the 1-year clinical and angiographic outcomes of a DCB strategy versus a contemporary stenting strategy for Medina 0.0.1 lesions. This prospective, observational cohort study enrolled 161 patients with symptomatic ischemic heart disease and de novo Medina 0.0.1 bifurcation lesions. Patients were allocated to either a stenting strategy (Group A, n = 80) or a DCB strategy (Group B, n = 81) based on operator judgment. The primary endpoints were absolute late lumen loss (LLL), binary restenosis, target vessel revascularization (TVR), and a five-point composite of major adverse cardiac events (MACE) at 1-year follow-up. Baseline characteristics were comparable between the two groups. At 1 year, the mean late lumen loss (LLL) was significantly lower in the DCB group compared with the stenting group (0.16 ± 0.12 mm vs. 0.48 ± 0.22 mm; p < 0.001). The DCB group demonstrated a significantly lower rate of binary restenosis compared with the stenting group (7.4% vs. 21.3%; RR 0.35, 95% CI 0.15-0.82; p = 0.014; ARR 13.9%; NNT 7). TVR was significantly reduced in the DCB group (4.9% vs. 15.0%; RR 0.33, 95% CI 0.11-0.96; p = 0.038; ARR 10.1%; NNT 10). The incidence of MACE was also markedly lower in the DCB group (7.4% vs. 18.7%; RR 0.40, 95% CI 0.17-0.93; p = 0.043; ARR 11.3%; NNT 9), primarily attributed to the reduction in TVR. In patients with isolated Medina 0.0.1 bifurcation lesions, a DCB strategy following successful lesion preparation was associated with favorable angiographic and clinical outcomes at 1 year compared with a stenting strategy, including lower late lumen loss, reduced angiographic restenosis and repeat revascularization, and a lower incidence of MACE, driven primarily by fewer repeat revascularization events. However, because treatment allocation was largely determined by predilation response, these findings did not establish the comparative superiority of DCB over DES.
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7. Planned Versus Standby V-A ECMO Strategy During High-Risk PCI: A Retrospective Cohort Study.
PMID:期刊:日期:2026-09-23The role of mechanical circulatory support (MCS) in high-risk percutaneous coronary intervention (HR-PCI) remains controversial, and the optimal timing of its initiation is not well defined. Veno-arterial extracorporeal membrane oxygenation (V-A ECMO) provides full hemodynamic support; however, comparative data on planned versus standby strategies are limited. To compare clinical outcomes of planned versus standby V-A ECMO support in patients undergoing elective HR-PCI, with a focus on the impact of timing of ECMO initiation. This single-center retrospective observational study included 74 consecutive patients who underwent high-risk PCI between 2019 and 2025 and were managed according to a preprocedurally determined V-A ECMO strategy. Before PCI, the multidisciplinary Heart Team selected either a planned strategy (n = 43), in which V-A ECMO was initiated before PCI, or a standby strategy (n = 31), in which ECMO equipment and vascular access were prepared in advance, but ECMO was initiated only in response to predefined intraprocedural hemodynamic deterioration. The primary endpoint was in-hospital major adverse cardiac and cerebrovascular events (MACCE), defined as a composite of death, myocardial infarction, stroke, and repeat revascularization. No statistically significant differences were observed in the measured baseline variables. ECMO support during PCI was required in 19/32 (61.3%) of patients in the standby-strategy group. The incidence of in-hospital MACCE was significantly higher in the standby-strategy group compared with the planned-strategy group (48.4% vs. 14.0%, p��= 0.002). The standby-strategy group also had longer ICU stay (8 [5-12] vs. 6 [4-9] days, p = 0.03) and hospital stay (15 [11-20] vs. 12 [9-16] days, p = 0.02), as well as higher vasoactive-inotropic scores (p = 0.033). In multivariable analysis, the standby strategy was associated with higher odds of in-hospital MACCE after adjustment (adjusted OR, 4.20; 95% CI, 1.35-13.10; p = 0.013). In this single-center retrospective cohort of patients undergoing elective HR-PCI, a planned V-A ECMO strategy was associated with a lower incidence of in-hospital MACCE than a standby strategy. Given the nonrandomized treatment allocation, inclusion of standby patients who did not ultimately require ECMO, and limited number of events, these findings are hypothesis-generating and do not establish a causal benefit of planned ECMO or harm from rescue initiation.
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8. Endovascular Retrieval of Unraveled Coils Extending Along the Aorta Due to Guidewire Fracture During Percutaneous Coronary Intervention: The Snare and Trap Technique.
PMID:期刊:日期:2026-09-22Guidewire entrapment and fracture is an uncommon but potentially hazardous event during percutaneous coronary intervention (PCI), and may lead to thrombosis, vessel occlusion, and embolization. In clinical practice interventional cardiologists are aware that such complication is not that rare, especially in complex PCI scenarios. However, its management is still left to the operator's preferences, with individual choices ranging from leaving the fragment in place to urgent cardiac surgery. We report two cases of PCI complicated by entrapment of the guidewire tip, leading to the fracture of the core and subsequent unraveling of the coil that extended deeply along the aorta. Both cases were solved with a novel bailout technique for controlled retrieval of the entire coil filament. The physical bases of such a technique was assessed with laboratory bench tests to extend the reproducibility beyond the two reported cases.
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9. Mechanisms and Management of Acquired Aseptic Intracardiac Communications After Transcatheter Aortic Valve Implantation: Single-Center Case Series Insights.
PMID:期刊:日期:2026-09-22Acquired aseptic intracardiac communications (AICCs) are rare but clinically relevant structural complications following transcatheter aortic valve implantation (TAVI), typically resulting from mechanical injury to the aortic annulus, interventricular septum, or adjacent structures. Evidence regarding their incidence, mechanisms, and optimal management remains limited. To review the mechanisms and management of post-TAVI AICCs and to present a single-center experience focusing on multimodality imaging, procedural characteristics, and outcomes of transcatheter closure. We retrospectively analyzed consecutive patients diagnosed with AICCs after TAVI at our institution. Clinical characteristics, anatomical mechanisms, imaging findings, procedural details, and follow-up outcomes were evaluated. A complementary literature review was performed. Four patients (mean age 74 years) developed iatrogenic intracardiac communications, including ventricular septal defects, aorto-right ventricular fistulas, and complex root injuries. Mechanisms included severe annular or subannular calcification, aggressive balloon dilation, and valve-in-valve procedures with frame fracture. Multimodality imaging using transthoracic and transesophageal echocardiography combined with cardiac computed tomography enabled precise anatomical characterization and procedural planning in all cases. Following Heart Team discussion, transcatheter closure achieved procedural success in all patients, with complete or functionally complete elimination of shunt flow and no major device-related complications. During follow-up ranging from 8 months to 2.5 years, all patients remained clinically stable without recurrence. AICCs after TAVI are mechanism-driven complications requiring early recognition and individualized management. Multimodality imaging is central to diagnosis and procedural planning, and transcatheter closure represents a safe and effective first-line treatment in appropriately selected patients.
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10. Head-to-Head Comparison of Quantitative Flow Ratio, Intravascular Ultrasound, and Coronary Angiography in Left Main Coronary Artery Disease.
PMID:期刊:日期:2026-09-22Intermediate left main coronary artery (LMCA) disease poses a significant diagnostic challenge. Intravascular ultrasound (IVUS) is the guideline-recommended reference standard for anatomical assessment, whereas quantitative flow ratio (QFR) provides a wire-free physiological estimate. Conventional coronary angiography (CCA) remains the most widely available assessment modality. However, a systematic three-way comparison of these modalities in LMCA disease is lacking. To compare the diagnostic performance, agreement, and correlations of CCA and QFR with IVUS for the assessment of intermediate LMCA disease. This prospective single-center study enrolled 135 patients with LMCA lesions who underwent CCA, IVUS, and offline QFR (QAngio XA 3D) between January 2024 and June 2025. IVUS-derived minimum lumen area (MLA) < 6 mm was defined as anatomically significant disease and served as the reference standard. QFR < 0.80 defined functional significance, while CCA diameter stenosis (DS) ≥ 50% defined angiographic significance. Diagnostic performance, inter-modality agreement, correlation, and Bland-Altman agreement were assessed. The mean age was 63.4 ± 9.7 years, and 88.1% of patients were male. IVUS identified significant disease in 92 patients (68.1%), compared with 68 (50.4%) by CCA and 50 (37.0%) by QFR. Against the IVUS reference standard, CCA demonstrated 67.4% sensitivity and 86.0% specificity (κ = 0.465; AUC = 0.824; optimal threshold DS ≥ 47%), whereas QFR demonstrated 54.3% sensitivity and 100% specificity (κ = 0.426; AUC = 0.848; Youden-optimal cutoff QFR ≤ 0.49). CCA correlated moderately with IVUS-derived MLA (r = -0.384; p < 0.001) and QFR (r = -0.512; p < 0.001). Both CCA and QFR systematically underestimated vessel dimensions relative to IVUS (Bland-Altman bias: CCA - 2.50 mm; QFR - 2.21 mm). On multivariable analysis, CCA DS ≥ 50% (OR 2.87; p = 0.011), decreasing QFR value per 0.1-unit (OR 0.61; p = 0.019), and distal bifurcation location (OR 2.38; p = 0.045) independently predicted IVUS-defined significant disease. QFR demonstrated perfect specificity and may serve as a rule-in tool, whereas CCA provided greater sensitivity for initial triage. Neither modality can replace IVUS for anatomical characterization and procedural planning. A multimodality approach may therefore be appropriate for the assessment of intermediate LMCA stenosis.