Editor's Note In intermediate-risk patients, outcomes (ie, death from any cause or disabling stroke) of transcatheter aortic-valve replacement (TAVR) were similar to conventional open aortic-valve replacement, this study finds. The study involved 2,032 patients: 1,011 were randomized to TAVR and 1,021 to open surgery. Previous studies have shown that survival rates…
Editor's Note Patients undergoing minimally invasive mitral valve repair or replacement (mini-MVR) have similar outcomes as patients having traditional open procedures and also experience shorter hospital stays and fewer blood transfusions, finds this study. The study included 1,304 patients, including 425 mini-MVRs. Compared with traditional MVR, Mini-MVR patients had similar…
Editor's Note The Food and Drug Administration (FDA) on March 11 announced the Class I recall of Arrow International Intra-Aortic Balloon Catheter Kits and Percutaneous Insertion Kits by Teleflex Incorporated (Wayne, Pennsylvania). Class I is the FDA’s most serious recall classification. The Kits are being recalled because the sheath body…
Editor's Note Working 46 hours per week or more increases the long-term risk of cardiovascular disease (CVD), this study finds. Beginning at 46 hours, increasing work hours were progressively associated with increased risk of CVD (ie, angina, coronary disease, heart failure, heart attack, high blood pressure, or stroke). Compared to…
Editor's Note The Food and Drug Administration on February 29 announced a safety notice issued by Abbott (Abbott Park, Illinois) to reinforce the proper procedures used to operate and deploy its MitraClip Delivery System. The company has received nine reports of device malfunction where the user was unable to separate…
Editor's Note New clinical practice guidelines from the Society of Thoracic Surgeons recommend the use of arteries from the chest and forearm rather than using veins from the leg for coronary artery bypass grafting. The left internal thoracic artery is considered the gold standard conduit for coronary bypass and has…
Editor's Note Boston Scientific Corporation is recalling RotaWire Elite core wires because they may crack and separate from the rest of the Rotablator Rotational Atherectomy System and cause serious injury such as tamponade, myocardial infarction, and migration of wire fragments, the Food and Drug Administration reported November 27. Boston Scientific…
Editor's Note In patients requiring long coronary stents, the use of intravascular ultrasound (IVUS)-guided vs angiography-guided drug-eluting stent implantation resulted in a significantly lower rate (2.9% absolute reduction, 48% relative reduction) of major adverse cardiac events at 1 year, finds this study. These differences were mainly driven by the reduction…
Editor's Note Since publication of the Appropriate Use Criteria for Coronary Revascularization in 2009, the number of nonacute percutaneous coronary interventions (PCIs) has declined significantly (89,704 vs 59,375). The proportion of nonacute PCIs classified as inappropriate has also declined (26.2% vs 13.3%), although hospital-level variation persists. These findings indicate that…
Editor's Note Quest Medical, Inc (Allen, Texas), on October 28 initiated a nationwide recall of its Myocardial Protection System delivery sets, Models 5001102, 5001102-AS, and 7001102 of specified lots. The sets have shown possible seal failure along the blood source channel of the main pump cassette, resulting in blood loss…