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Radial versus femoral access for percutaneous coronary intervention in patients with chronic coronary disease.
Am J Cardiol
August 2025
Department of Cardiology, Austin Health, Melbourne, Australia; Department of Medicine, University of Melbourne, Melbourne, Australia; School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia. Electronic address:
Guidelines recommend trans-radial access (TRA) for all percutaneous coronary intervention (PCI). However, no randomized trials have shown a lower mortality when compared to the femoral approach in chronic coronary disease and femoral access may be preferred in certain situations. Consecutive eligible patients in a multicentre registry between 2014 - 2020 were included.
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Catheter Cardiovasc Interv
August 2025
The Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Background: Limited data exist on outcomes in patients with prior coronary artery bypass grafting (CABG) who, after bypass graft failure, undergo complex percutaneous coronary intervention (PCI) of the corresponding native vessel.
Aims: To compare outcomes of complex native vessel PCI in patients with and without prior CABG.
Methods: We retrospectively analyzed patients who underwent PCI of native vessels with complex lesions (calcified and ACC/AHA Type B2/C) at our catheterization laboratory between January 2012 and February 2020.
Applicability and Risk Stratification of QRISK®, Framingham Risk Score, Systematic Coronary Risk Evaluation (SCORE), and American College of Cardiology/American Heart Association (ACC/AHA) Risk Assessment Tools Among Patients in Taif, Saudi Arabia.
Cureus
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Internal Medicine, Alhada Armed Forces Hospital, Al Hada, SAU.
Introduction Cardiovascular disease (CVD) is the leading cause of death globally and continues to pose significant challenges to public health in Saudi Arabia. Risk prediction tools are essential in guiding preventive strategies, yet their accuracy may vary across populations. This study aimed to assess and compare the applicability, which was based on the availability of all required variables, and the risk stratification performance of four cardiovascular risk assessment tools, such as the Framingham Risk Score (FRS), American College of Cardiology/American Heart Association (ACC/AHA) Atherosclerotic Cardiovascular Disease (ASCVD) Risk Estimator, Systematic Coronary Risk Evaluation (SCORE), and QRISK®, among Saudi patients diagnosed with acute coronary syndrome (ACS).
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Ann Vasc Dis
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Division of Vascular Surgery, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan.
Advancements in imaging technology have led to an increase in the incidental detection of visceral artery aneurysms (VAAs), which are associated with high mortality when ruptured. In 2020, the Society for Vascular Surgery (SVS) released updated guidelines, replacing the previous 2005 ACC/AHA recommendations. This study aimed to evaluate the impact of the new guidelines through a retrospective analysis of VAA cases treated at our department.
View Article and Find Full Text PDFThe 2024 ESC guidelines on atrial fibrillation: essential updates for everyday clinical practice.
Intern Emerg Med
August 2025
Cardiology Division, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Policlinico Di Modena, Pozzo 71, 41121, Modena, Italy.
Atrial fibrillation (AF) is the most prevalent cardiac arrhythmia, and it is associated with substantial morbidity, mortality, and economic burden. Effective management of AF remains a critical focus in contemporary medicine, given its complex and multifaceted nature. In the present paper, we provide the essential updates for everyday clinical practice from the 2024 European Society of Cardiology (ESC) guidelines for AF management.
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