Cath Lab Recap: Sedation for Kids' Stenting; Clinton Wins TCT Poll

Best practices regarding anesthesia for pediatric patients in the cardiac cath lab were published in Catheterization and Cardiovascular Interventions. Whether children receive sedation from a general anesthesiologist or a pediatric cardiac anesthesiologist should depend on their CRISP score, according to the document drafted by the Society for Cardiovascular Angiography and Interventions, the Society for Pediatric Anesthesia, and the Congenital Cardiac Anesthesia Society.

At least we can predict who interventional cardiologists are voting for next Tuesday: a mock presidential election at the annual Transcatheter Cardiovascular Therapeutics (TCT) meeting yielded Clinton as the winner. She garnered 64% of votes; Trump won just 30%. (TCTMD)

Stenting within lipid-rich coronary artery lesions was not any riskier than going into non-lipid-rich plaque, according to the COLOR study. Presented at TCT, the observational study found similar rates of culprit lesion-related major adverse cardiac events at 2 years between the most and the least lipid-rich plaques (Cardiovascular Business).

Also presented at TCT, the ReACT trial found that routine follow-up coronary angiography after percutaneous coronary intervention did not bear any benefits for at least 4 years. "Thus, routine follow-up coronary angiography after PCI cannot be recommended as a clinical strategy," said lead researcher Hiroki Shiomi, MD, of Japan's Kyoto University Hospital. (Cardiovascular Business)

Endovascular repair for mycotic abdominal aortic aneurysms (AAAs) beat open repair at 3 months and 1 year, a Swedish registry found -- yet surgery leveled the playing field later on in terms of long-term survival. Endovascular repair rose in popularity from 0% of AAA operations in 1994-2000 to 60% in 2008-2014, investigators added in their study published in Circulation.

Patients getting drug-eluting stents for unprotected distal left main disease had distinct risks associated with whether they got one or two devices implanted: the two-stent group required more target lesion revascularizations for restenosis of the ostial left circumflex artery, while recipients of a single stent had more cardiac deaths. The report was published in Circulation: Cardiovascular Interventions.

After propensity score matching data from the XLPAD registry, researchers found that women were less likely to die than men within 1 year after endovascular intervention for symptomatic peripheral artery disease. However, their odds of a repeat reintervention were higher, researchers reported in the American Journal of Cardiology.

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