JSCAI BEATS

Elazar Edelman, MD, PhD, Rohan Khera MD, MS, Afnan Tariq, MD, JD, FSCAI, & Curtis Rooney discuss 2 articles published in JSCAI's latest issue. This video interview focuses on its role in optimizing patient care, preserving physician autonomy, and addressing algorithmic bias. The panel also dives into the ethical, regulatory, and practical considerations of AI integration, highlighting the importance of societies in advocating for education and promoting transparent, equitable, and secure AI-driven decision-making systems.1- Harnessing Artificial Intelligence for Innovation in Interventional Cardiovascular Care: https://doi.org/10.1016/j.jscai.2025.102562 2- Governing the Unbound: SCAI’s Role in the Future of Artificial Intelligence: https://doi.org/10.1016/j.jscai.2024.102517Read the special issue:

Andrew Goldsweig, Daniel Snyder, Sahil Parikh, and Herb Aronow discuss the highlights from an original research paper published in JSCAI. The study aimed to evaluate the association between intravascular ultrasound (IVUS) use and 1-year outcomes after infrapopliteal intervention. The authors found that IVUS utilization significantly reduced rates of binary restenosis and target lesion revascularization compared to angiography alone, without affecting rates of amputation, major adverse limb events, or mortality. Read the article in JSCAI: https://doi.org/10.1016/j.jscai.2024.102509

Yiannis Chatzizisis, Maryam Alsharqi, Evan Shlofmitz, Daniel Chamié discuss three important papers published in the JSCAI special issue. The panel explores advancements in intravascular imaging (IVI) technologies, the latest research, the current landscape of AI applications, and the educational needs to bridge practice gaps. The discussion highlights how AI-driven tools can be leveraged for PCI planning, including lesion assessment, procedural optimization, and workflow efficiency to enhance patient outcomes.1- Artificial Intelligence in Cardiovascular Imaging and Interventional Cardiology: Emerging Trends and Clinical Implications: https://doi.org/10.1016/j.jscai.2024.1025582- Artificial Intelligence in Intravascular Imaging for Percutaneous Coronary Interventions: A New Era of Precision: https://doi.org/10.1016/j.jscai.2024.102506 3-Can AI Capture and Quantify Clinical Expertise? Implications for Intracoronary Imaging in Percutaneous Coronary Intervention: https://doi.org/10.1016/j.jscai.2024.102523Read the issue: https://www.jscai.org/issue/S2772-9303(25)X0003-X

Discover the latest in transcatheter correction for sinus venosus defects. The authors innovative approach utilizes balloon-expandable covered stents across the cavoatrial junction to effectively redirect the anomalous right upper pulmonary vein to the left atrium. Drs. Frank Ing, Kothandam Sivakumar, Eric Rosenthal, and Shakeel Qureshi discuss the highlights from the case series. Read the article: https://doi.org/10.1016/j.jscai.2024.102501

APEX-AV trial evaluated the safety and efficacy of the AlphaVac F1885 System for treating acute intermediate-risk pulmonary embolism (PE). The study found significant reductions in the right ventricular/left ventricular diameter ratio and pulmonary arterial pressure within 48 hours post-procedure, along with a 35.5% mean reduction in clot burden. The treatment demonstrated a low rate of major adverse events, primarily minor access site bleeding. Drs. Sahil Parikh, Mona Ranade, William Brent Keeling, and Kenneth Rosenfield discuss the trial highlights in this video interview. Read the article: https://doi.org/10.1016/j.jscai.2024.102463

SCAI Leaders—Dr. David Rizik, Dr. James Hermiller, Dr. Andrew Klein, and Dr. Islam Abudayyeh—explore the significant hazards faced by interventional cardiologists in the catheterization lab (CCL), including radiation exposure, orthopedic injuries, and the physical and psychological stress associated with the profession. They also emphasize the moral imperative to improve workplace safety, advocating for systemic changes that prioritize physician well-being, enhance long-term career sustainability, and ultimately improve patient care.Read the related JSCAI article: https://doi.org/10.1016/j.jscai.2024.102493

In this discussion, Suzanne Baron, MD, FSCAI, Zach Gertz, MD, Gregg W. Stone, MD, MSCAI, and Lissa Sugeng, MD, FSCAI, highlight key findings from the JSCAI article on the impact of forward flow in heart failure (HF) patients undergoing mitral transcatheter edge-to-edge repair (TEER). The panel discusses data from the COAPT trial, which stratified patients by baseline forward flow and assessed outcomes with TEER plus guideline-directed medical therapy (GDMT) versus GDMT alone. Read the article in JSCAI: https://doi.org/10.1016/j.jscai.2025.102609

The clinical presentation and epidemiology of infective endocarditis (IE) have evolved over time. While the cornerstones of IE treatment remain antimicrobial therapy and surgery, percutaneous mechanical aspiration (PMA) has emerged as an option for carefully selected patients as a complementary modality, based on retrospective data, case series, and expert experience. In this comprehensive review, published in JSCAI, the authors summarize the proceedings from an inaugural summit dedicated to the discussion of PMA in the global management of IE, consisting of experts across multiple disciplines from diverse geographic regions and care environments. This video conversation highlights the comprehensive review with a panel discussion featuring Cindy Grines, MD, MSCAI, Lucas Marinacci, MD, Kenneth Rosenfield, MD, MSc, MSCAI, & Molly Paras, MD.Read the article: https://doi.org/10.1016/j.jscai.2024.102283

The video panel discussion featuring Cindy Grines, MD, MSCAI, Revathy Sampath-Kumar, MD, Ian Gilchrist, MD, MSCAI, Michel Le May, BSc, MD, and Pradyumna Tummala, MD highlights the findings of the study published in JSCAI. The study found that radial to femoral access-site crossover (RFC) during percutaneous coronary intervention (PCI) was associated with higher short-term mortality and bleeding complications compared to radial access (RA). Independent predictors of RFC included age greater than 70 years, vasopressor support, and dialysis dependence. Read the article in JSCAI: https://doi.org/10.1016/j.jscai.2024.102450⁠ 

In this video conversation featuring Connor Tice, MD, John Blair, MD, Larry Dean, MD, MSCAI, and Morton Kern, MD, MSCAI, the panel explores the role of coronary function testing in providing diagnostic clarity and potential therapeutic options for patients presenting with angina, despite having nonobstructive coronary arteries on coronary angiography. This discussion highlights key takeaways from the Hemodynamics case report published in JSCAI.

Read the article: https://doi.org/10.1016/j.jscai.2024.102437