key: cord-1004958-oeq4141x
authors: Dakhil, Zainab Atiyah
title: D-23 | Impact of COVID-19 on Representation of Women in Interventional Cardiology Meetings: A Tale of Two Impactful American Meetings
date: 2022-06-30
journal: Journal of the Society for Cardiovascular Angiography & Interventions
DOI: 10.1016/j.jscai.2022.100230
sha: ff09736d49a35239c92de06db47c2e02fc61e35c
doc_id: 1004958
cord_uid: oeq4141x

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the program we further reduced the maximum CMV dose target to 1.5x/ eGFR. Results: 984 cases using the DyeVert System were completed Q3 2017 through Q4 2020. Mean overall CMV savings were 39AE8% or 34 mL/ case. Use of the DyeVert System resulted in 30% more cases receiving CMV the CMV target as compared to the total "attempted CMV" (mL of CMV delivered to the patient + mL saved). This proportion increased to 39% when dose targets were 60 mL. 85% of cases received CMV 90 mL with the use of the DyeVert System versus 62% based on total attempted CMV. Overall, 71% of cases received CMV at or below the maximum CMV target. Conclusions: This single-center program centered around renal function-based CMV dosing demonstrates use of the DyeVert System in CKD patients supports delivery of guideline-driven care for CA-AKI prevention by reducing CMV delivered to the patient and facilitating CMV delivery at or below the maximum CMV target 71% of the time. Background: Major adverse limb events (MALE) broadly represent an important clinical outcome for those with peripheral artery disease (PAD) although disproportionately impact minority subgroups. We studied the incidence of MALE and major amputation events among non-Hispanic black (NHB), Hispanic (H), and non-Hispanic white (NHW) subgroups relative to medical history and provision of optimal medical therapy (OMT) for secondary cardiovascular (CV) risk reduction. Methods: From a single-system quality improvement registry of ambulatory PAD, we evaluated risk factors for advanced PAD, including diabetes, end-stage renal disease, and malnutrition, along with baseline OMT status. Rates of MALE and major amputation events were estimated between groups using the cumulative incidence function. Results: Among 15,165 ambulatory adults with PAD over age 40, 1177 (7.8%) were censored for a MALE event, including 169 NHB, 38 H, and 970 NHW over a 5 year follow-up (12.6% vs 12.2% vs 7.2%, p<0.001). Compared to NHW patients, NHB patients had a lower mean age (67.8 AE 11.4 vs 72.7 AE 10.9, p<0.001), were more frequently female (55.5% vs 45.1%, p<0.001), and had a history of diabetes (54.9% vs 36.9%, p<0.001), end-stage renal disease (16.5% vs 2.6%, p<0.001), and malnutrition (9.5% vs 4.6%, p<0.001). Similar trends were observed for the H group relative to NHW. Major amputations were most frequent among NHB and H subgroups relative to NHW (3.3% vs 1.6% vs 0.8%, respectively; p<0.001). OMT was achieved less frequently among NHB relative to NHW or H subgroups (26.4% vs 28.1% vs 32.5%, respectively; p¼0.004). Relative to NHW or H, NHB demonstrated higher rates of active smoking (16.4% vs 13.0% vs 10.3%, p<0.001) and lower rates of ACEI/ARB use (47.2% vs 50.1% vs 54.3%, p¼0.033), although use of statins (p¼0.334) and antiplatelets (p¼0.522) were not different. Conclusions: MALE events were highest among NHB and H cohorts, which also demonstrated increased prevalence of high risk factors for advanced PAD, including higher rates of malnutrition, and lower rates of OMT for CV risk reduction. Additional prospective study and quality improvement interventions that facilitate implementation science and policy interventions to reduce disparities are warranted. Background: COVID-19 pandemic impacted women's academic contributions. We assessed the impact of the pandemic on representation of women in SCAI and CRT meetings as examples of interventional cardiology meetings Methods: Cross sectional analysis of SCAI and CRT abstracts published in special supplement in Catheterisation and Cardiovascular interventions (SCAI 2019 and 2020) and JACC: Cardiovascular intervention in 2020 (CRT 2020) and Cardiovascular Revascularization Medicine in 2021 (CRT2021). We search the leading author of each abstract on Google, Google Scholar, Research Gate, and social media to determine the gender. If an author contributed with more than 1 abstract, each abstract was recorded separately without merging of data, because we wanted to assess the volume of contributions by women Results: The total number of abstracts¼958 (711 SCAI,247 CRT). Gender of leading author could not be determined in 3.65%and 5.26%of SCAI and CRT abstracts respectively. Among the abstracts with known author gender, women were leading authors in 14.6% and 11.35% of the sum of 2 years abstracts of SCAI and CRT respectively. Unlike SCAI, women representation increased in CRT during pandemic. Women leading authors were with non-USA affiliation in 0.7% in SCAI vs 40.74% in CRT. Women authors highlighted more frequently the coronaryrelated topics in both SCAI and CRT meetings. 

D-24 j Reducing Use of Triple Therapy after Percutaneous Coronary Intervention: Results from a Hospital-wide Quality Improvement Initiative

Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center

Beth Israel Deaconess Medical Center

Prescribing patterns were compared preand post-adoption of a hospital-wide guideline in 3/2019, which emphasized discharge post-PCI on OAC with a P2Y12 inhibitor or reducing TT duration to 30 days. A survey was also distributed to cardiology faculty to assess post-PCI prescribing practices. Results: Among 2,824 PCIs reviewed, 431 were included based on OAC at discharge: 24.8% female, 80.0% white, and mean age 74.1 years. The most common indications for OAC were atrial fibrillation (70%), left ventricular dysfunction 14.3% and venous thromboembolism 10.9%. From pre-to post-guidelines mean duration of TT decreased (58.7 to 37.8 days, p¼0.019). See Figure for OAC and TT trends. Of surveyed faculty (response rate 29.4%, n¼20), 75.0% reported familiarity with the guidelines and 57.9% reported using them to make post-PCI therapy decisions. Conclusions: Adoption of institutional guidelines for antithrombotic therapy after PCI was associated with fewer patients discharged on TT and shorter durations of TT use

Abdallah Nothing to disclose. K. K. L. Ho Nothing to disclose. C. M. Gibson Nothing to disclose. E. Secemsky Nothing to disclose

D-25 j Are Latex-containing Swan Ganz Catheters Safe to Use in Patients with a History of Cutaneous Hypersensitivity to Latex?

Background: Latex hypersensitivity is fairly common. Most balloon-tip Swan Ganz catheters are made of latex and available latex-free catheters have limitations such as the requirement for large sized sheaths. The goal of this study was to evaluate the safety of performing right heart catheterization (RHC) with latex-containing catheters in patients with a history of cutaneous allergy to latex. Methods: Review of electronic medical records and cardiac catheterization procedure logs identified 82 consecutive patients having RHC with balloon-tip catheters who had a history of cutaneous hypersensitivity to latex. The primary outcome measure was the occurrence of periprocedural hypersensitivity reactions. Outcomes of patients with latex-containing catheters (LC Group, n¼58) were compared to patients with latex-free catheters (LF Group, n¼24).