Research Advances in Coronary Revascularization

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Cardiovascular Medicine".

Deadline for manuscript submissions: 20 October 2024 | Viewed by 1274

Special Issue Editors


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Guest Editor
Department of Cardiovascular Medicine, Dubrava University Hospital, Av. Gojka Suska 6, 10000 Zagreb, Croatia
Interests: interventional cardiology; coronary revascularization; coronary local drug delivery; transcatheter aortic valve im-plantation; structural heart disease interventions; thrombosis; resuscitation; medical statistics

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Guest Editor
Department of Cardiac and Transplantation Medicine, Dubrava University Hospital, Av. Gojka Suska 6, 10000 Zagreb, Croatia
Interests: cardiac surgery; coronary artery by-pass grafting; mitral valve repair; transcatheter aortic valve implantation; heart transplantation; postoperative care; translational medicine

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Guest Editor
Head of Interventional Cardiology Clinic for Heart and Blood Diseases, Clinical Hospital Center Rijeka, 51000 Rijeka, Croatia
Interests: cardiac function; heart mitral valve; acute coronary syndrome; heart failure

Special Issue Information

Dear Colleagues,

In the dynamic world of contemporary cardiology, coronary revascularization has been constantly scrutinized and redefined, especially in the realm of chronic coronary syndromes. This Special Issue of the Journal of Clinical Medicine spotlights the transformative steps achieved, particularly in novel techniques in percutaneous coronary interventions (PCI) and optimization strategies in cardiac surgery. While PCI and cardiac surgery have somewhat distinct trajectories, the integration of new knowledge and advanced technologies bridge the gap between disciplines, underpinning a comprehensive approach to coronary revascularization. Recent insights into the role of coronary physiology in coronary revascularization planning and the concept of “leaving nothing behind” after PCI have emerged as new paths in the field and receive substantial scientific attention.

For this Special Issue, entitled “Research Advances in Coronary Revascularization”, we call for papers that highlight the quest for the optimization of coronary revascularization, from diagnosis to treatment, in order to achieve the best long-term results for patients treated in the modern era.

Prof. Dr. Irzal Hadžibegović
Dr. Daniel Unić
Dr. Vjekoslav Tomulić
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • coronary artery disease
  • chronic coronary syndrome
  • acute coronary syndrome
  • percutaneous coronary intervention
  • coronary artery bypass graft surgery
  • coronary plaque healing
  • drug eluting stents
  • drug coated balloons
  • intravascular imaging
  • coronary physiology

Published Papers (2 papers)

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14 pages, 2181 KiB  
Article
Postoperative Atrial Fibrillation Prediction by Left Atrial Size in Coronary Artery Bypass Grafting and Five-Year Survival Outcome
by Mustafa Gerçek, Jochen Börgermann, Jan Gummert and Muhammed Gerçek
J. Clin. Med. 2024, 13(13), 3738; https://doi.org/10.3390/jcm13133738 - 26 Jun 2024
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Abstract
Background: Postoperative Atrial Fibrillation (POAF) is a common complication in cardiac surgery. Despite its multifactorial origin, the left atrial (LA) size is closely linked to POAF, raising the question of a valid cut-off value and its impact on the long-term outcome. Methods [...] Read more.
Background: Postoperative Atrial Fibrillation (POAF) is a common complication in cardiac surgery. Despite its multifactorial origin, the left atrial (LA) size is closely linked to POAF, raising the question of a valid cut-off value and its impact on the long-term outcome. Methods: Patients without a history of AF who underwent coronary artery bypass grafting between 2014 and 2016 were selected for this retrospective study. LA size was preoperatively assessed using the left atrial anterior–posterior diameter (LAAPd). Correlation and logistic regression analyses were performed, following a receiver-operating characteristic (ROC) analysis. Propensity score matching (PSM) was applied to ensure group comparability, followed by a comparison analysis regarding the primary endpoint of POAF and the secondary endpoints of all-cause mortality and stroke during a five-year follow-up. Results: A total of 933 patients were enrolled in the study eventually revealing a significant correlation between LAAPd and POAF (cor = 0.09, p < 0.01). A cut-off point of 38.5 mm was identified, resulting in groups with 366 patients each after PSM. Overall, patients with a dilated LA presented a significantly higher rate of POAF (22.3% vs. 30.4%, p = 0.02). In a five-year follow-up, a slightly higher rate of all-cause mortality (9.8% vs. 13.7%, HR 1.4 [0.92–2.29], p = 0.10) was observed, but there was no difference in the occurrence of strokes (3.6% vs. 3.3%, p = 0.87). Conclusions: An LAAPd of >38.5 mm was found to be an independent predictor of POAF after coronary artery bypass grafting and resulted in a non-significant tendency towards a worse outcome regarding all-cause mortality in a five-year follow-up. Full article
(This article belongs to the Special Issue Research Advances in Coronary Revascularization)
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16 pages, 2370 KiB  
Article
Ten-Year Outcomes in Patients Undergoing Simultaneous Coronary and Renal Angiography—Does Renal Artery Stenosis Matter?
by Adam Kern, Tomasz Stompór, Krystian Bojko, Ewa Sienkiewicz, Sebastian Pawlak, Dariusz Pawlak, Grzegorz Poskrobko, Ewa Andrasz, Leszek Gromadziński, Rakesh Jalali, Dariusz Onichimowski, Grażyna Piwko, Artur Zalewski and Jacek Bil
J. Clin. Med. 2024, 13(12), 3374; https://doi.org/10.3390/jcm13123374 - 7 Jun 2024
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Abstract
Background: We aimed to characterize the population of consecutive patients undergoing coronary angiography with simultaneous renal artery angiography and assess prognostic factors at a 10 year follow-up. Methods: The KORONEF study was a prospective, single-center, observational, and descriptive study with 492 patients included. [...] Read more.
Background: We aimed to characterize the population of consecutive patients undergoing coronary angiography with simultaneous renal artery angiography and assess prognostic factors at a 10 year follow-up. Methods: The KORONEF study was a prospective, single-center, observational, and descriptive study with 492 patients included. We analyzed several baseline demographics, clinical and periprocedural characteristics, and laboratory data, and we assessed the results of coronary angiography and renal artery angiography. Results: The study population consisted of 37.2% women, and the mean age was 64.4 ± 9.9 years (min. 30 years, max. 89 years). Angiography revealed significant renal artery stenosis (RAS) in 35 (7.1%) patients. Among patients with significant RAS (≥50%), we observed more women (57.1% vs. 35.7%, p = 0.011), and patients were older (69.1 ± 10.4 years vs. 64.0 ± 9.7 years, p = 0.005). In the whole population, all-cause death was reported in 29.9% of patients, myocardial infarction (MI) rate—in 11.8%, and stroke—in 4.9%. In the multivariable analysis, independent predictors of death were age 65–75 years (HR 2.88), age > 75 years (HR 8.07), diabetes (HR 1.59), previous MI (HR 1.64), chronic kidney disease (HR 2.22), unstable angina (HR 0.37), and left ventricular ejection fraction > 60% (HR 0.43). Conclusions: Over a 10 year follow-up, the all-cause death rate was 29.9%, showing no statistically significant differences between patients with and without significant RAS. Full article
(This article belongs to the Special Issue Research Advances in Coronary Revascularization)
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