Recent Advances and Future Challenges in Interventional Cardiology

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Cardiology".

Deadline for manuscript submissions: closed (31 October 2024) | Viewed by 8289

Special Issue Editors


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Guest Editor
Dobney Hypertension Centre, Royal Perth Hospital Unit, Medical School, University of Western Australia, Perth, WA, Australia
Interests: coronary artery disease; interventional cardiology; thrombosis; precision medicine

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Guest Editor
Cardiology Department, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain
Interests: coronary artery disease; interventional cardiology

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Guest Editor
Internal Medicine, Medical School, The University of Western Australia, Crawley, WA, Australia
Interests: biostatistics; epidemiology; vascular disease; autoimmunity

Special Issue Information

Dear Colleagues,

Over the past decades, interventional procedures have become fundamental in the diagnosis and treatment of many cardiovascular diseases. The benefits of minimal invasiveness and reduced complications make intervention the therapy of choice in many cases. Interventional cardiology is a rapidly growing field, and the development of newer devices and the improvements in endovascular techniques are substantially improving the outcomes of the procedures available and expanding the use of this approach.

The aim of this Special Issue is to publish the latest evidence and broadcast the status of knowledge regarding novel endovascular techniques, complications management, cutting-edge technologies, and understudied populations that can help to guide medical practice.

We welcome authors to submit original research manuscripts, meta-analyses, reviews, and case reports focusing on the recent advances and challenges in cardiovascular interventions. Topics include, but are not limited to, coronary artery disease, valvular pathology (transcatheter aortic valve replacement, transcatheter mitral valve repair) or peripheral endovascular procedures (peripheric artery disease, renal denervation).

Dr. Leslie Marisol Lugo Gavidia
Dr. José Antonio Linares-Vicente
Dr. Warren David Raymond
Guest Editors

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Keywords

  • angioplasty
  • endovascular
  • percutaneous coronary intervention
  • transcatheter aortic valve implantation

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Published Papers (2 papers)

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Research

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11 pages, 1643 KiB  
Article
Thrombolysis in Myocardial Infarction Frame Count for Coronary Blood Flow Evaluation during Interventional Diagnostic Procedures
by Tatsuro Yamazaki, Yuichi Saito, Hideki Kitahara and Yoshio Kobayashi
Medicina 2023, 59(12), 2185; https://doi.org/10.3390/medicina59122185 - 15 Dec 2023
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Abstract
Background and Objectives: An interventional diagnostic procedure (IDP), including intracoronary acetylcholine (ACh) provocation and coronary physiological testing, is recommended as an invasive diagnostic standard for patients suspected of ischemia with no obstructive coronary arteries (INOCA). Recent guidelines suggest Thrombolysis In Myocardial Infarction [...] Read more.
Background and Objectives: An interventional diagnostic procedure (IDP), including intracoronary acetylcholine (ACh) provocation and coronary physiological testing, is recommended as an invasive diagnostic standard for patients suspected of ischemia with no obstructive coronary arteries (INOCA). Recent guidelines suggest Thrombolysis In Myocardial Infarction frame count (TFC) as an alternative to wire-based coronary physiological indices for diagnosing coronary microvascular dysfunction. We evaluated trajectories of TFC during IDP and the impact of ACh provocation on TFC. Materials and Methods: This was a single-center, retrospective study. Patients who underwent IDP to diagnose INOCA were included and divided into two groups according to the positive or negative ACh provocation test. Wire-based invasive physiological assessment was preceded by ACh provocation tests and intracoronary isosorbide dinitrate (ISDN). We evaluated TFC at three different time points during IDP; pre-ACh, post-ISDN, and post-hyperemia. Results: Of 104 patients, 58 (55.8%) had positive ACh provocation test. In the positive ACh group, resting mean transit time (Tmn) and baseline resistance index were significantly higher than in the negative ACh group. Post-ISDN TFC was significantly correlated with resting Tmn (r = 0.31, p = 0.002). Absolute TFC values were highest at pre-ACh, followed by post-ISDN and post-hyperemia in both groups. All between-time point differences in TFC were statistically significant in both groups, except for the change from pre-ACh to post-ISDN in the positive ACh group. Conclusions: In patients suspected of INOCA, TFC was modestly correlated with Tmn, a surrogate of coronary blood flow. The positive ACh provocation test influenced coronary blood flow assessment during IDP. Full article
(This article belongs to the Special Issue Recent Advances and Future Challenges in Interventional Cardiology)
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Review

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15 pages, 1869 KiB  
Review
Challenges and Advances in Interventional Cardiology for Coronary Artery Disease Management
by Leslie Marisol Lugo-Gavidia, Marco Antonio Alcocer-Gamba and Araceli Martinez-Cervantes
Medicina 2024, 60(8), 1323; https://doi.org/10.3390/medicina60081323 - 15 Aug 2024
Cited by 1 | Viewed by 5379
Abstract
The development of percutaneous coronary intervention (PCI) has been one of the greatest advances in cardiology and has changed clinical practice for patients with coronary artery disease (CAD). Despite continuous improvements in operators’ experience, techniques, and the development of new-generation devices, significant challenges [...] Read more.
The development of percutaneous coronary intervention (PCI) has been one of the greatest advances in cardiology and has changed clinical practice for patients with coronary artery disease (CAD). Despite continuous improvements in operators’ experience, techniques, and the development of new-generation devices, significant challenges remain in improving the efficacy of PCI, including calcification, bifurcation, multivascular disease, stent restenosis, and stent thrombosis, among others. The present review aims to provide an overview of the current status of knowledge of endovascular revascularization in CAD, including relevant trials, therapeutic strategies, and new technologies addressing particular scenarios that can impact the prognosis of this vulnerable population. Full article
(This article belongs to the Special Issue Recent Advances and Future Challenges in Interventional Cardiology)
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