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Paradigm Changes in Cardiac Surgery and Interventional Cardiology

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

Deadline for manuscript submissions: 15 September 2025 | Viewed by 332

Special Issue Editor


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Guest Editor
Second Department of Internal Medicine and Cardiological Center, Department of Cardiac Surgery, University of Szeged, Szeged, Hungary
Interests: cardiology; aorta; coronary; mitral; heart diseases; cardiac surgery
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

In this operative-focused Special Issue of JCM that is centred on cardiac surgery and trans-catheter interventions, we aim to gather modern, up-to-date techniques, strategies, and guidelines in the treatment of ischaemic, structural, and electrophysiological heart diseases.

Our purpose is to shed light on state-of-the-art techniques, propose new “golden standards” in the field of cardiac surgery and trans-catheter cardiac interventions, and summarise therapeutical guidelines in order to achieve the best and most suitable treatment of the patients suffering with cardiac issues.

We are looking forward to receiving your excellent contributions.

Dr. Miklos Bitay
Guest Editor

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

  • cardiac surgery
  • trans-catheter interventions
  • ischaemic heart disease
  • structural heart disease
  • electrophysiological interventions
  • state-of-the-art techniques
  • golden standards
  • therapeutic guidelines

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Published Papers (1 paper)

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Research

13 pages, 753 KiB  
Article
Transvenous Lead Extraction in Patients with Congenital Heart Disease
by Andrea Csillik, Rita Beata Gagyi, Attila Kardos, Csaba Földesi, Zoltán Som, Mate Vamos and Tamas Szili-Torok
J. Clin. Med. 2025, 14(12), 4178; https://doi.org/10.3390/jcm14124178 - 12 Jun 2025
Viewed by 213
Abstract
Background/Objectives: A significant subset of congenital heart disease (CHD) patients undergo a transvenous pacemaker (PM)/implantable cardioverter defibrillator (ICD) lead extraction (TLE) in their lifetime. We aimed to report on the outcome and complexity of TLEs in CHD patients for whom a powered mechanical [...] Read more.
Background/Objectives: A significant subset of congenital heart disease (CHD) patients undergo a transvenous pacemaker (PM)/implantable cardioverter defibrillator (ICD) lead extraction (TLE) in their lifetime. We aimed to report on the outcome and complexity of TLEs in CHD patients for whom a powered mechanical sheath was used. Methods: This retrospective study included 175 consecutive TLEs performed at our centre. Overall, 13 TLEs in CHD patients and 162 TLEs in non-CHD patients were performed. A total of 264 leads were extracted. Results: CHD patients were younger than non-CHD patients at the time of their first lead implant (21.2 ± 17 vs. 57.1 ± 18 years; p < 0.01) and at the time of lead extraction (33.38 ± 13 vs. 63.31 ± 16 years; p < 0.01). The leads extracted from CHD patients were significantly older than the leads extracted from non-CHD patients (median: 8.0 vs. 4.0 years; p < 0.01). CHD patients and non-CHD patients did not differ in terms of the procedural (92% vs. 87%; p = 0.581) and clinical success rates (100% vs. 91%; p = 0.269). The two patient groups did not differ in terms of their procedural complication rate (0% vs. 11%; p = 0.191). There were no differences in the extraction techniques used, i.e., rotational mechanical sheaths were used in 61% of CHD extractions and in 38% of non-CHD extractions; p = 0.11. Conclusions: TLEs that use rotational mechanical sheaths as an advanced technique can be safely and effectively performed in CHD patients. The outcome and complexity of TLEs in CHD patients are comparable with those in non-CHD patients that undergo this procedure. Full article
(This article belongs to the Special Issue Paradigm Changes in Cardiac Surgery and Interventional Cardiology)
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