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Special Issues
State of the Art in Percutaneous Coronary Intervention
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State of the Art in Percutaneous Coronary Intervention

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

Deadline for manuscript submissions: closed (20 December 2024) | Viewed by 1421

Special Issue Editors

Dr. Vincenzo Sucato

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Guest Editor
Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties (ProMISE), Division of Cardiology, University Hospital Paolo Giaccone, University of Palermo, 90127 Palermo, Italy
Interests: coronary microvascular dysfunction; INOCA; MINOCA; acute coronary syndrome; chronic coronary syndrome; percutaneous coronary intervention; preventive cardiology
Special Issues, Collections and Topics in MDPI journals
Prof. Dr. Alfredo R. Galassi

E-Mail Website
Guest Editor
Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties (ProMISE), University of Palermo, 90127 Palermo, Italy
Interests: chronic total occlusion (CTO); coronary bifurcation treatment; chronic coronary syndrome; coronary functional assessment; coronary microvascular dysfunction; intracoronary imaging
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

This Special Issue aims to discover new techniques in percutaneous coronary intervention (PCI) and the creation of new dedicated tools have allowed for a personalized treatment path for coronary artery disease (CAD) patients. In coronary pathologies, coronary catheterization allows for the characterization of atherosclerotic plaques and other coronary pathologies from functional and hemodynamic perspectives. Several devices and technologies, including balloons, atherectomy and intravascular lithotripsy, have been developed to treat complex high-risk percutaneous coronary cases.

In this Special Issue, we welcome original research and review articles are welcome focusing on research areas that include (but are not limited to) coronary bifurcation treatment, chronic total occlusion (CTO), intracoronary imaging, coronary functional assessment and coronary microvascular dysfunction.

Dr. Vincenzo Sucato
Prof. Dr. Alfredo R. Galassi
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

  • chronic total occlusion (CTO)
  • coronary bifurcation treatment
  • intracoronary imaging
  • coronary functional assessment
  • coronary microvascular dysfunction
  • acute coronary syndrome
  • chronic coronary syndrome
  • ischemia and no obstructive coronary arteries (INOCA)
  • myocardial infarction with non-obstructive coronary artery disease (MINOCA)

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Further information on MDPI's Special Issue policies can be found here.

Published Papers (1 paper)

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Research

10 pages, 1259 KiB  
Article
Optimal Timing of Angiography-Guided Complete Revascularization of Non-Culprit Lesions in STEMI Patients with Multivessel Disease
by Vincenzo Sucato, Cristina Madaudo, Antonia Marotta, Antonella Ortello, Emmanuele Antonio Camarda, Francesco Comparato and Alfredo Ruggero Galassi
J. Clin. Med. 2024, 13(17), 5070; https://doi.org/10.3390/jcm13175070 - 27 Aug 2024
Viewed by 1043
Abstract
Background: There are many questions regarding the optimal approach to treating non-culprit lesions in STEMI patients. Several questions still need to be answered, such as identifying the lesions to be revascularized and the optimal timing. Methods: We conducted a single-center analysis. The primary [...] Read more.
Background: There are many questions regarding the optimal approach to treating non-culprit lesions in STEMI patients. Several questions still need to be answered, such as identifying the lesions to be revascularized and the optimal timing. Methods: We conducted a single-center analysis. The primary outcome was the incidence of major cardiovascular and cerebral adverse events (MACCE) at 12 months in patients with STEMI and multivessel disease (MVD) who achieved complete revascularization during the index procedure or with a staged procedure. The secondary outcomes were death from any cause, myocardial infarction, target lesion revascularization, stroke, major bleeding events, new angina episodes, new hospitalization, and in-hospital MACCE. Results: From January 2021 to December 2022, a total of 230 patients with STEMI underwent primary PCI in our department; 87 patients had MVD. Fifty-nine patients (67.8%) underwent a non-culprit revascularization strategy during the index procedure strategy, and 28 patients (32.2%) during a staged procedure. The incidence of MACCE at 12 months was 11.9% (seven patients) in the index PCI group, compared with 32.1% (nine patients) in the staged PCI group (odds ratio, 3.52; 95% CI, 1.15 to 10.77; p = 0.022). In-hospital MACCE occurred in five patients (8.5%) of the index PCI group, compared with seven patients (25%) in the staged PCI group (odds ratio, 3.60; 95% CI, 1.03 to 12.61; p = 0.036). A trend towards better outcomes favoring the index PCI group was observed with death from any cause, myocardial infarction, target lesion revascularization, and new angina episodes. Conclusions: Better outcomes were evident with an index PCI strategy than with a staged PCI strategy for complete revascularization in patients with STEMI and MVD. Full article
(This article belongs to the Special Issue State of the Art in Percutaneous Coronary Intervention)
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