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Dr. Anoop Ninan Koshy

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Guest Editor

1. The Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA
2. Department of Cardiology, The Royal Melbourne Hospital & The University of Melbourne, Melbourne, Australia
Interests: percutaneous coronary intervention; coronary artery disease; arrhythmias; transcatheter aortic valve implantation; cardiology

Special Issue Information

Dear Colleagues,

The Journal of Clinical Medicine invites contributions to our forthcoming Special Issue on “The Latest Advances in Percutaneous Coronary Intervention (PCI)”. Potential topics of interest encompass, but are not restricted to, the following:

Innovations in stent technology and drug-coated balloons: Original research on the latest in drug-eluting stents, bioresorbable scaffolds, and drug-coated balloons, focusing on their effectiveness and long-term outcomes.
Intracoronary imaging and physiology: Papers detailing real-world outcomes using intravascular ultrasound (IVUS), optical coherence tomography (OCT), and fractional flow reserve (FFR) to enhance PCI decision making.
Chronic total occlusion (CTO) interventions: Innovative techniques and tools that improve CTO intervention success rates.
High-bleeding-risk (HBR) patient management: Strategies for antithrombotic therapy post-PCI, including short-duration dual antiplatelet therapy (DAPT) and novel anticoagulants.
PCI in special populations: Tailored approaches for patients with comorbidities like diabetes, renal failure, and in diverse ethnic groups.
Transradial and alternative access techniques: Benefits and advancements of transradial and alternative access sites in PCI.
Calcium modification and intravascular lithotripsy (IVL): Novel applications and real-world usage of IVL in complex lesions.

We welcome submissions spanning pathophysiologic, clinical studies, meta-analyses and guideline comparisons.

Dr. Anoop Ninan Koshy
Guest Editor

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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

percutaneous coronary intervention
stent advancements
intravascular imaging
CTO techniques
intravascular lithotripsy
antithrombotics in PCI
PCI for special populations

Published Papers (1 paper)

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Review

17 pages, 2608 KiB

Open AccessReview

Rotational Atherectomy, Orbital Atherectomy, and Intravascular Lithotripsy Comparison for Calcified Coronary Lesions

by Kamila Florek, Elżbieta Bartoszewska, Szymon Biegała, Oliwia Klimek, Bernadeta Malcharczyk and Piotr Kübler

J. Clin. Med. 2023, 12(23), 7246; https://doi.org/10.3390/jcm12237246 - 23 Nov 2023

Viewed by 2043

Abstract

In order to improve the percutaneous treatment of coronary artery calcifications (CAC) before stent implantation, methods such as rotational atherectomy (RA), orbital atherectomy (OA), and coronary intravascular lithotripsy (IVL) were invented. These techniques use different mechanisms of action and therefore have various short- and long-term outcomes. IVL employs sonic waves to modify CAC, whereas RA and OA use a rapidly rotating burr or crown. These methods have specific advantages and limitations, regarding their cost-efficiency, the movement of the device, their usefulness given the individual anatomy of both the lesion and the vessel, and the risk of specified complications. This study reviews the key findings of peer-reviewed articles available on Google Scholar with the keywords RA, OA, and IVL. Based on the collected data, successful stent delivery was assessed as 97.7% for OA, 92.4% for IVL, and 92.5% for RA, and 30-day prevalence of MACE (Major Adverse Cardiac Events) in OA—10.4%, IVL—7.2%, and RA—5%. There were no significant differences in the 1-year MACE. Compared to RA, OA and IVL are cost-effective approaches, but this is substantially dependent on the reimbursement system of the particular country. There is no standard method of CAC modification; therefore, a tailor-made approach is required. Full article

(This article belongs to the Special Issue The Latest Advances in Percutaneous Coronary Intervention (PCI))

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