Special Issue "Advanced Techniques for the Treatment of Complex Coronary Artery Disease"

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

Deadline for manuscript submissions: 25 February 2024 | Viewed by 601

Special Issue Editor

Dr. Simone Calcagno
E-Mail Website
Guest Editor
Department of Cardiology, San Paolo Hospital, Civitavecchia, Rome, Italy
Interests: coronary artery disease; antiplatelet therapy; intracoronary imaging; acute myocardial infarction; refractory angina; multivessel disease

Special Issue Information

Dear Colleagues,

Recently, there has been rapid progress in the device and strategies for the treatment of coronary artery disease. The complex coronary artery diseases represent the challenging in the interventional cardiologists.  Advanced techniques have changed our way of thinking about indications for coronary revascularization. In addition, the large sharing of operator experiences with several studies and international conferences, growing the operator skills advancing the limits of successful percutaneous procedures. These have also reduced the failure of percutaneous revascularization procedures, resulting in improved patient outcomes. Not least, the important knowledge about pharmacotherapy pathways in patients with coronary artery disease helped to solidify these results in short and long terms outcomes. In light of this evidences born the importance to share the investigation results on the treatment of complex coronary artery disease scenario to improve the revascularization and clinical outcomes.

I am pleased to invite you to contribute to this Special Issue on “Advanced Techniques for the Treatment of complex Coronary Artery Disease”. The aim is to present original research clinical studies as well as state-of-the-art reviews focused on complex coronary artery disease treatment.

We are mostly focused on invasive strategies, dedicated devices and pharmacotherapy for the coronary revascularization in complex scenario with percutaneous coronary interventions.

Dr. Simone Calcagno
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

  • coronary calcified lesion
  • IVUS
  • OCT
  • intravascular lithotripsy
  • bifurcation coronary lesions
  • left main
  • chronic total occlusions
  • multivessel disease
  • STEMI
  • NSTEMI

Published Papers (1 paper)

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Research

Article
Comparison of Orbital Atherectomy and Rotational Atherectomy in Calcified Left Main Disease: Short-Term Outcomes
J. Clin. Med. 2023, 12(12), 4025; https://doi.org/10.3390/jcm12124025 - 13 Jun 2023
Cited by 1 | Viewed by 501
Abstract
Background: Coronary calcifications, particularly in left main disease (LMD), are independently associated with adverse outcomes of percutaneous coronary intervention (PCI). Adequate lesion preparation is pivotal to achieve favorable short- and long-term outcomes. Rotational atherectomy devices have been used in contemporary practice to obtain [...] Read more.
Background: Coronary calcifications, particularly in left main disease (LMD), are independently associated with adverse outcomes of percutaneous coronary intervention (PCI). Adequate lesion preparation is pivotal to achieve favorable short- and long-term outcomes. Rotational atherectomy devices have been used in contemporary practice to obtain adequate preparation of the calcified lesions. Recently, novel orbital atherectomy (OA) devices have been introduced to clinical practice to facilitate the preparation of the lesion. The objective of this study is to compare the short-term safety and efficacy of orbital and rotational atherectomy for LMD. Methods: we retrospectively evaluated a total of 55 consecutive patients who underwent the LM PCI supported by either OA or RA. Results: The OA group consisted of 25 patients with a median SYNTAX Score of 28 (26–36). The Rota group consisted of 30 patients with a median SYNTAX Score of 28 (26–33.1) There were no statistical differences in MACCE between the RA and OA subpopulations when recorded in-hospital (6.7% vs. 10.3% p = 0.619) as well as in a 1-month follow-up after the procedure (12% vs. 16.6% p = 0.261). Conclusion: OA and RA seem to be similarly safe and effective strategies for preparating the lesion in the high-risk population with calcified LMD. Full article
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