Innovation in Cardiovascular Interventions

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

Deadline for manuscript submissions: closed (31 October 2021) | Viewed by 8199

Special Issue Editors


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Guest Editor
Hadassah University Medical Centre, Jerusalem, Israel
Interests: interventional cardiology; valvular heart disease; heart failure

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Co-Guest Editor
Rambam Health Care Campus and the Technion, Haifa, Israel
Interests: interventional cardiology; valvular heart disease; heart failure; cardiovascular robotics

Special Issue Information

Dear Colleagues,

Cardiovascular disease has been the leading cause of death in the Western world.

Recent advances in pharmacotherapy, coupled with the marked improvement in interventional therapy in patients with coronary heart disease and acute myocardial infarction (e.g., primary PCI), have significantly improved the prognosis of patients with ischemic heart disease.

Nevertheless, the aging of population and the evolution of interventional techniques have brought about a revolution in the treatment of patients with structural heart disease.

The replacement of stenotic and calcified aortic valves is currently being done mostly by interventional procedures. In addition, there are many innovations and start-ups that aim to replace or repair the mitral and tricuspid valves. At the same time, there are marked developments with other structural problems such as closing interatrial or interventricular shunts (ASDs or VSDs), left atrial appendage occlusions in patients with AF that cannot accept anticoagulants, closing paravalvular leaks, etc. Recently, with the growing number of patients with heart failure, there are new interventional techniques for supporting the heart, creating new interatrial shunts etc.

On the other side, the COVID-19 pandemic has greatly contributed to the digital health revolution. Patients today can be followed 24/7 concerning their vital parameters such as blood pressure, heart rate and arrhythmias, oxygen saturation, respiratory rate, etc. These data can be directly sent to the cloud, and using AI (artificial intelligence) the patient and their doctor can get immediate alerts on the patient’s condition and intervene in order to avoid deterioration. In the future, digital revolution and new technology such as advanced analytics, machine learning, and augmented intelligence might change the process of innovation.

Given the complexity of this topic and its impact on clinical practice and public health, Medicina is launching a Special Issue entitled “Innovation in Cardiovascular Interventions” with the aim of presenting an update of current innovations as well as remaining unmet needs in order to develop new solutions.

Prof. Dr. Chaim Lotan
Guest Editor

Prof. Dr. Rafael Beyar
co-Guest Editor

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Keywords

  • aortic valve disease
  • mitral valve disease
  • digital health
  • cardiovascular interventions
  • cardiovascular innovation
  • telemedicine
  • structural heart disease
  • peripheral vascular disease

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Published Papers (2 papers)

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7 pages, 1214 KiB  
Article
Prediction of Judkins Left Catheter Size during Left Transradial Coronary Angiography by Simple Chest Radiographic and Echocardiographic Index
by Seong-Soon Kwon, Byoung-Won Park, Duk-Won Bang, Min-Ho Lee, Min-Su Hyon and Seong-Soo Lee
Medicina 2021, 57(10), 1124; https://doi.org/10.3390/medicina57101124 - 18 Oct 2021
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Abstract
Background and Objectives: Appropriate catheter selection when conducting transradial coronary angiography (CAG) helps shorten examination time, preventing vascular complications and lowering medical expense. However, catheter selection is made based on the practitioner’s experience in almost all cases. Therefore, we undertook this study to [...] Read more.
Background and Objectives: Appropriate catheter selection when conducting transradial coronary angiography (CAG) helps shorten examination time, preventing vascular complications and lowering medical expense. However, catheter selection is made based on the practitioner’s experience in almost all cases. Therefore, we undertook this study to define radiologic and echocardiographic indices that would enable physicians to anticipate appropriate catheter selection. Materials and Methods: This is a retrospective study of 244 undergoing transradial diagnostic CAG at an established center from February 2006 to April 2014. Patients who successfully underwent angiography with a JL3.5 catheter were defined as the control group, and patients who successfully underwent angiography after the catheter was replaced with a JL4.0 or higher were defined as the switched group. To identify predictors for appropriate catheter selection, radiologic and echocardiographic indices were analyzed. Results: A total of 122 patients in the switched group and 122 patients in the control group were analyzed in this study. Average age was 64.65 ± 8.6 years. In the radiographic index, the switched group exhibited a significantly higher mediastinal-thoracic ratio (0.27 ± 0.05 vs. 0.23 ± 0.03, p < 0.001. Additionally, the mediastinal-cardiac ratio was significantly greater in the switched group (0.50 ± 0.08 vs. 0.45 ± 0.05, p < 0.001). Aortic root diameter, which is used here as the echocardiographic index, was significantly larger in the switched group compared to the control group (34.94 ± 4.18 mm vs. 32.66 ± 3.99 mm, p < 0.001). In the multivariable logistic regression model, mediastinal-cardiac ratio (OR 5.197, 95% CI 2.608–10.355, p < 0.001) and increased aortic root (OR 2.115, 95% CI 1.144–3.912, p = 0.017) were significantly associated with catheter change. Conclusions: Mediastinal-cardiac ratio and aortic root diameter provide helpful and effective indices for appropriate catheter selection during transradial coronary angiography. Full article
(This article belongs to the Special Issue Innovation in Cardiovascular Interventions)
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5 pages, 1642 KiB  
Case Report
The Spiked Helmet Sign Predicting a Poor Outcome in a Patient with Non-Myocardial Infarction ST-Segment Elevation
by Shu-Yu Shih, Yueh-Tseng Hou, Po-Chen Lin, Yu-Long Chen, Da-Sen Chien, Giou-Teng Yiang and Meng-Yu Wu
Medicina 2021, 57(11), 1184; https://doi.org/10.3390/medicina57111184 - 1 Nov 2021
Cited by 2 | Viewed by 4167
Abstract
Spiked helmet sign is a novel electrocardiogram marker that reflects a poor prognosis, and may mimic myocardial infarction, especially in patients with an acute alteration of mental status or out-of-hospital cardiac arrest. In cases where a spiked helmet sign is missed, there may [...] Read more.
Spiked helmet sign is a novel electrocardiogram marker that reflects a poor prognosis, and may mimic myocardial infarction, especially in patients with an acute alteration of mental status or out-of-hospital cardiac arrest. In cases where a spiked helmet sign is missed, there may be a delay in surgical intervention for the underlying conditions because of unnecessary cardiac catheterization. In addition, antiplatelet agents for acute coronary syndrome in such cases can lead to catastrophic complications. Therefore, early recognition of spiked helmet sign is useful for timely correction of the underlying disease and prevention of poor outcomes. Herein, we describe a rare case of a patient with internal bleeding and subarachnoid hemorrhage presenting with spiked helmet sign on an electrocardiogram. Full article
(This article belongs to the Special Issue Innovation in Cardiovascular Interventions)
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