{"title":"What an Interventionalist Needs to Know About INOCA.","authors":"Daniel Tze Yee Ang, Colin Berry","doi":"10.15420/icr.2021.16","DOIUrl":"10.15420/icr.2021.16","url":null,"abstract":"<p><p>Ischaemia with non-obstructed coronary artery disease (INOCA) remains a diagnostic and therapeutic challenge. An anatomical investigationbased approach to ischaemic heart disease fails to account for disorders of vasomotion. The main INOCA endotypes are microvascular angina, vasospastic angina, mixed (both) or non-cardiac symptoms. The interventional diagnostic procedure (IDP) enables differentiation between clinical endotypes, with linked stratified medical therapy leading to a reduced symptom burden and a better quality of life. Interventionists are therefore well placed to make a positive impact with more personalised care. Despite adjunctive tests of coronary function being supported by contemporary guidelines, IDP use in daily practice remains limited. More widespread adoption should be encouraged. This article reviews a stratified approach to INOCA, describes a streamlined approach to the IDP and highlights some practical and safety considerations.</p>","PeriodicalId":38586,"journal":{"name":"Interventional Cardiology Review","volume":"16 ","pages":"e32"},"PeriodicalIF":0.2,"publicationDate":"2021-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4f/c1/icr-16-e32.PMC8674629.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39759784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Advanced Cardiac Interventions During Pregnancy: A Personal Perspective.","authors":"Angela Hem Maas","doi":"10.15420/icr.2020.12","DOIUrl":"https://doi.org/10.15420/icr.2020.12","url":null,"abstract":"In one of my worst ever night shifts, I witnessed a 32-year-old pregnant woman dying while her first toddler was sitting on her bed. She died of heart failure due to a spontaneous coronary artery dissection (pSCAD) with a retrograde dissection of the whole left coronary artery. Another woman I will never forget was a mother of seven with a severe peripartum cardiomyopathy during her eighth pregnancy. She barely survived, and we managed to convince the religious couple to undergo sterilisation simultaneously with her caesarean section. Distressing experiences such as these require the courage of obstetricians alongside good collaboration with (interventional) cardiologists and other medical specialists.","PeriodicalId":38586,"journal":{"name":"Interventional Cardiology Review","volume":"16 ","pages":"e25"},"PeriodicalIF":0.0,"publicationDate":"2021-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/be/35/icr-16-e25.PMC8383141.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39385587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Luigi Di Serafino, Fabio Magliulo, Giovanni Esposito
{"title":"Functionally Complete Coronary Revascularisation in Patients Presenting with ST-elevation MI and Multivessel Coronary Artery Disease.","authors":"Luigi Di Serafino, Fabio Magliulo, Giovanni Esposito","doi":"10.15420/icr.2020.28","DOIUrl":"https://doi.org/10.15420/icr.2020.28","url":null,"abstract":"<p><p>Up to half of patients undergoing primary percutaneous coronary intervention of a culprit stenosis in the context of the ST-elevation MI may present with multivessel disease. The presence of non-culprit stenoses have been shown to affect the outcomes of these patients, and the results of the more recent randomised trials highlight the importance of complete coronary revascularisation. In this paper, the authors review the main trials published on the topic and discuss tools for the assessment of non-culprit stenoses, while considering the right time for carrying out a complete coronary revascularisation.</p>","PeriodicalId":38586,"journal":{"name":"Interventional Cardiology Review","volume":"16 ","pages":"e24"},"PeriodicalIF":0.0,"publicationDate":"2021-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/29/f9/icr-16-e24.PMC8353546.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39317711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Giant Abdominal Aortic Aneurysm: Radiographic Features of Impending Rupture in an Atypical Presentation.","authors":"Aman B Williams, Lauren G Lax","doi":"10.15420/icr.2021.16.PO11","DOIUrl":"https://doi.org/10.15420/icr.2021.16.PO11","url":null,"abstract":"","PeriodicalId":38586,"journal":{"name":"Interventional Cardiology Review","volume":"16 ","pages":"e22"},"PeriodicalIF":0.0,"publicationDate":"2021-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/04/82/icr-16-e22.PMC8327276.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39291217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Single Operator Observational Study of Incidence of Pocket Site Infection and Safety of Absorbable Sutures for Pocket Closure of Cardiac Implantable Electronic Devices.","authors":"Inderjeet Singh Monga","doi":"10.15420/icr.2021.16.PO7","DOIUrl":"https://doi.org/10.15420/icr.2021.16.PO7","url":null,"abstract":"","PeriodicalId":38586,"journal":{"name":"Interventional Cardiology Review","volume":"16 ","pages":"e18"},"PeriodicalIF":0.0,"publicationDate":"2021-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/bb/0f/icr-16-e18.PMC8327259.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39291213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emily Mae L Yap, Livy P Magno, Christopher A Macaraeg, Gilbert E Pedroso, Aeron G Ramos, Mardy Zaldess S Cruz, Alexander A Tuazon, Ronaldo H Estacio, Ramoncito B Tria
{"title":"Radiation Dose in Coronary Angiography and Percutaneous Coronary Intervention: Establishment of Diagnostic Reference Levels at the Philippine Heart Center.","authors":"Emily Mae L Yap, Livy P Magno, Christopher A Macaraeg, Gilbert E Pedroso, Aeron G Ramos, Mardy Zaldess S Cruz, Alexander A Tuazon, Ronaldo H Estacio, Ramoncito B Tria","doi":"10.15420/icr.2021.16.PO2","DOIUrl":"https://doi.org/10.15420/icr.2021.16.PO2","url":null,"abstract":"","PeriodicalId":38586,"journal":{"name":"Interventional Cardiology Review","volume":"16 ","pages":"e13"},"PeriodicalIF":0.0,"publicationDate":"2021-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/19/8d/icr-16-e13.PMC8327270.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39291208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emily Mae L Yap, Christopher Macaraeg, Richard Ayuson, Alexander Tuazon, Ronaldo Estacio, Ramoncito Tria
{"title":"Patient Radiation Exposure During Primary Percutaneous Coronary Intervention in Acute ST-elevation Myocardial Infarction at the Philippine Heart Center.","authors":"Emily Mae L Yap, Christopher Macaraeg, Richard Ayuson, Alexander Tuazon, Ronaldo Estacio, Ramoncito Tria","doi":"10.15420/icr.2021.16.PO10","DOIUrl":"https://doi.org/10.15420/icr.2021.16.PO10","url":null,"abstract":"","PeriodicalId":38586,"journal":{"name":"Interventional Cardiology Review","volume":"16 ","pages":"e21"},"PeriodicalIF":0.0,"publicationDate":"2021-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/80/12/icr-16-e21.PMC8327274.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39291216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}