From the Journal

Clinical Relevance of Poststent Fractional Flow Reserve After Drug-Eluting Stent Implantation

Joon-Hyung Doh, MD, PhD1,2;  Chang-Wook Nam, MD, PhD3;  Bon-Kwon Koo, MD, PhD4;  Sung Yun Lee, MD, PhD1; Hyunmin Choi, MD1;  June Namgung, MD, PhD1;  Sung Uk Kwon, MD, PhD1;  Jae-Jin Kwak, MD1; Hyung-Yoon Kim, MD1;  Won-Ho Choi, MD1;  Won Ro Lee, MD, PhD1

The prognostic value of poststent fractional flow reserve (FFR) has not been clearly defined in patients with DES implantation. This study evaluates the association between FFR and clinical outcomes after DES implantation with IVUS assistance....

What Was, What Is, and What Will Be!

Gerald Dorros, MD, ScD 

Dr Dorros warns that in the current health-care climate, cardiologists face the danger of becoming mere technocrats, employed and dictated to by health-care executives, whose main focus is the financial bottom line. Cardiologists must remain determined and focus their efforts on improving and enhancing patient care....

Comparison of Coronary Atherosclerotic Plaque Burden and Composition of Culprit Lesions Between Cigarette Smokers and Non-Smokers by In Vivo Virtual Histology Intravascular Ultrasound

Oluwaseyi Bolorunduro, MD, MPH1;  Colette Cushman, MD2;  Deepak Kapoor, MD2;  Kelsey Alexander, MD2; Jose Cuellar-Silva, MD2;  Smith Giri, MD1;  Vincent Robinson, MD2;  Uzoma N. Ibebuogu, MD1

Published online ahead of print on 2015 May 15

This study investigated the relationship between cigarette smoking and the development of vulnerable coronary artery plaque using virtual histology intravascular ultrasound (VH-IVUS) and showed that cigarette smoking was associated with an increased burden of necrotic core compared with non-smokers. ...

The Correlation Between Cigarette Smoking and Other Risk Factors With Coronary Stenosis Composition

Lloyd W. Klein, MD and Mukesh Gopalakrishnan, MD

The role of traditional risk factors in the production of CAD is well recognized, but only recently have attempts been made to correlate how hypertension, hyperlipidemia, smoking, and diabetes impact stenosis composition and plaque dynamics. By examining the composition of the plaque, we might better appraise its likely behavior and response to various therapies....

Ahead of Print

Percutaneous Pulmonary Balloon Valvuloplasty Provides Good Long-Term Outcomes in Adults With Pulmonary Valve Stenosis

Xiaodong Qian, MD;  Yunxia Qian, MD;  Yafeng Zhou, MD;  Xiangjun Yang, MD

Published online ahead of print on 2015 Aug 25

Percutaneous balloon pulmonary valvuloplasty (PBPV) is well described in children, but data on the efficacy and long-term outcomes in adult patients with pulmonary valve stenosis are limited. This 41-patient study estimates the long-term outcomes of PBPV in adult pulmonary valve stenosis patients.

The Impact and Pathophysiologic Consequences of Coronary Artery Calcium Deposition in Percutaneous Coronary Interventions

Michael S. Lee, MD and Neal Shah, MD

Published online ahead of print on 2015 Aug 25

The presence of coronary artery calcium (CAC) is indicative of advanced coronary artery disease. We discuss the implications of CAC on outcomes during and after PCI as well as interventional strategies used for the successful treatment of these complex lesions. 

Evaluation of the Safety and Efficacy of the Novel Svelte Acrobat Integrated Delivery System via Radial Approach With 5 Fr Catheters

Fernando Stucchi Devito, MD, PhD1,2;  Pedro Beraldo de Andrade, MD, PhD3;  Carlos Eduardo Faria Silva, MD2; Maria Paula C. Menezes2;  Alexandre Abizaid, MD, PhD1;  José de Ribamar Costa Jr, MD, PhD1;  Ricardo A. Costa, MD, PhD1;  Amanda G.M.R. Sousa, MD, PhD1

Published online ahead of print on 2015 Aug 25

The use of the Svelte Acrobat Integrated Delivery System via radial approach with 5 Fr catheters is evaluated for safety and efficacy. In this 50-patient study, the authors show that this direct stenting system enables easy delivery, deployment, and postdilatation of a cobalt-chromium stent.

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