A Warm Welcome to The First Issue of JSCAI

The Changing Landscape of Cardiogenic Shock: One Step Closer to Speaking a Common TongueJournal the Society for Cardiovascular Angiography & InterventionsVol. 1Issue 1100012Preview“Progress is impossible without change, and those who cannot change their minds anything.” George Bernard Shaw (1944) Full-Text PDF Open AccessOutcomes Novel Supreme Drug-Eluting Stent in Complex Coronary Lesions: A PIONEER III SubstudyJournal 1100004PreviewThe healing-targeted drug-eluting stent (DES) designed promote endothelial healing reduce stent-related adverse events. This may be particularly relevant among complex lesions that have higher rate We sought compare 1-year outcomes percutaneous coronary intervention between DES contemporary durable-polymer, everolimus-eluting stents (DP-EES). AccessWe Now Have Tool Optimally Implant StentsJournal 1100003PreviewStent implantation with intravascular ultrasound (IVUS) guidance has been shown lower follow-up events including death.1 same true optical coherence tomography (OCT).2 Thus, systematic use imaging strongly advocated when treating calcific lesions.3 Indeed, not only can accurately assess baseline severity extent calcifications,4 but it also crucial optimization by detecting under-expansion malapposition, well-known mechanisms in-stent restenosis (ISR). AccessSCAI SHOCK Stage Classification Expert Consensus Update: Review Incorporation Validation Studies: statement was endorsed American College Cardiology (ACC), Emergency Physicians (ACEP), Heart Association (AHA), European (ESC) Acute Care (ACVC), International Lung Transplantation (ISHLT), Critical Medicine (SCCM), Thoracic Surgeons (STS) December 2021.Journal 1100008PreviewSince its development release 2019, Interventions (SCAI) shock stage classification adult patients widely cited increasingly incorporated, owing simplicity across all clinical settings, easily understood visualized framework, notable endorsement societies organizations manage cardiogenic (CS).1 Ensuing validation studies over course subsequent 2 ​years documented both ease rapidity as well ability meaningfully discriminate patient risk spectrum CS, various phenotypes, presentations, health care settings. AccessIntravascular Lithotripsy Treatment Severely Calcified 1-Year Results From Disrupt CAD StudyJournal 1100001PreviewCoronary calcification impairs delivery optimal expansion, significant predictor thrombosis restenosis. Current calcium ablative technologies limited guidewire bias periprocedural complications. Intravascular lithotripsy (IVL) delivers acoustic pressure waves modify calcium, enhance vessel compliance, optimize deployment. study demonstrated high (92.4%) procedural success low (7.8%) 30-day major cardiac event (MACE) rates following IVL, longer term required determine durability benefit late impact optimized associated IVL. AccessMechanical Circulatory Support Myocardial Infarction Complicated Impact Sex TimingJournal 1100002PreviewSex differences presentation, treatment, persist acute myocardial infarction complicated (AMICS). Sex-based AMICS undergoing (PCI) left ventricular assist device (pLVAD) support are poorly defined. AccessSex-Specific Outcomes After Lithotripsy: Patient-Level Analysis StudiesJournal 1100011PreviewCoronary artery increases complexity worse outcomes, especially women. safe effective preparation severely calcified stenotic before implantation. IVL-facilitated stenting Access It my great privilege entrusted launch Journal (JSCAI). JSCAI powerful vehicle authors contribute disseminate new scientific evidence related aspects interventional cardiovascular medicine. As we our first issue JSCAI, I hope you will enjoy content motivated community submitting your next manuscript. Our leads off SCAI Stages Update chaired Srihari S. Naidu, MD.1Naidu S.S. Baran D.A. Jentzer J.C. et al.SCAI stages expert consensus update: review incorporation studies.Journal Interventions. 2022; 1100008Abstract Full Text Google Scholar System created simple, broadly applicable tool clinicians using information. update incorporates confirming discriminatory model, consistent rise mortality each increasing stage. Further refinement proposes “3-axis model” integrates stages, variables, “shock phenotypes” (acute infarction, on chronic heart failure, isolated right failure), providing prognostically matrix readily incorporated practice. framework foundational future efforts establish best treatment practices pathways care, options, timing shock. document valuable reference practices. features original manuscripts (IVL). Interventionalists confronted almost one-third interventions, these remain more challenging lesion types, complications long-term outcomes. Dean J. Kereiakes, MD, colleagues report results pivotal study.2Kereiakes D.J. Hill J.M. Shlofmitz R.A. al.Intravascular lesions: from study.Journal 1100001Abstract IVL In III, prior events, ischemia-driven target revascularization, thrombosis, extending benefits previously observed at 30 ​days. practice must read interventionalists. Yasin Hussain, sex-based after large patient-level pooled analysis 4 prospective studies.3Hussain Y. Kearney K.E. Abbott J.D. al.Sex-specific characteristics lithotripsy: 1100011Abstract Women vulnerable poor flow-limiting dissections, perforations, compared men. presented current demonstrates dissection perforation similar safety efficacy women become preferred therapy plaque modification Kush Patel, biodegradable polymer sirolimus-eluting large, randomized trial lesions.4Patel K.P. Lansky A.J. Kereiakes al.Outcomes novel substudy.Journal 1100004Abstract targets early drug elution degradation within 6 ​weeks, leaving behind surface an electrografted, nanometric, biostable coating promotes healing. Compared durable Xience stent, had revascularization 12 ​months lesions, defined Type B2/C based Cardiology/American criteria. Patients followed up 5 whether there DES. Tayyab Shah, examined sex mechanical circulatory ( MCS ) shock.5Shah T. Grines C.L. Mechanical Timing.Journal 1100002Abstract offers glimpse into potential disparities advanced therapies men escalation inotropes MCS, intra-aortic balloon pump escalation, delays initiating shorter duration MCS. suggest initiation rather than improve research letter, Gilbert H.L. Tang, discusses strategies dilation expandable sheaths facilitate transfemoral SAPIEN 3 transcatheter aortic valve replacement vessels; Dhananjai Menzies, describes no-contrast conscious sedation approach kidney injury; Kashish Goel, presents main bifurcation case treated orbital atherectomy microcatheter protection. compilation accompanied editorials Dr Sandeep Nathan (SCAI consensus)6Nathan O'Neill W.W. changing landscape shock: one step closer speaking common tongue.Journal 1100012Abstract Antonio Colombo (Disrupt III),7Colombo A. Cozzi O. now optimally implant stents.Journal 1100003Abstract series recorded roundtable discussions leading experts field discuss findings contextualize implications daily find informative enjoyable. am grateful outstanding deputy associate editors, whose enthusiasm, collaborative spirit, commitment deliver unwavering. want thank growing editorial board exceeds 200 members represents diverse, highly talented, international supports educational goals through reviews feedback record time. My gratitude Elsevier production teams (Jane Grochowski, Colin Conway, David Newcombe) publication group (Robert Bartel, Amanda Pettyjohn, Chris Trimmer), invaluable JSCAI. Lastly, sincere Executive Editor, Dominic Francese, dedication professionalism made this enjoyable seamless! Join us making top-ranking impactful journal advance Submit science JSCAI!