Complex PCI Scenarios

In This Issue

Guest Chief Medical Editor Rhian E. Davies, DO, highlights the series of articles in this issue that look at the challenges that can arise during percutaneous coronary intervention (PCI) and techniques to overcome and treat them.

COVER STORIES

Drs. Moemen Eltelbany, Charlene L. Rohm, Lindsey Cilia, and Leah Raj review approaches to treating complex bifurcation lesions, including provisional stenting, T stent, crush techniques, and the culotte technique.

Kathleen Kearney, MD, and Taishi Hirai, MD, discuss the pros and cons of atherectomy and intravascular lithotripsy, including situations when one technology might be better than another.

Molly Silkowski, DO, and Anbukarasi Maran, MD, provide an up-to-date assessment of coronary perforation, including a look at balloon tamponade, thrombin, and multiple technological management tools.

In a discussion of the management of no reflow and thrombus, Drs. Blake Charlton, Jesse Kane, Kalaivani Mahadevan, and Jasleen Tiwana share their clinical scenarios, treatment approaches, challenges, and more.

Drs. Mahmoud Khalil, Hossam Albeyoumi Mohammed, Lindsey Cilia, Khaldoon Alaswad, and Michael Megaly detail MCS use in cardiogenic shock and complex PCI.

Alexander Truesdell, MD; Ilan Vavilin, MD; Jonathan Boeddiker, RT(R); Brittany Steinmetz, RT(R); Megan Terek, MD; and Eric Rothstein, MD, provide tips for successful management of hemodynamic collapse.

TODAY'S PRACTICE

Our Today’s Practice article by Ginger Biesbrock, DSC, explores how the integration of advanced practice providers into interventionally focused care teams can provide support for physicians and other care team members.

DEPARTMENTS

Samir R. Kapadia, MD, discusses in-progress and anticipated cardiovascular innovations, current research in mitral and tricuspid interventions, and insight into stroke prevention during TAVR.