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Most Promising Therapies in Interventional Cardiology

Authors
  • Kerneis, Mathieu1, 2
  • Nafee, Tarek1
  • Yee, Megan K.1
  • Kazmi, Hassan A.1
  • Datta, Sudarshana1
  • Zeitouni, Michel2
  • Afzal, M. Khurram1
  • Jafarizade, Mehrian1
  • Walia, Sargun S.1
  • Qamar, Iqra1
  • Pitliya, Anmol1
  • Kalayci, Arzu1
  • Al Khalfan, Fahad1
  • Gibson, C. Michael1
  • 1 Harvard Medical School, PERFUSE Study Group, Division of Cardiovascular Medicine, Department of Medicine, Beth Israel Deaconess Medical Center, 930 Commonwealth Ave, Boston, MA, 02215, USA , Boston (United States)
  • 2 Sorbonne Université - Univ Paris 06 (UPMC), ACTION Study Group, INSERM UMR_S 1166, Institut de Cardiologie, Hôpital Pitié-Salpêtrière (AP-HP), Paris, France , Paris (France)
Type
Published Article
Journal
Current Cardiology Reports
Publisher
Springer-Verlag
Publication Date
Mar 13, 2019
Volume
21
Issue
4
Identifiers
DOI: 10.1007/s11886-019-1108-x
Source
Springer Nature
Keywords
License
Yellow

Abstract

Purpose of ReviewThe last 40 years of clinical research in interventional cardiology were extraordinarily innovative. This article will review the most promising up and coming interventional cardiovascular therapies, with a primary focus on the treatment of coronary artery disease.Recent FindingsFrom the first stent, to the first transcatheter aortic valve implantation (TAVI), and the left appendage closure technique, percutaneous interventions revolutionized the treatment of multiple diseases and dramatically improved the prognosis of many patients. While these advances have decreased the risk of mortality in some patients (such as ST-elevation myocardial infarction), 15% of acute coronary syndrome (ACS) patients still experience recurrent ischemic events within the first year, challenging us to develop new pharmaceutical targets and new devices.SummaryThe continued emergence of data supporting inflammation as a risk factor and pharmacologic target as well as data supporting the importance of cholesterol efflux have identified novel therapeutic targets that may play a major role in the improvement of prognosis of patients with coronary artery disease. In addition, novel medical devices are being developed to allow even earlier detection of acute cardiac events and to support high-risk percutaneous coronary interventions. Advances in computing and the ability to analyze large datasets will allow us to use artificial intelligence to augment the clinician patient experience, both in and out of the catheterization laboratory, with live procedural guidance as well as pre- and post-operative prognostication tools.

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