Journal of Cardiovascular Intervention.2024;3(1):17-19. doi:10.54912/jci.2023.0012
Journal of Cardiovascular Intervention
2022 (1, 1) to Present ISSN: 2799-6999
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Step by Step Instructions for Distal Radial Access
Journal of Cardiovascular Intervention.2024;3(1):23-28. doi:10.54912/jci.2023.0017
Transcatheter Aortic Valve Replacement in Korea 2023, Before and After Reimbursement
Journal of Cardiovascular Intervention.2024;3(1):20-22. doi:10.54912/jci.2023.0014
Journal of Cardiovascular Intervention.2024;3(1):8-16. doi:10.54912/jci.2023.0016
Journal of Cardiovascular Intervention.2024;3(1):1-7. doi:10.54912/jci.2023.0013
For several decades, the anatomic degree of coronary artery stenosis (CAS) has been the sole criterion for determining target vessels for coronary revascularization. There have been many studies evaluating the impact of functional ischemia-based revascularization during percutaneous coronary intervention. However, only limited data are available for this issue in the surgical setting. Nowadays, there has been growing interest regarding the impact of the functional significance of CAS on the results after surgical revascularization. Therefore, in this narrative review, the benefits and shortcomings of functional ischemia-guided coronary artery bypass grafting (CABG) are summarized, and available literature evaluating the impact of functional ischemia-guided CABG on clinical and angiographic outcomes are reviewed.Because only limited data have been published for this issue, future studies with large patient cohort might be needed to draw definite conclusions.
Spinal Cord Infarction Mistaken for Acute Coronary Syndrome: A Case Report
Journal of Cardiovascular Intervention.2024;3(1):29-33. doi:10.54912/jci.2023.0015
Spinal cord infarction is an uncommon form of spinal cord injury, and the diversity of its symptoms makes timely diagnosis difficult. Here, we present a case of spinal cord infarction mistaken for acute coronary syndrome (ACS) at initial evaluation. An 85-year-old man presented at the emergency department with chest pain. Initial electrocardiogram showed T-wave inversion, poor R-wave progression, and slightly elevated cardiac marker levels.Coronary angiography showed an intermediate lesion in the anterior descending artery, and percutaneous coronary intervention was deferred based on the fractional flow reserve results.After admission, the patient complained of voiding difficulties and progressive weakness in the lower extremities. Magnetic resonance imaging showed multifocal spinal cord infarction from T5 to T7. Although the initial clinical presentation of spinal cord infarction is similar to an ACS, the neurologic deficits and imaging studies help to distinguish it.
Journal of Cardiovascular Intervention.2026;5(1):11-22. doi:10.54912/jci.2025.0019
Optimal vascular access and effective closure are fundamental for ensuring the safety and success of percutaneous cardiovascular interventions. As procedural complexity has increased, various access and closure devices have been developed to enhance efficacy and minimize complications. Radial artery access is favored for coronary interventions because it is associated with a lower risk of bleeding and fewer access site complications. However, femoral access remains indispensable for large-bore procedures. Large-bore sheaths are required for endovascular treatments of peripheral artery disease and structural heart interventions. Ultrasound-guided arterial and venous access has become essential for minimizing complications, especially with femoral access. Despite significant advances in closure techniques, complications such as retroperitoneal hemorrhage, pseudoaneurysm, and arteriovenous fistula remain challenging and can adversely affect patient outcomes. This review presents state-of-the-art strategies for the prevention and management of vascular access complications in cardiovascular intervention.
Journal of Cardiovascular Intervention.2026;5(1):38-48. doi:10.54912/jci.2025.0014
Background:
This study was performed to characterize the incidence, costs, and risk factors associated with renal and cardiovascular adverse outcomes following primary percutaneous coronary intervention (pPCI) in patients with ST-elevation myocardial infarction (STEMI).
Methods:
Patients with STEMI who underwent pPCI using iso-osmolar contrast were enrolled at 39 centers. The incidence of acute kidney injury (AKI) and major adverse renal and cardiovascular events (MARCE) was analyzed, as well as inpatient costs. Logistic regression analysis was performed to identify risk factors.
Results:
Among 2,293 patients, the incidence of AKI and MARCE within 72 hours post-pPCI was 4.14% (n = 95) and 4.40% (n = 101), respectively. AKI and/or MARCE were associated with systolic blood pressure (AKI: odds ratio [OR], 1.009; 95% confidence interval [CI], 1.000–1.018), hypertension (AKI: OR, 1.815; 95% CI, 1.133–2.906; MARCE: OR, 1.760;95% CI, 1.118–2.769), anterior wall infarction (AKI: OR, 1.895; 95% CI, 1.196–3.004; MARCE:OR, 1.939; 95% CI, 1.240–3.032), Killip class (AKI: OR, 1.465; 95% CI, 1.117–1.922; MARCE:OR, 1.467; 95% CI, 1.131–1.903), and serum creatinine (SCr; MARCE: OR, 1.006; 95% CI, 1.000–1.012). Hospitalization costs for patients with STEMI who developed AKI or MARCE were significantly higher than for those without AKI (9,595 ± 5,795 vs. 8,279 ± 3,872 USD, P = 0.003) or without MARCE (9,890 ± 5,616 vs. 8,255 ± 3,859 USD, P < 0.001).
Conclusions
In patients with STEMI undergoing pPCI with iso-osmolar contrast, the incidence of AKI and MARCE was associated with higher hospitalization costs. Systolic blood pressure, hypertension, anterior wall infarction, Killip class, and SCr were identified as risk factors for these outcomes.
Management of Abrupt Vessel Closure During Percutaneous Coronary Intervention: A Narrative Review
Journal of Cardiovascular Intervention.2026;5(1):1-10. doi:10.54912/jci.2025.0010
Abrupt vessel closure (AVC) is a complication of percutaneous coronary intervention (PCI) and is defined as the sudden cessation of forward coronary blood flow due to a variety of mechanisms. The incidence of AVC has markedly decreased from approximately 3.0% in the early era to about 0.3% today. Nevertheless, cardiovascular interventionists must remain prepared to manage AVC effectively, given its significant impact on clinical outcomes.AVC can arise from several mechanisms, including dissection, intramural hematoma, intracoronary thrombosis, air embolism, vasospasm, and no-reflow. The clinical impact of AVC varies depending on the extent of myocardium affected, ranging from asymptomatic events or transient ischemic chest pain to cardiogenic shock or cardiac arrest. Both a general approach for stabilizing hemodynamic consequences and an etiology-specific management strategy are essential. Hasty decision-making may worsen the situation, whereas a structured approach—focused on hemodynamic stabilization, logical diagnostic processes, and targeted interventions—can improve outcomes. In this narrative review, we describe the mechanisms underlying each etiology, outline mechanism-specific management strategies, and discuss general approaches to managing patients with AVC through logical diagnostic and treatment processes. We hope this review offers valuable insights into this uncommon but significant complication and enhances readers’ skills in managing AVC more effectively during PCI.
Routine Imaging or Stress Testing After Percutaneous Coronary Intervention
Journal of Cardiovascular Intervention.2026;5(1):74-77. doi:10.54912/jci.2025.0031
Country
Republic of Korea
Publisher
Korean Society of Interventional Cardiology
ElectronicLinks
https://e-jci.orgEditor-in-chief
Young Joon Hong
ksic@kscvi.org
Abbreviation
J Cardiovasc Interv
Vernacular Journal Title
ISSN
2799-6999
EISSN
2799-7014
Year Approved
2025
Current Indexing Status
Currently Indexed
Start Year
2022
Description
The Journal of Cardiovascular Intervention is a primary source of information for meeting the challenges of providing optimal healthcare. The journal aims to be a core resource for cutting-edge advancements, clinical applications, therapeutic protocols for managing cardiovascular problems. Journal of Cardiovascular Intervention (JCI)’s regional focus is mainly Korea, but it also welcomes submissions from researchers all over the world. The JCI is an English language, peer-reviewed journal covering the broad field of interventional cardiology and pharmacology, including coronary, cerebrovascular, peripheral, and structural intervention and its relevant healthcare policies. Koreans exhibit significant differences in physiological conditions and genetic backgrounds compared to Western or other Asian ethnicities. Specialized research and a rigorous scientific approach are imperative to enhance our understanding and address these unique aspects within this population, particularly in the field of interventional cardiology.
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