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An Era of Advancements on Multiple Fronts
In 2016, there were many exciting developments to the field of intervention, as reflected in the Top 10 Trends for 2017 — determined by the Cardiology Today’s Intervention Editorial Board. The topic that generated the most interest was, not surprisingly, the expanded use of transcatheter aortic valve replacement into intermediate- and potentially low-surgical-risk patients. New data regarding TAVR as well as ongoing trials have spurred an enormous amount of enthusiasm for expanding its use into lower-risk patients. At the same time, issues of thrombosis and valve durability have also been raised, so there is definitely a need for more research.
Another hot topic coming into 2017 is that of new developments in stenting, including emerging data on bioresorbable stents and scaffolds. For more on that front, read the Cover Story. Other topics of great interest were interventions for HF and recent clinical trial data about left main stenting.
Drug-coated balloons and stents for peripheral artery disease generated a substantial amount of interest as well. It is particularly encouraging to see these advances in intervention in PAD, and the now widespread introduction and adoption these techniques for complex lower-extremity arterial disease.
Articles about antithrombotic therapy pertaining either to duration of dual antiplatelet therapy or to integration of the non-vitamin K oral anticoagulants in patients with atrial fibrillation undergoing PCI remained very popular. Interventions for mitral valve disease, advances in chronic total occlusion PCI, and expanded use of fractional flow reserve, IVUS and OCT also made our Top 10 Trends for 2017 list.
In the coming year, I am looking forward to more data on TAVR — as I suppose everybody is — and on limb salvage and pedal intervention. I also anticipate progress in concomitant therapies such as mechanical support and advanced imaging. Intervention is poised to continue advances on numerous fronts, whether they be structural, peripheral or coronary. Contact the editors at intervention@healio.com to share your thoughts on the top trends for the near future.
— Deepak L. Bhatt, MD, MPH
Chief Medical Editor
Cardiology Today’s Intervention