The EuroIntervention State-of-the-Art this month looks at our current understanding of myocardial infarction with non-obstructive coronary arteries (MINOCA), with knowledge and future directions in its diagnosis and treatment. In coronary disease: the impact of high platelet reactivity and clopidogrel monotherapy safety from the SMART-CHOICE study; the importance of clinical presentation and bleeding risk after PCI plus an evaluation of the adequacy of the ARC-HBR criteria; outcomes of bifurcation stenting using the proximal optimisation technique; a single-catheter dual-modality intravascular imaging device using combined intravascular ultrasound and optical coherence tomography/optical frequency domain imaging; adenosine-induced FFR overestimation caused by serum caffeine levels. In interventions for valvular disease and heart failure: defining and quantifying mitral valve leaflet adverse events after MitraClip valve repair from the EXPAND study. In interventions for hypertension and stroke, a look at the prevalence, mechanisms and clinical implications of left atrial appendage patency following left atrial appendage occlusion using CCTA; and more...
Chevalier B, Mamas MA, Hovasse T, Rashid M, Gómez-Hospital JA, Pan M, Witkowski A, Crowley J, Aminian A, McDonald J, Beygui F, Fernandez Portales J, Roguin A, Stankovic G