Interventional Cardiology, 2023 (vol. 22), issue 4
Editorial
Conversion of statistical data into individual medical decision-making. The legacy of Bernoulli's theorem and Cournot's principle
Jan F. Vojáček
Interv Akut Kardiol. 2023;22(4):163-165 | DOI: 10.36290/kar.2023.033 
Review articles
Current perspective on CTO PCI indications
Vojtěch Novotný
Interv Akut Kardiol. 2023;22(4):166-172 | DOI: 10.36290/kar.2023.032
The present article deals with the indications for revascularization of chronic total occlusions (CTO) of the coronary arteries. The introduction section briefly summarizes the history and development of CTO PCI. The main content of the paper is divided into three sections: the first one summarizes the current American and European societies of cardiology guidelines on CTO PCI; the second one provides a reflection on the most important aspects of the indication process from the most recent expert consensus; and the third one conveys the author's personal experience with indicating patients for CTO recanalization. The paper also includes an overview...
Arrhythmias in patients with adult congenital heart disease
Ondřej Toman, Tomáš Zatočil, Lumír Koc, Daniela Žáková, Martin Fiala
Interv Akut Kardiol. 2023;22(4):173-179 | DOI: 10.36290/kar.2023.029
Arrhythmias are among the most frequent and serious complications in patients with adult congenital heart disease. The arrhythmogenic substrate is specific for different congenital heart diseases, either due to congenital anatomical malformations or as a result of surgical repair. Given the often borderline haemodynamic status, rhythm-control therapy is preferred, including the use of interventional methods (catheter ablation, pacemaker/cardioverter implantation, resynchronisation therapy). Periodic and thorough risk stratification is essential in the prophylaxis of sudden cardiac death. Patients with arrhythmias and severe congenital heart disease...
Post-cardiac arrest syndrome
Jiří Seiner, Matej Strýček, Rostislav Polášek, Tomáš Roubíček
Interv Akut Kardiol. 2023;22(4):181-187 | DOI: 10.36290/kar.2023.031
Post-cardiac arrest syndrome is a complex and serious condition that develops following cardiac arrest and resuscitation. Both the underlying cause of the arrest and the sequelae of ischaemia-reperfusion injury have an effect on its course. Even in the case of successful resuscitation, the subsequent in-hospital mortality of patients is very high. In the early phase of post-cardiac arrest syndrome, multiple-organ failure due to post-resuscitation shock is the most common cause of death. The most serious late consequence is severe neurological impairment. The major factors affecting the prognosis of patients after successful resuscitation are early...
Acute pulmonary embolism - current options of catheter‑directed treatment
Hana Voběrková, Viktor Kočka, Josef Kroupa
Interv Akut Kardiol. 2023;22(4):189-193 | DOI: 10.36290/kar.2023.025
Acute pulmonary embolism (PE) is a common and life-threatening condition with inappropriately high mortality rates. Catheter-directed treatment (CDT) for acute PE is a rapidly evolving field of interventional medicine and is already available in some specialized centers. The aim of this review article is to briefly introduce CDT for acute PE to a wider professional community, to provide information on its status in the light of current guidelines, and, last but not least, to outline possible further development in this field.
TAVI: when not anymore?
Hana Línková
Interv Akut Kardiol. 2023;22(4):194-200 | DOI: 10.36290/kar.2023.028
Transcatheter aortic valve implantation (TAVI) has caused a significant change in the treatment of aortic stenosis. It has expanded treatment to include patients not previously indicated for surgical intervention. Despite the tremendous benefit of this method, there are patients who do not benefit from treatment and in whom TAVI is considered unnecessary. In pivotal studies of high-risk patients, one-third either died, or their quality of life failed to improve and their symptoms persisted. The futility of TAVI in such patients thus leads to their unnecessary exposure to risk. Factors that lead to poor outcomes after TAVI and increase the risk of death...
Laudatio
Významné životní výročí (60 let) MUDr. Miroslava Brtka, Ph.D.
Jan Dominik
Interv Akut Kardiol. 2023;22(4):206