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CURRENT PUBLICATION
TRENDS IN INTERVENTIONAL
CARDIOLOGY
Giuseppe Biondi Zoccai
Division of Cardiology, University of Turin, Turin, Italy
Meta-analysis and Evidence-based medicine Training in
Cardiology (METCARDIO), Ospedaletti, Italy
www.metcardio.org
LEARNING GOALS
• What is publishing in interventional cardiology
all about?
• What do we mean by current trends in
publication?
• What is currently being published and by
who?
– methods
– on coronary artery disease
– on non-coronary heart disease
– on vascular disease
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WHY AM I GIVING
YOU THIS LECTURE?
ISI Web of Science query for AU=(Zoccai OR BiondiZoccai OR Biondizoccai) on 21 September 2009
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LEARNING GOALS
• What is publishing in interventional cardiology
all about?
• What do we mean by current trends in
publication?
• What is currently being published and by
who?
– methods
– on coronary artery disease
– on non-coronary heart disease
– on vascular disease
www.metcardio.org
PUBLISH
OR PERISH
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“Scientists are rated by
what they finish, not by
what they attempt”
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Physicians writing clinical manuscripts
“Scientists are rated by
what they finish, not by
what they attempt”
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WHAT IS PUBLISHING ALL ABOUT?
• Advancement of medical science
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WHAT IS PUBLISHING ALL ABOUT?
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Advancement of medical science
Improves your CV
Gratifies your ego
Necessary for career advancement
Necessary for successful grant application
Very useful to be recognized
Provides proof of your scientific AND clinical
competence
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PROOF OF CLINICAL COMPETENCE
Biondi-Zoccai et al, Catheter Cardiovasc Interv 2006
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LEARNING GOALS
• What is publishing in interventional cardiology
all about?
• What do we mean by current trends in
publication?
• What is currently being published and by
who?
– methods
– on coronary artery disease
– on non-coronary heart disease
– on vascular disease
www.metcardio.org
TRENDS IN INTERVENTIONAL
CARDIOLOGY
• Sources of novelties include:
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Peer reviewed journals
Non-peer reviewed scientific journals
Layman journals
Peers
Sales representatives
Congresses
Government laws and directives
Reimbursement policies
Guidelines from associations or entities
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HOW CAN YOU DEFINE AUTHORITY
AND SUCCESS IN PUBLISHING
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Quantity
Quality
Diffusion
Readership
Impact factor
Citation
Durability
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LEARNING GOALS
• What is publishing in interventional cardiology
all about?
• What do we mean by current trends in
publication?
• What is currently being published and by
who?
– methods
– on coronary artery disease
– on non-coronary heart disease
– on vascular disease
www.metcardio.org
METHODS FOR RECOGNIZING
CURRENT TRENDS
• Manual search of key peer reviewed
journals (NEJM, JAMA, Lancet, AIM,
BMJ, JACC, Circulation, EHJ)
• Congresses (ACC, ESC, TCT, AHA)
• Electronic search of key databases
(PubMed, Google Scholar)
• Peers
www.metcardio.org
LEARNING GOALS
• What is publishing in interventional cardiology
all about?
• What do we mean by current trends in
publication?
• What is currently being published and by
who?
– methods
– on coronary artery disease
– on non-coronary heart disease
– on vascular disease
www.metcardio.org
1ST GENERATION DRUG-ELUTING STENTS
Stettler et al, Lancet 2007
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1ST GENERATION DRUG-ELUTING STENTS
Stettler et al, Lancet 2007
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1ST GENERATION DRUG-ELUTING STENTS
Stettler et al, BMJ 2008
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2ND GENERATION DRUG-ELUTING STENTS
Stone et al, JAMA 2008
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2ND GENERATION DRUG-ELUTING STENTS
Stone et al, JAMA 2008
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2ND GENERATION DRUG-ELUTING STENTS
Stone et al, Circulation 2009
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2ND GENERATION DRUG-ELUTING STENTS
Stone et al, Circulation 2009
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2ND GENERATION DRUG-ELUTING STENTS
Onuma et al, J Am Coll Cardiol 2009
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2ND GENERATION DRUG-ELUTING STENTS
Onuma et al, J Am Coll Cardiol 2009
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2ND GENERATION DRUG-ELUTING STENTS
Fajadet et al, Circulation 2006
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2ND GENERATION DRUG-ELUTING STENTS
Fajadet et al, Circulation 2006
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2ND GENERATION DRUG-ELUTING STENTS
Windecker et al, Lancet 2008
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2ND GENERATION DRUG-ELUTING STENTS
Windecker et al, Lancet 2008
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IS PEER REVIEWED PUBLICATION SO
IMPORTANT FOR YOUR PRACTICE?
Stone et al, TCT 2009
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SPIRIT IV TRIAL
Stone et al, TCT 2009
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SPIRIT IV TRIAL
Stone et al, TCT 2009
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SPIRIT IV TRIAL
Stone et al, TCT 2009
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DRUG-ELUTING BALLOONS
Unverdorben et al, Circulation 2009
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BACK TO THE FUTURE
Serruys et al, Lancet 2009
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BACK TO THE FUTURE
Serruys et al, Lancet 2009
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DRUG-ELUTING BALLOONS
Unverdorben et al, Circulation 2009
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THROMBECTOMY DEVICES
Burzotta et al, Eur Heart J 2009
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THROMBECTOMY DEVICES
MANUAL THROMBECTOMY
NON-MANUAL THROMBECTOMY
Burzotta et al, Eur Heart J 2009
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DIFFUSE CORONARY ARTERY
DISEASE: PREVIOUS FINDINGS
Hlatky et al, Lancet 2009
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DIFFUSE CORONARY ARTERY
DISEASE: PREVIOUS FINDINGS
INCLUDING BARI
EXCLUDING BARI
Hlatky et al, Lancet 2009
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THE SYNTAX TRIAL
Serruys et al, New Engl J Med 2009
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THE SYNTAX TRIAL
Serruys et al, New Engl J Med 2009
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UNPROTECTED LEFT MAIN DISEASE
Lee et al, J Am Coll Cardiol 2009
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CHRONIC TOTAL OCCLUSIONS
Valenti et al, Eur Heart J 2008
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CORONARY BIFURCATION LESIONS
Verheye et al, J Am Coll Cardiol 2009
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OPTICAL COHERENCE
TOMOGRAPHY
Guagliumi et al, Catheter Cardiovasc Interv 2008
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VIRTUAL HISTOLOGY
Sangiorgi et al, Catheter Cardiovasc Interv 2007
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FRACTIONAL FLOW RESERVE
Tonino et al, New Engl J Med 2009
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CHRONIC STABLE ANGINA
Shaw et al, Circulation 2008
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CORONARY ARTERY DISEASE IN DIABETICS
BARI 2D, New Engl J Med 2009
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CORONARY ARTERY DISEASE IN DIABETICS
BARI 2D, New Engl J Med 2009
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CORONARY ARTERY DISEASE IN DIABETICS
BARI 2D, New Engl J Med 2009
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ANTITHROMBOTIC THERAPY IN
ACUTE CORONARY SYNDROMES
Wallentin et al, New Engl J Med 2009
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LEARNING GOALS
• What is publishing in interventional cardiology
all about?
• What do we mean by current trends in
publication?
• What is currently being published and by
who?
– methods
– on coronary artery disease
– on non-coronary heart disease
– on vascular disease
www.metcardio.org
TRANSCATHETER MITRAL VALVE REPAIR
Feldman et al, J Am Coll Cardiol 2009
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TRANSCATHETER MITRAL VALVE REPAIR
Feldman et al, J Am Coll Cardiol 2009
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TRANSCATHETER AORTIC VALVE IMPLANTATION
Webb et al, J Am Coll Cardiol 2009
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TRANSCATHETER AORTIC VALVE IMPLANTATION
Webb et al, J Am Coll Cardiol 2009
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LEFT ATRIAL APPENDIX CLOSURE
Holmes et al, Lancet 2009
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LEFT ATRIAL APPENDIX CLOSURE
Holmes et al, Lancet 2009
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LEARNING GOALS
• What is publishing in interventional cardiology
all about?
• What do we mean by current trends in
publication?
• What is currently being published and by
who?
– methods
– on coronary artery disease
– on non-coronary heart disease
– on vascular disease
www.metcardio.org
CAROTID ARTERY STENOSIS
Ederle et al, Stroke 2009
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ABDOMINAL AORTIC ANEURISM
EVAR, Lancet 2005
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FEMORO-POPLITEAL STENOSIS
Schillinger et al, New Engl J Med 2006
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BELOW-THE-KNEE INTERVENTIONS
Peregrin et al, Cardiovasc Interven Radiol 2008
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TAKE HOME MESSAGES
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TAKE HOME MESSAGES
• Publishing success is a largely subjective and
volatile concept
• Current mainstream publishing trends are
shaped by key institutions, research groups,
and companies
• Several niches are still present where highlevel or otherwise successful publishing can be
achieved with relative ease
• Yet, these can be quickly spotted and exploited
in the worldwide research competition
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Thank you for your attention
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