CVIT expert consensus document on primary percutaneous coronary intervention (PCI) for acute myocardial infarction (AMI) in 2018

While primary percutaneous coronary intervention (PCI) has significantly contributed to improve the mortality in patients with ST segment elevation myocardial infarction even in cardiogenic shock, primary PCI is a standard of care in most of Japanese institutions. Whereas there are high numbers of available facilities providing primary PCI in Japan, there are no clear guidelines focusing on procedural aspect of the standardized care. Whilst updated guidelines for the management of acute myocardial infarction were recently published by European Society of Cardiology, the following major changes are indicated; (1) radial access and drug-eluting stent over bare metal stent were recommended as Class I indication, and (2) complete revascularization before hospital discharge (either immediate or staged) is now considered as Class IIa recommendation. Although the primary PCI is consistently recommended in recent and previous guidelines, the device lag from Europe, the frequent usage of coronary imaging modalities in Japan, and the difference in available medical therapy or mechanical support may prevent direct application of European guidelines to Japanese population. The Task Force on Primary Percutaneous Coronary Intervention of the Japanese Association of Cardiovascular Intervention and Therapeutics (CVIT) has now proposed the expert consensus document for the management of acute myocardial infarction focusing on procedural aspect of primary PCI

Chiral Colloids: Homogeneous Suspension of Individualized SiO2 Helical and Twisted Nanoribbons.

Finely tuned chiral nanometric silica fibers were synthesized based on sol-gel chemistry using organic self-assembly as a template. The optimization of the sol-gel process in acidic conditions allowed us to reduce the transcription time by a factor of 10. These nanohelices were successfully fragmented while preserving the fine internal structures from several micrometers to several hundreds of nanometers in length by a sonication method previously reported for carbon nanotubes. By carefully choosing the nature of the solvent, the sonication power, pH in the case of water, and densification of the silica walls by freeze-drying, the homogeneous and stable colloidal suspensions of individualized chiral nanometric silica ribbons with controlled length were obtained