Author + information
- David J. Moliterno, MD, FACC, Editor-in-Chief, JACC: Cardiovascular Interventions∗ ()
- ↵∗Address for correspondence:
Dr. David J. Moliterno, Department of Internal Medicine, University of Kentucky, 900 S. Limestone Avenue, 329 Wethington Building, Lexington, Kentucky 40536-0200.
I started writing this Editor’s Page on Easter weekend, and I thought it was fitting then to write about the Images in Intervention section of the journal. Easter is filled with iconic images, and some churches have dedicated “stations of the cross” or a series of 14 prayer stations each depicting key events in the final earthly day of Christ. No matter your religious background or belief, these images, often paintings or carvings found inside older cathedrals in Europe, are often impressive works of art and convey a clear message with even a brief look. The word “icon” has come to mean a representative symbol or ideal example of something, and in the modern day, an icon is a symbol or picture on a video screen representing a particular computer or software function. These different definitions or usages of the word “icon” have a common concept of being an image that clearly conveys a message or represents something ideally.
In prior Editor’s Pages, I described submissions for the categories of Research Correspondence (1) and State-of-the-Art papers (2), and we recently updated the “Instructions to Authors” regarding the same. The Images in Intervention section started when the journal was launched in 2008, and there were several goals including a venue to showcase the merger of imaging modalities and interventional procedures. This section of the JACC: Cardiovascular Interventions, positioned near the end of each issue, quickly became popular like a restaurant’s small treat at the end of the meal— a reader’s lagniappe or petits fours. They are meant to have an easy-to-digest message as they follow the meaty original research papers. Early in the history of JACC: Cardiovascular Interventions, there were 1 or 2 image cases per monthly issue, and by 2015 (the last year of monthly issues), there were commonly 8 published at a time. Since then, the journal has published twice per month with the aim of having 5 Images in Intervention cases in each issue, 2 of which are published in print (and online) and 3 are solely online.
So, with this introduction, what describes an attractive Images in Intervention submission? As stated in the authors’ instructions, the submission should literally illustrate important classic or novel findings in the field of interventional cardiology. These papers should contain 1 or more still images as a focal point, and short videos are desirable (and may be submitted in any of the standard formats). The text should be a description of <400 words (including references and figure legends). There are no topic bounds in the field, but I should point out a few important caveats and explanations why some submissions in this category are declined. For example, is the case truly classic and are the images ideal? The answer to both may be yes, but is the content novel for the readers? As you can imagine, having received thousands of image submissions through the years, many classic findings with ideal images have been published. Another example of image cases that are declined based on lack of novelty (meaning we have seen them many times before) or value (meaning not so helpful to many readers) are images from cases with extreme complications. These are often impressive cases: remarkable effusions, high-volume fistulae, dramatic dissections, or breathtaking device embolizations followed by a visual synopsis of how the operators managed, rescued, or salvaged the procedure. Some have great value in their teaching points, yet the Images in Intervention section is not intended as a vehicle solely for publishing we-did-it case reports.
Perhaps the best way to highlight attractive features of Images in Intervention submissions is to look at cases published in this issue (or any issue really). Hopefully, you enjoyed the images provided by Kaichi et al. (3) from Osaka, Japan, showing complete aortobifemoral graft occlusion. One of their patients developed severe recurrent claudication years following aortofemoral artery bypass graft placement. The operators found complete graft occlusion and undertook heroic native vessel recanalization and placement of bilateral self-expanding stents. The abdominal aorta and pelvic vascular images (contrast-enhanced computed tomography) are quite impressive. If you have already been online to review this issue, you hopefully appreciated the submission by Chi and Yan (4) from Hong Kong (Special Administrative Region), China. Following stent placement to the right common iliac artery, their patient developed frank leg congestion and swelling, and evaluation revealed acute thrombus in the left common femoral vein extending into the external iliac vein. Using venography and intravascular ultrasonography, the investigators diagnosed May-Thurner syndrome, an under-recognized, lower-extremity venous disorder of compression of the left common iliac vein when traveling under the right common iliac artery. The still frames from the intravascular ultrasonogram images showing external compression of the vein are nice.
To me, these cases fit the bill. They are attractive papers helping to round out the issue. Both reports are unique, deliver arguably classic yet novel findings, and merge various imaging modalities to produce straightforward points. They are representative examples and ideal images, and they convey a clear message with even a brief look—they are icons.
- 2018 American College of Cardiology Foundation
- Moliterno D.J.
- Moliterno D.J.
- Kaichi R.,
- Kawarada O.,
- Yagyu T.,
- Noguchi T.,
- Yasuda S.
- Chi W.K.,
- Yan B.P.Y.