Interventional cardioangiology: from complex to simple

In all the learning curves as well as the teaching processes, the common habit is to procede from simplest to most complex. Nevertheless medicine is not an exact science and consequently who could state if something is simpler than something else? In the recent periods, research in interventional cardiology is increasingly driven by commercial interests connected to new devices and drugs’ performances. Anyway an opposite pathway could be interesting and didactic at the same time. After analyzing the several complications of last generation structural and peripheral interventional procedures, researching about “normal” coronary arteries sizing has been an essential step of my PhD research pathway. Also if apparently this topic looks empiric, its clinical implications are numerous: the definition of normality will imply a more precise definition of coronary ectasia, and consequently a better knowledge of this disease. Such standardization will be the first stone to lay in order to identify the correct interventional or pharmacological treatment of this not so uncommon coronary disease.