The new generation SAPIEN 3 valve was designed to reduce paravalvular aortic regurgitation. The objective of this work was to evaluate the influence of “oversizing” for SAPIEN 3 valve both in relation to the area and the perimeter and determine if calcium ring influences the degree of failure. A lesser degree of oversizing need it…
TOTAL stroke: increased risk of stroke with thromboaspiration
There are many doubts about the benefit of manual thromboaspiration, not only in terms of improvement of the clinical end point but also the potential risk of stroke. The TOTAL (n = 10732) was a randomized study of routine manual thrombectomy versus angioplasty only in the context of ST segment elevation acute myocardial infarction and…
NONSTEMI: Superiority of early angioplasty in non-ST elevation myocardial infarction
The European guidelines recommend revascularization within 24 hours in high-risk patients with No ST segment elevation myocardial infarction. It is unclear whether these patients would benefit from an immediate strategy. This randomized, open, and controlled study included 250 patients with suspected Non ST segment elevation myocardial infarction. Patients were randomized to early coronary angiography or…
Angiographic TOTAL: Sub angiography studio of TOTAL
Myocardial blush is a predictor of mortality after primary angioplasty. Small studies showed a degree of improvement blush with manual thromboaspiration. The present work is a substudy of the TOTAL where thromboaspiration Export® catheter (Medtronic cardiovascular, Santa Rosa, CA) was assessed and compared to angioplasty without thromboaspiration. A total of 1610 patients were included, (791…
IN.PACT Global Study: Pharmacological balloon in long lesions of the Superficial Femoral Artery (SFA)
Long lesions (≥ 15 cm), total occlusions, and in-stent restenosis represent a unique treatment challenge in peripheral vascular disease. IN.PACT Global study is a prospective, multicenter, single arm designed to evaluate the safety and efficacy of IN.PACT® ADMIRAL® drug eluting balloon for the treatment of superficial femoral and popliteal arteries in a real-world population. A…
ILUMIEN I: Results of the angioplasty indicated by FFR and controlled by OCT
This is an observational, prospective, multicenter study using optical coherence tomography (OCT) and measurement of fractional flow reserve (FFR) before and after angioplasty. Inpatient following up was set at one month, six months, and one year. Before performing the OCT, the planned strategy was recorded and surgeons were free to change the strategy. The strategy…
SAPIENS 3: Favorable outcomes with TAVI in intermediate risk patients
Transcatheter aortic valve replacement is a safe and effective alternative to surgery in patients with severe aortic stenosis and high surgical risk as the 5-year results of PARTNER 1 Alternate showed. The aim of this study was to evaluate the result of the Edwards Sapien 3 valve in patients with severe aortic stenosis and intermediate…
ILUMIEN II: OCT guided stenting versus IVUS
The main predictor of adverse outcomes (thrombosis and restenosis) after implantation of a stent is the degree of expansion according to published studies using coronary intravascular ultrasound (IVUS). It is unknown whether optical coherence tomography (OCT), in this sense, provides similar information as the IVUS. The aim of this study was to compare the degree…
ADVANCE II CoreValve Trial: Results at six months of self-expanding aortic valve
The CoreValve ADVANCE II Trial is a research study of the best practices to implement this device. Those practices included a careful assessment using scan to choose the right valve size, control the depth of the implant to 6 mm or less in relation to the valve annulus and adherence to international standards for pacemaker…
BVS-STEMI-FIRST OCT study: Bioabsorbable platform in acute myocardial infarction
A bioabsorbable platform implant in the context of ST segment elevation acute myocardial infarction is feasible although the subsequent cicatrization of the artery is not documented. The objective of this work was to evaluate optical coherence tomography (OCT) in patients who received everolimus-releasing bioabsorbable platform in the context of primary angioplasty. A total of 39…
CoreValve Evolut R CE: Good results at 6 months of the new CoreValve repositionable
This study evaluated the safety and efficacy of the new repositionable self-expanding valve. The primary end point was all-cause mortality and stroke at 30 days. 60 patients were included and the possibility for reposition was used 22 times between 12 recaptures and 10 re-sheathed of the valve. All maneuvers were carried out successfully. A 30…
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