Patients with complex coronary artery disease (CAD) undergoing percutaneous coronary intervention (PCI) have worse clinical outcomes tan patients with non-complex CAD. Several studies have shown that the use of intravascular imaging (IVUS, OCT) have reduced major adverse events vs. angiography guided PCI. However, these studies present limitations both of size, studied population, short term followup…
ESC 2022 | Should We Follow-Up with Functional Testing in High-Risk Patients after CTA?
While the need for repeat cinecoronary angiography after transluminal coronary angioplasty (TCA) has decreased with the use of drug-eluting stents and improved medical treatment, patients still present ischemic recurrence or cardiovascular events at follow-up. Using a functional test at follow-up after TCA or myocardial revascularization (CMR) is a frequent practice in our context. This is…
ESC 2022 | REVIVED-BCIS2
The REVIVED-BCI2 included 700 patients with ejection fraction ≤35% with extended coronary artery disease and plausible PCI. Patients were randomized to PCI plus optimal and complete medical treatment (OMT) according to the current guidelines. 347 patients received PCI and 353 OMT. Primary end point was all cause death and hospitalization for cardiac failure. There were…