Coronary disease articles

Does a Combination of Diabetes and Acute Coronary Syndrome Change the Revascularization Strategy?

Does a Combination of Diabetes and Acute Coronary Syndrome Change the Revascularization Strategy?

The results of the FREEDOM (Future Revascularization Evaluation in Patients With Diabetes Mellitus: Optimal Management of Multi-vessel Disease) trial have shown a lower rate of events in patients with diabetes and stable multivessel disease who were randomized to undergo myocardial revascularization surgery, compared to those who underwent angioplasty. Surgery even showed a mortality reduction that

DEFINE FLAIR and IFR SWEDEHEART: Safety in Revascularization Based on FFR and iFR in Both Stable and ACS Patients

What Is the Long-Term Outcome of Lesions Deferred Using FFR/iFR?

The presence of inducible ischemia is an essential prerequisite to obtain clinical benefits from revascularization through angioplasty. In that sense, the measurement of fractional flow reserve (FFR) is the gold standard as regards invasive methods assessing the functional significance of epicardial artery stenosis. As opposed to FFR, the measurement of the instantaneous wave-free ratio (iFR)

El uso de imágenes intravasculares para guiar la angioplastia reduce el riesgo de muerte cardiovascular en comparación con la angiografía

The Use of Intravascular Imaging to Guide PCI Reduces Cardiovascular Death Risk, Compared to Angiography

Intravascular imaging, which includes ultrasound intravascular (IVUS) and optical coherence tomography (OCT), shows live details that better characterize post stenting plaque, anatomy and outcomes.  The already familiar limitations of the angiography has lead us to think that IVUS and OCT could improve clinical outcomes; however, we should still find the evidence to support this claim. To shed some

¿Podría el FFR ser reemplazado para la evaluación fisiológica de una lesión intermedia?

Physiologically Assessing Intermediate Stenosis: Could FFR Be Replaced?

Fractional flow reserve (FFR) and instantaneous wave-free ratio (iFR) are commonly used to assess physiological severity of angiographically intermediate stenosis. Both indexes quantify a pressure ratio as subrogate to measuring flow, which is much harder to do. Discordance between FFR and iFR occurs in up to 20% of cases, which should not be a matter

AAS durante cirurgias não cardíacas: somente em pacientes com angioplastia prévia

DES XL for Left Main Coronary Artery Lesions

DES XL for Left Main Coronary Artery Lesions. Presenters: Dr. Carlos Calderas, Venezuela.  Dr. Alejandro Ricalde, México. This video, sponsored and funded by Medtronic, was filmed during SOLACI-CACI 2017 Congress, at Hilton Buenos Aires Hotel (in Argentina). Do you want to take a look at all other SOLACI-CACI 2017 Congress Medtronic cases? Watch them  We are interested in your

Latin Program para el tratamiento de STEMI

Latin Program for the Treatment of STEMI

Latin Program for the Treatment of STEMI. Presenters: Dr. Marco Alcocer, México. Dr. Marcus Lacativa, Brasil. Dr. Humberto Casal, Venezuela. This video, sponsored and funded by Medtronic, was filmed during SOLACI-CACI 2017 Congress, at Hilton Buenos Aires Hotel (in Argentina). Do you want to take a look at all other SOLACI-CACI 2017 Congress Medtronic cases? Watch them  We are

perspectiva-tci-compressor

Current Perspectives on the Left Main Coronary Artery

Current Perspectives on the Left Main Coronary Artery. Presenters: Dr. Oscar Méndiz, Argentina.  Dr. Fernando Cura, Argentina.  Dr. Ricardo Lluberas, Uruguay. This video, sponsored and funded by Medtronic, was filmed during SOLACI-CACI 2017 Congress, at Hilton Buenos Aires Hotel (in Argentina). Do you want to take a look at all other SOLACI-CACI 2017 Congress Medtronic cases? Watch them  We

Perspectivas actuales en el manejo de vasos pequeños

Current Perspectives on the Management of Small Vessels

Current Perspectives on the Management of Small Vessels. Presenters: Dr. León Valdivieso.  Dr. Humberto Casal. This video, sponsored and funded by Medtronic, was filmed during SOLACI-CACI 2017 Congress, at Hilton Buenos Aires Hotel (in Argentina). Do you want to take a look at all other SOLACI-CACI 2017 Congress Medtronic cases? Watch them  We are interested in your opinion. Please,

Acceso radial y alta precoz para las intervenciones percutáneas

Transradial Access and Early Discharge in Percutaneous Interventions

Transradial Access and Early Discharge in Percutaneous Interventions. Presenters: Dr. Jorge Mayol, Uruguay.  Dr. Anibal Damonte, Argentina. This video, sponsored and funded by Medtronic, was filmed during SOLACI-CACI 2017 Congress, at Hilton Buenos Aires Hotel (in Argentina). Do you want to take a look at all other SOLACI-CACI 2017 Congress Medtronic cases? Watch them  We are interested in your

Calidad de vida entre cirugía y angioplastia para tratar la enfermedad del tronco

Quality of Life Between Surgery and Angioplasty for the Treatment of Left Main Disease

In recent years, angioplasty with drug-eluting stents (DES) has emerged as an alternative to myocardial revascularization surgery in patients with left main coronary artery disease. Both European and American guidelines offer a Class IIa recommendation for left main coronary artery (LMCA) angioplasty in selected patients. The EXCEL (Evaluation of Xience Versus Coronary Artery Bypass Surgery for

Disección coronaria en mujeres: poco frecuente y de difícil manejo

Coronary Artery Dissection in Women: Rare and Difficult to Manage

Courtesy of  Dr. Carlos Fava. Spontaneous Coronary artery dissection (SCAD) was first described in 1931 and, even though its prevalence according to different studies is roughly between 0.07% and 1.1%, it is more frequent in women and is associated to acute coronary syndrome and sudden death. The study looked at 752,352 women presenting acute myocardial infarction (AMI)

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