Peripheral vascular disease articles

Is it safe to perform percutaneous treatment in acute pulmonary thrombosis?

Is it safe to perform percutaneous treatment in acute pulmonary thrombosis?

Courtesy of Dr. Carlos Fava Massive and submassive pulmonary embolism (PE) has traditionally been treated with anticoagulation and catheter direct thrombolysis (CDT), but the safety and efficacy of this treatment has not been yet properly assessed.   The study analyzed 137 patients presenting acute PE massive or submassive. All patients received CTD associated to heparin

Pulmonary embolism

Catheter-directed thrombolysis for pulmonary embolism: a safe technique

Courtesy of Dr. Brian Nazareth Donato. The conventional treatment for patients with pulmonary embolism (PE) has traditionally been anticoagulation plus systemic thrombolytics, or surgical embolectomy, reserved for high risk patients. Even though it has been shown systemic thrombolytics reduce mortality in PE patients at high or intermediate risk, its use has been limited given the

enfermedad carotídea y coronaria severa

Best Revascularization Strategy for Severe Carotid and Coronary Artery Disease

Courtesy of Dr. Carlos Fava. Carotid artery disease is an important cause of stroke and is associated to coronary artery disease. When patients need myocardial revascularization surgery (Carotid Artery Bypass Graft) and cannot wait one month or more for carotid revascularization, the optimal management strategy is still controversial.   The aim of this study was

Isquemia crítica de miembros inferiores: el blush de la herida

Critical Limb Ischemia: Wound Blush Is the Most Important Objective

The aim of this study was to find the optimal angiographic endpoint for infrapopliteal interventions to be able to predict wound healing.   Evidence shows acceptable patency and successful limb salvage in patients with critical limb ischemia after infrapopliteal intervention. However, the optimal angiographic endpoint remains unclear. Is it enough to restore flow in one

angioplastia de la arteria femoral común

A new alternative for PCI of the common femoral artery

Courtesy of Dr. Carlos Fava. Not long ago, atherosclerosis of the common femoral artery used to be treated surgically and, thanks to better training and new balloon devices, we have advanced the endovascular treatment alternative. However, severe calcification continues to be a great limitation.   This study aimed at evaluating the feasibility and one year

Pre-acondicionamiento isquémico en angioplastia carotídea

Remote Ischemic Preconditioning in Carotid PCI: Safe and Effective?

Remote ischemic preconditioning (RIPC) can prevent recurrent ischemic events in patients with acute or chronic cerebral ischemia. However, is remains unclear whether RIPC could prevent an ischemic event in the context of carotid PCI in patients with severe carotid artery stenosis.   The study included patients with severe carotid artery stenosis randomized to RIPC, vs.

controlar factores de riesgo para prevenir acv

How Important Is Controlling Risk Factors for the Prevention of a Stroke?

There has been a recent decline of about 20% to 40% in the incidence of cerebrovascular accidents (stroke). Although this is attributed to the improvement of risk factor control, the reason behind it is not utterly clear. This study estimated the impact of modifiable cardiovascular risk factors on the incidence of stroke between 1995 and

angioplastia arteria pedia en isquemia crítica de miembros inferiores

Pedal Artery Angioplasty: Beneficial in Critical Limb Ischemia

Courtesy of Dr. Carlos Fava. Delaying or failing to heal trophic wounds in critical limb ischemia (CLI) changes quality of life, delays rehabilitation and is associated to infections and amputation.   Pedal artery revascularization with angioplasty would speed up recovery and improve CLI wound healing.   The study analyzed 257 patients with de novo infrapopliteal

revascularizacion carotídea stroke

Carotid Revascularization After Stroke: When Should It Be Performed?

In 2006, the American Heart Association guidelines recommended that carotid revascularization be performed within 2 weeks of stroke based on data from 2 randomized trials on carotid endarterectomy.   This study aimed to determine whether the time between the event and revascularization has decreased after these guidelines were issued, and the proportion of patients receiving some sort of revascularization (endarterectomy

Inferior Vena Cava Filters in Recurrent Thromboembolism: Yes or No?

Courtesy of Dr. Guillermo Migliaro. At present, there is no clear evidence in favor of inferior vena cava filters (IVC) for patients developing recurrent symptomatic venous thromboembolism (VTE), and the existing guideline recommendations from the different societies are contradicting.   The aim of this study was to assess the effectiveness of these devices in patients

cuando intervenir estenosis carotidea sintomatica

When to Intervene a Symptomatic Carotid Stenosis?

Guidelines recommend that carotid endarterectomy be performed within two weeks of stroke in patients with symptomatic carotid stenosis.   Because a Swedish registry study showed patients treated within the first days after a transient ischemic attack or stroke are at increased risk of death and perioperatory stroke, this study aims at verifying this risk in

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