Courtesy of Dr. José Álvarez ‘Slow flow’ may complicate a rotational atherectomy procedure, especially when done on severely and extensively calcified lesions and small caliber vessels. Although its incidence is between 3% and 27%, its cause remains unclear, and it is thought that platelet antiaggregation induced by burr rotation speed may be behind it. …
Bivalirudin reduces bleeding rate in carotid stenting
Courtesy of Dr. Carlos Fava Bivalirudin has been shown to reduce bleeding in carotid stenting and maintain its efficacy. Even though carotid stenting has shown benefits, these remain unclear. With this in mind, four studies were analyzed (one randomized) including 7,784 patients undergoing carotid stenting with unfractioned heparin vs. bivalirudin. No difference was…
Promising Outcomes of Overlapping Stents in Patients Undergoing Bioresorbable Scaffold (BRS) Implantation
Courtesy of Dr. Guillermo Migliaro. In regular clinical practice, overlapping stents are reported in up to 30% of patients undergoing coronary angioplasty, especially due to very long lesions requiring implantation of multiple stents or dissection after the implantation of a first stent. In bare metal stent era, overlapping was associated with unfavorable clinical outcomes…
Primary angioplasty and multivessel lesions: how should we proceed?
Courtesy of Dr Carlos Fava. The association of primary angioplasty with multivessel lesions is not infrequent and has been analyzed in various studies and meta-analyses. However, the proper course of action remains unclear. According to this study, fractional flow reserve (FFR) could better define the ischemic impact of lesions and help with the identification of…
2nd Edition Multi-Level CTO course 2017
The 2nd Edition of the international Multi-level CTO Course which will be held in Nice (France) from June 29th to July 1st, 2017 at Palais de la Méditerranée. Following the success of the 2016 first edition (336 attendees over 40 countries), the main goal of this event is to bring together all passionate operators…
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…
Bicuspid Aortic Valve Stenosis Still Challenging for TAVR
Courtesy of Dr. Carlos Fava One of the present challenges of TAVR is bicuspid aortic valve stenosis (AS), since it presents a different distribution and structure, associated to greater and more irregular calcification. There are only small series of devices and their use is still controversial. The study analyzed 561 patients with severe bicuspid…
Bolivia sessions: take a look at the pictures
” order_by=”sortorder” order_direction=”ASC” returns=”included” maximum_entity_count=”500″ display_type=”photocrati-nextgen_basic_thumbnails”]
Post TAVR thrombosis, is it more common than we know?
Courtesy of Dr. Carlos Fava Few post TAVR scenarios remain to be analyzed. One of them is post TAVR valve thrombosis. This event has been reported in around 0.5% of cases, but its incidence, consequences and adequate treatment remain unclear. The study analyzed 642 patients undergoing TAVR. Patients were followed up with Doppler Echocardiography…
Ecuador Sessions: Contest for Interventionists in Training
Sponsored by Abbott Vascular LATAM XXX SOLACI Sessions – Andean Region 10 October 6 – 7, 2016. Cuenca – Ecuador Case Submission: “Fostering Hemodynamics among Young Cardiologists”. It is with great pleasure that we hereby invite all young Latin American cardiologists specializing in hemodynamics to submit relevant clinical cases to the next SOLACI Sessions, Cuenca-Ecuador 2016, to…
SOLACI@EuroPCR: Management of STEMI in Latin America and Europe
Yesterday, May 17th, took place the SOLACI Session @EuroPCR about management of STEMI in Latin America and Europe. Chairpersons: R. Lluberas, F. Mauri Panellists: J.L. Leiva Pons, P. Lemos, O. Mendiz, E. Ribeiro Program: 15:30-15:32 – EuroPCR welcomes SOLACI – F. Mauri 15:32-15:35 – Session objectives – R. Lluberas 15:35-15:43 – The Mexican experience in reperfusion…