CTO

Debemos tener en cuenta a la isquemia crítica de MM II en el TAVI

Critical Lower Limb Ischemia Should Be Taken into Account in TAVR

Courtesy of Dr. Carlos Fava. Peripheral vascular diseases (PVD) present the same risk factors as aortic stenosis. In consequence, these disorders usually coexist. The frequency and impact of their various stages on patients undergoing TAVR is yet to be thoroughly assessed. Read also: “Peripheral Vascular Disease Is Associated to More Events in TAVR”. This study analyzed...

El desarrollo de las nuevas válvulas disminuye la necesidad de marcapaso

Development of New Valves Lowers Need for Pacemaker

Courtesy of Dr. Carlos Fava. While the benefits of TAVR are well-known, the need for a permanent pacemaker after implantation is still an issue to solve, even though new valves have reduced it. This study enrolled 175 patients who underwent TAVR with an ACURATE neo TF valve. In this population, 58% of patients were women and the...

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)...

Radioprotection: 6 essential articles to keep you updated

1) On Radiation Protection: Editorial comment by Dr. Ariel Durán I am pleased to witness the increased amount of scientific papers in high impact journals addressing topics related to radiation protection or the harmful effects of radiation on our patients and primary or secondary operators. Similarly, it is my pleasure to see that SOLACI has...

On Radiation Protection: Editorial comment by Dr. Ariel Durán

Courtesy of Dr. Ariel Durán. I am pleased to witness the increased amount of scientific papers in high impact journals addressing topics related to radiation protection or the harmful effects of radiation on our patients and primary or secondary operators. Similarly, it is my pleasure to see that SOLACI has acknowledged this growing concern by...

Burnout Syndrome

Burnout Syndrome among Cardiologists

For the first time, the American College of Cardiology (ACC) has carried out a survey on this phenomenon, and more than 25% of Cardiologists have reported the characteristic symptoms of burnout. This syndrome is known, among other things, for chronic fatigue at work, low self-esteem and difficulty to focus, associated with stress and aggressiveness. These findings should be taken...

El costo clínico y el costo económico compiten en la desescalada de antiagregantes

Clinical and Economic Costs Compete in the De-Escalation of Antiplatelet Therapy

Patients undergoing primary angioplasty for ST-segment elevation acute myocardial infarction have similar clinical outcomes at 1 year regardless of whether they are treated with ticagrelor or prasugrel, according the PRAGUE-18 study. This new substudy adds an interesting detail: patients who switched from prasugrel and ticagrelor to clopidogrel, citing economic reasons for the “de-escalation” of therapy, were...

Cierre de foramen oval para tratar la migraña

Closure of Patent Foramen Ovale for the Treatment of Migraine

Migraine is one of the more frequent disabling disorders worldwide, but its physiopathology remains unclear. Since migraine is quite heterogeneous, individual therapies may not be effective for all patients. We still lack strategies to help us predict which patient subset might respond best to certain therapies. Read also: “Amplatzer and Figulla Devices Prove to Be...

TAVI en insuficiencia aórtica pura, nuevos dispositivos con nuevos resultados

TAVR in Pure Aortic Regurgitation: New Devices, New Outcomes

Pure aortic regurgitation has historically been considered a contraindication for transcatheter aortic valve replacement (TAVR) due to the absence of calcification and subsequent device anchoring problems it poses. Initial reports on first-generation self-expanding valves for the treatment of pure regurgitation were somewhat discouraging, but devices evolved, adding repositioning capacity, different external skirts (pericardial, PET, urethane,...

iFR en lesiones no culpables: el momento de la medición parece cambiar la historia

iFR in Nonculprit Lesions: Measurement Timing May Change History

During primary angioplasty, it is not uncommon to see several other lesions in coronary arteries. Current guidelines advise against the treatment of these lesions in the same primary angioplasty procedure, although there is evidence supporting such a course of action that may warrant changes in these recommendations. The functional assessment of these nonculprit lesions may...

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