revascularization

TVAR live edited broadcasts are safe.

Original title:&nbsp;The impact of live transmition on patients outcomes during transcatheter aortic valve replacement: Results fron the VERITAS study.&nbsp;Reference:&nbsp;Ron Waskman, et al. Cardiovascular Revascularization Medicine 2014;15:63-68 &nbsp; With the advancement of medical technology and the great development of telecommunications, performing live or edited cases has become a common occurrence in medical education, but one of<a href="https://solaci.org/en/2014/04/11/tvar-live-edited-broadcasts-are-safe/" title="Read more" >...</a>

Coronary Artery Bypass Grafting and Percutaneous Coronary Intervention show similar outcomes for ostial/midshaft lesion in Unprotected Left Main Coronary Artery

Original title:&nbsp;Long-Term Clinical Outcome Intervention Versus Coronary Artery Bypass Grafting for Ostial/Midshaft Lesion in Unprotected Left main Coronary Artery From The DELTA Registry.&nbsp;Reference:&nbsp;Toru Nagamuna et al. JACC Cardiovascular Intervention. Article in Press Even though surgery remains the &ldquo;gold standard&rdquo; to treat UMCLA lesions, current guidelines have incorporated PCI as class IIa at ostium/midshaft level. The<a href="https://solaci.org/en/2014/04/04/coronary-artery-bypass-grafting-and-percutaneous-coronary-intervention-show-similar-outcomes-for-ostial-midshaft-lesion-in-unprotected-left-main-coronary-artery/" title="Read more" >...</a>

Multivessel angioplasty in acute myocardial infarction improves prognosis

Original title:&nbsp;Acute multivessel revascularization improves 1 year outcomes in ST-elevation myocardial infarction. A nationwide study from AMIS plus registry.&nbsp;Reference:&nbsp;Raban Jeger, et al. International journal of Cardiology 2014;172:76-81 &nbsp; The presence of multiple vessel lesions is present in about 50% of patients referred for primary angioplasty. The accepted strategy is to treat the culprit artery even<a href="https://solaci.org/en/2014/03/07/multivessel-angioplasty-in-acute-myocardial-infarction-improves-prognosis/" title="Read more" >...</a>

Best results of angioplasty with DES guided by IVUS versus angiography only

Original title:&nbsp;Intravascular Ultrasound-Guided Implantation of Drug-Eluting Stents to Improve Outcome. A Meta-Analysis.&nbsp;Reference:&nbsp;Jae-Sik Jang et al. J Am Coll Cardiol Intv 2014, epub ahead of print. Several previous studies and meta-analysis showed that implantation of conventional stents (BMS) intravascular ultrasound (IVUS) guided may decrease restenosis and clinical events. This information was not yet clear to drug-eluting<a href="https://solaci.org/en/2014/02/26/best-results-of-angioplasty-with-des-guided-by-ivus-versus-angiography-only/" title="Read more" >...</a>

The length of the stent is not an event predictor with the new generation of DES. It is the end of the Spot stenting?

Original title:&nbsp;Impact of the Stent Length on Long-Term Clinical Outcomes Following Newer-Generation Drug-Eluting Stent Implantation.&nbsp;Reference:&nbsp;Ik Jun Choi et al. Am J Cardiol 2014;113:457-464. Completely cover the lesion with a sufficiently long stent has been the preferred strategy that emerged from drug-eluting stents (DES). However, for the first-generation DES stent length has been a predictor of<a href="https://solaci.org/en/2014/02/20/the-length-of-the-stent-is-not-an-event-predictor-with-the-new-generation-of-des-it-is-the-end-of-the-spot-stenting/" title="Read more" >...</a>

Endovascular treatment in critical limb ischemia, better permeability with similar mortality and amputation than surgery.

Original title: Comparative effectiveness of endovascular and surgical revascularization for patients with peripheral artery disease and critical limb ischemia.&nbsp;Reference:&nbsp;W. Schuyler Jones et al. American Heart Journal 2014. Epub ahead of print. &nbsp; Critical limb ischemia is the most severe condition affecting patients with peripheral vascular disease. Mortality, morbidity, and costs associated with this condition are<a href="https://solaci.org/en/2014/02/14/endovascular-treatment-in-critical-limb-ischemia-better-permeability-with-similar-mortality-and-amputation-than-surgery/" title="Read more" >...</a>

3rd generation zotarolimus-eluting stent non- inferior to everolimus

Original title:&nbsp;Third-generation zotarolimus-eluting and everolimus-eluting stents in all-comer patients requiring a percutaneous coronary intervention (DUTCH PEERS): a randomized, single-blind, multicentre, non-inferiority trial.&nbsp;Reference:&nbsp;Von Birgelen C et al. The Lancet. 2014; Epub ahead of print. In the 3rd generation zotarolimus-eluting stent, platform was modified to increase flexibility and make implant easier in complex lesions. This study was<a href="https://solaci.org/en/2014/02/13/3rd-generation-zotarolimus-eluting-stent-non-inferior-to-everolimus/" title="Read more" >...</a>

Almost 40 % of those who initially receive clopidogrel then switch to prasugrel or ticagrelor in clinical practice.

Original title:&nbsp;In-hospital switching of oral P2Y12 inhibitor treatment in patients with acute coronary syndrome undergoing percutaneous coronary intervention: Prevalence, predictors and short-term outcome.&nbsp;Reference:&nbsp;Dimitrios Alexopoulos et al. Am Heart J 2014;167:68-76.e2. Given the availability of 3 Oral P2Y12 receptor inhibitors (clopidogrel, prasugrel, and ticagrelor) with different safety and efficacy profiles, the change from one to another<a href="https://solaci.org/en/2014/02/07/almost-40-of-those-who-initially-receive-clopidogrel-then-switch-to-prasugrel-or-ticagrelor-in-clinical-practice/" title="Read more" >...</a>

The ball drug is effective in the femoropopliteal area

Original title:&nbsp;Drug-Eluting Balloon in Peripheral Intervention for the Superficial Femoral Artery. The DEBATE-SFA Randomized Trial (Drug Eluting Balloon in Peripheral Intervention for Superficial Femoral Artery).&nbsp;Reference:&nbsp;Liistro, F, el tal. J Am Coll Cardiol Intv 2013;6(12):1295-1302 &nbsp; The current treatment of choice in the femoropopliteal area is angioplasty, however, this procedure has a high rate of restenosis<a href="https://solaci.org/en/2014/02/03/the-ball-drug-is-effective-in-the-femoropopliteal-area/" title="Read more" >...</a>

The FFR changes the treatment strategy in almost half of patients

Original title:&nbsp;Outcome impact of coronary revascularization strategy reclassification with fractional flow reserve at time of diagnostic angiography.&nbsp;Reference:&nbsp;Van Belle E et al. Circulation. 2014 Jan 14;129(2):173-85. Any comprehensive registry has not been yet published that evaluates the impact of fractional coronary flow reserve (FFR) to change the strategy of revascularization on individual patients referred for diagnostic<a href="https://solaci.org/en/2014/01/29/the-ffr-changes-the-treatment-strategy-in-almost-half-of-patients/" title="Read more" >...</a>

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