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NOTION: TAVI with Low Risk at 4 Year Follow Up

Post-dilation in TAVI associated to more stroke and more paravalvular regurgitation

Courtesy of Dr. Carlos&nbsp;Fava. Moderate/severe paravalvular regurgitation (PVR) after&nbsp;TAVR&nbsp;is present in 10%-14% of all cases, according to different series. The treatment of choice is post-dilation, generally effective in most cases. However, this strategy carries a risk of&nbsp;stroke.&nbsp;The true impact of this conduct is still unclear. &nbsp; This review analyzed 6&nbsp;studies that included 5007&nbsp;patients; 889 of<a href="https://solaci.org/en/2017/07/10/post-dilation-in-tavi-associated-to-more-stroke-and-more-paravalvular-regurgitation/" title="Read more" >...</a>

Isquemia crítica de miembros inferiores: las re-hospitalizaciones frecuentes muestran la magnitud del problema

Critical ischemia in the lower limbs: Frequent Readmissions show the magnitude of this problem

Readmissions at 6&nbsp;months in patients with critical ischemia in the lower limbs occur in about 50% of all cases and most of them are unplanned. &nbsp; This truly alarming number is cause for further concern when taking into account that only part of these readmissions are related to vascular problems. Many are caused by comorbidities<a href="https://solaci.org/en/2017/07/05/critical-ischemia-in-the-lower-limbs-frequent-readmissions-show-the-magnitude-of-this-problem/" title="Read more" >...</a>

Menos volumen, más mortalidad, ¿debemos preocuparnos?

Less volume, more mortality: should we be concerned?

Courtesy of&nbsp;Dr. Agustín Vecchia. In general, guidelines recommend a number of procedures a year for operators to maintain a reasonably safe level of proficiency. Even though this number is arbitrary and operators’ aptitude varies considerable, more than one publication has found an inverse correlation between procedure volume and outcomes. &nbsp; This study incorporated 10,496 operators<a href="https://solaci.org/en/2017/06/30/less-volume-more-mortality-should-we-be-concerned/" title="Read more" >...</a>

El acceso radial reduce el riesgo de insuficiencia renal en pacientes agudos

The transradial approach reduces the risk of kidney injury in acute patients

It remains unclear whether transradial access, compared with transfemoral access, presents a different risk of post-procedural kidney injury for patients admitted with acute coronary syndrome. Historically, it has been considered (without any evidence) that, given the higher difficulty associated with transradial access, it would require longer fluoroscopy time and higher contrast volume, which would eventually<a href="https://solaci.org/en/2017/06/21/the-transradial-approach-reduces-the-risk-of-kidney-injury-in-acute-patients/" title="Read more" >...</a>

Los DES liberadores de everolimus son más eficaces y menos costosos que los stent metálicos convencionales

Everolimus DES are more effective and less costly than conventional BMS

&nbsp;Courtesy of Dr. Guillermo Migliaro. Drug eluting stents (DES) represented the greatest technological advance in the treatment of instent restenosis from conventional metallic&nbsp;stents (BMS), especially cobalt chromium everolimus eluting stents (CoCr EES), which have shown an excellent profile, and are mostly safer, compared to first generation DES. &nbsp; Indeed, several randomized studies and meta-analyzis have<a href="https://solaci.org/en/2017/06/16/everolimus-des-are-more-effective-and-less-costly-than-conventional-bms/" title="Read more" >...</a>

El TAVI presenta menos IAM post procedimiento que la cirugía de reemplazo valvular aórtico

TAVR presents less post-procedural MI than surgical aortic valve replacement

Courtesy of Dr. Carlos Fava. Surgical aortic valve replacement (SAVR) continues to be elective, but the presence of post-procedural acute myocardial infarction (AMI) has been associated to bad evolution. Despite the proven benefits of TAVR for high risk patients and the progress shown by patients of intermediate risk, the incidence of post implantation MI has<a href="https://solaci.org/en/2017/06/13/tavr-presents-less-post-procedural-mi-than-surgical-aortic-valve-replacement/" title="Read more" >...</a>

¿Son seguros los introductores dedicados radiales 7F?

Are 7 Fr Dedicated Transradial Introducers Safe?

Courtesy of Dr. Carlos&nbsp;Fava. The transradial approach has been proven beneficial for quite some time now, but certain scenarios require the use of a 7&nbsp;Fr or 8&nbsp;Fr introducer, which is a great limitation. &nbsp; This study included 60&nbsp;patients who underwent complex angioplasty with the help of 7&nbsp;Fr dedicated transradial (TR) introducer Glidesheath Slender (Terumo, Tokyo,<a href="https://solaci.org/en/2017/06/06/are-7-fr-dedicated-transradial-introducers-safe/" title="Read more" >...</a>

Los dispositivos Amplatzer y Figulla demuestran ser seguros para el cierre percutáneo del foramen oval permeable

Amplatzer and Figulla Devices Prove to Be Safe for Percutaneous Patent Foramen Ovale Closure

Courtesy of Dr. José Álvarez. In patients with presumed paradoxical embolism through a patent foramen ovale (PFO) who are at high risk of recurrent thromboembolic events, percutaneous PFO closure is an alternative to pharmacological treatment. This closure has been shown to be safe and feasible with different devices including various technologies based on an umbrella,<a href="https://solaci.org/en/2017/05/30/amplatzer-and-figulla-devices-prove-to-be-safe-for-percutaneous-patent-foramen-ovale-closure/" title="Read more" >...</a>

SENTINEL Study: Cerebral Protection During TAVR

[SURTAVI] Sub-study of neurological events: more evidence in favor of TAVR

Courtesy of SBHCI. The occurrence of a periprocedural neurological events is associated to an increased risk of death and morbidity at long term, both for transcatheter aortic valve replacement (TAVR) and for surgery. The SURTAVI study, recently presented at the ACC meeting and simultaneously published by NEJM, showed that TAVR with self-expandable CoreValve or Evolut<a href="https://solaci.org/en/2017/05/30/surtavi-sub-study-of-neurological-events-more-evidence-in-favor-of-tavr/" title="Read more" >...</a>

reemplazo valvular mitral por catéter por enfermedad de la válvula nativa

Mitral Valve Global Registry: transcatheter mitral valve replacement due to native valve disease

Courtesy of the SBHCI. The risk of surgical mitral valve replacement in patients with significant annular calcification is very high. There are isolated reports of transcatheter mitral valve replacement with balloon-expandable valve in this patient population. In consequence, this multicenter registry tries to concentrate information and analyzes the outcomes a year after the procedure. &nbsp;<a href="https://solaci.org/en/2017/05/30/mitral-valve-global-registry-transcatheter-mitral-valve-replacement-due-to-native-valve-disease/" title="Read more" >...</a>

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