Transcatheter aortic valve replacement (TAVR) is much less invasive than surgical replacement. This is associated with a substantial reduction in bleeding events (up to 60% less). However, clinically relevant bleeding is still present in one every four patients who undergo TAVR, which is associated with morbidity and mortality. Cases of bleeding are not uniform: they may...
Peripheral artery disease (PAD) is no longer a systemic manifestation of atherosclerosis. In fact, 2 in 3 people with PAD have concomitant heart disease, and 1 in 3 people has concomitant PAD. To understand the real dimension of this problem, we should know that PAD patients have 60% more risk of acute myocardial infarction...
SOLACI has a new president! Dr. José Luis Leiva Pons (Mexico) has taken over the reins of the Latin American Society of Interventional Cardiology for the next two years, succeeding Dr. Ricardo Lluberas (Uruguay), who was president between 2015 and 2017. Originally from the city of San Luis Potosí (Mexico), Leiva Pons is not a...
Frailty is the patient’s diminished capacity to recover after pathological or iatrogenic processes. It has a fundamental role when considering valve replacement, be it surgical (SAVR) or transcatheter (TAVR). This was clearly observed in the PARTNER I and Core-Valve Pivotal trials, which showed that despite a 95% technical success, 2 in 5 patients showed poor quality...
Peripheral vascular diseases affect over 20% of the population and can affect up to 30% of people with cardiovascular risk factors. The most important treatment points include modification of risk factors, exercise, optimal medical treatment, and timely revascularization. Given its lower risk of peri-procedural complications (when compared to surgery), endovascular therapy is generally the first...
Durability ─or better yet, lack of deterioration─ is still a matter of debate when considering transcatheter aortic valve intervention (TAVI), especially now that it is being explored as a real alternative for younger patients. A recently published meta-analysis offers more evidence and suggests TAVI deterioration is mostly rare within the first 5 years. According to...
The eight month of this year saw a scientific event of utmost importance to the community of young interventional cardiologists in Latin America: the José Gabay course. The meeting, which took place at Buenos Aires Hilton Hotel, gathered more than 140 fellows eager to update their medical knowledge on this area of expertise. The event...
See the list of winners for all contests carried out as part of the last SOLACI-CACI 2017 Congress. The names were announced on Friday, August 4th, at the Congress closing ceremony. SOLACI-CACI 2017 Congress Best Abstract Award: Dr. Gabriel Maluenda. Title: “Single Trans-Septal Access Technique for Left Atrial Intracardial Echocardiography to Guide Left Atrial Appendage Closure.” ...
The children cardiologist, known for being one of the 16 survivors of the Andes infamous tragedy, gave an open talk at SOLACI-CACI 2017. The activity, focused on how to deal with adversity in hostile contexts, presented an interesting (and therefore necessary) counterpoint to the scientific and educational tone of the Congress. In this regard,...
Collateral circulation develops during the gradual progression of coronary occlusions in order to replace the original artery and supply blood to areas jeopardized by ischemia. However, the relevance of collaterals has remained controversial for many years. Several works have suggested a rapid regression of collaterals after rechanneling of chronic total coronary occlusions, which could render...