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anuloplastia mitral percutánea

Percutaneous Mitral Annuloplasty: First Results in Humans

&nbsp;Courtesy of Dr.&nbsp;Agustín&nbsp;Vecchia.&nbsp; In the last few years, new percutaneous treatment options for mitral regurgitation have emerged. Transcatheter mitral annuloplasty with various devices is a relatively simple procedure that could compress the origin of circumflex artery branches due to the different orientation of mitral corners and the coronary sinus. &nbsp; The following work by Park<a href="https://solaci.org/en/2017/03/27/percutaneous-mitral-annuloplasty-first-results-in-humans/" title="Read more" >...</a>

IVUS en las lesiones coronarias complejas

Why We Should Use IVUS in Complex Coronary Lesions

Courtesy of Dr. Carlos Fava. Drug eluting stents (DES) have shown benefits in terms of restenosis vs. conventional bare metal stents (BMS). Many of the advantages of DES depend on correct implantation, especially in complex lesions. &nbsp; In complex lesions, the use of intravascular ultrasound (IVUS) provides important information on lesion length, vessel diameter, calcification<a href="https://solaci.org/en/2017/03/20/why-we-should-use-ivus-in-complex-coronary-lesions/" title="Read more" >...</a>

reducir costos de angioplastia

Is it possible to reduce PCI costs without compromising safety?

Courtesy of Dr. Carlos Fava. Health system costs have increased significantly and there have been attempts to reduce it without compromising the quality of PCI outcomes. The benefits of the transradial approach combined with same day discharge could help reach this goal. &nbsp; This study included 279,987 MEDICARE PCI procedures where costs were analyzed. Cases<a href="https://solaci.org/en/2017/03/13/is-it-possible-to-reduce-pci-costs-without-compromising-safety/" title="Read more" >...</a>

Isquemia crítica de miembros inferiores: el blush de la herida

Critical Limb Ischemia: Wound Blush Is the Most Important Objective

The aim of this study was to find the optimal angiographic endpoint for infrapopliteal interventions to be able to predict wound healing. &nbsp; Evidence shows acceptable patency and successful limb salvage in patients with critical limb ischemia after infrapopliteal intervention. However, the optimal angiographic endpoint remains unclear. Is it enough to restore flow in one<a href="https://solaci.org/en/2017/03/10/critical-limb-ischemia-wound-blush-is-the-most-important-objective/" title="Read more" >...</a>

protecion cerebral en tavr

Meta-analysis on Cerebral Embolic Protection in TAVR

Cerebral embolic protection is a strategy to prevent embolization of thrombotic or calcific debris during transcatheter aortic valve replacement (TAVR). A number of randomized and controlled studies have tested the safety and efficacy of various devices, though none of them have enough statistical power to show significant differences in end points. &nbsp; &nbsp; While preliminary<a href="https://solaci.org/en/2017/03/02/meta-analysis-on-cerebral-embolic-protection-in-tavr/" title="Read more" >...</a>

acceso radial oclusiones totales crónicas

Is The Transradial Approach Useful in CTO?

Courtesy of Dr. Carlos Fava. The transradial approach has been advanced in time, and is being increasingly used in more and more complex angioplasty procedures with the same benefit, compared to the classical femoral approach. As a result, in many high volume centers, this reality has demoted the femoral approach to a few particular procedures.<a href="https://solaci.org/en/2017/02/25/is-the-transradial-approach-useful-in-cto/" title="Read more" >...</a>

corevalve evolutR resultados clinicos

Evolut R: Clinical Results Might Be Better than Those for First-Generation CoreValve

Two recent articles featured in &nbsp;JACC Cardiovascular Interventions&nbsp; showed that short term (at 30&nbsp;days) outcomes of patients treated with the next-generation self-expanding Medtronic Evolut R valves could present several advantages compared to the original CoreValve, including recapturability.&nbsp;Both analyses reported similar rates of all-cause mortality and&nbsp;stroke. &nbsp; The study carried out by Dr. Jeffrey Popma as<a href="https://solaci.org/en/2017/02/23/evolut-r-clinical-results-might-be-better-than-those-for-first-generation-corevalve/" title="Read more" >...</a>

Técnica Doble Crush Doble Kissing vs. stent provisional

Double Kissing Crush vs. Provisional Stenting at 5 Years

Courtesy of Dr. Guillermo Migliaro. The Provisional Stenting technique (PS) consists of sequentially placing a stent in the main branch of the bifurcation and, only when faced with a suboptimal outcome (such as &lt; 3 TIMI flow, flow limiting dissection or high residual stenosis), a second stent in the side branch. &nbsp;Several studies have shown<a href="https://solaci.org/en/2017/02/21/double-kissing-crush-vs-provisional-stenting-at-5-years/" title="Read more" >...</a>

Pre-acondicionamiento isquémico en angioplastia carotídea

Remote Ischemic Preconditioning in Carotid PCI: Safe and Effective?

Remote ischemic preconditioning (RIPC) can prevent recurrent ischemic events in patients with acute or chronic cerebral ischemia. However, is remains unclear whether RIPC could prevent an ischemic event in the context of carotid PCI in patients with severe carotid artery stenosis. &nbsp; The study included patients with severe carotid artery stenosis randomized to RIPC, vs.<a href="https://solaci.org/en/2017/02/17/remote-ischemic-preconditioning-in-carotid-pci-safe-and-effective/" title="Read more" >...</a>

predictores de reinternacion tavi

4 Readmission Predictors after Successful TAVR

Readmissions are frequent after cardiovascular procedures and they significantly increase healthcare costs. Data on readmission need within the first month after successful transcatheter aortic valve replacement (TAVR) are limited. &nbsp; The registry included all TAVR patients surviving index hospitalization between January and February 2013 for readmission incidence, predictors, causes and costs within 30 days. &nbsp;<a href="https://solaci.org/en/2017/01/28/4-readmission-predictors-after-successful-tavr/" title="Read more" >...</a>

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