multivessel

STEMI

The Ten Commandments from the New Guidelines on Infarction Without ST-Segment Elevation

In 2020, the European Society of Cardiology guidelines for the management of patients with acute coronary syndromes without ST-segment elevation (Non-ST-Segment Elevation Myocardial Infarction, NSTEMI) were presented. This document went somewhat unnoticed in the context of the COVID-19 pandemic, so this seems a good time to review it and set out some practical &#8220;commandments&#8221; (something<a href="https://solaci.org/en/2020/11/05/the-ten-commandments-from-the-new-guidelines-on-infarction-without-st-segment-elevation/" title="Read more" >...</a>

TCT 2020 | Our Next Goal Should Be Using IVUS Guidance in Every Angioplasty

The benefits of intravascular ultrasound (IVUS) guidance in all angioplasties with second-generation drug-eluting stents (DES) persist through 3&nbsp;years of follow-up. These data derive from the extended follow-up of the ULTIMATE study, presented virtually at TCT 2020 and published simultaneously in JACC Intv. At 3&nbsp;years, target-vessel failure remained lower in patients whose angioplasty was guided by<a href="https://solaci.org/en/2020/10/22/tct-2020-our-next-goal-should-be-using-ivus-guidance-in-every-angioplasty/" title="Read more" >...</a>

perforación coronaria en angioplastia

Complex PCI: Complex Characteristics Impact Results

Patients with a bigger number of complex anatomical characteristics that increase PCI complexity have worse results at one-year followup. These data come from a large multicenter study (e-Ultimaster) recently published in EuroIntervention. The more complex the characteristics, the greater the increase in events.&nbsp; It is important to see past the obvious anatomical challenges (bifurcations, calcification,<a href="https://solaci.org/en/2020/10/14/complex-pci-complex-characteristics-impact-results/" title="Read more" >...</a>

Doble puente mamario para reducir la chance de nuevas revascularizaciones

Visual Assessment for Non-Culprit Lesion Revascularization

There is evidence in favor of complete revascularization in the context of ST elevation MI with multivessel disease where primary PCI has been successful.&nbsp; However, the small print in these studies should be read carefully. Should revascularization be completed during index intervention, index hospitalization or after discharge? Should complete revascularization be based on visual assessment,<a href="https://solaci.org/en/2020/09/22/visual-assessment-for-non-culprit-lesion-revascularization/" title="Read more" >...</a>

ESC 2020 | At Long Term, Diabetic Patients Benefit from Surgery

Data of this “real world” study have confirmed that diabetic patients with multivessel disease will benefit from coronary artery bypass grafting (CABG).&nbsp; According to Dr. Douglas S. Lee, main author of this study, the evidence is fairly conclusive, enough to recommend CABG as first option in this particular subgroup of patients similar to FREEDOM patients.&nbsp;<a href="https://solaci.org/en/2020/09/07/esc-2020-at-long-term-diabetic-patients-benefit-from-surgery/" title="Read more" >...</a>

The Most Read Articles of August in Interventional Cardiology

01- Myocardial Injury for COVID-19 Even in Young Patients with Mild Symptoms Most young COVID-19 patients not requiring hospitalization showed abnormal cardiac magnetic resonance imaging (CMR) beyond two months after diagnosis. Read more HERE 02- Rapid Drop of Antibodies in Mild COVID-19 patients A fast drop in COVID-19 antibodies in mild patients triggers the alarm<a href="https://solaci.org/en/2020/09/03/the-most-read-articles-of-august-in-interventional-cardiology/" title="Read more" >...</a>

infarto peri-procedimiento

Long Term Changes ACS Revascularization

Long term outcomes support complete revascularization in multivessel patients undergoing acute coronary syndrome (ACS). This large contemporary registry recently published in J Am Coll Cardiol Intv. &nbsp;has shown complete revascularization is gaining ground in the daily practice and is associated to clinical benefits in patients undergoing ACS.&nbsp; It included 9094 individuals with ACS and multivessel<a href="https://solaci.org/en/2020/08/07/long-term-changes-acs-revascularization/" title="Read more" >...</a>

balon_farmacologico_reestenosis_instrastent

Two-Stent Strategy is Safer in True Bifurcation Lesions

Courtesy of Dr. Carlos Fava.&nbsp; DES have improved PCI outcomes, but one of its biggest challenges continues to be bifurcations (especially when we have to use two stents, since it’s been associated to higher restenosis and stent thrombosis rates).&nbsp; Left main coronary artery true bifurcation lesions are the ones that generate the greatest challenge and<a href="https://solaci.org/en/2020/07/28/two-stent-strategy-is-safer-in-true-bifurcation-lesions/" title="Read more" >...</a>

Infartos en Shock: Múltiples vasos vs solo vaso culpable ¿Hay novedades?

Multiple vs. Culprit vessel MI in Cardiogenic Shock: Anything New?

The Shock Trial, the one that set revascularization as the standard strategy to treat all STEMI and cardiogenic shock lesions, had not been discussed for nearly 20 years.&nbsp; The CULPRIT-SHOCK was presented at TCT 2017 (and also in NEJM), and again this one study changed the standard completely, since we went back to treating only<a href="https://solaci.org/en/2020/06/17/multiple-vs-culprit-vessel-mi-in-cardiogenic-shock-anything-new/" title="Read more" >...</a>

La coronariografía precoz reduce la mortalidad en SCA sin supradesnivel del ST de alto riesgo

Compare-Acute Sub-Study: Natural History of Non-Culprit Lesions in MI

The aim of this study was to determine the prognostic value of fractional flow reserve (FFR) of non-culprit lesions in STEMI patients.&nbsp; We analyzed data of all Compare-Acute patients (Comparison Between FFR Guided Revascularization Versus Conventional Strategy in Acute STEMI Patients With MVD) after PCI, from lesions assessed with FFR and treated medically.&nbsp; The treating<a href="https://solaci.org/en/2020/06/16/compare-acute-sub-study-natural-history-of-non-culprit-lesions-in-mi/" title="Read more" >...</a>

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