stent

Chronic Type B Dissection, better with endoprosthesis than with medical treatment

Original title:&nbsp;The results of stent graft versus medication therapy for chronic type B dissection&nbsp;Reference:&nbsp;Xin Jia et al. J Vasc Surg 2013;57:406-14 In many institutions patients with Chronic Stanford Type B Aortic Dissection is most often treated medically, and the thoracic endovascular aortic repair implant TEVAR or the surgical procedure are reserved for those who evolve<a href="https://solaci.org/en/2013/02/08/chronic-type-b-dissection-better-with-endoprosthesis-than-with-medical-treatment/" title="Read more" >...</a>

Fenestrated prosthetics versus surgery for aneurysms of the abdominal aorta with hostile neck

Original title:&nbsp;Comparison of fenestrated endovascular and open repair of abdominal aortic aneurysms not suitable for standard endovascular repair.&nbsp;Reference:&nbsp;Rana Canavati et al. J Vasc Surg 2013;57:362-7. Studies in patients with infrarenal abdominal aortic aneurysm that could receive a standard stent versus conventional surgery, showed reduced perioperative mortality with endovascular treatment.&nbsp; However, these same results in patients<a href="https://solaci.org/en/2013/02/05/fenestrated-prosthetics-versus-surgery-for-aneurysms-of-the-abdominal-aorta-with-hostile-neck/" title="Read more" >...</a>

Renal denervation at one year, the benefit remains.

Original title:&nbsp;Renal Sympathetic Denervation for Treatment of Drug-Resistant Hypertension Clinical Perspective&nbsp;Reference:&nbsp;Murray D. Ester et al. Circulation 2012; 126: 2976-2982 Renal sympathetic activation contributes to the pathogenesis of hypertension. The Symplicity HTN &#8211; 2 was a multicenter, randomized study which demonstrated that renal denervation produced a significant decrease in blood pressure at 6 months in patients<a href="https://solaci.org/en/2013/01/18/renal-denervation-at-one-year-the-benefit-remains/" title="Read more" >...</a>

MRI different injuries post carotid angioplasty versus endarterectomy.

Original title:&nbsp;Characteristics of Ischemic Brain Lesions After Stenting or Endarterectomy for Symptomatic Carotid Artery Stenosis : Results From the International Carotid Stenting Study-Magnetic Resonance Imaging Substudy (ICSS-MRI).&nbsp;Reference:&nbsp;Henrik Gensicke et al. Stroke 2013;44:80-86. This work is a sub-study using magnetic resonance imaging (MRI) of the International Carotid Stenting Study (ICSS) that randomized carotid angioplasty (CAS) or<a href="https://solaci.org/en/2013/01/17/mri-different-injuries-post-carotid-angioplasty-versus-endarterectomy/" title="Read more" >...</a>

Thrombus Aspiration is useful in AMI

Original title:&nbsp;A Prospective Randomized Trial of Trombectomy Versus No Thrombectomy in Patients With ST-Segment Elevation Myocardial Infarction and Thrombus-Rich Lesion. MUSTELA (MUltidevice Thrombectomy in Acute ST-Segment ELevation Acute Myocardial Infarction) Trial&nbsp;Reference:&nbsp;Marco De Carlo, et al. J Am Coll Cardiol Intv 2012;5:1223&ndash;30 The main objective during primary PCI is myocardial reperfusion, which is limited by distal<a href="https://solaci.org/en/2013/01/10/thrombus-aspiration-is-useful-in-ami/" title="Read more" >...</a>

Ambulatory Transradial Percutaneous Coronary Intervention

Original title:&nbsp;Ambulatory Transradial Percutaneous Coronary Intervention: A Safe, Effective, and Cost-Saving Strategy.&nbsp;Reference:&nbsp;Philippe Le Corvoisier et al. Catheterization and Cardiovascular Interventions 81:15&ndash;23 (2013). The number of PCI procedures has increased and for many interventional cardiology centers PC interventions entail significant resource consumption. Reducing post procedure hospital stay could reduce costs and optimize hospitalization resources.&nbsp; The safety<a href="https://solaci.org/en/2013/01/07/ambulatory-transradial-percutaneous-coronary-intervention/" title="Read more" >...</a>

Rotational atherectomy is only an interim strategy.

Original title:&nbsp;High-Speed Rotational Atherectomy Before Paclitaxel-Eluting Stent Implantation in Complex Calcified Coronary Lesions. The Randomized ROTAXUS (Rotational Atherectomy Prior to Taxus Stent Treatment for Complex Native Coronary Artery Disease) Trial.&nbsp;Reference:&nbsp;Mohamed Abdel-Wahab et al. J Am Coll Cardiol Intv 2013; article in press Heavily calcified lesions are difficult and may prevent the appropriate expansion of a<a href="https://solaci.org/en/2013/01/04/rotational-atherectomy-is-only-an-interim-strategy/" title="Read more" >...</a>

Chronic Total Occlusions, challenging but very possible

Original title:&nbsp;Predictors of Reocclusion After Successful Drug-Eluting Stent&ndash;Supported Percutaneous Coronary Intervention of Chronic Total Occlusion. The Florence CTO PCI Registry.&nbsp;Reference:&nbsp;Renato Valenti et al. J Am Coll Cardiol 2013; article in press. Previous registry data have shown a reduction in mortality rates in patients with successful recanalization of a Chronic Total Occlusion (CTO) compared to patients<a href="https://solaci.org/en/2013/01/03/chronic-total-occlusions-challenging-but-very-possible/" title="Read more" >...</a>

Does the systematic use of clopidogrel reduce events prior to angioplasty?

Original title:&nbsp;Association of Clopidogrel Pretreatment with mortality, Cardiovascular events, and Major Bleeding among patients undergoing percutaneous coronary intervention. A systematic review and Mata-analysis.&nbsp;Reference:&nbsp;Anne Bellemain-Appaix, MD et al. for the ACTION group. The loading of clopidogrel before coronary angioplasty is an accepted practice by most clinical and interventional cardiologists but, nevertheless, it is only based on<a href="https://solaci.org/en/2013/01/02/does-the-systematic-use-of-clopidogrel-reduce-events-prior-to-angioplasty/" title="Read more" >...</a>

Are reversal flow cerebral protection devices useful in carotid angioplasty?

Original title:&nbsp;Prospective, Multicenter European Study of the GORE Flor Reversal System for Providing Neuroprotection During Carotid Artery Stenting&nbsp;Reference:&nbsp;Dimitrios Nikas, et, al.Catheterization and Cardiovascular Intervention 80:1060-1068&nbsp; Cerebral protection systems (CPS) have proved useful in carotid angioplasty stenting (CAS), although it is not clear what the advantages are in respect to carotid endarterectomy, except in high risk<a href="https://solaci.org/en/2012/12/12/are-reversal-flow-cerebral-protection-devices-useful-in-carotid-angioplasty/" title="Read more" >...</a>

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