pci

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.   This study included 279,987 MEDICARE PCI procedures where costs were analyzed. Cases...

angioplastia de la arteria femoral común

A new alternative for PCI of the common femoral artery

Courtesy of Dr. Carlos Fava. Not long ago, atherosclerosis of the common femoral artery used to be treated surgically and, thanks to better training and new balloon devices, we have advanced the endovascular treatment alternative. However, severe calcification continues to be a great limitation.   This study aimed at evaluating the feasibility and one year...

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.   The study included patients with severe carotid artery stenosis randomized to RIPC, vs....

tromboaspiracion angioplastia primaria

Thrombus Aspiration during Primary PCI Does Not Improve Clinical Outcomes

Thrombus aspiration during primary PCI in ST elevation MI has been extensively used; however, recent studies have questioned its efficacy and safety.   This meta-analysis looked into individual patient data to determine the benefit and safety of thrombus aspiration during primary PCI.   It included all randomized and controlled studies assessing manual thrombectomy vs. conventional...

troponina t ultrasensible valor pronóstico

Post PCI High Sensitivity Troponin Elevation: No Prognostic Value

The prognostic value of high sensitivity troponin elevation after elective PCI in patients with or without elevated baseline values remains unclear.   The aim of this study was to measure the prognostic value of post elective procedure high sensitivity troponin and to determine whether this may be influenced by baselines TnT values.   The study...

More Evidence For Left Main PCI

Courtesy of Dr. Carlos Fava. Left main coronary artery disease (LMD), has historically been treated with myocardial revascularization surgery (CABG), but for some years now, and with the development of new drug eluting stents (DES), percutaneous coronary intervention (PCI) has been gathering support in this challenging territory.   The study analyzed the SYNTAX and PRECOMBAT...

angioplastia carotidea video

Carotid PCI

Operators: Estêvão Martins, João Frighetto, Frederico Cavalcanti Panelists: Estevão Carvalho de Campos Martins (Brazil), Marcus Gress  (Brazil), Hugo Francisco Londero (Argentina), Henrique Sallas Martin  (Brazil), Itamar Ribeiro de Oliveira  (Brazil). Exibido em 10 de junho de 2016 pela TBR Produções.

recanalizacion de cto en vaso no responsable

Rechanneling a CTO in a Non-Infarct-Related Artery After Primary PCI: Yes or No?

Between 10% and 15% of patients admitted with ST-segment elevation myocardial infarction present concurrent coronary chronic total occlusion (CTO) in a non-infarct-related artery, which is associated with increased morbidity and mortality.   The EXPLORE (Evaluating Xience and Left Ventricular Function in Percutaneous Coronary Intervention on Occlusions After ST-Elevation Myocardial Infarction) trial evaluated whether patients admitted...

acv angioplastia carotidea

Carotid PCI at Long Term: Effective in Stroke Prevention?

There are no data outside controlled studies, neither are there long term outcomes, on carotid artery stenting. This study was designed to assess the long term effectiveness of carotid stenting to prevent strokes in a large number of real life patients.   This registry included prospective data with a strict follow up protocol on 901...

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