CTO

radioterapia angioplastia

Radiotherapy: Post PCI Cardiovascular Death Predictor

Original Title: Long-Term Mortality in Patients With Radiation-Associated Coronary Artery Disease Treated with Percutaneous Coronary Intervention. Reference: Reed GW et al.  Circ Cardiovasc Interv. 2016 Jun;9(6).   Courtesy of Dr. Brian Nazareth Donato.   Radiotherapy is often used to treat malignant tumors; however, it is associated with adverse cardiovascular effects such as constrictive pericarditis, valve deterioration...

tromboaspiración antes de PCI

A new round against aspiration thrombectomy

Original Title:  Aspiration thrombectomy prior to percutaneous coronary intervention in ST elevation myocardial infarction: a systematic review and meta-analysis. Reference: Regina El Dib et al. BMC Cardiovascular Disorders (2016) 16:121. Courtesy of Dr. Brian Nazareth Donato.  Based on contradicting results obtained from different studies on the role of mechanical aspiration thrombectomy before PCI vs. PCI alone,...

Aspiration thrombectomy in primary PCI could increase risk of stroke

Original Title: Meta-analysis of the long-term effect of routine aspiration thrombectomy in patients undergoing primary percutaneous coronary intervention. Reference: Mancini JG et al. Am J Cardiol. 2016; Epub ahead of print.   A large meta-analyzis confirms routine aspiration thrombectomy in the context of primary PCI has no clinical benefit and could increase the risk of...

Bioresorbable Scaffold Thrombosis: incidence, risk factors and possible mechanism

Original Title: Bioresorbable Vascular Scaffold Thrombosis. Multicenter Comprehensive Analysis of Clinical Presentation, Mechanisms, and Predictors. Reference: Puricel S et al. J Am Coll Cardiol 2016;67:921-31. Courtesy of Dr. Guillermo Migliaro. Bioresorbable scaffolds (BVS) were introduced in interventional cardiology to avoid late DES complications. However, recent reports suggest an elevated incidence of thrombosis with these new devices....

Seguridad de los balones con paclitaxel en enfermedad vascular periférica

Atherectomy in Infrapopliteal Lesions with Good Results at One Year

Original Title: One-Year Outcomes Following Directional Atherectomy of Infrapopliteal Lesions: Subgroup Results of the Prospective, Multicenter DEFINITIVE LE Trial. Reference: Aljoscha Rastan, et al Journal Endovascular Therapy 2015;22:839-846 Courtesy of Dr. Carlos Fava Infrapopliteal peripheral vascular disease continues to rise, especially in patients with diabetes and kidney failure, usually presenting diffuse and fairly calcified lesions. Removing...

Predictors of Internal Mammary Artery Graft Failure

The Internal Mammary Artery (IMA) is the preferred conduit for bypassing the left anterior descending artery (LAD) in patients undergoing coronary artery bypass grafting. There is no systematic evaluation of the frequency and predictors of IMA failure or long-term outcomes.   The PREVENT IV included 1539 patients receiving IMA-LAD revascularization with 12 and 18 month...

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