Original title: Hemorrhagic and ischemic outcomes after bivalirudin versus unfractionated heparin during carotid artery stenting: A propensity score analysis from the NCDR. Reference: Wayangankar SA et al. Circ Cardiovasc Interv. 2013;Epub ahead of print. Bivalirudin is a direct thrombin inhibitor that has shown similar efficacy with a better safety profile in the context of coronary angioplasty. However, its<a href="https://solaci.org/en/2013/04/24/bivalirudin-reduces-bleeding-complications-in-carotid-angioplasty/" title="Read more" >...</a>
Coronary angioplasty reduces the risk of spontaneous myocardial infarction in chronic stable patients.
Original title: Percutaneous Coronary Intervention Versus Optimal Medical Therapy for Prevention of Spontaneous Myocardial Infarction in Subjects With Stable Ischemic Heart Disease. Reference: Sripal Bangalore et al. Circulation. 2013;127:769-781 In the context of coronary angioplasty complications may arise, such as a periprocedural infarction. However, this event does not have the same clinical consequences compared to a spontaneous infarction. <a href="https://solaci.org/en/2013/02/26/coronary-angioplasty-reduces-the-risk-of-spontaneous-myocardial-infarction-in-chronic-stable-patients/" title="Read more" >...</a>
A worse prognosis for incomplete revascularization in both angioplasty and surgery.
Original title: The Negative Impact of Incomplete Angiographic Revascularization on Clinical Outcomes and Its Association With Total Occlusions. The SYNTAX (Synergy Between Percutaneous Coronary Intervention with Taxus and Cardiac Surgery) Trial. Reference: Vasim Farooq et al. J Am Coll Cardiol 2013;61:282–94 In patients with complex coronary artery disease who underwent coronary artery bypass surgery, (CABG), or percutaneous transluminal<a href="https://solaci.org/en/2013/02/22/a-worse-prognosis-for-incomplete-revascularization-in-both-angioplasty-and-surgery/" title="Read more" >...</a>
Ischemic preconditioning reduces infarct size in patients treated with primary angioplasty
Original title: Preinfarction Angina Reduces Infarct Size in ST-Elevation Myocardial Infarction Treated With Percutaneous Coronary Intervention Reference: Ronald Reiter et al. Circ Cardiovasc Interv. 2013;6:00-00. Ischemic preconditioning (IPC) is a phenomenon whereby transitory ischemia episodes protect the myocardium against a more prolonged episode. Until now, IPC has been the most effective approach to protect the myocardium. Pre infarction<a href="https://solaci.org/en/2013/02/08/ischemic-preconditioning-reduces-infarct-size-in-patients-treated-with-primary-angioplasty/" title="Read more" >...</a>
MRI different injuries post carotid angioplasty versus endarterectomy.
Original title: 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). Reference: 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>
Balloon Pulmonary Angioplasty (BPA) in patients with Chronic Thromboembolic Pulmonary Hypertension
Original title: Refined Balloon Pulmonary Angioplasty for Inoperable Patients with Chronic Thromboembolic Pulmonary Hypertension. Reference: Hiroki Mizoguchi et al. Circ Cardiovasc Interv. 2012;5:748-755. Patients with Chronic Thromboembolic Pulmonary Hypertension (CTE-PH) have bad prognosis. Pulmonary thromboendarterectomy can significantly reduce pulmonary pressure but, due to comorbidity or technical matters (very peripheral thrombi), not all patients are good candidates for this<a href="https://solaci.org/en/2013/01/11/balloon-pulmonary-angioplasty-bpa-in-patients-with-chronic-thromboembolic-pulmonary-hypertension/" title="Read more" >...</a>
Outpatient coronary angioplasty, is it possible?
Original title: Assessment of Clinical Outcomes related to Early Discharge alter elective Percutaneous Coronary Intervention: COED PCI Reference: Purushothaman Muthusamy MD, et al. Catheterization and Cardiovascular Intervention 81:6-13 (2013) The standard procedure in most institutions is that after angioplasty (PTCA) patients are discharged the next morning. There are some reports in which they were ambulatory but the safety<a href="https://solaci.org/en/2013/01/04/outpatient-coronary-angioplasty-is-it-possible/" title="Read more" >...</a>
Does the systematic use of clopidogrel reduce events prior to angioplasty?
Original title: Association of Clopidogrel Pretreatment with mortality, Cardiovascular events, and Major Bleeding among patients undergoing percutaneous coronary intervention. A systematic review and Mata-analysis. Reference: 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>
Self-expanding stents improve positioning in primary angioplasty
Original title: Self-Expanding Versus Balloon-Expandable Stents in Acute Myocardial Infarction: Results From the APPOSITION II Study Reference: Robert-Jan van Geuns et al. J Am Coll Cardiol Intv 2012;5:1209–19 Acute myocardial infarction is associated with vasoconstriction and thrombus occlusion. Resolution of these two points during the first hours after primary angioplasty can lead to poor extension and poor positioning<a href="https://solaci.org/en/2012/12/21/self-expanding-stents-improve-positioning-in-primary-angioplasty/" title="Read more" >...</a>
Advances in Proximal Occlusion Devices for Carotid Angioplasty and Stenting
Original title: A Meta-Analysis of Proximal Oclusion Device Outcome in Carotid Artery Stenting Reference: Robert M Bersin, et al. Catheterization and Cardiovascular Intervention 80:1072-78 (2012) Carotid Angioplasty and Stenting (CAS) is considered a valid alternative to treat high risk patients. Embolic protection devices have been proved effective and currently there are two EPDs available: proximal occlusion and distal<a href="https://solaci.org/en/2012/12/19/advances-in-proximal-occlusion-devices-for-carotid-angioplasty-and-stenting/" title="Read more" >...</a>