Endovascular therapy is now considered as the standard of care for acute ischemic stroke caused by large vessel occlusion. The time between symptoms onset and reperfusion emerges as the most determinant factor for good clinical outcomes, much more strongly than even in acute myocardial infarction. The saying “time is brain” is even more relevant than<a href="https://solaci.org/en/2018/07/04/endovascular-therapy-in-stroke-much-evidence-and-few-trained-operators/" title="Read more" >...</a>
Courtesy of Dr. Carlos Fava. It has been shown that significant tricuspid regurgitation (TR) is an independent predictor of bad evolution in the presence of mitral valve disease. Its prevalence is not low, reaching up to 50% in patients undergoing surgery for mitral regurgitation (MR). This study included 61 patients with significant TR and MR. 27<a href="https://solaci.org/en/2018/07/02/treating-tricuspid-and-mitral-valves-with-mitraclip-improves-quality-of-life/" title="Read more" >...</a>
In the daily practice and in randomized studies such as Syntax or Freedom, most cardiovascular surgeons across the world use angiography guided CABG to teat 50% coronary stenosis. Many of these lesions might not be functionally significant. There is abundant evidence in favor of fractional flow reserve (FFR) guided PCI, but FFR guided CABG is<a href="https://solaci.org/en/2018/06/27/ffr-vs-angiography-guided-cabg/" title="Read more" >...</a>
The past 01 and 02 of June, the 35th SOLACI Regional Sessions took place. During the event, there were two important contests: Imaging and Young Cardiologists. Dr. Juan Ignacio Mayol, from Centro Cardiológico Americano of Uruguay was awarded 1st price for the Clinical Studies for Young Interventionists contest, sponsored by ABBOTT Vascular. We also want<a href="https://solaci.org/en/2018/06/13/congratulations-to-the-winners-of-2018-guatemala-sessions/" title="Read more" >...</a>
After a 5-year follow-up, and for the first time, functional assessment with fractional flow reserve (FFR) showed clear benefit for a hard endpoint: acute myocardial infarction. Use of FFR in patients with stable coronary artery disease so as to identify hemodynamically significant lesions in order to restrict angioplasty treatment to them has long-term benefits compared<a href="https://solaci.org/en/2018/05/28/europcr-2018-fame-2-ffr-shows-5-year-benefit-for-hard-endpoints/" title="Read more" >...</a>
Should the Antithrombotic/antiplatelet therapy following 10.0 by 60 mm stent implantation to the subclavian vein of a chronic kidney patient be the same as one following a 3.0 by 18 mm stent implantation to the second segment of the left anterior descending artery of this same patient? The daily practice of many interventional cardiologists performing<a href="https://solaci.org/en/2018/05/24/antithrombotics-after-venous-stenting-rather-different-from-coronary-artery-stenting/" title="Read more" >...</a>
In patients with left main or three-vessel coronary disease, heart team decisions on revascularization strategy (angioplasty or surgery) may be made based solely on noninvasive computerized tomography (CT) angiography, since there is great correlation between its results and those determined by conventional angiography. For the SYNTAX III REVOLUTION study, Dr. Serruys and his colleagues randomized<a href="https://solaci.org/en/2018/05/24/europcr-2018-syntax-iii-revolution-excellent-correlation-between-angiography-and-computerized-tomography-in-patients-with-left-main-and-multivessel-disease/" title="Read more" >...</a>
Performing a successful primary angioplasty and prescribing preventive medication without advising on the importance of keeping up with or taking up physical activity is a waste of one of our many opportunities to improve the quality of life of our patients and reduce mortality among them. If clinical cardiologists do not take over the patient,<a href="https://solaci.org/en/2018/05/17/maintaining-physical-activity-after-an-acute-myocardial-infarction-reduces-mortality/" title="Read more" >...</a>
Elective, uncomplicated repeat revascularization after stent restenosis is associated with higher mortality rates according to a new meta-analysis that will be published soon in J Am Coll Cardiol Intrv. Historically, interventional cardiologists have seen target lesion revascularization (TLR) as a procedure that “unjustly” increased combined events in clinical studies and our own databases, thus representing<a href="https://solaci.org/en/2018/05/16/restenosis-does-not-seem-as-benign-as-we-thought/" title="Read more" >...</a>
SOLACI returns to Guatemala after a decade, in order to continue boosting the development of interventional cardiovascular medicine in Latin America. With that in mind, the scientific program developed for these Sessions is appealing and includes valuable oral presentations on interesting topics such as structural heart disease, acute coronary syndromes, coronary diseases, and valve heart<a href="https://solaci.org/en/2018/05/08/see-the-scientific-program-of-the-guatemala-sessions-2018/" title="Read more" >...</a>