Angioplasty

PCI Evolution in Infiltrative Diseases

Infiltrative diseases (ID) consist of a heterogeneous series of genetic conditions that cause infiltration and extracellular deposits which alter the diverse systems and organs affected.&nbsp;&nbsp;&nbsp; Amyloidosis, sarcoidosis and hemochromatosis affect the heart, altering the myocardium and the conduction system.&nbsp; PCI is often used at present to treat heart disease, and some of these patients present<a href="https://solaci.org/en/2024/02/21/pci-evolution-in-infiltrative-diseases/" title="Read more" >...</a>

Events According to Revascularization Modality in the ISCHEMIA Trial

The main studies carried out on patients with chronic coronary syndromes (CCS), such as the MASS II, COURAGE, BARI 2D and FAME-2, failed to show benefits in terms of mortality with the invasive approach.&nbsp; The ISCHEMIA, a large randomized study including patients with moderate to severe ischemia, with without left main disease and with acceptable<a href="https://solaci.org/en/2024/01/31/events-according-to-revascularization-modality-in-the-ischemia-trial/" title="Read more" >...</a>

FFR Post Angioplastia

Use of Intravascular Lithotripsy vs. Rotational Atherectomy for Severely Calcified Coronary Lesions

Severely calcified coronary stenosis poses a significant challenge for coronary angioplasty procedures. Modifying plaque before stenting is crucial to a successful intervention, since it will prevent the sub expansion associated to worse clinical outcomes at followup.&nbsp; The tools employed to assess complex lesions include specialized balloons such as cutting, scoring, or high pressure balloons, as<a href="https://solaci.org/en/2024/01/22/use-of-intravascular-lithotripsy-vs-rotational-atherectomy-for-severely-calcified-coronary-lesions/" title="Read more" >...</a>

ATC guiada por iFR ¿es igual en la DA que en el resto de los vasos?

LIFE-BTK | Critical Limb Ischemia: Use of Bioresorbable Scaffold in Infrapatellar Lesions (LIFE-BTK)

Advanced stages of peripheral artery disease cause significant limitations in patients, such as critical limb ischemia (CLI), which manifests with resting pain and gangrene or ulcers of difficult resolution. Uncontrolled progression of this pathology might lead to major amputation, reduced life expectancy and increased healthcare costs.&nbsp; Prior research on infrapopliteal territory have shown contradicting results.<a href="https://solaci.org/en/2024/01/19/life-btk-critical-limb-ischemia-use-of-bioresorbable-scaffold-in-infrapatellar-lesions-life-btk/" title="Read more" >...</a>

POKI: una nueva estrategia en bifurcaciones

Long-term Results of Coronary Bifurcation Lesion Treatment in Diabetic Patients

The effects of diabetes on patients with coronary artery disease are well-known, and their outcomes after angioplasty are less favorable, with a higher rate of restenosis, recurrent acute myocardial infarction, and stent thrombosis. Despite advances in drug-eluting stents and procedural techniques, the treatment of coronary bifurcation lesions in diabetic patients shows less positive clinical outcomes<a href="https://solaci.org/en/2024/01/18/long-term-results-of-coronary-bifurcation-lesion-treatment-in-diabetic-patients/" title="Read more" >...</a>

¿Es frecuente el uso de IVUS para guiar la ATC?

Use of IVUS in Complex PCI: Results according to Operator Experience

The use of ultravascular ultrasound (IVUS) to guide coronary angioplasty procedures (PCI) has been shown to reduce the risk of major adverse events in numerous randomized controlled studies, registries and meta-analysis.&nbsp; The current guidelines recommend the use of IVUS in left main disease and complex lesions. The proportion of complex PCI procedures has increased over<a href="https://solaci.org/en/2024/01/09/use-of-ivus-in-complex-pci-results-according-to-operator-experience/" title="Read more" >...</a>

Las angioplastias exitosas en pacientes mayores con oclusiones crónicas totales disminuyen la mortalidad

Dissection and Re-Entry Technique in Chronic Total Occlusions: Data from the PROGRESS-CTO Registry

The antegrade dissection and re-entry (ADR) technique is considered essential for the management of chronic total occlusions (CTO). It serves as the primary option in some protocols for complex and extensive lesions or as a backup strategy in case of failure with other initial strategies. Dissection techniques include guided methods such as scratch and go,<a href="https://solaci.org/en/2024/01/08/dissection-and-re-entry-technique-in-chronic-total-occlusions-data-from-the-progress-cto-registry/" title="Read more" >...</a>

Outcomes of the Use of Drug Coated Balloons in the Treatment of De Novo Coronary Lesions

Drug coated balloon (DCB) angioplasty offers a novel strategy for treating coronary artery disease. Studies assessing this strategy have shown clinical outcomes comparable to drug-eluting stents’ (DES) in patients with in-stent restenosis and&nbsp;de novo&nbsp;disease in small vessels. However, evidence for the use of DCB in large coronary vessels is limited. This observational, retrospective study DCB<a href="https://solaci.org/en/2023/12/21/outcomes-of-the-use-of-drug-coated-balloons-in-the-treatment-of-de-novo-coronary-lesions/" title="Read more" >...</a>

¿Es la litotricia coronaria tan efectiva como la aterectomía rotacional?

ROTACUT Study: Rotational Atherectomy with Cutting Balloon for Stent Expansion Optimization

Approximately 30% of patients undergoing percutaneous coronary intervention (PCI) present moderate to severe calcified lesions, which presents a significant challenge involving a high incidence of major adverse cardiovascular events (MACE). Rotational atherectomy (RA) is used to modify these calcified lesions and facilitate balloon angioplasty followed by stent implantation. The combination of RA with other plaque<a href="https://solaci.org/en/2023/11/30/rotacut-study-rotational-atherectomy-with-cutting-balloon-for-stent-expansion-optimization/" title="Read more" >...</a>

13th ProEducar Fellows Course

See the Presentations of the 13th ProEducar Fellows Course

&nbsp; During&nbsp;SOLACI-SBHCI 2023, our traditional education program for young interventionists&nbsp;ProEducar Fellows Course&nbsp;was held.&nbsp; Discover the presentations of the prestigious interventionists that made part of this&nbsp;13th edition here below.&nbsp; Dr. Gustavo Vignolo (UY) –&nbsp;“Trigger: STEMI learning clinical case” PRESENTATION Dr. Roger Renault Godinho (BRA) –&nbsp;“Why and how should I use Radial access? Step by Step” PRESENTATION<a href="https://solaci.org/en/2023/11/10/see-the-presentations-of-the-13th-proeducar-fellows-course/" title="Read more" >...</a>

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