carotid artery stenting

SENTINEL: Protección cerebral en TAVI

Paladin: New Carotid Protection System with Good Results

Courtesy of Dr. Carlos Fava. Carotid artery stenting (CAS) with a cerebral protection system has emerged as an alternative to surgery, particularly for patients with high surgical risk. Nowadays, there are a considerable number of cerebral protection systems, but these may sometimes fail due to anatomical issues, the diameter of embolized particles, or placement difficulties (among<a href="https://solaci.org/en/2019/03/27/paladin-new-carotid-protection-system-with-good-results/" title="Read more" >...</a>

Claves para mejorar la productividad en la sala de cateterismo

Effect of More Expedited Carotid Intervention on Recurrent Events

This study shows the benefit of reducing waiting time between acute events and intervention in patients with severe symptomatic carotid stenosis. Its outcomes support the efforts to reduce patient management. Moreover, it could be used as an indicator of clinical practice quality. The risk of recurrent events after an ischemic event is significantly higher in<a href="https://solaci.org/en/2018/10/12/effect-of-more-expedited-carotid-intervention-on-recurrent-events/" title="Read more" >...</a>

Síndrome de Hiperperfusión cerebral post-angioplastia carotídea: una complicación prevenible

Post Carotid Stenting Cerebral Hyperperfusion: a Preventable Complication

This syndrome, which can be reverted, is also one of the causes of preventable stroke, at least in the context of carotid endarterectomy. At present, there is little information on the incidence of this condition in the context of carotid stenting, which is the purpose of this study, in addition to providing tips to prevent it.<a href="https://solaci.org/en/2018/07/23/post-carotid-stenting-cerebral-hyperperfusion-a-preventable-complication/" title="Read more" >...</a>

Lesión de múltiples vasos y enfermedad carotidea severa ¿Cómo proceder?

Multivessel Disease and Severe Carotid Stenosis: How to Proceed

Myocardial revascularization surgery (CABG)&nbsp;is the most frequent of all cardiovascular surgeries and is still the gold standard to treat&nbsp;multivessel disease.&nbsp; Between 6 and 8% of these patients present concomitant carotid stenosis and it is associated with increased peri and post procedural stroke rates during and after surgery. To prevent carotid stenosis, either PCI or endarterectomy<a href="https://solaci.org/en/2017/10/11/multivessel-disease-and-severe-carotid-stenosis-how-to-proceed/" title="Read more" >...</a>

Nuevas estrategias en el territorio femoropoplíteo

New Strategies for the Femoropopliteal Artery

Courtesy of Dr. Carlos&nbsp;Fava. The incidence of peripheral vascular disease is clearly increasing, progressing towards critical ischemic claudication and amputation. Angioplasty is currently the treatment of choice for these pathologies. Several times, an implanted stent ends up cracking due to extensive calcification, increasing the rate of restenosis and worsening&nbsp;critical ischemia. &nbsp; Technological development on drug-eluting<a href="https://solaci.org/en/2017/10/04/new-strategies-for-the-femoropopliteal-artery/" title="Read more" >...</a>

La endarterectomía precoz parece superior a la angioplastia carotidea en pacientes sintomáticos

Early Endarterectomy Seems Superior to Carotid Stenting in Symptomatic Patients

Patients with symptomatic stenosis of the internal carotid artery benefit from early intervention. The challenge lies in what intervention to choose.&nbsp; Most studies comparing endarterectomy to carotid stenting are fairly heterogeneous as regards timing of intervention. This element is key to comparing between procedures, since there is no doubt timing will directly affect results. &nbsp;<a href="https://solaci.org/en/2017/06/06/early-endarterectomy-seems-superior-to-carotid-stenting-in-symptomatic-patients/" title="Read more" >...</a>

Early Endarterectomy Seems Superior to Carotid Stenting in Symptomatic Patients

Carotid stenting or endarterectomy? considering vascular anatomy…

Complex vascular anatomy could increase the risk of periprocedural stroke during carotid artery stenting (CAS). However, no randomize study has provided evidence showing this potential difficulty should inform the choice between carotid stenting and endarterectomy.&nbsp; This study included 184 patients with symptomatic lesions of the internal carotid randomized to CAS vs. endarterectomy in the context<a href="https://solaci.org/en/2017/05/28/carotid-stenting-or-endarterectomy-considering-vascular-anatomy/" title="Read more" >...</a>

Bivalirudina Heparina Anticoagulantes

Bivalirudin reduces bleeding rate in carotid stenting

Courtesy of Dr. Carlos Fava Bivalirudin has been shown to reduce bleeding in carotid stenting and maintain its efficacy. Even though carotid stenting has shown benefits, these remain unclear. &nbsp; With this in mind, four studies were analyzed (one randomized) including 7,784 patients undergoing carotid stenting with unfractioned heparin vs. bivalirudin. &nbsp; No difference was<a href="https://solaci.org/en/2017/05/08/bivalirudin-reduces-bleeding-rate-in-carotid-stenting/" title="Read more" >...</a>

enfermedad carotídea y coronaria severa

Best Revascularization Strategy for Severe Carotid and Coronary Artery Disease

Courtesy of Dr. Carlos Fava. Carotid artery disease is an important cause of stroke and is associated to coronary artery disease. When patients need myocardial revascularization surgery (Carotid Artery Bypass Graft) and cannot wait one month or more for carotid revascularization, the optimal management strategy is still controversial. &nbsp; The aim of this study was<a href="https://solaci.org/en/2017/03/15/best-revascularization-strategy-for-severe-carotid-and-coronary-artery-disease/" title="Read more" >...</a>

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. &nbsp; The study included patients with severe carotid artery stenosis randomized to RIPC, vs.<a href="https://solaci.org/en/2017/02/17/remote-ischemic-preconditioning-in-carotid-pci-safe-and-effective/" title="Read more" >...</a>

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