Transcatheter edge-to-edge repair (TEER) with MitraClip has demonstrated its benefit compared with complete guideline-directed medical therapy (GDMT), according to the results of the COAPT Study. While cerebrovascular events (CVE), such as stroke or transient ischemic attack (TIA), are rare, they can occur during the procedure (transseptal puncture, device positioning, or device release) or during follow-up...
Aortic Stenosis and Cardiogenic Shock: Is TAVR an Option?
Cardiogenic shock (CS) in a setting of aortic stenosis is associated with high mortality rates. In consequence, surgery is generally not a possibility for this patient group, and they usually undergo aortic valvuloplasty, resulting in a mortality rate of 33%-50% at 30 days, 70% at one year, and 90% at two years. While transcatheter aortic...
A New Alternative for the Treatment of Heart Failure: Left Atrial to Coronary Sinus Shunt with the APTURE Device
ALT FLOW device for left atrial to coronary sinus shunting in symptomatic heart failure patients. In the treatment of heart failure (HF), significant improvement in patient quality of life and prognosis has been achieved through appropriate medical treatment and, in some cases, the use of devices. However, in certain cases, satisfactory clinical improvement cannot be...
We Should Revascularize Patients with Stable Coronary Syndromes and Ischemia Assessed by iFR
Chronic stable angina has shown a good response to medical treatment, and the Ischemia study has recently demonstrated the safety of such treatment in stable chronic angina with moderate to severe ischemia. However, this study excluded left main coronary artery (LMCA) lesions. The FAME Study has shown the safety and efficacy of fractional flow reserve...
MIL TRAINING MORE MIL: DAY 4 at Favaloro Foundation
▶ We keep sharing the experience “MIL Train More MIL – SOLACI”, our program on structural heart disease for Latin American Women Interventionists 🩺 Our scholarship program on structural heart disease continues to thrive in specialized centers in Argentina. 🏥 Today was Favaloro Foundation’s turn. ▶ Here is the complete scientific program of day 4...
Post PCI Functional Assessment for Focal Lesion and Stent Underexpansion Detection
The use of fractional flow reserve (FFR) and non-hyperemic pressure indices (NHPRs) have become essential for intermediate lesion revascularization. A linear inverse correlation has been recently shown between the use of post PCI physiology and cardiovascular events at followup. However, its adoption has been limited so far, seeing the wide variety of algorithms used in...
MIL Train More MIL: Day 3
▶ We continue to share the experience “MIL Training More MIL – SOLACI”, our training program on structural heart disease for Latin American Women Interventionists. 👉 The third day of activities was carried out at the Italian Hospital in Buenos Aires. ✅ We had an inspiring scientific agenda: 👉 20 years of TAVR, where our...
MIL Training More MIL: Day 2
▶ The intensive in-person training on structural heart disease for Latin American Women Interventionists selected for MIL Training More MIL continues. 👉 The second day of activities was carried out at Hospital Finochietto. ✅ The following activities took place today: 👉 Case presentation with Acurate Neo2, by Dr. Maximiliano Jara.👉 Hospital Case👉 Dissertation on “Echo...
MIL Train More MIL: The Training Has Started!
▶ The first group of interventionists women who were granted a scholarship structural heart disease has started at the Cardiovascular Institute of Buenos Aires (ICBA). The program will be held during the week in different centers across Argentina. ✅ The event featured self-expanding and balloon expandable TAVR cases and transcatheter closure of periprosthetic leak. Moreover, complex...
VASC-OBSERVANT II Substudy: Impact of Vascular Complications after TAVR
At present, transcatheter aortic valve replacement (TAVR) has become increasingly common to treat severe symptomatic aortic stenosis, with the transfemoral approach being the most common access strategy, associated to better outcomes vs. other access sites. Even though vascular complication rates (VC) have dropped given increased operation experience and improved devices, such as the use of...