La angioplastia “ad hoc” durante el TAVI no impacta en su seguridad ni en resultados a largo plazo

“Ad Hoc” PCI during TAVR: No Impact on Safety or Long Term Outcomes

According to a recent study published in Circulation Cardiovascular Interventions, screening for coronary artery disease (CAD) with an invasive coronary angiography  (as part of the protocol prior TAVR)  and performing PCI and TAVR in the same session, has no impact on periprocedural safety or on long term outcomes. Study outcomes offer new hope, especially as regards using TAVR<a href="https://solaci.org/en/2017/09/06/ad-hoc-pci-during-tavr-no-impact-on-safety-or-long-term-outcomes/" title="Read more" >...</a>

Sorpresivo hallazgo en diabetes y permeabilidad de los bypass

Striking Finding on Diabetes and Bypass Graft Patency

The higher rate of restenosis in the diabetic population is historic and has been reproduced in all studies and with all kinds of stents, but it was only after the FREEDOM trial when we found out about the higher infarction rate with PCI compared to surgery. This is why 50% of patients undergoing CABG are diabetic. Apart from the above<a href="https://solaci.org/en/2017/09/01/striking-finding-on-diabetes-and-bypass-graft-patency/" 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.  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>

Trombólisis local en tromboembolismo pulmonar

Diastolic Dysfunction: Shall We Begin to Assess It?

Courtesy of Dr. Carlos Fava. The association between diastolic dysfunction (DD) and aortic insufficiency (AI) after transcatheter aortic valve replacement (TAVR) has not been studied yet, but the presence of aortic regurgitation has proved to be associated with worse outcomes.   A total of 144 out of 195 patients who underwent TAVR with balloon-expandable SAPIENS or SAPIENS XT<a href="https://solaci.org/en/2017/04/19/diastolic-dysfunction-shall-we-begin-to-assess-it/" title="Read more" >...</a>

Técnica Doble Crush Doble Kissing vs. stent provisional

Double Kissing Crush vs. Provisional Stenting at 5 Years

Courtesy of Dr. Guillermo Migliaro. The Provisional Stenting technique (PS) consists of sequentially placing a stent in the main branch of the bifurcation and, only when faced with a suboptimal outcome (such as < 3 TIMI flow, flow limiting dissection or high residual stenosis), a second stent in the side branch.  Several studies have shown<a href="https://solaci.org/en/2017/02/21/double-kissing-crush-vs-provisional-stenting-at-5-years/" title="Read more" >...</a>

See the presentations of the Bolivia Sessions 2017

We thank all the speakers of the Bolivia Sessions2017 who shared their presentations to contribute to our mission of promoting Interventional Cardiology in Latin America. See them below   Agatiello, Carla: “Como iniciar un programa TAVI en Latinoamérica”.     Arregui, Elizabeth: “Estenosis aórtica: candidatos para TAVI”.     Bello, Fernando: “Enfermedad carotídea: Tratamiento quirúrgico”.  <a href="https://solaci.org/en/2017/01/19/see-the-presentations-of-the-bolivia-sessions-2017/" title="Read more" >...</a>

Bifurcación de tronco de coronaria distal: cantidad de stents

Bifurcation Lesion in Distal Left Main Coronary Artery: One or Two Stents?

Courtesy of Dr. Carlos Fava. Unprotected left main coronary artery (LMCA) angioplasty has become an important trend in the last few years.   One of the most significant unresolved questions about it is whether one stent is better than two in distal lesions, and how is their progress after treatment.   This study included 937 patients who<a href="https://solaci.org/en/2016/11/16/bifurcation-lesion-in-distal-left-main-coronary-artery-one-or-two-stents/" title="Read more" >...</a>

SOLACI@TCT: Cases, presentations and discussions you should not miss

Complex Cinical Cases Resolved With Current Evidence Moderators: Ricardo Lluberas, Jeffrey W. Moses, Jamil Abdalla Saad   [plain] SUNDAY, OCTOBER 30, 2016, 4:00 PM – 5:00 PM Walter E. Washington Convention Center Room 143B, Level 1 [/plain]   This session is not CME/CNE accredited.     Schedule 4:00 pm Introduction and Session Objectives Moderator: Ricardo Lluberas 4:02 pm Case 1: Primary PTCA With High<a href="https://solaci.org/en/2016/10/30/solacitct-cases-presentations-and-discussions-you-should-not-miss/" title="Read more" >...</a>

sapien xt vs. sapien 3 nuevas válvulas percutáneas

New TAVR Devices: Better Results in Bicuspids

Courtesy of del Dr. Carlos Fava.   The bicuspid aortic valve is highly anatomically challenging because of valve asymmetric calcification, increased annulus diameter, raphe calcification and ascending aorta dilation. The new valves have shown to improve results, but we still lack data on this group.   301 patients presenting bicuspid aortic valve undergoing transcatheter aortic<a href="https://solaci.org/en/2016/09/14/new-tavr-devices-better-results-in-bicuspids/" title="Read more" >...</a>

reducir costos ffr inducido por contraste

Contrast Induced FFR: Cost and Time Effective Alternative

Courtesy of Dr. Guillermo Migliaro.   Fractional flow reserve (FFR) is the radio of two flows expressed as the ratio of two pressures ─ distal pressure across stenosis (Pd) to aortic pressure (pa) ─ obtained only under maximal coronary hyperemia, which is a state of drug induced maximal vasodilation.   The gold standard to create<a href="https://solaci.org/en/2016/09/12/contrast-induced-ffr-cost-and-time-effective-alternative/" title="Read more" >...</a>

aortic stenosis