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La ATC es una alternativa válida en el TCI

Coronary Angioplasty Is a Valid Alternative for Left Main Coronary Artery Disease

Courtesy of Dr. Carlos&nbsp;Fava. Severe left main coronary artery (LMCA) lesions have a bad prognosis in coronary disease. In that scenario, current guidelines recommend surgery as the treatment of choice. However, due to the current development of second-generation drug-eluting stents (DES) and greater operator expertise, left main coronary artery angioplasty appears as a valid alternative<a href="https://solaci.org/en/2018/01/05/coronary-angioplasty-is-a-valid-alternative-for-left-main-coronary-artery-disease/" title="Read more" >...</a>

DKCRUSH-V: El tronco de la coronaria izquierda no es una bifurcación más

DKCRUSH-V: Left Main, Not Just Another Bifurcation

Cardiac Artery Bypass Graft Surgery&nbsp;has been shown more effective than&nbsp;percutaneous coronary intervention (basically because it renders lower revascularization rate) in patients with severe&nbsp;left main &nbsp;bifurcation lesions receiving 1st generation drug eluting stents. This is why the 2014 American guidelines recommend CABG for most patients. But the EXCEL and the NOBLE trials brought back hope to<a href="https://solaci.org/en/2017/11/22/dkcrush-v-left-main-not-just-another-bifurcation/" title="Read more" >...</a>

DKCRUSH-V: lo más simple no siempre es lo mejor en el tronco de la coronaria izquierda

DKCRUSH-V: What Is Simple Is Not Always Best for the Left Main Coronary Artery

Courtesy of the SBHCI. Angioplasty of true distal left main bifurcation lesions with a double-kissing (DK) crush two-stent strategy, compared with provisional stenting, results in lower rates of target lesion failure at 1&nbsp;year. These findings were largely driven by lower rates of target vessel infarction and definite/probable stent thrombosis. Read also: &#8220;EXCEL-QOL Substudy: Similar Quality<a href="https://solaci.org/en/2017/11/01/dkcrush-v-what-is-simple-is-not-always-best-for-the-left-main-coronary-artery/" title="Read more" >...</a>

EXCEL-QOL Substudy: similar calidad de vida con cirugía y angioplastia para el tronco

EXCEL-QOL Substudy: Similar Quality of Life both with CABG and Left Main PCI

Courtesy of SBHCI. According to a new quality of life sub-study, the “EXCEL”, both coronary artery bypass graft&nbsp;and left main PCI&nbsp;are associated with significant clinical improvement in terms of angina frequency, tolerance to exertion and treatment satisfaction. At 12 and 36 months, there were no significant differences between PCI and surgery after several quality of<a href="https://solaci.org/en/2017/11/01/excel-qol-substudy-similar-quality-of-life-both-with-cabg-and-left-main-pci/" title="Read more" >...</a>

El Impella otorga seguridad en la ATC del TCI no protegido de alto riesgo

Impella Improves Safety in High Risk Unprotected Left Main PCI

Courtesy of Dr. Carlos Fava. The incidence of unprotected left main severe stenosis ranges between 4 and 8%, and it’s mostly associated with multivessel disease. The use of left ventricular support devices in high risk unprotected left main PCI is on the rise, but not much information available in this regard. Read also: &#8220;Prior assistance<a href="https://solaci.org/en/2017/10/18/impella-improves-safety-in-high-risk-unprotected-left-main-pci/" title="Read more" >...</a>

SOLACI CACI 2017 | Left main PCI in 2017: Ready to EXCEL?

Read articles on the main presentations of the first day of SOLACI-CACI&nbsp;2017 Congress. See the presentation by&nbsp;Dr. Gregg Stone, entitled “Left main PCI in 2017: Ready to EXCEL?”. We are interested in your opinion. Please, leave your comments, thoughts, questions, etc., below. They will be most welcome.

left main

SOLACI CACI | How to recommend CABG or PCI on Left Main Trunk + multi-vessel disease: CCF experience and daily practice

Leia os artigos mais destacados do primeiro dia do Congresso SOLACI-CACI 2017. Neste caso, consulte a apresentação do Dr. Conrad Simpfendorfer,&nbsp;intitulada “How to recommend CABG or PCI on Left Main Trunk + multi-vessel disease: CCF experience and daily practice”. We are interested in your opinion. Please, leave your comments, thoughts, questions, etc., below. They will<a href="https://solaci.org/en/2017/08/10/solaci-caci-how-to-recommend-cabg-or-pci-on-left-main-trunk-multi-vessel-disease-ccf-experience-and-daily-practice/" title="Read more" >...</a>

La asistencia previa con Impella 2.5 disminuye la mortalidad a 30 días en el shock cardiogénico por tronco de coronaria izquierda no protegido

Prior assistance with Impella 2.5 lowers 30-day mortality in cardiogenic shock due to unprotected left main coronary artery lesion

Courtesy of Dr. Carlos&nbsp;Fava. The prevalence of cardiogenic shock in&nbsp;acute myocardial infarction (MI)&nbsp;is 7%-10%, and it is associated with high mortality rates. Unfortunately, 0.7% of these cases are a consequence of unprotected left main coronary artery (ULMCA) as MI-culprit lesion. Its evolution is generally disastrous. &nbsp; Ventricular assist device support and its implementation time may<a href="https://solaci.org/en/2017/07/05/prior-assistance-with-impella-2-5-lowers-30-day-mortality-in-cardiogenic-shock-due-to-unprotected-left-main-coronary-artery-lesion/" title="Read more" >...</a>

El uso del ultrasonido intravascular en la angioplastia de tronco no protegido se asocia con mejores resultados en comparación con la angioplastia guiada solo por angiografía.

The use of IVUS in unprotected left main PCI associated to better outcomes, compared to angiography guided PCI

Courtesy of Dr.&nbsp;Gustavo Leiva. Coronary Artery Bypass Graft (CABG) has traditionally been the procedure of choice in patients with left main coronary artery disease. However, the use of percutaneous techniques in this kind of lesions has been on the rise, partly due to recent research showing similar outcomes with both procedures. &nbsp; Unprotected left main<a href="https://solaci.org/en/2017/06/26/the-use-of-ivus-in-unprotected-left-main-pci-associated-to-better-outcomes-compared-to-angiography-guided-pci/" title="Read more" >...</a>

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