01- Management of Abdominal Aortic Aneurysms in 2021 Abdominal aortic aneurysms (AAA) are those of >3 cm aortic diameter. They run the risk of rupture and ensuing death by bleeding. In consequence, they are treated to repair the aneurysm before it ruptures. Read more HERE 02- Ten Commandments for 2021 Guidelines on Valvular Heart Disease Since<a href="https://solaci.org/en/2021/12/06/novembers-most-read-studies-in-interventional-cardiology-in-solaci-org/" title="Read more" >...</a>
Prosthesis-Annular Size Ratio and Its Impact on Leaks
In low-risk patients, there was a very low incidence of greater than moderate leak, including in patients with minimal oversizing. The degree of prosthesis oversizing had a great impact on mild paravalvular leak reduction and the need for post-dilation without changing valve hemodynamics. This research investigated the impact of the perimeter and the area, measured<a href="https://solaci.org/en/2021/12/03/prosthesis-annular-size-ratio-and-its-impact-on-leaks/" title="Read more" >...</a>
Provisional vs Dual Stenting in Left Main: An Endless Discussion?
True left main stem bifurcation patients have shown fewer adverse events with stepwise provisional stenting vs systematic dual stenting as first strategy, even though the difference was not significant. Usually, for any other vessel, the preferred technique is provisional stenting. However, when it comes to the left main, there is a randomized, dedicated, well designed<a href="https://solaci.org/en/2021/11/30/provisional-vs-dual-stenting-in-left-main-an-endless-discussion/" title="Read more" >...</a>
Ten Commandments for 2021 Guidelines on Valvular Heart Disease
Since the latest version to the Valvular Heart Disease Guidelines from the European Society of Cardiology, plenty of evidence has been accumulating, finally leading to this updated version. In this regard, below you will find what has been called “10 commandments” that sum up this new document, to keep you in the loop. The incidence<a href="https://solaci.org/en/2021/11/29/ten-commandments-for-2021-guidelines-on-valvular-heart-disease/" title="Read more" >...</a>
AHA 2021 | PALACS: Posterior Left Pericardiotomy Improves Post-Procedural AF
Posterior left pericardiotomy for the prevention of atrial fibrillation during cardiac surgery seems to significantly reduce atrial fibrillation risk (AF) after procedure. The procedure consists of a 4-5 cm incision in the posterior pericardium to allow drainage of fluids and thrombi from the pericardium to the pleural cavity during postoperative period. Patients receiving the incision during surgery<a href="https://solaci.org/en/2021/11/23/aha-2021-palacs-posterior-left-pericardiotomy-improves-post-procedural-af/" title="Read more" >...</a>
AHA 2021 | AVATAR: Early Intervention in Asymptomatic Aortic Stenosis
Early surgical aortic valve replacement (SAVR) in patients with severe asymptomatic aortic stenosis can be beneficial in selected patients vs. waiting for symptoms. Severe AS in patients with no symptoms and conserved ventricular function raises few questions, clinically speaking. However, there is little evidence in favor of early intervention vs. close observation. The best data<a href="https://solaci.org/en/2021/11/23/aha-2021-avatar-early-intervention-in-asymptomatic-aortic-stenosis/" title="Read more" >...</a>
The Most Read Articles in Interventional Cardiology in October
01- ISCHEMIA: Prognosis is Determined by Anatomy, not Functionality The ISCHEMIA study keeps providing scientific news. This work in patients with stable coronary artery disease had already shown (to our surprise) that ischemic burden does not predict 4-year mortality. Read also HERE 02- Chile Sessions 2021 | Clinical Case Contest for Young Interventionists It is with great<a href="https://solaci.org/en/2021/11/05/the-most-read-articles-in-interventional-cardiology-in-october/" title="Read more" >...</a>
Is Troponin Elevation After TAVR Related to Mortality?
Troponins have long had diagnostic value not only for infarction. Their ability to predict mortality is well established for all cardiac conditions. Moreover, it has been demonstrated in all critically ill patients, including patients with COVID-19, regardless of the triggering condition. While their significance in COVID cases is backed by the literature, there was not<a href="https://solaci.org/en/2021/11/03/is-troponin-elevation-after-tavr-related-to-mortality/" title="Read more" >...</a>
ISCHEMIA: Prognosis is Determined by Anatomy, not Functionality
The ISCHEMIA study keeps providing scientific news. This work in patients with stable coronary artery disease had already shown (to our surprise) that ischemic burden does not predict 4-year mortality. Now, this new analysis suggests that anatomic severity can predict events. However (surprisingly, once more), altering this severity through angioplasty does not change the prognosis<a href="https://solaci.org/en/2021/11/01/ischemia-prognosis-is-determined-by-anatomy-not-functionality/" title="Read more" >...</a>
Fluoroscopy vs. Ultrasound Guided Femoral Access in TAVR
Ideally, we will not puncture the femoral artery blindly if we are planning to use a big caliber releasing device and a percutaneous closure device during TAVR. The risk of a high or low puncture or the presence of a lateral branch compromising the puncture site might become a major vascular and bleeding complication. There<a href="https://solaci.org/en/2021/10/28/fluoroscopy-vs-ultrasound-guided-femoral-access-in-tavr/" title="Read more" >...</a>