acute myocardial infarction

Malapposition in drug-eluting stents. Much more common and much less serious than we thought

Original title:&nbsp;Incidences, Predictors, and Clinical Outcomes of Acute and Late Stent Malapposition Detected by Optical Coherence Tomography After Drug-Eluting Stent Implantation&nbsp;Reference:&nbsp;Im E. et al. CircCardiovascInterv. 2014 Jan 14. [Epubahead of print] &nbsp; This paper analyzed the imaging of 351 patients by optical coherence tomography (OCT) who received drug-eluting stents over 356 lesions between 2009 and<a href="https://solaci.org/en/2014/01/28/malapposition-in-drug-eluting-stents-much-more-common-and-much-less-serious-than-we-thought/" title="Read more" >...</a>

Ischemic versus anatomical risk. Is anyone better to help us decide therapeutically?

Original title:&nbsp;Predicting Outcome in the COURAGE Trial. Coronary Anatomy Versus Ischemia.&nbsp;Reference:&nbsp;G. B. John Mancini et al. J Am Coll Cardiol Intv 2013,&nbsp;Article in press. &nbsp; Anatomical risk, ischemic amount or a combination of both, are often factors taken into account for estimating the prognosis or choose a treatment strategy. The COURAGE study (Clinical Outcomes Utilizing<a href="https://solaci.org/en/2014/01/24/ischemic-versus-anatomical-risk-is-anyone-better-to-help-us-decide-therapeutically/" title="Read more" >...</a>

Unprotected trunk in diabetics: angioplasty with good long-term results but more revascularization

Original title:&nbsp;Coronary artery bypass graft versus percutaneous coronary intervention with drug-eluting stent implantation for diabetic patients with unprotected left main coronary artery disease: D-DELTA registry.&nbsp;Reference:&nbsp;Meliga Emanuele, et al. EuroIntervention 2013; 9:803-808 Diabetes increases cardiovascular risk events because of their involvement in diffuse form of the vessels, thereby generating more events and changes in revascularization strategy<a href="https://solaci.org/en/2013/12/12/unprotected-trunk-in-diabetics-angioplasty-with-good-long-term-results-but-more-revascularization/" title="Read more" >...</a>

Infarct size reduction to 30 days could result in clinical benefit at one year

Original title:&nbsp;Intralesional abciximab and thrombus aspiration in patients with large anterior myocardial infarction: One-year results from the INFUSE-AMI trial.&nbsp;Reference:&nbsp;Stone GW et al. Circ Cardiovasc Interv. 2013;Epub ahead of print. &nbsp; The intra-coronary infusion of Abciximab added to thromboaspiration seems to improve outcomes at one year in patients undergoing primary angioplasty for ST-segment elevation with anterior<a href="https://solaci.org/en/2013/10/16/infarct-size-reduction-to-30-days-could-result-in-clinical-benefit-at-one-year/" title="Read more" >...</a>

Ticagrelor effective in venous bridges

Original title:&nbsp;Effect of ticagrelor on the outcomes of patients with prior coronary artery bypass grafo surgery: Inssights from th PLATelet inhibition and patients outcomes (PLATO) trial.&nbsp;Reference:&nbsp;Emmanouil S. Brilakis, et al. Am Heart J 2013;166:474-80 &nbsp; The bridge venous occlusion is a common finding in patients with previous CABG presenting with acute coronary syndrome without ST<a href="https://solaci.org/en/2013/09/27/ticagrelor-effective-in-venous-bridges/" title="Read more" >...</a>

Primary angioplasty , a race against time

Original title:&nbsp;Door-to-Balloon Time and Mortality among Patients Undergoing Primary PCI.&nbsp;Reference:&nbsp;Daniel S. Menees et al. N Engl J Med 2013;369:901-9. For more than a decade has been ranked , like a race, to the delay times that occur in hospitals until angioplasty is performed in the context of an infarct with ST segment elevation . Several<a href="https://solaci.org/en/2013/09/13/primary-angioplasty-a-race-against-time/" title="Read more" >...</a>

Carotid angioplasty prior to central venous catheter. The best option to solve combined problems.

Original title:&nbsp;A Direct Comparison of Early and Late Outcomes with Three Approaches to Carotid Revascularization and Open Heart Surgery.&nbsp;Reference:&nbsp;Mehdi H. Shishehbor et al. J Am Coll Cardiol, article in press. &nbsp; The prevalence of severe carotid stenosis (&gt; 80%) in patients planning to have a Central Venous Catheter (CVC) is estimated at between 6 and<a href="https://solaci.org/en/2013/08/08/carotid-angioplasty-prior-to-central-venous-catheter-the-best-option-to-solve-combined-problems/" title="Read more" >...</a>

The Importance of TIMI 3 flow in primary angioplasty

Original title:&nbsp;Predicitors of suboptimal TIMI flow alter primary angioplasty for acute myocardial infarction: results from the HORIZON-AMI trial.&nbsp;Reference:&nbsp;Adriano Caixeta et al. &nbsp;Eurointervention 2013;9:220-227 Primary angioplasty showed greater efficacy than thrombolytics but one out of every four patients cannot achieve TIMI 3 flow. The Horizons-AMI trial randomized 3,602 patients to receive bivalirudin or heparin plus inhibitors<a href="https://solaci.org/en/2013/07/05/the-importance-of-timi-3-flow-in-primary-angioplasty/" title="Read more" >...</a>

DES versus Bare in primary angioplasty at five years. Initial advantage is reducing

Original: title&nbsp;Long-Term Outcome After Drug-Eluting VersusBare-Metal Stent Implantation in Patients WithST-Segment Elevation Myocardial Infarction. 5 Years Follow-Up From the Randomized DEDICATION (Drug Elution and DistalProtection in Acute Myocardial Infarction) Trial.&nbsp;Reference:&nbsp;Lene Holmvang et al. J Am CollCardiolIntv 2013, article in press. &nbsp; Primary angioplasty reduced mortality and reinfarction compared with thrombolytics in patients experiencing an ST<a href="https://solaci.org/en/2013/07/05/des-versus-bare-in-primary-angioplasty-at-five-years-initial-advantage-is-reducing/" title="Read more" >...</a>

Transradial Angioplasty: do we need more proof to adopt it for good?

Original title:&nbsp;Influence of Arterial Access Site Selection on Outcomes in Primary Percutaneous Coronary Intervention. Are the Results of Randomized Trials Achievable in Clinical Practice?&nbsp;Reference:&nbsp;Mamas A. Mamas et al. J Am Coll Cardiol Intv 2013. Article in press. Antithrombotic therapy has improved the prognosis of patients with acute ST-segment elevation myocardial infarction by reducing ischemic events.<a href="https://solaci.org/en/2013/06/25/transradial-angioplasty-do-we-need-more-proof-to-adopt-it-for-good/" title="Read more" >...</a>

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