acute myocardial infarction

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>

Direct Stent, no clinical utility in patients undergoing elective

&nbsp;Original title: The Independent Value of a Direct Stenting Strategy on Early and Late Clinical Outcomes in Patients Undergoing Elective Percutaneous Coronary Intervention. Reference: Gabriel L. Sardi et al. Catheterization and Cardiovascular Interventions 81:949&ndash;956 (2013). &nbsp; The use of direct stenting (DS) without pre-stenting dilation has proven to be a safe strategy, especially with the<a href="https://solaci.org/en/2013/06/18/direct-stent-no-clinical-utility-in-patients-undergoing-elective/" title="Read more" >...</a>

Adenosine, the best vasodilator to improve blood flow in primary angioplasty

Original title:&nbsp;Open Label, Randomized, Placebo-Controlled Evaluation of Intracoronary Adenosine or Nitroprusside Alter Thrombus Aspiration During Primary Percutaneous Coronary Intervention for the Prevention of Microvascular Obstruction in Acute Myocardial Infartion . The Reopen-AMI Study&nbsp;Reference:&nbsp;Giampaolo Niccoli, et al. J Am Coll Cardiol Intv 2013. Article in Press One of the challenges of PCI is to achieve the<a href="https://solaci.org/en/2013/06/13/adenosine-the-best-vasodilator-to-improve-blood-flow-in-primary-angioplasty/" title="Read more" >...</a>

A real challenge: Primary PCI on an Unprotected Left Main Coronary Culprit Lesion

Original title:&nbsp;A Systematic Review and Meta-Analysis on Primary Percutaneous Coronary Intervention on an Unprotected Left Main Coronary Artery Culprit Lesion in the setting of Acute Myocardial Infarction&nbsp;Reference:&nbsp;Marije M. Vis et al. J Am Coll Cardiol Intv 2013;6:317&ndash;24 Acute myocardial infarction with a significantly compromised unprotected left main coronary artery culprit lesion is relatively rare (4%<a href="https://solaci.org/en/2013/04/24/a-real-challenge-primary-pci-on-an-unprotected-left-main-coronary-culprit-lesion/" title="Read more" >...</a>

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