angioplasty

ACCOAST: Pretreatment with prasugrel showed no benefits and increased bleeding in patients with non-ST segment myocardial infarction.

This study evaluated the administration of prasugrel at the time of diagnosis of non-ST segment acute coronary syndrome vs administration at the time of the coronary angiography without indication of angioplasty. 4033 enrolled patients with non-ST segment acute coronary syndrome and positive troponin levels were randomized and who would undergo the angiography between 2 and<a href="https://solaci.org/en/2015/06/24/accoast-pretreatment-with-prasugrel-showed-no-benefits-and-increased-bleeding-in-patients-with-non-st-segment-myocardial-infarction/" title="Read more" >...</a>

What is a Catheterization?

A catheterization is a procedure used to examine the condition of arteries in a specific organ of the body, for example, the arteries of the heart. To visualize vessels, an iodinated contrast dye is injected directly into the artery, which is reached from the peripheral access sites (a.k.a. thegroin, femoral access, traditionally preferred; the wrist,<a href="https://solaci.org/en/2015/06/01/what-is-a-catheterization/" title="Read more" >...</a>

Impella 2.5 improves survival in AMI with cardiogenic shock

Original title:&nbsp;The Use of Impella 2.5 in Severe Refractory Cardiogenic Shock Complicating and Acute Myocardial Infarction.&nbsp;Reference:&nbsp;Frederic Casassus et al. J Interv Cardiol. 2015 Feb;28(1):41-50. The presence of cardiogenic shock is observed in 7% of patients undergoing acute myocardial infarction (AMI) with ST segment elevation and 2.5% of those with non-ST AMI. In this scenario inotropic<a href="https://solaci.org/en/2015/04/29/impella-2-5-improves-survival-in-ami-with-cardiogenic-shock/" title="Read more" >...</a>

IVUS plaque regression with high doses of statins

Original title:&nbsp;Effect of high-intensity statin therapy on atherosclerosis in non-infarct-related coronary arteries (IBIS-4): a serial intravascular ultrasonography study.&nbsp;Reference:&nbsp;R&auml;ber L et al. Eur Heart J. 2015 Feb 21;36(8):490-500. The long-term effect of intensive statin therapy on coronary atherosclerosis in patients admitted pursuing an ST segment elevation myocardial infarction is unknown. The aim of this study was<a href="https://solaci.org/en/2015/03/09/ivus-plaque-regression-with-high-doses-of-statins/" title="Read more" >...</a>

Risks and benefits of Dual Antiplatelet beyond the year of a drug-eluting stent

Original title: Twelve or 30 Months of Dual Antiplatelet Therapy after Drug-Eluting Stents.&nbsp;Reference: Laura Mauri et al. N Engl J Med 2014;371:2155-66. &nbsp; Dual antiplatelet therapy is recommended after a drug-eluting stent to prevent thrombotic complications. The clinical benefit of this scheme it is not clear beyond one year. Patients were registered to receive a<a href="https://solaci.org/en/2015/01/13/risks-and-benefits-of-dual-antiplatelet-beyond-the-year-of-a-drug-eluting-stent/" title="Read more" >...</a>

The SYNTAX Score II: a tool that should be used

Original title:&nbsp;Validation and Comparison of the Long-Term Prognostic Capability of SYNTAX Store-II Among 1528 Consecutive Patients Who Underwent Left Main Percutaneous Coronary Intervention.&nbsp;Reference:&nbsp;Bo Xu, et al. JACC Cardiovascular Intervention 2014;7:1128-37. &nbsp; The SYNTAX angiography score is useful when deciding revascularization in multivessel, but with the addition of clinical variables in the second version, SYNTAX score<a href="https://solaci.org/en/2014/12/03/the-syntax-score-ii-a-tool-that-should-be-used/" title="Read more" >...</a>

Target amount for reasonable incomplete revascularization

Original title:&nbsp;Reasonable incomplete revascularisation after percutaneouscoronary intervention: the SYNTAX Revascularisation Index.&nbsp;Reference:&nbsp;Philippe G&eacute;n&eacute;reux et al. EuroIntervention 2014;10-online publish-ahead-of-print. While the absolute amount of residual disease after coronary angioplasty is associated with poor prognosis, the proportion of treated coronary disease modifying the prognosis is still to be determined. This study attempted to quantify the proportion of coronary<a href="https://solaci.org/en/2014/11/05/target-amount-for-reasonable-incomplete-revascularization/" title="Read more" >...</a>

Greater platelet reactivity in diabetic patients receiving DES and clopidogrel

Original title:&nbsp;Impact of diabetes mellitus and metabolic syndrome on acute and chronic on-clopidogrel platelet reactivity in patients with stable coronary artery disease undergoing drug-eluting stent placement.&nbsp;Reference:&nbsp;Feldman L. et al. Am Heart J. 2014; Epub ahead of print. Diabetes mellitus type 2 (T2DM) or metabolic syndrome patients undergoing drug eluting stent implantation have 3 to 4<a href="https://solaci.org/en/2014/10/20/greater-platelet-reactivity-in-diabetic-patients-receiving-des-and-clopidogrel/" title="Read more" >...</a>

Hemodialysis Associated to Higher Incidence of In Stent Thrombosis

Original title:&nbsp;Impact of hemodialysis on local vessel healing and thrombus formation after drug-eluting stent implantation.&nbsp;Reference:&nbsp;Akihide Konishi, et al. &nbsp;Journal of Cardiology 2014;64:25-31 &nbsp; Even though the benefit of DES implantation to the general population is undeniable, it has been proved lower in hemodialysis patients (HD); the reason behind this phenomenon remains unclear. 121 patients received<a href="https://solaci.org/en/2014/08/08/hemodialysis-associated-to-higher-incidence-of-in-stent-thrombosis/" title="Read more" >...</a>

Proximal protection devices could be the first choice for most carotid artery stenting procedures

Original title:&nbsp;Evaluation of proximal protection devices during carotid artery stenting as the first choice for embolic protection.&nbsp;Reference:&nbsp;Hornung M et al. EuroIntervention. 2014; Epub ahead of print. This series of the Frankfurt CardioVascular Center included 124 consecutive patients undergoing carotid angioplasty with proximal protection. The first 92 patients received the Gore Flow Reversal System (WL Gore;<a href="https://solaci.org/en/2014/07/31/proximal-protection-devices-could-be-the-first-choice-for-most-carotid-artery-stenting-procedures/" title="Read more" >...</a>

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