angioplasty

Cangrelor: more effective than clopidogrel without increasing bleeding 

Original title: Effect of Platelet Inhibition with Cangrelor during PCI on Ischemic Events. CHAMPION PHOENIX. Reference: Deepak L. Bhatt et al. N Engl J Med 2013. DOI: 10.1056/NEJMoa1300815. Despite advances in adjuvant therapy thrombotic complications remain a problem during coronary angioplasty. So far, up to the present, there was only P2Y

Women have a higher mortality rate in ST-segment elevation acute myocardial infarction 

Original title:&nbsp;Is the difference in outcome between men and women treated by primary percutaneous coronary intervention age dependent?: Gender difference in STMI stratified on age&nbsp;Reference:&nbsp;Amber M Otten et, al.European Heart Journal Acute Cardiovascular Care January 31:1-8 Numerous publications have shown that women have worse outcomes than men in chronic ischemic heart disease but their evolution<a href="https://solaci.org/en/2013/03/13/n-2962/" title="Read more" >...</a>

Critical limb ischemia with infrapatellar disease. High odds of limb salvage despite restenosis. 

Original title:&nbsp;Long-term outcomes following infrapopliteal angioplasty for critical limb ischemia.&nbsp;Reference:&nbsp;Ruby C. Lo et al. J Vasc Surg 2013;-:1-10. Angioplasty has established itself as an alternative for the treatment of infrainguinal peripheral disease with comparable results in terms of limb salvage for surgery.&nbsp; However, this data refers to the iliac or femoral territory but it is<a href="https://solaci.org/en/2013/02/28/n-3116/" title="Read more" >...</a>

It takes more patience to implant stents.

Original title:&nbsp;Duration of Balloon Inflation for Optimal Stent Deployment: Five Seconds Is Not Enough.&nbsp;Reference:&nbsp;Thomas Hovasse et al. Catheterization and Cardiovascular Interventions 81:446&ndash;453 (2013). Adequate stent expansion and apposition to the vessel wall is essential to optimize the results of percutaneous transluminal coronary angioplasty (PTCA). If the above is not adequate, it increases the risk of<a href="https://solaci.org/en/2013/02/22/n-3095/" title="Read more" >...</a>

Chronic Total Occlusion: increasingly better results and fewer complications.

Original title:&nbsp;Angiographic Success and Procedural Complications in Patients Undergoing Percutaneous Coronary Chronic Total Occlusion Interventions. A Weighted Meta-Analysis of 18,061 Patients From 65 Studies.&nbsp;Reference:&nbsp;Vishal G. Patel et al. J Am Coll Cardiol Intv 2013. Article in press. Chronic Total Occlusions (CTOs) are found in between 15% and 30% of patients undergoing coronary angioplasty. Successful CTOs<a href="https://solaci.org/en/2013/02/19/n-3074/" title="Read more" >...</a>

Ambulatory Coronary Angiography: Is any further evidence required?

Original title:&nbsp;Same-Day Discharge Compared With Overnight Hospitalization After Uncomplicated Percutaneous Coronary Intervention. A Systematic Review and Meta-Analysis&nbsp;Reference:&nbsp;Eltigani Abdelaal et al. J Am Coll Cardiol Intv 2013. Article in press. Coronary angioplasty and subsequent same day discharge in selected patients can reduce costs and increase patient comfort.&nbsp; Several observational studies and a few randomized studies have<a href="https://solaci.org/en/2013/02/18/n-3067/" title="Read more" >...</a>

Critical limb ischemia, always try to revascularize

Original title:&nbsp;Endovascular Treatment for Infrainguinal Vessels in Patients With Critical Limb Ischemia : OLIVE Registry, a Prospective, Multicenter Study in Japan With 12-Month Follow-up.&nbsp;Reference:&nbsp;Osamu Iida et al. Circ Cardiovasc Interv. 2013;6:00-00 Patients with critical limb ischemia typically reveal rest pain and ischemic ulcers or gangrene. Prognosis is poor and mortality and amputation rate are elevated.<a href="https://solaci.org/en/2013/02/15/n-3060/" title="Read more" >...</a>

Multislice tomography to stratify low-risk chest pain. Lower cost and larger revascularization. 

Original title:&nbsp;Outcomes After Coronary Computed Tomography Angiography in the Emergency Department. A Systematic Review and Meta-Analysis of Randomized, Controlled Trials.&nbsp;Reference:&nbsp;Edward Hulten et al. J Am Coll Cardiol 2013. Article in press Chest pain is the second most common cause for visiting an emergency department. In all consultations, only few are finally acute coronary syndromes, for<a href="https://solaci.org/en/2013/02/13/n-3046/" title="Read more" >...</a>

The FFR improves outcomes in daily practice as in randomized studies

Original title:&nbsp;Long-term outcomes of fractional flow reserve-guided vs. angiography-guided percutaneous coronary intervention in contemporary practice.&nbsp;Reference:&nbsp;Li J et al. Eur Heart J. 2013; Epub ahead of print Precision of the fractional flow reserve (FFR) to estimate the functional compromise of coronary stenosis and its ability to reduce events to decide PTCA, based on their outcome has<a href="https://solaci.org/en/2013/02/06/n-3025/" title="Read more" >...</a>

The radial artery is the default access for Europe.

Original title:&nbsp;Consensus document on the radial approach in percutaneous cardiovascular interventions: position paper by the European Association of Percutaneous Cardiovascular Interventions and Working Groups on Acute Cardiac Care and Thrombosis of the European Society of Cardiology.&nbsp;Reference:&nbsp;Martial Hamon et al. EuroIntervention 2013; 8-online publish-ahead-of-print January 2013. The European Society of Cardiology (ESC) recently published a consensus<a href="https://solaci.org/en/2013/02/01/n-3004/" title="Read more" >...</a>

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