Original title: 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. Reference: 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/the-radial-artery-is-the-default-access-for-europe/" title="Read more" >...</a>
Stent implantation in the popliteal artery is feasible.
Original title: Treatment of Complex Atherosclerotic PoplitealArtery Disease With a New Self-Expanding Interwoven Nitinol Stent. 12-Month Results of the Leipzig SUPERA Popliteal Artery Stent Registry. Reference: Dierk Scheinert, et al. J Am Coll Cardiol Intv 2013;6:65–71 Currently, peripheral angioplasty (PTA) of the popliteal artery is a real challenge since stent implantation is controversial and the outcome of balloon<a href="https://solaci.org/en/2013/01/31/stent-implantation-in-the-popliteal-artery-is-feasible/" title="Read more" >...</a>
Spontaneous coronary artery dissection (SCAD) is associated with fibro-muscular dysplasia in other territories
Original title: Spontaneous Coronary Artery Dissection. Prevalence of Predisposing Conditions Including Fibromuscular Dysplasia in a Tertiary Center Cohort Reference: Jacqueline Saw, et al. J Am Coll Cardiol Intv 2013;6:44 –52 Non atherosclerotic spontaneous coronary artery dissection (Non atherosclerotic SCAD) is a rare disease that is associated with acute myocardial infarction and sudden death. This condition is more common<a href="https://solaci.org/en/2013/01/24/spontaneous-coronary-artery-dissection-scad-is-associated-with-fibro-muscular-dysplasia-in-other-territories/" title="Read more" >...</a>
Modest correlation between IVUS and FFR in intermediate lesions assessment
Original title: FIRST: Fractional Flow Reserve and Intravascular Ultrasound Relationship Study Reference: Ron Waksman et al. J Am Coll Cardiol 2013. Article in Press For patients with angiographically assessed intermediate lesions such as stenosis between 40% and 80%, criteria that favor revascularization remains under debate. Fractional Flow Reserve (FFR) is considered the gold standard to assess intermediate lesions,<a href="https://solaci.org/en/2013/01/24/modest-correlation-between-ivus-and-ffr-in-intermediate-lesions-assessment/" title="Read more" >...</a>
Intracoronary enalaprilat reduces periprocedural injury.
Original title: Intracoronary Enalaprilat to Reduce Microvascular Damage During Percutaneous Coronary Intervention (ProMicro) Study. Reference: Fabio Mangiacapra et al. J Am Coll Cardiol 2013. Article in press Angiotensin converting enzyme (ACE) inhibitors improve clinical outcomes in patients with coronary artery disease and improve epicardial flow in patients with acute ST-segment elevation. Beyond the long-term protective effect of oral<a href="https://solaci.org/en/2013/01/22/intracoronary-enalaprilat-reduces-periprocedural-injury/" title="Read more" >...</a>
Periprocedural stroke, unrelated to the access site?
Original title: Influence of access site choice on incidence of neurologic complications after percutaneous coronary intervention. Reference: Karim Ratib et al. Am Heart J 2012;0:1-8 Article in press. Neurological complications post coronary angioplasty (PCA) are sporadic but they are associated with eight times increased mortality. A transradial approach has multiple advantages over femoral but could theoretically have a<a href="https://solaci.org/en/2013/01/14/periprocedural-stroke-unrelated-to-the-access-site/" title="Read more" >...</a>
Serum fibrinogen is a better predictor of periprocedural events than platelet reactivity.
Original title: Elevated Plasma Fibrinogen Rather Than Residual Platelet Reactivity After Clopidogrel Pre-Treatment Is Associated With an Increased Ischemic Risk During Elective Percutaneous Coronary Intervention. Reference: Lawrence Ang et al. J Am Coll Cardiol 2013;61:23–34. Platelet function tests have identified differences in the response of each patient to clopidogrel and minor platelet inhibition has been associated with thrombotic<a href="https://solaci.org/en/2013/01/09/serum-fibrinogen-is-a-better-predictor-of-periprocedural-events-than-platelet-reactivity/" title="Read more" >...</a>
Revascularization reduces mortality in patients with high risk coronary artery disease based on multi-slice CT
Original title: All-cause mortality benefit of coronary revascularization vs. medical therapy in patients without known coronary artery disease undergoing coronary computed tomographic angiography: results from CONFIRM (Coronary CT Angiography EvaluatioN For Clinical Outcomes: An InteRnational Multicenter Registry) Reference: James K Min et al. European Heart Journal (2012) 33, 3088–3097 doi:10.1093/eurheartj/ehs315. Several large studies have shown revascularization reduces mortality<a href="https://solaci.org/en/2012/12/20/revascularization-reduces-mortality-in-patients-with-high-risk-coronary-artery-disease-based-on-multi-slice-ct/" title="Read more" >...</a>
Radial Approach, 1st choice in Acute Coronary Syndromes
Original title: Radial Versus Femoral Randomized Investigation in ST-Segment Elevation Acute Coronary síndrome. The RIFLE-STEACS (Radial Versus Femoral Randomized Investigation in ST-Elevation Acute Coronary Syndrome) Study. Reference: Enrico Romagnoli et al. J Am Coll Cardiol 2012;60:2481–9. Bleeding in patients with acute coronary syndromes (ACS) is an independent predictor of morbidity and mortality. Until today, evidence supporting the radial<a href="https://solaci.org/en/2012/12/11/radial-approach-1st-choice-in-acute-coronary-syndromes/" title="Read more" >...</a>
Strategies for treating left coronary trunk restenosis.
Original title: Clinical and Procedural Predictors of Suboptimal Outcome After the Treatment of Drug-Eluting Stent Restenosis in the Unprotected Distal Left Main Stem The Milan and New-Tokyo (MITO) Registry. Reference: Circ Cardiovasc Interv. 2012;5: 491-498 We have very little data on the percutaneous treatment of restenosis of an unprotected LMCA. The aim of this study was to evaluate<a href="https://solaci.org/en/2012/12/06/strategies-for-treating-left-coronary-trunk-restenosis/" title="Read more" >...</a>