Angioplasty

¿Es seguro dar el alta el mismo día luego de una angioplastia?

Is Same-Day Discharge After Angioplasty Safe?

Overnight observation after coronary angioplasty has been the standard of care in the United&nbsp;States. The foundations for this practice go back to the early days of balloon angioplasty, when acute occlusion and access-site complications were frequent. There are several registries and randomized studies showing the clear safety of same-day discharge after coronary angioplasty. This practice<a href="https://solaci.org/en/2017/09/15/is-same-day-discharge-after-angioplasty-safe/" title="Read more" >...</a>

Las angioplastias exitosas en pacientes mayores con oclusiones crónicas totales disminuyen la mortalidad

Successful angioplasty in elderly patients with chronic total occlusion reduces mortality

Courtesy of Dr. Carlos Fava. Nowadays, the number of coronary angioplasties carried out on patients with chronic total occlusion (CTO) is increasing due to many studies showing that it improves ventricular function, reduces symptoms, and improves survival. However, most of these works do not include patients of over 75&nbsp;years old due to their frailty and<a href="https://solaci.org/en/2017/06/19/successful-angioplasty-in-elderly-patients-with-chronic-total-occlusion-reduces-mortality/" title="Read more" >...</a>

El alta en el mismo día luego de una angioplastia coronaria es cada vez más popular pero todavía no es regla

Same-day discharge after coronary angioplasty is increasingly popular but still not the gold standard

The length of hospital stay after elective coronary angioplasty varies significantly among operators and hospitals, according to a recent survey of interventional cardiologists in the United States (US), Canada, and the United Kingdom (UK), published in&nbsp;Catherization and Cardiovascular Interventions. &nbsp; While same-day discharge is a routine proceeding in the UK, most interventional cardiologists surveyed mentioned<a href="https://solaci.org/en/2017/06/13/same-day-discharge-after-coronary-angioplasty-is-increasingly-popular-but-still-not-the-gold-standard/" title="Read more" >...</a>

La ATC en lesiones por radioterapia tiene igual mortalidad.

Angioplasty in lesions due to radiation treatment presents similar mortality rates

Courtesy of Dr. Carlos&nbsp;Fava. Thoracic radiation causes cardiac lesions, and coronary arteries are among the most affected structures. Furthermore, it provokes obstructive lesions due to wall fibrosis. Generally, patients with this background are not eligible for surgery and receive angioplasty, a seemingly great alternative. However, there is no clear information on outcomes yet. &nbsp; This<a href="https://solaci.org/en/2017/06/07/angioplasty-in-lesions-due-to-radiation-treatment-presents-similar-mortality-rates/" title="Read more" >...</a>

COMPARE-ACUTE: FFR para guiar la revascularización de vasos no culpables en la angioplastia primaria

COMPARE-ACUTE: FFR-Guided Non-Culprit Vessel Revascularization in Primary Angioplasty

Courtesy of the SBHCI. About 50% of patients admitted with acute ST-segment elevation myocardial infarction also present lesions in another vessel. Whether to treat these or not, and the optimal moment to treat non-culprit infarction-related vessels are still controversial issues. &nbsp; The COMPARE-ACUTE study was recently published and showed that fractional flow reserve (FFR)-guided complete<a href="https://solaci.org/en/2017/06/02/compare-acute-ffr-guided-non-culprit-vessel-revascularization-in-primary-angioplasty/" title="Read more" >...</a>

Infarto agudo de miocardio y lesiones de múltiples niveles

Primary angioplasty and multivessel lesions: how should we proceed?

Courtesy of Dr Carlos Fava. The association of primary angioplasty with multivessel lesions is not infrequent and has been analyzed in various studies and meta-analyses. However, the proper course of action remains unclear. According to this study, fractional flow reserve (FFR) could better define the ischemic impact of lesions and help with the identification of<a href="https://solaci.org/en/2017/05/04/primary-angioplasty-and-multivessel-lesions-how-should-we-proceed/" title="Read more" >...</a>

angioplastía coronaria

Is Impella an option in high-risk angioplasty?

Courtesy of Dr. Carlos&nbsp;Fava. Provitional ventricular assist devices are increasingly used in high-risk angioplasties, particularly those involving unprotected left main coronary artery (LMCA) with defective ventricular functioning. However, so far its true role has not been well-studied. &nbsp; This study analyzed 127&nbsp;consecutive patients in the USpella registry from 2008 to 2015. These subjects underwent high-risk<a href="https://solaci.org/en/2017/05/03/is-impella-an-option-in-high-risk-angioplasty/" title="Read more" >...</a>

Proximal anterior descending artery angioplasty: what are its long-term outcomes?

Courtesy of Dr. Javier Castro. Certain coronary lesions have been historically discouraged for endovascular treatment. Among these can be found left main coronary artery lesions, multivessel disease, and proximal anterior descending artery lesions. As a matter of fact, the latter is actually considered separately as a criterion for choosing the revascularization method. Endovascular treatment of<a href="https://solaci.org/en/2017/04/20/proximal-anterior-descending-artery-angioplasty-what-are-its-long-term-outcomes/" title="Read more" >...</a>

angioplastia_compleja_octogenario

Complex coronary angioplasty in octogenarian

Location: Instituto Nacional de Cardiologia Laranjeiras. Operators: Sérgio Leandro, Luiz Kohn. Chairpersons:&nbsp; Maria de Lourdes Montedonio Santos, Breno Oliveira Almeida. Panelists: Sérgio Martins Leandro, Rodrigo de Franco Cardoso, Alexandre Damiani Azmus, Leandro Lasave, Omar Santaera, Oscar Mendiz. Broadcasted on June 9th, 2016 by TBR Productions.

angioplastia arteria pedia en isquemia crítica de miembros inferiores

Pedal Artery Angioplasty: Beneficial in Critical Limb Ischemia

Courtesy of Dr. Carlos Fava. Delaying or failing to heal trophic wounds in critical limb ischemia (CLI) changes quality of life, delays rehabilitation and is associated to infections and amputation. &nbsp; Pedal artery revascularization with angioplasty would speed up recovery and improve CLI wound healing. &nbsp; The study analyzed 257 patients with de novo infrapopliteal<a href="https://solaci.org/en/2017/01/18/pedal-artery-angioplasty-beneficial-in-critical-limb-ischemia/" title="Read more" >...</a>

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