PCI

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>

Thrombus Aspiration is useful in AMI

Original title:&nbsp;A Prospective Randomized Trial of Trombectomy Versus No Thrombectomy in Patients With ST-Segment Elevation Myocardial Infarction and Thrombus-Rich Lesion. MUSTELA (MUltidevice Thrombectomy in Acute ST-Segment ELevation Acute Myocardial Infarction) Trial&nbsp;Reference:&nbsp;Marco De Carlo, et al. J Am Coll Cardiol Intv 2012;5:1223&ndash;30 The main objective during primary PCI is myocardial reperfusion, which is limited by distal<a href="https://solaci.org/en/2013/01/10/n-3172/" title="Read more" >...</a>

Ambulatory Transradial Percutaneous Coronary Intervention

Original title:&nbsp;Ambulatory Transradial Percutaneous Coronary Intervention: A Safe, Effective, and Cost-Saving Strategy.&nbsp;Reference:&nbsp;Philippe Le Corvoisier et al. Catheterization and Cardiovascular Interventions 81:15&ndash;23 (2013). The number of PCI procedures has increased and for many interventional cardiology centers PC interventions entail significant resource consumption. Reducing post procedure hospital stay could reduce costs and optimize hospitalization resources.&nbsp; The safety<a href="https://solaci.org/en/2013/01/07/n-3151/" title="Read more" >...</a>

Outpatient coronary angioplasty, is it possible?

Original title:&nbsp;Assessment of Clinical Outcomes related to Early Discharge alter elective Percutaneous Coronary Intervention: COED PCI&nbsp;Reference:&nbsp;Purushothaman Muthusamy MD, et al. Catheterization and Cardiovascular Intervention 81:6-13 (2013) The standard procedure in most institutions is that after angioplasty (PTCA) patients are discharged the next morning. There are some reports in which they were ambulatory but the safety<a href="https://solaci.org/en/2013/01/04/n-3144/" title="Read more" >...</a>

Chronic Total Occlusions, challenging but very possible

Original title:&nbsp;Predictors of Reocclusion After Successful Drug-Eluting Stent&ndash;Supported Percutaneous Coronary Intervention of Chronic Total Occlusion. The Florence CTO PCI Registry.&nbsp;Reference:&nbsp;Renato Valenti et al. J Am Coll Cardiol 2013; article in press. Previous registry data have shown a reduction in mortality rates in patients with successful recanalization of a Chronic Total Occlusion (CTO) compared to patients<a href="https://solaci.org/en/2013/01/03/n-3130/" title="Read more" >...</a>

More evidence supports ventricular assist devices in complex angioplasty procedures

Original title:&nbsp;Percutaneous Left Ventricular Assist Device with Tandem Heart for High-Risk Percutaneous Coronary Intervention: The Mayo Clinic Experience.&nbsp;Reference:&nbsp;Oluseun O Alli, et al. Catheterization and Cardiovascular Intervention 80:728:734 There is a small group of poor surgical patients admitted for surgery that due to complex comorbidity, coronary anatomy and compromised left ventricular function that can be treated<a href="https://solaci.org/en/2012/12/17/n-3333/" title="Read more" >...</a>

Diabetics with multivessel, must keep waiting.

Original title:&nbsp;Strategies for Multivessel Revascularization in Patients with Diabetes. The FREEDOM Trial.&nbsp;Reference:&nbsp;Michael E. Farkouh et al. N Engl J Med 2012. DOI: 10.1056/NEJMoa1211585 This study was designed to determine the best revascularization strategy in diabetic patients with multivessel using current techniques of angioplasty (PCI) and surgery (CABG). Randomized 1:1 diabetic patients with injuries &gt; 70%<a href="https://solaci.org/en/2012/11/08/n-3732/" title="Read more" >...</a>

Six Months Sufficient for Dual Antiplatelet Therapy

Reference:&nbsp;Kandzari DE, Barrer CS, Leon MB, et al. Dual antiplatelet therapy duration and clinical outcomes following treatment with zotarolimus-eluting stents. JACC Cardiovasc Interv 2011; 4: 1119-28.2011; 4: 1119-28. Patients treated with zotarolimus-eluting stents (ZES) suffer no excess late ischemic events if they take dual antiplatelet therapy for 6 months instead of 12 months or longer,<a href="https://solaci.org/en/2011/11/29/n-4005/" title="Read more" >...</a>

System Delays for STEMI patients linked to subsequent heart failure care

Reference:&nbsp;Terkelsen CJ, Jensen LO, Tilsted H-H, et al. Health care system delay and heart failure in patients with ST-segment elevation myocardial infarction treated with primary percutaneous coronary intervention: Follow-up of population-based medical registry data. Ann Intern Med 2011; 155: 361-7. In patients with ST-segment myocardial infarction (STEMI), delays in obtaining primary percutaneous coronary intervention (PCI)<a href="https://solaci.org/en/2011/10/07/n-3991/" title="Read more" >...</a>

Coronary CTA Use in Emergency Department saves time and money

Reference:&nbsp;Goldstein JA, Chinnaiyan KM, Abidov A, et al. The CT-STAT (coronary computed tomographic angiography for systemic triage of acute chest pain patients to treatment) trial. J Am Coll Cardiol 2011; 58: 1414-22. Using coronary computed tomographic angiography (CTA) as a screening tool for low-risk patients with chest pain in the emergency department achieves lower costs<a href="https://solaci.org/en/2011/10/07/n-3998/" title="Read more" >...</a>

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