PCI

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>

Tres Reglas para Identificar Infarto en la Guardia

Prioridad en la Evaluaci&oacute;n Electrocardiogr&aacute;fica Inmediata en la Guardia: Validaci&oacute;n de un Algoritmo&nbsp; En las actuales directrices internacionales se recomienda la inmediata realizaci&oacute;n ( Con el objeto de identificar los escenarios cl&iacute;nicos asociados a la presentaci&oacute;n de un paciente con IAMST, un estudio epidemiol&oacute;gico recientemente publicado analiz&oacute; todos los casos registrados durante el per&iacute;odo 2007<a href="https://solaci.org/en/2011/01/01/n-4033/" title="Read more" >...</a>

Estenosis aórtica: prevalencia, directrices, nuevos tratamientos y datos actuales.

Estudios epidemiol&oacute;gicos han determinado que una de cada ocho personas de 75 a&ntilde;os o mayores sufren de estenosis a&oacute;rtica (EA) moderada o severa.1 Varios sondeos han mostrado que muchos pacientes con EA severa no se derivan a un equipo cardiol&oacute;gico para evaluar una sustituci&oacute;n de la v&aacute;lvula.2 La sustituci&oacute;n de v&aacute;lvula a&oacute;rtica (SVA) quir&uacute;rgica es<a href="https://solaci.org/en/2011/01/01/n-4040/" title="Read more" >...</a>

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