The edge-to-edge approach with MitraClip has been established as a valid strategy for patients who experience severe symptomatic mitral regurgitation (MI) with high risk for surgery, currently with a IIa indication. MI complicated by cardiogenic shock, which results in a high risk for conventional valve surgery, is a particularly complex scenario. In such a case,…
Coronary Artery Disease in TAVR: Unsolved Dilemma
Aortic stenosis shares risk factors with coronary artery disease (CAD), and its prevalence varies according to age, reaching approximately 50% or more in some registries. Deciding when to treat and the need for percutaneous intervention presents a challenge. It has been established that epicardial stenosis at proximal level, or the medial segment, requires intervention, especially…
ACURATE Neo2: One-Year Hemodynamic and Clinical Benefit Results
Both Acurate Neo2 and its predecessor, Acurate Neo, have proven their safety and efficacy in the percutaneous treatment of severe aortic stenosis. The Acurate platform offers a lower gradient and a larger effective orifice area, as well as a low risk of periprocedural complications, according to previous registries. However, the first-generation Acurate device had some…
Is AS Only Important When Severe?
Aortic stenosis (AS) is a progressive disease associated with morbidity and mortality, especially in severe cases. However, recent studies have revealed that moderate stenosis can also have unfavorable consequences in the course of the disease. One of the challenges lies in that determining its severity is sometimes difficult due to discrepancies between valve area, gradient,…
TriClip: Good Outcomes After a 2-Year Follow-up
Severe tricuspid regurgitation (TR) is an underestimated condition in healthcare systems. However, it is more common than believed, especially in individuals over 65 years of age. This condition is linked to hospitalizations due to heart failure, mortality rates, and a progressive decline in quality of life. Surgery to treat TR on its own is complicated,…
Echo- Stress during Edge-to-Edge Mitral Valve Repair Can Be Useful
Transcatheter edge-to-edge mitral valve repair with Mitraclip has become a valid strategy to treat mitral valve regurgitation (MR) when surgery is not viable. However, after discharge, residual MR (>moderate) can affect over 10% of patients, because of the use of anesthesia, which alters pre and post procedural measurements. In this context, eco-stress could become a…
Structural Summit SBHCI 2023: Structural heart Intervention Frontier
The Latin American Society of Interventional Cardiology is inviting the medical community to take part of the Structural Summit 2023 to be held on April 12 thru 14 2023 at the Renaissance São Paulo Hotel in Brazil. The event is organized by the Brazilian Society of Hemodynamics and Interventional Cardiology and featuring a number of…
Coronary Physiology after Aortic Valve Intervention
Impact of Aortic Valve Intervention on Coronary Flow Reserve Myocardial flow might be compromised in patients with severe aortic stenosis, which might be driven by CAD and concomitant atherosclerosis or a compromised capillary bed. Capillary circulation might be compromised by increased left ventricular mass (LVM) which in turn might alter coronary flow reserve (CFR). Multiple…
03/08 –SOLACI@Medtronic Webinar: MIL Trains More MIL. How yo Avoid Self-Sabotage
Next Wednesday, May 8, at 7 pm (Argentinian/Brazil time), and celebrating International Women’s Day 2023, we are holding a new open event together with Medtronic, to keep expanding and strengthening women’s participation in our field. This scientific activity is part of our program “MIL Train More MIL”, an intensive face-to-face training on structural pathology for…
NEW DEADLINE | MIL train more MIL – Training Scholarship Program for Latin American Interventional Women in Structural Pathology
The MIL-SOLACI Group, with the support of Medtronic, is awarding 10 training scholarships in structural pathology for Latin American interventional women. The scholarship consists of a week of intensive and face-to-face training with the possibility of observing and participating in structural interventions in highly complex centers in different LATAM countries affiliated with SOLACI. No previous…