1,721,150 research outputs found
Angio-Guidewire-Ultrasound (AGU) Guidance for Femoral Access in Procedures Requiring Large Sheaths
No full textN/
Update on provisional technique for bifurcation interventions
No full textA series of scientific evidence supports the concept that provisional side-branch stenting should be the preferred strategy for percutaneous coronary inter- vention of bifurcation coronary lesions. However, to date, many interventional cardiologists still consider this technique unsuitable for complex bifurcation lesions. This is mainly due to the fact that provisional stenting may be performed in different ways and several techni- cal refinements may influence the procedural outcome. We here systematically overviewed the arguments which should be considered during the following steps of the provisional strategy: branch wiring, side-branch predilation, “crossover” stenting, proximal optimization, kissing balloon and the side-branch rescue techniques. We suggest that provisional stenting should be regarded as a highly flexible technique which, with specific tech- nical tricks, may allow us to safely treat patients with wide spectrum of bifurcated lesion complexity
Postcatheterization Forearm Artery Pseudoaneurysm Resolution in the Context of Subsequent PCI
No full textN/
MitraClip and repair surgery: comparable results?
No full textMitral regurgitation (MR) is the most common valvular disease in industrialized countries, with a significant impact on patient quality of life and survival, especially in an increasingly elderly and comorbid population. Repair surgery is considered the treatment of choice for primary MR, offering excellent long-term outcomes. However, the MitraClip system, a less invasive percutaneous option based on the edge-to-edge principle, has proved to be a valid alternative for patients at high surgical risk, showing initial benefits in terms of fewer post-operative complications. Surgery remains superior in terms of durability and prevention of residual regurgitation, but the MitraClip system offers advantages in selected patients, with improvements in quality of life and reductions in hospitalizations for heart failure. A multidisciplinary approach and careful patient selection are essential to optimize outcomes
Is undersized self-expandable prosthesis a valuable selection for transcatheter aortic valve replacement in high risk bicuspid aortic valve stenosis? Report of two successful cases
No full textN/
An update on radial approach for percutaneous coronary intervention in patients with chronic total occlusion
No full textRadial approach is the emerging arterial access for percutaneous coronary interventions (PCIs) in patients with coronary artery disease. Among the different subset of complex targets for PCI, chronic total occlusion (CTO) still represent a challenge for the interventional cardiologist. Is radial approach suitable for PCIon CTO? Aseries of data collected in selected centers with high volume of transradial procedures supported the change from elective transfemoral approach to systematic transradial approach. In this paper, we tried to provide an update on the technical aspects and the theoretical data which may be useful during the planning of CTOprocedures. Overall, a full knowledge of upper limb vascular anatomy, arterial sheaths/guiding catheters selections, transradial PCItechnique and CTOlesion management skill is pivotal to safely offer CTO patients the potential benefit of reduced bleeding risks through radial access adoption
- …
