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Risk Scoring in Coronary Artery Disease
Author(s): Davide Capodanno Added: 3 years ago
Although a combination of multiple strategies to prevent and treat coronary artery disease (CAD) has led to a relative reduction in cardiovascular mortality over recent decades, CAD remains the greatest cause of morbidity and mortality worldwide.1 Based on clinical presentation and prognosis, CAD spans from stable presentations (e.g. chronic angina pectoris) to acute coronary syndromes (ACS),… View more

Vascular Disease and Surgery

Intervention
Author(s): Raffaele De Caterina , Carlo De Innocentiis , Marco Zimarino Added: 3 years ago
Multivessel coronary artery disease (MVCAD) is defined by the presence of ≥50% diameter stenosis of two or more epicardial coronary arteries. The presence of MVCAD indicates poorer prognosis and a significantly higher mortality than single-vessel disease. In MVCAD, revascularisation can be achieved by either percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG).1,2 A… View more

Vascular Disease and Surgery

Intervention
Author(s): Anna Caggegi , Davide Capodanno , Claudia Tamburino , et al Added: 3 years ago
Identifying the most appropriate revascularisation strategy for patients affected by unprotected left main coronary artery (ULMCA) disease has been considered a topic of great interest and discussion in the past few years. Although coronary artery bypass grafting (CABG) is still conventionally regarded as the standard of care for patients with significant ULMCA disease eligible for surgery,… View more

Vascular Disease and Surgery

Prevention & Chronic Conditions
A Guide to Calculating SYNTAX Score
Author(s): , Adriano Caixeta , Gregg Stone Added: 3 years ago
Accurate characterisation of coronary artery disease (CAD) anatomy based on the diagnostic angiogram is essential to select the optimal strategy of revascularisation. Recently, the SYNTAX score generated a great amount of interest because of its ability to risk-stratify and discriminate outcomes of patients with complex CAD undergoing percutaneous coronary intervention (PCI) as compared to… View more

Standards & Guidelines

Intervention
Author(s): J Raider Estrada , Jonathan D Paul , Atman P Shah , et al Added: 3 years ago
While the breadth of procedural offerings in interventional cardiology (IC) has exponentially expanded over the past four decades to include cardiac structural, peripheral arterial, and venous interventions, percutaneous coronary intervention (PCI) remains at the core of the field, accounting for the greatest percentage of therapeutic catheter-based procedures performed by IC practitioners in the… View more

Prevention & Chronic Conditions
Author(s): Hannah McConkey , Bernard Prendergast Added: 3 years ago
Alain Cribier's determination in the 1980s to provide a definitive solution for high-risk surgical candidates with severe aortic stenosis was met with significant resistance. However, over many years transcatheter aortic valve implantation (TAVI) was developed and refined, leading to the first human procedure in April 2002 in France. Since this first description by Cribier et al.,1 there are now… View more

Vascular Disease and Surgery

Standards & Guidelines
Author(s): Edward McNulty Added: 3 years ago
The debate over the optimal mode of revascularisation for unprotected left main (ULM) coronary artery disease intensified with the advent of drug-eluting stents (DES). Professional society guidelines addressing ULM disease have been revised at an increasing frequency,1,2 the significance of randomised comparisons has been variously interpreted, and observational comparisons have become a… View more

Vascular Disease and Surgery

Intervention
A19 - Perioperative Mechanical Circulatory Support for Improved Outcomes in High-risk Coronary Artery Bypass Grafting
Author(s): Nathan J Smith , Adhitya Ramamurthi , Mohammed Kamalia , et al Added: 4 years ago

Intervention
Author(s): Konstantinidis Nikolaos , Sianos Georgios Added: 3 years ago
Saphenous vein grafts (SVGs), despite their inherent inferiority to arterial conduits, still remain the type of grafts most commonly used during coronary artery bypass grafting (CABG).1 The natural and post-interventional biological behaviour of SVGs differ from that of native coronary vessels, increasing the risk of restenosis.2 SVG disease after CABG is a strong predictor of mortality.3 In a… View more

Vascular Disease and Surgery

Imaging & Diagnostics