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Author(s): Subbarao Myla , Sepideh Kazemi Added: 3 years ago
Insights from Carotid Artery Stenting Registries Registries tend to have less stringent inclusion and exclusion criteria than randomised trials and provide real-world data on a broad variety of patients treated by a range of interventionists of varying experience. Registries serve to provide first-time evaluation of new devices, help set up learning curve pearls, can be hypothesis-generating and… View more

Vascular Disease and Surgery

Imaging & Diagnostics
Author(s): Joanna J Wykrzykowska , Willem J van der Giessen Added: 3 years ago
Approach to the Bifurcation Patient Historically, bifurcation lesions have been associated with lower procedural success and a poorer clinical outcome than non-bifurcation lesions. This may be due to the technical difficulty of the procedure but also due to the complexity of the patients. According to the recently presented LEADERS trial sub-study,1 patients who have bifurcation disease are… View more

Imaging & Diagnostics

Intervention
Author(s): Derize E Boshoff , Werner Budts , Marc Gewillig Added: 3 years ago
Arterial hypertension is a slow killer. A severe coarctation presenting in the neonatal period is frequently associated with hypoplasia of the aortic arch, which is proof of earlier poor foetal flow. Many hypoplastic segments after coarctation repair will show good outgrowth, probably due to enhanced flow through the arch. Early repair during infancy optimises arch growth, while late repair… View more

Intervention
Provisional Stenting Tricks
Author(s): Francesco Burzotta , Carlo Trani Added: 3 years ago
Diseased coronary bifurcations are frequently treated by percutaneous coronary interventions (PCI), and in these complex lesions the adoption of the most suitable treatment technique and the selection of the most appropriate coronary stent are of primary importance. Clinical evidence suggests that drug-eluting stent (DES) implantation using a provisional approach is the gold standard for… View more

Intervention
Author(s): David Antoniucci Added: 3 years ago
In the setting of acute myocardial infarction (AMI), spontaneous and percutaneous coronary intervention (PCI)-related embolisation results in a decreased efficacy of mechanical reperfusion and myocardial salvage. Direct stenting without predilation may decrease embolisation and the incidence of the no-reflow phenomenon.1,2 More specific approaches to the problem of microvessel embolisation during… View more

MI/ACS

Intervention
Left Main Bifurcation & Aorto Ostial Disease Live Case Series
Start date: Jun 10, 2021 End date: Jun 10, 2021
Live Case #5: Provisional LMStenting (Single Stent) 10 June2021, Sweden 16:00 GMT / 17:00 CET View more

Intervention
Author(s): Willem IM Willaert , Isabelle Van Herzeele Added: 3 years ago
In the western world stroke is the third most common cause of death with a reported incidence of >200/100,000 persons annually.1 More than 10 % of these ischaemic strokes are attributable to atherosclerosis of the internal carotid artery.1 Large landmark trials have confirmed the effectiveness of carotid endarterectomy (CEA) for reducing the stroke risk by r emoving the embolic atherosclerotic… View more

Intervention
Author(s): Alexandre Abizaid Added: 3 years ago
In treating thrombus-loaded lesions through percutaneous coronary intervention (PCI) in the settings of acute myocardial infarction (MI), saphenous vein grafts (SVGs) and acute coronary syndromes (ACS), distal embolisation is a recognised prevalent occurrence, adversely affecting reperfusion and mortality rates. Thus, efficient management of embolisation, in terms of both reduced occurrence and… View more

MI/ACS

Intervention
Author(s): Nicolas Foin , Eduardo Alegria-Barrero , Ryo Torii , et al Added: 3 years ago
Drug-eluting stents (DESs) have contributed to a significant lowering of the incidence of restenosis and target vessel revascularisation (TVR) in bifurcations.1–4 A randomised study of bifurcation lesions using sirolimus-eluting stents revealed restenosis rates of only 4 % in the main branch (MB) and a TVR rate as low as 8.2 % at six-month follow-up,2 a marked improvement over that in historical… View more

Prevention & Chronic Conditions
Bifurcations - What Have we Learned from Randomised Trials?
Author(s): Leif Thuesen , Niels Ramsing Holm Added: 3 years ago
Bifurcation lesions are frequent and account for about 15 % of all percutaneous coronary intervention cases.1 Bifurcations are a challenging lesion subset involving a main vessel (MV) and its side branch (SB). A bifurcation lesion may be looked upon as the proximal MV, the distal main vessel, the SB and the area of the bifurcation. Short- and long-term results depend on optimal handling of all… View more

Imaging & Diagnostics

Prevention & Chronic Conditions