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Coronary interventionism

Daniel García Iglesias, Lidia Martínez Fernández, María Martín Fernández, Laura García Suárez, Laura García Pérez, Juan Calvo Blanco, Helena Cigarrán Sexto, Raquel Del Valle Fernández, César Morís de la Tassa
Anomalies in coronary arteries (CA) are an important issue in cardiology and cardiovascular surgery. Specifically the anomalous origin of the right coronary artery (RCA) is of special importance because it is the most frequent anomaly. Clinical practice guidelines recommend the revascularization treatment in cases of interarterial pathway and documented myocardial ischemia and when hypoplasia, compression or obstruction is evident. We report two different cases of patients with anomalous origin of RCA and associated interarterial pathway...
May 2017: Journal of Thoracic Disease
M Ruiz Bailén, M I Ruiz García, A Ferrezuelo Mata, R Quirós Barrera
Right ventricular infarction is a not uncommon cause of cardiogenic shock, whose frecuency is variable and could be underestimated. Although left ventricular myocardial management is well defined in the right ventricular infarction are few studies with low level of evidence, to establish definitive guidelines. It is assumed that the treatment is similar to that of the left ventricle, although there are some differences. The axis of the therapeutic management, as well as the left ventricle infarction, is based on early myocardial reperfusion, particularly through percutaneous coronary interventionism...
April 2012: Minerva Cardioangiologica
Gabriela Urincho Pérez, Rosa Ruíz Piñeiro, Alberto Avendaño Peralta
The scientific and technological advances have allowed that to the patients with acute coronary syndromes, offer an alternative to them of treatment in the rooms of hemodynamic by means of coronary interventionism, using catheter compliante or noncompliante ball, ball of cut, implanting stent nonliberating and liberating of drugs, avoiding to them the risk of a greater surgery to place venous or arterial bridges in the affected zone; receiving therefore the benefit of a percutaneous coronary revascularization, by means of a procedure less aggressive than the surgery without the risks of traqueal intubation, thoracotomy, saphenectomy, cardioplegia, drainages, minor risk of bled and infection, short period of time of hospitalization, decrease of the costs and the time for its restoration to the daily life...
October 2007: Archivos de Cardiología de México
B Virgós-Señor, A Nebra-Puertas, M A Suárez-Pinilla, R Cornudella-Lacasa, P Portero-Pérez
OBJECTIVE: To analyze if the levels of von Willebrand factor (FvW) are higher in patients with ischemic heart disease than in healthy subjects and evaluate the relationship of these levels with clinical recurrence and coronary interventionism. DESIGN: Observational prospective study. PATIENTS: We analyzed the levels of FvW in 75 patients with ischemic heart disease who underwent coronary interventionism (Group I) and compared them with those of 30 healthy subjects with no cardiovascular risk factors and who, theoretically, had no coronary injuries (Group II)...
April 2008: Medicina Intensiva
R Blancas Gómez-Casero, E Nevado Losada, B López Matamala, C Martínez Díaz, J Serrano Castañeda, E Yáñez Parareda, J L González Manzanares, M Chana García, C Martín Delgado
OBJECTIVE: To assess the efficacy and safety of a treatment with clopidogrel when associated or not to the treatment with tirofiban and aspirin for high-risk non-ST segment elevation myocardial infarction (non-STEMI), without early angioplasty. SETTING: Intensive Care and Coronary Unit (ICCU), in a center with no Hemodynamic Laboratory. DESIGN: Non randomized clinical trial. PARTICIPANTS: One hundred and twenty-three patients admitted with the diagnosis of high-risk non-STEMI, defined as patients with chest pain and one of the following: ST segment depression or transient elevation or an elevation in cardiac troponin I (TropIc)...
May 2007: Medicina Intensiva
A Canabal Berlanga, C Martín Parra, S Sáez Noguero, D Cabestrero Alonso, M Rodríguez Blanco
The offer of percutaneous coronary revascularization procedures has extended over a large number of health care sites including those that do not have heart surgery. This phenomenon is related with the favorable results of the coronary angioplasty in the treatment of acute coronary syndrome, reported in the scientific literature, above all after the appearance of the coronary stent and the new antiaggregant drugs. In order to offer the primary angioplasty to the population as a treatment that is more effective than drug revascularization, sites having coronary interventionism without heart surgery and sometimes with low volume of patients per year have proliferated...
October 2006: Medicina Intensiva
Ana Rosa Alconero Camarero, María Casáus Pérez, Luz Elena Mirones Valdeolivas, María José García Zarrabeitia, María Elena García Campo, Cristina Pérez Bolado
Administration of drugs in the patients diagnosed of acute coronary syndrome and treated with percutaneous transluminal coronary angioplasty (PTCA) has noticeably reduced morbidity-mortality and appearance of new ischemic events. However, these drug agents may cause bleeding problems secondary to therapeutic intervention. The objectives of this research are: to know the incidence of vascular complications developed in patients treated with antithrombotic drugs and percutaneous cardiovascular interventionism and describe variables that may be related with their appearance...
July 2006: Enfermería Intensiva
J Calabuig, M Artaiz, P Azcárate, J Palazuelos, D Martín-Raymondi
In the last few years, the evolution of coronary interventionism has been very important. The primary success rates in the early 1990s were 86-88% with a re-stenosis rate of 30%-40%. Current primary success rates have risen to over 95% with a re-stenosis rate of under 10% even for many types of lesions classically considered complex. Currently the main limitations in interventional cardiology remain coronary segments that cannot be accessed due to chronic total occlusion, or severe proximal tortuosity or calcification...
July 2005: Revista de Medicina de la Universidad de Navarra
C Macaya
No abstract text is available yet for this article.
May 2001: Revista Española de Cardiología
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