Revista Brasileira de Cardiologia Invasiva (English Edition)最新文献

{"title":"Optical Coherence Tomography in the Management of Intermediate Lesion in a Patient with Acute Coronary Syndrome","authors":"Evandro Martins Filho,&nbsp;Daniel Chamié,&nbsp;Áurea J. Chaves,&nbsp;Alexandre Abizaid","doi":"10.1016/S2214-1235(15)30015-6","DOIUrl":"https://doi.org/10.1016/S2214-1235(15)30015-6","url":null,"abstract":"<div><p>Optical coherence tomography provides high-resolution tomography imaging of the coronary microstructure, allowing for detailed characterization of atherosclerotic plaque components and morphology, in addition to an accurate determination of vascular dimensions. We report the case of a patient with an intermediate coronary lesion, presenting in the subacute phase of a myocardial infarction, in whom optical coherence tomography was used as an adjunctive diagnostic method to aid in the decision-making process and to guide the inter- ventional procedure.</p><p><strong>DESCRIPTORS:</strong> Arteriosclerosis. Myocardial infarction. Coronary stenosis. Tomography, optical coherence. Percutaneous coronary intervention. Stents.</p></div><div><p>Utilizacào da Tomografia de Coerencia Ótica na Abordagem de Lesào Intermediària em Paciente com Síndrome Coronariana Aguda</p><p>A tomografìa de coerencia ótica fornece imagens tomográficas da microestrutura coronària em alta resolugao, possibilitando detalhada caracterizagao dos componentes e da morfologia da placa aterosclerótica, além de acurada determinagao das dimensoes vasculares. Relatamos aqui o caso de um paciente com lesao intermediària, na fase subaguda de um infarto do miocàrdio, no qual a tomografìa de coerencia ótica foi utilizada como método diagnóstico complementar para a tomada de decisao e para guiar o procedimento.</p><p><strong>DESCRITORES:</strong> Arteriosclerose. Infarto do miocardio. Estenose coronaria. Tomografia de coerencia óptica. Intervengao coronaria percutanea. Stents.</p></div>","PeriodicalId":101094,"journal":{"name":"Revista Brasileira de Cardiologia Invasiva (English Edition)","volume":"22 2","pages":"Pages 188-193"},"PeriodicalIF":0.0,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S2214-1235(15)30015-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137225649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Revista Brasileira de Cardiologia Invasiva","authors":"","doi":"10.1016/S2214-1235(15)30016-8","DOIUrl":"https://doi.org/10.1016/S2214-1235(15)30016-8","url":null,"abstract":"","PeriodicalId":101094,"journal":{"name":"Revista Brasileira de Cardiologia Invasiva (English Edition)","volume":"22 2","pages":"Pages 195-198"},"PeriodicalIF":0.0,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S2214-1235(15)30016-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137225650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Importance of an Accurate Cost-Effectiveness Analysis for the Introduction of New Technologies in the Brazilian Public Health System","authors":"Raul I. Rossi Filho","doi":"10.1016/S2214-1235(15)30002-8","DOIUrl":"10.1016/S2214-1235(15)30002-8","url":null,"abstract":"","PeriodicalId":101094,"journal":{"name":"Revista Brasileira de Cardiologia Invasiva (English Edition)","volume":"22 2","pages":"Pages 113-114"},"PeriodicalIF":0.0,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S2214-1235(15)30002-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90707596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early Removal of the Arterial Sheath After Percutaneous Coronary Intervention Using the Femoral Approach: Safety and Efficacy Study","authors":"Gabriel Zago,&nbsp;Fabio Trentin,&nbsp;Guy F,&nbsp;A. Prado Jr.,&nbsp;Andre Gasparini Spadaro,&nbsp;Expedito Eustaquio Ribeiro da Silva,&nbsp;Carlos Magalhaes Campos,&nbsp;Marco Antonio Perin,&nbsp;Breno de Alencar Araripe Falcao,&nbsp;Antonio Esteves-Filho,&nbsp;Luiz Junya Kajita,&nbsp;Marcus Nogueira da Gama,&nbsp;Gilberto Marchiori,&nbsp;Pedro Eduardo Horta,&nbsp;Celso Kiyochi Takimura,&nbsp;Jose Mariani Jr.,&nbsp;Micheli Zanotti Galon,&nbsp;Paulo Rogerio Soares,&nbsp;Silvio Zalc,&nbsp;Roberto Kalil-Filho,&nbsp;Pedro Alves Lemos Neto","doi":"10.1016/S2214-1235(15)30009-0","DOIUrl":"10.1016/S2214-1235(15)30009-0","url":null,"abstract":"<div><h3>Introduction</h3><p>We evaluated the safety and efficacy of protamine administration, guided by activated clotting time, for the immediate femoral arterial sheath removal in patients undergoing percutaneous coronary intervention with unfractionated heparin in order to propose an algorithm for clinical practice.</p></div><div><h3>Methods</h3><p>Prospective study with consecutive patients with stable angina or low-to-moderate risk acute coronary syndrome. We compared patients with an early removal of the arterial sheath to those whose sheath removal was based on a standard protocol.</p></div><div><h3>Results</h3><p>The early removal group (n = 149) had lower access manipulation time than the conventional group (58.3 ± 21.4 minutes vs. 355.0 ± 62.9 minutes; <em>p</em> &lt; 0.01), mainly due to a reduced time to sheath removal (42.3 ± 21.1 minutes vs. 338.6 ± 61.5 minutes; <em>p</em> &lt; 0.01), with no impact on the duration of femoral compression (16.0 ± 3.6 minutes vs. 16.4 ± 5.1 minutes; <em>p</em> = 0.49). There was no stent thrombosis during hospitalization and no significant differences in the incidence of major vascular or bleeding events. The incidence of other bleeding events leading to a prolonged in-hospital length of stay was lower in the early removal group (1.3% vs. 5.1%; <em>p</em> = 0.05). Conclusions: The selective use of an approach for immediate femoral sheath removal, based on activated clotting time guidance and protamine administration, is a safe and effective option in patients undergoing percutaneous coronary intervention by femoral access.</p></div><div><h3>RESUME</h3><p>Remoção Precoce do Introdutor Arterial Após Intervenção Coronária Percutânea por Via Femoral: Estudo de Segurança e Eficácia</p></div><div><h3>Introdução</h3><p>Avaliamos a seguranga e eficácia do uso depro-tamina, guiada pelo tempo de coagulação ativado, para a remoção imediata do introdutor arterial femoral em pacientes submetidos á intervenção coronária percutaâea com heparina não fracionada, com o objetivo de propor um algoritmo para a prática clínica.</p></div><div><h3>Métodos</h3><p>Estudo prospectivo, com pacientes consecutivos, com angina estável ou com síndrome coronariana aguda de baixo ou moderado risco. Comparamos os pacientes com a retirada precoce do introdutor arterial áqueles nos quais o introdutor foi retirado de acordo como protocolo convencional. A decisão pela remoção precoce ou convencional do introdutor foi deixada a criterio do operador.</p></div><div><h3>Resultados</h3><p>O grupo de remoção precoce (n = 149) apresentou menor tempo de manuseio do sítio de punção que o grupo de remoção convencional (58,3 ± 21,4 minutos vs. 355 ± 62,9 minutos; <em>p</em> &lt; 0,01), principalmente devido á redução do tempo até a retirada do introdutor (42,3 ± 21,1 minutos vs. 338,6 ± 61,5 minutos; <em>p</em> &lt; 0,01), sem impacto sobre a duração da compressao femoral (16,0 ± 3,6 minutos vs. 16,4 ± 5,1 minutos; <em>p</em> = 0,49). Não houve tro","PeriodicalId":101094,"journal":{"name":"Revista Brasileira de Cardiologia Invasiva (English Edition)","volume":"22 2","pages":"Pages 149-154"},"PeriodicalIF":0.0,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S2214-1235(15)30009-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74722654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Scientific Basis for the Incorporation of (Not So) New Devices by the Brazilian Public Health System","authors":"Áurea J. Chaves","doi":"10.1016/S2214-1235(15)30001-6","DOIUrl":"10.1016/S2214-1235(15)30001-6","url":null,"abstract":"","PeriodicalId":101094,"journal":{"name":"Revista Brasileira de Cardiologia Invasiva (English Edition)","volume":"22 2","pages":"Pages 111-112"},"PeriodicalIF":0.0,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S2214-1235(15)30001-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85534555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of a Selective Radial Compression Device to Prevent Radial Artery Occlusion After Coronary Invasive Procedure","authors":"Robson Alves Barbosa ,&nbsp;Mônica Vieira Athanazio de Andrade ,&nbsp;Pedro Beraldo de Andrade ,&nbsp;Fábio Salerno Rinaldi ,&nbsp;Igor Ribeiro de Castro Bienert ,&nbsp;Ederlon Ferreira Nogueira ,&nbsp;Marden André Tebet ,&nbsp;Vinícius Cardozo Esteves ,&nbsp;Luiz Alberto Mattos Piva ,&nbsp;André Labrunie","doi":"10.1016/S2214-1235(15)30003-X","DOIUrl":"10.1016/S2214-1235(15)30003-X","url":null,"abstract":"<div><h3>Background</h3><p>In addition to providing greater comfort and convenience for the patient, the radial approach is associated to lower rates of vascular complications and major bleeding, with potential impact on morbidity and mortality. Thus, the adoption of strategies that reduce the risk of arterial occlusion after invasive procedures, enabling it to be reused, is desirable.</p></div><div><h3>Methods</h3><p>Controlled prospective registry evaluating the impact of routine adoption of a selective radial compression device in patients with acute coronary syndrome without ST-segment elevation undergoing early invasive stratification through the radial access. Arterial patency was assessed by the Barbeau test at hospital discharge and at the 30-day follow-up.</p></div><div><h3>Results</h3><p>Fifty-nine patients were evaluated, of which 83% underwent <em>ad hoc</em> percutaneous coronary intervention. Mean age was 64<!--> <!-->±<!--> <!-->12.2, 66.1% were male and 28.8% had diabetes mellitus. The right radial access was used in 98.3% of cases, the number of catheters was 2.4<!--> <!-->±<!--> <!-->0.6, with a diameter of 6<!--> <!-->F in all cases, and the duration of the procedure was 32.4<!--> <!-->±<!--> <!-->12.7<!--> <!-->minutes. Spasm was reported in 10.2% of cases, hematoma<!--> <!-->&gt;<!--> <!-->5<!--> <!-->cm in 3.4% and occlusion of the radial artery after the procedure and at 30 days in 6.8% and 3.4% of the cases, respectively.</p></div><div><h3>Conclusions</h3><p>The TR Band® radial compression device is safe and effective in obtaining reduced rates of radial artery occlusion after invasive coronary procedures.</p></div><div><h3>RESUMO</h3><p>Utilização de Pulseira Compressora Seletiva na Prevenção da Oclusão da Artéria Radial Após Procedimento Coronário Invasivo</p></div><div><h3>Introdução</h3><p>O acesso radial, além de propiciar maior conforto e comodidade, associa-se a menores taxas de complicações vasculares e sangramento grave, com potencial impacto na morbimortalidade. Assim, é desejável a adoção de estratégias que reduzam o risco de oclusão arterial após procedimentos invasivos, possibilitando sua reutilização.</p></div><div><h3>Métodos</h3><p>Registro prospectivo, controlado, que avaliou o impacto da utilização rotineira de pulseira compressora seletiva em pacientes com síndrome coronariana aguda sem supradesnivelamento do ST submetidos à estratificação invasiva pelo acesso radial. A patência arterial foi avaliada por meio do teste de Barbeau, na alta hospitalar e aos 30 dias de evolução.</p></div><div><h3>Resultados</h3><p>Foram avaliados 59 pacientes, dos quais 83% realizaram intervenção coronária percutânea <em>ad hoc</em>. A média de idades foi de 64<!--> <!-->±<!--> <!-->12,2 anos, 66,1% eram do sexo masculino e 28,8% portadores de <em>diabetes mellitus</em>. O acesso radial direito foi utilizado em 98,3% das intervençôes, o número de cateteres foi 2,4<!--> <!-->±<!--> <!-->0,6, com diâmetro de 6<!--> <!-->F em t","PeriodicalId":101094,"journal":{"name":"Revista Brasileira de Cardiologia Invasiva (English Edition)","volume":"22 2","pages":"Pages 115-119"},"PeriodicalIF":0.0,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S2214-1235(15)30003-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78343599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of Drug-Eluting Balloon in the Treatment of Ostial Left Anterior Descending Artery In-Stent Restenosis","authors":"Guy Fernando de Almeida Prado Jr.,&nbsp;Cristiano Guedes Bezerral,&nbsp;Gustavo Martins Pereira Alves,&nbsp;Marcio Augusto Meirelles Truffa,&nbsp;Expedito Eustaquio Ribeiro da Silva,&nbsp;Pedro Alves Lemos Neto","doi":"10.1016/S2214-1235(15)30014-4","DOIUrl":"10.1016/S2214-1235(15)30014-4","url":null,"abstract":"<div><p>Percutaneous coronary intervention with drug-eluting balloons has emerged as an adjunctive strategy in the setting of Interventional Cardiology. When compared to drug-eluting stents, drug-eluting balloons offer advantages such as immediate and homogeneous drug release in the arterial wall, absence of polymers that can induce chronic inflammatory reactions, and the potential for using dual antiplatelet therapy for a shorter period of time. Furthermore, in some situations, additional stenting is not desirable, which turns this modality into an interesting option. We report the case of a patient with acute coronary syndrome in whom this intervention was chosen to treat an ostial left anterior descending artery in-stent restenosis.</p><p><strong>DESCRIPTORS:</strong> Coronary restenosis. Percutaneous coronary intervention. Angioplasty, balloon. Paclitaxel.</p></div><div><h3>RESUMO</h3><p>Eficácia do Balao Farmacológico no Tratamento de Reestenose Intra-Stent em Óstio da Arteria Descendente Anterior</p><p>A intervengao coronariana percutanea com balao farmacológico surgiu como estrategia adjunta no cenário da Cardiologia Intervencionista. Em comparagao com o stent farmacológico, o balao farmacológico oferece vantagens, como a liberagao imediata e homogénea do fármaco na parede arterial, a ausencia de polímeros que podem induzir a reagoes inflamatórias crónicas e o potencial de utilizar a dupla anti-agregagao plaquetária por menor tempo. Além disso, em algumas situagoes, nao sao desejáveis implantes adicionais de stents, o que torna essa modalidade uma opgao interessante. Relatamos aqui o caso de uma paciente em síndrome coronariana aguda, em que foi feita a opgao por esse tipo de intervengao em uma reestenose de stent nao farmacológico em óstio de arteria descendente anterior.</p><p><strong>DESCRITORES:</strong> Reestenose coronária. Intervengao coronária percutanea. Angioplastia com balao. Paclitaxel.</p></div>","PeriodicalId":101094,"journal":{"name":"Revista Brasileira de Cardiologia Invasiva (English Edition)","volume":"22 2","pages":"Pages 183-187"},"PeriodicalIF":0.0,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S2214-1235(15)30014-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82264038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trends in the Use of the Transradial Approach in More Than a Decade: The InCor’s Experience","authors":"Carlos Vinícius Abreu do Espírito Santo,&nbsp;Pedro Henrique Magalhaes Craveiro de Melo,&nbsp;Celso Kiyochi Takimura,&nbsp;Carlos Augusto Homem de Magalhães Campos,&nbsp;Pedro Eduardo Horta,&nbsp;André Gasparin Spadaro,&nbsp;Marcus Nogueira da Gama,&nbsp;Marco Antonio Perin,&nbsp;Expedito Eustáquio Ribeiro da Silva,&nbsp;Roberto Kalil Filho,&nbsp;Pedro Alves Lemos Neto","doi":"10.1016/S2214-1235(15)30004-1","DOIUrl":"10.1016/S2214-1235(15)30004-1","url":null,"abstract":"<div><h3>Background</h3><p>: The use of the radial approach for diagnostic cardiac catheterization and percutaneous coronary interventions varies among different interventional cardiology centers in the world. We describe the trends in the use of this approach over the past 14 years at a tertiary hospital.</p></div><div><h3>Methods</h3><p>: Consecutive coronary procedures performed from 1999 to 2013 at a single center, in patients aged ≥ 35 years were identified. Age, gender, resource provider (Public or Private Healthcare System) and the complexity of the procedure (diagnostic or therapeutic) were retrospectively analyzed.</p></div><div><h3>Results</h3><p>: 103,253 procedures were included. The Brazilian Public Healthcare Service (SUS – <em>Sistema Único de Saúde</em>) was the resource provider in 77% of the cases. Mean age of patients was 62.2 ± 11.3 years and 58% were male. The radial approach was used in 6,402 (6.2%) procedures, showing a significant rise over time, which was more evident when analyzed comparatively for the six timepoints of service experience: 0.2%; 0.6%; 3.1%; 2.1%; 6.9%, and 24.4% respectively (p &lt; 0.01). Even larger percentages of radial approach were observed when only the procedures performed by the SUS and diagnostic cardiac catheterizations were taken into account. There were also changes in the profile of vascular access, even though smaller, in the Private Healthcare System.</p></div><div><h3>Conclusions</h3><p>: We demonstrated progressive changes in the profile of the use of access routes for diagnostic cardiac catheterization and percutaneous coronary interventions at a large center over time. These data are consistent with the global trend and are significantly robust, especially when the last sextile is analyzed.</p></div><div><h3>RESUMO</h3><p>Tendências da Utilização da Via de Acesso Transradiai em Mais de Uma Década: A Experiência do InCor</p></div><div><h3>Introduco</h3><p>: A utilização da via radial para a realização de cateterismo cardíaco diagnóstico e intervenção coronária percutânea varia entre os diversos centros de hemodinâmica. Descrevemos as tendências do uso dessa via de acesso ao longo dos últimos 14 anos num serviço terciário.</p></div><div><h3>Métodos</h3><p>: Foram identificados procedimentos coronarianos consecutivos realizados de 1999 a 2013, em um único centro, em pacientes com idade ≥ 35 anos. Dados como idade, sexo, fonte provedora de recursos (Sistema de Saúde Público ou Saúde Suplementar/Privado) e complexidade do procedimento (diagnòstico ou terapêutico) foram retrospectivamente analisados.</p></div><div><h3>Resultados</h3><p>: Foram incluídos 103.253 procedimentos, dos quais o Sistema Único de Saúde (SUS) foi o provedor de recursos em 77% dos casos. A média de idades dos pacientes foi 62,2 ± 11,3 e 58,8% eram do sexo masculino. A via radial foi utilizada em 6.402 (6,2%) dos procedimentos, apresentando ascenSão significativa ao longo do tempo, mais evidente quando analisada compara","PeriodicalId":101094,"journal":{"name":"Revista Brasileira de Cardiologia Invasiva (English Edition)","volume":"22 2","pages":"Pages 120-124"},"PeriodicalIF":0.0,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S2214-1235(15)30004-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74449046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcomes of the Use of a Superflexible Nitinol Stent in the Popliteal Artery","authors":"Thiago Osawa Rodrigues,&nbsp;Patrick Bastos Metzger,&nbsp;Fabio Henrique Rossi,&nbsp;Samuel Martins Moreira,&nbsp;Mohamed Hassan Saleh,&nbsp;Nilo Mitsuru Izukawa,&nbsp;Bruno Lorenção de Almeida,&nbsp;Antonio Massamitsu Kambara","doi":"10.1016/S2214-1235(15)30011-9","DOIUrl":"10.1016/S2214-1235(15)30011-9","url":null,"abstract":"<div><h3>Background</h3><p>The long-term primary patency rates for percutaneous transluminal angioplasty using first and second generation stents for the treatment of the popliteal artery have been disappointing. However, results with the new nitinol stents seem promising. Our objective was to evaluate short-term clinical outcomes using the superflexible nitinol stent in the treatment of atherosclerotic lesions in popliteal segments.</p></div><div><h3>Methods</h3><p>Retrospective longitudinal study conducted from April to December 2013. Population characteristics, procedure-related data and imaging tests were assessed at 6 months. Stent patency and limb salvage rates were obtained.</p></div><div><h3>Results</h3><p>A total of 14 patients with mean age of 73 ± 11 years were included, of which 50% were male and 64.3% diabetic. All patients had trophic lesions in the treated limbs. The arteriographic lesions were classified according to the criteria of the Trans-Atlantic Inter-Society Consensus (TASC) criteria as TASC B and C inequal proportions. In the assessment of below-the-knee runoff, 78.6% of the patients had only one distal pervious artery, of which the fibular artery was the most frequently observed. The stent landing zone was the mid segment of the popliteal artery in 57.1% of the cases and the distal segment, crossing the knee joint, in the remaining patients. During the 6 month follow-up there were no stent fractures. The primary patency rate was 85.7% and the limb salvage rate was 100%.</p></div><div><h3>Conclusions</h3><p>In our study, angioplasty using the super flexible nitinol stent demonstrated to be safe and effective for the treatment of atherosclerotic lesions of the popliteal artery.</p></div><div><h3>RESUMO</h3><p>Resultados do Uso de Stent de Nitinol Superflexível em Artérias Poplíteas</p></div><div><h3>Introdução</h3><p>As taxas de patência primària no longo prazo para a angioplastia transluminal percutânea, com implante de stents de primeira e segunda geração, no tratamento da artéria poplítea, têm sido desapontadoras. No entanto, resultados com novos stents de nitinol parecem promissores. Nosso objetivo foi avaliar desfechos clínicos no curto prazo do uso de stents de nitinol superflexíveis no tratamento de lesoes ateroscleróticas nos segmentos poplíteos.</p></div><div><h3>Métodos</h3><p>Estudo retrospectivo, longitudinal, realizado no período de abril a dezembro de 2013. Foram avaliados as características populacionais, os dados do procedimento e os exames de imagem aos 6 meses, sendo obtidas as taxas de patencia do stent e de salvamento de membro.</p></div><div><h3>Resultados</h3><p>Incluímos nesta análise, 14 pacientes, com idade de 73 ± 11 anos, 50% do sexo masculino e 64,3% diabéticos. Todos os pacientes apresentavam lesão trófica nos membros tratados. As lesões arteriografias foram classificadas pelo critério <em>Trans</em>-<em>Atlantic Inter</em>-<em>Society Consensus</em> (TASC) em B e C em igual proporção. Na avalia","PeriodicalId":101094,"journal":{"name":"Revista Brasileira de Cardiologia Invasiva (English Edition)","volume":"22 2","pages":"Pages 161-167"},"PeriodicalIF":0.0,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S2214-1235(15)30011-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73232692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Direitos Autorais","authors":"","doi":"10.1016/S2214-1235(15)30018-1","DOIUrl":"https://doi.org/10.1016/S2214-1235(15)30018-1","url":null,"abstract":"","PeriodicalId":101094,"journal":{"name":"Revista Brasileira de Cardiologia Invasiva (English Edition)","volume":"22 2","pages":"Page iv"},"PeriodicalIF":0.0,"publicationDate":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S2214-1235(15)30018-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137225651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}