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

{"title":"Extrinsic obstruction of the left main coronary artery due to pulmonary artery dilation associated with schistosomiasis","authors":"Eduardo Belisario Falchetto,&nbsp;Jamil Abdalla Saad,&nbsp;Frederico Lemos de Almeida,&nbsp;Eduardo Kei Marquezini Washizu,&nbsp;Ari Mandil","doi":"10.1016/j.rbciev.2015.12.016","DOIUrl":"10.1016/j.rbciev.2015.12.016","url":null,"abstract":"<div><p>This report describes a patient with pulmonary hypertension secondary to schistosomiasis, who sought emergency care due to chest pain at rest. The clinical presentation and other information related to the case raised the suspicion of acute coronary failure, and a severe obstruction was identified in the left main coronary artery. The case report aimed to highlight the need for a differential diagnosis of chest pain complaints in these patients, and emphasizes the choice of percutaneous coronary intervention as an effective and safe treatment in this scenario.</p></div>","PeriodicalId":101094,"journal":{"name":"Revista Brasileira de Cardiologia Invasiva (English Edition)","volume":"23 2","pages":"Pages 148-151"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rbciev.2015.12.016","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"103543167","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":"Impact of prior coronary bypass graft surgery on the outcomes of patients undergoing primary percutaneous coronary intervention","authors":"Renato Roese Filho,&nbsp;Alan Castro D’Avila,&nbsp;Márcia Moura Schmidt,&nbsp;Alexandre Schaan de Quadros,&nbsp;Cristiano de Oliveira Cardoso,&nbsp;André Luiz Langer Manica,&nbsp;Alexandre Damiani Azmus,&nbsp;Júlio Vinicius de Souza Teixeira,&nbsp;Claudio Vasques de Moraes,&nbsp;Henrique Basso Gomes,&nbsp;Carlos Antônio Mascia Gottschall,&nbsp;Rogério Sarmento-Leite","doi":"10.1016/j.rbciev.2015.12.007","DOIUrl":"10.1016/j.rbciev.2015.12.007","url":null,"abstract":"<div><h3>Background</h3><p>Historically, patients with prior coronary artery bypass graft (CABG) surgery undergoing primary percutaneous coronary intervention (PCI) have a worse prognosis than patients without prior CABG. However, more contemporary analyses have contested these findings. This study's aim was to evaluate the 30-day clinical outcomes in patients with and without prior CABG submitted to primary PCI.</p></div><div><h3>Methods</h3><p>Prospective cohort study, extracted from the database of Instituto de Cardiologia do Rio Grande do Sul, containing 1,854 patients undergoing primary PCI.</p></div><div><h3>Results</h3><p>Patients with prior CABG (3.8%) showed, in general, a more severe clinical profile. The time of symptom onset until arrival at the hospital was shorter in this group (2.50<!--> <!-->hours [1.46 to 3.66] vs. 3.99<!--> <!-->hours [1.99 to 6.50]; <em>p</em> <em>&lt;</em> <!-->0.001), while the door-to-balloon time was similar (1.33 hour [0.85 to 2.07] vs. 1.16 hour [0.88 to 1.58]; <em>p</em> <em>=</em> <!-->0.12). Femoral access was more often used in the group with prior CABG (91.5% vs. 62.5%; <em>p</em> <em>&lt;</em> <!-->0.001). Manual thrombus aspiration was less often performed in this group (16.9% vs. 31.1%; <em>p</em> <em>=</em> <!-->0.007), but there was no difference regarding the use of glycoprotein IIb/IIIa inhibitors (28.2% vs. 32.4%, <em>p</em> <em>=</em> <!-->0.28). Angiographic success was lower in the group with prior CABG (80.3% vs. 93.3%; <em>p</em> <em>=</em> <!-->0.009). At 30 days, patients with prior CABG had similar rates of major adverse cardiac events (14.1% vs. 11.2%; <em>p</em> <em>=</em> <!-->0.28), and mortality, although numerically higher, was not statistically significant (13.2% vs. 7.0%, <em>p</em> <em>=</em> <!-->0.07).</p></div><div><h3>Conclusions</h3><p>In this contemporary analysis, patients with prior CABG undergoing primary PCI had a more severe clinical profile and lower angiographic success, but showed no differences regarding 30-day clinical outcomes.</p></div>","PeriodicalId":101094,"journal":{"name":"Revista Brasileira de Cardiologia Invasiva (English Edition)","volume":"23 2","pages":"Pages 102-107"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rbciev.2015.12.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87661873","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 and late outcomes of patients treated with hybrid sirolimus-eluting stent or everolimus-eluting stent","authors":"Cristiano de Oliveira Cardoso,&nbsp;Clacir Staudt,&nbsp;Aldo Fernando Somavilla Duarte,&nbsp;La Hore Correa Rodrigues,&nbsp;Cristiane Cauduro Lima,&nbsp;Vasco Morosini Miller","doi":"10.1016/j.rbciev.2015.12.009","DOIUrl":"10.1016/j.rbciev.2015.12.009","url":null,"abstract":"<div><h3>Background</h3><p>The Orsiro is a hybrid stent which has passive (amorphous silicon carbide) and active (poly-L-lactic acid, PLLA) coatings. The first layer encapsulates the stent struts, promoting lower local inflammation, whereas the second layer releases sirolimus through a biodegradable matrix. This study's aim was to compare the results of percutaneous coronary interventions (PCI) with Orsiro and Xience™ V stents (everolimus-eluting stent) in daily clinical practice.</p></div><div><h3>Methods</h3><p>Observational study in which patients were divided into two groups: those who received only one or more Orsiro stents, and those who received only Xience^TM V stents. Early and late outcomes were prospectively collected.</p></div><div><h3>Results</h3><p>Between September 2012 and March 2014, this study included 92 and 108 patients treated with Orsiro and Xience™ V stents, respectively. Clinical, angiographic, and procedure characteristics were mostly similar between groups. Rates of procedure success (98.9% vs. 95.4%; <em>p</em> <em>=</em> <!-->0.22), in-hospital mortality (1.1% vs. 0%; <em>p</em> <em>=</em> <!-->0.40) and stent thrombosis (0% vs. 0.9%, <em>p</em> <em>=</em> <!-->0.30) did not differ between groups. Time of follow-up was 434<!--> <!-->±<!--> <!-->111 and 477<!--> <!-->±<!--> <!-->66 days (<em>p</em> <em>=</em> <!-->0.23), respectively, and differences in mortality (0.9% vs. 0%, <em>p</em> <em>=</em> <!-->0.30), stent thrombosis (0% vs. 0.9%; <em>p</em> <em>=</em> <!-->0.30), or need for repeat revascularization of the target lesion (0% vs. 0.9%; <em>p</em> <em>=</em> <!-->0.30) were not observed.</p></div><div><h3>Conclusions</h3><p>Orsiro and Xience™ V stents showed similar performance, with low rates of early and late clinical and angiographic events.</p></div>","PeriodicalId":101094,"journal":{"name":"Revista Brasileira de Cardiologia Invasiva (English Edition)","volume":"23 2","pages":"Pages 114-118"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rbciev.2015.12.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"109251223","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":"Transcatheter interventions in valvular heart disease","authors":"Áurea J. Chaves","doi":"10.1016/j.rbciev.2015.12.001","DOIUrl":"https://doi.org/10.1016/j.rbciev.2015.12.001","url":null,"abstract":"","PeriodicalId":101094,"journal":{"name":"Revista Brasileira de Cardiologia Invasiva (English Edition)","volume":"23 2","pages":"Page 77"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rbciev.2015.12.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92007657","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":"Coronary occlusion after TAVI: safety strategy report","authors":"Fabio Rodrigo Furini ,&nbsp;Valter Correia de Lima ,&nbsp;Fabio Sândoli de Brito Jr. ,&nbsp;Alessandra Teixeira de Oliveira ,&nbsp;Marcela da Cunha Sales ,&nbsp;Fernando Antonio Lucchese","doi":"10.1016/j.rbciev.2015.12.017","DOIUrl":"10.1016/j.rbciev.2015.12.017","url":null,"abstract":"<div><p>Transcatheter aortic valve implantation (TAVI) is an alternative for patients with aortic stenosis at high surgical risk and for many of those considered inoperable. Despite its minimally invasive features, complications related to the procedure may occur. Coronary obstruction during TAVI is a rare (incidence rate of less than 1%) but potentially lethal complication. In Brazil, this complication was found in 0.72% of procedures – three of 418 cases from Brazilian Transcatheter Aortic Valve Implantation Registry – with an in-hospital mortality rate of 100%. This case report presents prevention and treatment measures for coronary occlusion after TAVI.</p></div>","PeriodicalId":101094,"journal":{"name":"Revista Brasileira de Cardiologia Invasiva (English Edition)","volume":"23 2","pages":"Pages 152-155"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rbciev.2015.12.017","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"93276453","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":"Endovascular approach of a patient with bilateral renal artery fibrodysplasia associated with a massive renal aneurysm","authors":"Patrick Bastos Metzger,&nbsp;Antonio Massamitsu Kambara,&nbsp;Heraldo Antônio Barbato,&nbsp;Fabio Henrique Rossi,&nbsp;Nilo Mitsuru Izukawa","doi":"10.1016/j.rbciev.2015.12.015","DOIUrl":"10.1016/j.rbciev.2015.12.015","url":null,"abstract":"<div><p>Renal artery fibromuscular dysplasia is a condition of unknown etiology, with non-inflammatory, non-atherosclerotic origin, associated to the development of stenosis and aneurysms. The authors report a case of bilateral renal artery fibromuscular dysplasia associated with a large renal artery aneurysm, treated with balloon angioplasty and a multilayer stent.</p></div>","PeriodicalId":101094,"journal":{"name":"Revista Brasileira de Cardiologia Invasiva (English Edition)","volume":"23 2","pages":"Pages 145-147"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rbciev.2015.12.015","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"106046280","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":"Post-TAVR coronary obstruction","authors":"Juan A. Terré ,&nbsp;Ziad Sergie ,&nbsp;George D. Dangas","doi":"10.1016/j.rbciev.2015.12.002","DOIUrl":"10.1016/j.rbciev.2015.12.002","url":null,"abstract":"","PeriodicalId":101094,"journal":{"name":"Revista Brasileira de Cardiologia Invasiva (English Edition)","volume":"23 2","pages":"Pages 78-81"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rbciev.2015.12.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91060667","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":"Three-dimensional reconstruction of coronary arteries based on the integration of intravascular ultrasound and conventional angiography","authors":"Cristiano Guedes Bezerra ,&nbsp;Gonzalo Daniel Maso Talou ,&nbsp;Carlos Alberto Bulant ,&nbsp;Breno de Alencar Araripe Falcão ,&nbsp;José Mariani Jr. ,&nbsp;Pablo Javier Blanco ,&nbsp;Raúl Antonino Feijóo ,&nbsp;Pedro Alves Lemos Neto","doi":"10.1016/j.rbciev.2015.12.013","DOIUrl":"10.1016/j.rbciev.2015.12.013","url":null,"abstract":"<div><h3>Background</h3><p>Coronary three-dimensional reconstruction with the combination of intravascular ultrasound and angiography offers advantages over computed tomography angiography of coronary arteries. The authors aimed to present the pilot phase of the validation of a new model of three-dimensional reconstruction of coronary arteries.</p></div><div><h3>Methods</h3><p>This study used angiography and intravascular ultrasound examinations already performed by clinical indication in individuals with known or suspected stable coronary artery disease. Image processing, segmentation, and three-dimensional reconstruction were conducted following specific methodology. For geometrical characterization purposes, tridimensional center lines were obtained.</p></div><div><h3>Results</h3><p>Three vessels were reconstructed: two left anterior descending arteries and one left circumflex artery. The vessel lumen volume and the overall plaque burden could be easily viewed with three-dimensional reconstruction. The geometric characterization revealed increased absolute values of length, tortuosity, curvature, and torsion, featuring a greater complexity of the center line of the diseased lumen relative to the center line of the external elastic membrane.</p></div><div><h3>Conclusions</h3><p>This new methodology, which integrates conventional angiography and intravascular ultrasound, has increased the practicality of the reconstructions, with a gain in volumetric accuracy of the vessel and overall visualization of key aspects of atherosclerotic disease, such as plaque remodeling and distribution.</p></div>","PeriodicalId":101094,"journal":{"name":"Revista Brasileira de Cardiologia Invasiva (English Edition)","volume":"23 2","pages":"Pages 134-138"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rbciev.2015.12.013","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86815532","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":"Transcatheter treatment of severe mitral regurgitation in Brazil: a new kid on the block","authors":"Guilherme F. Attizzani ,&nbsp;Corrado Tamburino","doi":"10.1016/j.rbciev.2015.12.003","DOIUrl":"10.1016/j.rbciev.2015.12.003","url":null,"abstract":"","PeriodicalId":101094,"journal":{"name":"Revista Brasileira de Cardiologia Invasiva (English Edition)","volume":"23 2","pages":"Pages 82-83"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rbciev.2015.12.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78163051","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 covered stents in the treatment of aortic coarctation","authors":"Francisco Chamié ,&nbsp;Daniel Chamié ,&nbsp;Luiz Carlos do Nascimento Simões ,&nbsp;Renata Mattos Silva","doi":"10.1016/j.rbciev.2015.12.014","DOIUrl":"10.1016/j.rbciev.2015.12.014","url":null,"abstract":"<div><h3>Background</h3><p>The wide morphological variety of coarctation of the aorta (CoA) and some complications resulting from the implantation of conventional stents has made the utilization of covered stents (CS) desirable. We describe our experience with the use of CS to treat CoA in children and adults.</p></div><div><h3>Methods</h3><p>The records of patients that received CS were retrospectively reviewed. The procedures were performed according to the established technique. Use of CS as primary treatment were assessed, as well as those deployed due to complications resulting from the initial procedure.</p></div><div><h3>Results</h3><p>Between 2007 and 2014, CS were used in 14 patients, 9 (64.3%) of whom were males. The mean age was 19.5 ± 10.5 years, and the mean weight 61.7 ± 25.5<!--> <!-->kg. Bicuspid aortic valve was present in 74% of cases, and two patients had patent ductus arteriosus. Subatretic aortic coarctations were found in five patients. Eleven patients had systemic arterial hypertension, and 73% had normalized blood pressure levels after stent dilation. Implantation was possible in all cases. Primary implants were performed in ten (71.4%) patients with native coarctation and in four patients as a second device to correct problems originating from previous procedures. The mean time of follow-up was 51.7 ± 29.8 months. Three minor complications were related to procedures, and there were no deaths.</p></div><div><h3>Conclusions</h3><p>The use of CS was safe and effective in this small case series. Further studies focusing on the long-term evolution and the possibility of CS redilation are needed to support its use in children.</p></div>","PeriodicalId":101094,"journal":{"name":"Revista Brasileira de Cardiologia Invasiva (English Edition)","volume":"23 2","pages":"Pages 139-144"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rbciev.2015.12.014","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"102988763","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}