Revista Brasileira de Cardiologia Invasiva
Publication date: June 2014 Source:Revista Brasileira de Cardiologia Invasiva (English Version), Volume 22, Issue 2 (Source: Revista Brasileira de Cardiologia Invasiva)
Source: Revista Brasileira de Cardiologia Invasiva - December 13, 2014 Category: Cardiology Source Type: research

Optical Coherence Tomography in the Management of Intermediate Lesion in a Patient with Acute Coronary Syndrome
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. DESCRIPTORS: Arteriosclerosis. Myocardial infarction. Coronary stenosis. Tomography, optical coherence. Percutaneous coronary intervention. Stents. (Source: Revista Brasileira de Cardiologia Invasiva)
Source: Revista Brasileira de Cardiologia Invasiva - December 13, 2014 Category: Cardiology Source Type: research

Efficacy of Drug-Eluting Balloon in the Treatment of Ostial Left Anterior Descending Artery In-Stent Restenosis
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. DESCRIPTORS: Coronary restenosis. Percutaneous coronary intervention. Angioplasty, balloon. Paclitaxel. RESUMO Eficácia do Balao Farmacológico no Tratamento de Reestenose Intra-Stent em Óstio da Arteria Descendente Anterior 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 l...
Source: Revista Brasileira de Cardiologia Invasiva - December 13, 2014 Category: Cardiology Source Type: research

Mid-Ventricular Hypertrophic Obstructive Cardiomyopathy
Publication date: June 2014 Source:Revista Brasileira de Cardiologia Invasiva (English Version), Volume 22, Issue 2 Author(s): Fernando Pivatto Jr. , Márcio Mossmann , Ana Maria Krepsky , Alexandre do Canto Zago Mid-ventricular hypertrophic obstructive cardiomyopathy is a rare variant form (1%) of hypertrophic obstructive cardiomyopathy. In this case, we report a patient referred for elective cardiac catheterization due to angina and dyspnea on moderate exertion, with no significant coronary obstruction, and left ventriculography indicating the presence of mid-ventricular hypertrophic obstructive cardiomyopathy wi...
Source: Revista Brasileira de Cardiologia Invasiva - December 13, 2014 Category: Cardiology Source Type: research

Incremental Cost-Effectiveness of Surgical vs. Percutaneous Treatment of Patent Ductus Arteriosus with the Amplatzerâ„¢ Duct Occluder in Children: A Systematic Review
Conclusions Percutaneous occlusion was associated with less morbidity and shorter hospital stay with similar incremental effectiveness when compared to the surgical treatment. With the direct costs used in this study and considering that the entire population with PDA is treated with the ADO, percutaneous occlusion was less cost-effective. However, a slight reduction in the costs of the percutaneous kit would result in a aceptable ICER threshold for possible incorporation by the SUS. DESCRIPTORS Ductus arteriosus, patent, Heart defects, congenital, Surgery, Prostheses and implants, Cost-benefit analysis. (Source: Revista...
Source: Revista Brasileira de Cardiologia Invasiva - December 13, 2014 Category: Cardiology Source Type: research

Outcomes of the Use of a Superflexible Nitinol Stent in the Popliteal Artery
Conclusions 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. (Source: Revista Brasileira de Cardiologia Invasiva)
Source: Revista Brasileira de Cardiologia Invasiva - December 13, 2014 Category: Cardiology Source Type: research

Effects of Renal Sympathetic Denervation in Renal Artery Diameter Evaluated By Quantitative Angiography
Conclusions The results of this analysis illustrate the significant increment in renal artery diameter after percutaneous renal sympathetic denervation. Randomized controlled clinical trials are required to consolidate our observations. RESUMO Efeitos da Denervação Simpática Renal no Diâmetro da Artéria Renal Avaliados Pela Angiografia Quantitativa Introdução A denervação simpática renal percutânea surgiu como método adjunto no controle de condições clínicas as- sociadas à hiperatividade simpática. Ela resulta em aumento do fluxo sanguíneo renal e em redução da vasoconstrição. Os efeitos da denerv...
Source: Revista Brasileira de Cardiologia Invasiva - December 13, 2014 Category: Cardiology Source Type: research

Early Removal of the Arterial Sheath After Percutaneous Coronary Intervention Using the Femoral Approach: Safety and Efficacy Study
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. RESUME Remoção Precoce do Introdutor Arterial Após Intervenção Coronária Percutânea por Via Femoral: Estudo de Segurança e Eficácia Introdução 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 p...
Source: Revista Brasileira de Cardiologia Invasiva - December 13, 2014 Category: Cardiology Source Type: research

Performance of the Titanium-Nitride-Oxide Coated Stent in Patients with Multivessel Coronary Artery Disease
Conclusions The Titan-2® stent showed similar results to those of the second-generation drug-eluting stents, which makes it attractive for use in the complex scenario of patients with multivessel coronary artery disease. RESUMO Desempenho do Stent Recoberto por Titânio-Óxido Nítrico em Pacientes com Doença Coronária Multiarterial Introdção Até o momento, nenhum estudo avaliou o stent recoberto por titânio-óxido nítrico em pacientes com doença arterial coronariana multiarterial. Comparamos o desempenho do stent Titan-2® ao stents farmacológicos de segunda geragao nesse cenário. Métodos No período de ...
Source: Revista Brasileira de Cardiologia Invasiva - December 13, 2014 Category: Cardiology Source Type: research

Results of Primary Percutaneous Coronary Intervention According to the Total Ischemic Time
Conclusions Patients with ST-elevation acute myocardial infarction undergoing primary percutaneous coronary intervention with symptom onset-to-balloon time>6hours presented higher clinical complexity and worse in-hospital outcomes when compared to patients treated earlier. Joint actions in different critical areas of patient care are essential to increase treatment efficacy and reduce adverse outcomes. RESUMO Resultados da Interveção Coronária Percutânea Primária de Acordo com o Tempo Total de Isquemia Introdção O tratamento do infarto agudo do miocárdio com supradesnivelamento de ST tem a intervenção ...
Source: Revista Brasileira de Cardiologia Invasiva - December 13, 2014 Category: Cardiology Source Type: research

Immunohistochemical Characteristics of Coronary Thrombi in Patients with ST-Elevation Myocardial Infarction and Diabetes Mellitus: Pilot Studyy
Conclusions In this preliminary analysis, it was not possible to demonstrate any significant difference in the expression of endothelial cell activity, platelet function and activation of the coagulation cascade between thrombi of patients with and without diabetes undergoing primary coronary intervention. (Source: Revista Brasileira de Cardiologia Invasiva)
Source: Revista Brasileira de Cardiologia Invasiva - December 13, 2014 Category: Cardiology Source Type: research

Radial vs. Femoral Artery Access in Elderly Patients Undergoing Percutaneous Coronary Intervention
Conclusions In a non-selected patient population≥70 years of age, percutaneous coronary intervention by radial access was associated to a lower incidence of in-hospital clinical endpoints, especially of bleeding events related to the vascular access route. RESUMO Acesso Radial vs. Acesso Femoral em Pacientes com Idade Avançada Submetidos à Intervenção Coronária Percutânea Introdução Estudos demonstram que o acesso via artéria radial diminui o risco de complicações vasculares e hemorrágicas associadas à intervenção coronária percutânea. Nosso objetivo foi avaliar os resultados hospitalares da utilizaÃ...
Source: Revista Brasileira de Cardiologia Invasiva - December 13, 2014 Category: Cardiology Source Type: research

Trends in the Use of the Transradial Approach in More Than a Decade: The InCor’s Experience
Conclusions : 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. RESUMO Tendências da Utilização da Via de Acesso Transradiai em Mais de Uma Década: A Experiência do InCor Introduco : A utilização da via radial para a realização de cateterismo cardíaco diagnóstico e intervenção coronária percutânea varia entre os diversos centros de hemodinâmica. D...
Source: Revista Brasileira de Cardiologia Invasiva - December 13, 2014 Category: Cardiology Source Type: research

Use of a Selective Radial Compression Device to Prevent Radial Artery Occlusion After Coronary Invasive Procedure
Conclusions The TR Band® radial compression device is safe and effective in obtaining reduced rates of radial artery occlusion after invasive coronary procedures. (Source: Revista Brasileira de Cardiologia Invasiva)
Source: Revista Brasileira de Cardiologia Invasiva - December 13, 2014 Category: Cardiology Source Type: research

The Importance of an Accurate Cost-Effectiveness Analysis for the Introduction of New Technologies in the Brazilian Public Health System
Publication date: June 2014 Source:Revista Brasileira de Cardiologia Invasiva (English Version), Volume 22, Issue 2 Author(s): Raul I. Rossi Filho (Source: Revista Brasileira de Cardiologia Invasiva)
Source: Revista Brasileira de Cardiologia Invasiva - December 13, 2014 Category: Cardiology Source Type: research