ABSTRACT Background When it is not suitable to use the radial access in invasive coronary procedures, the ulnar technique is a feasible and safe alternative. The objective of the present study was to characterize the relevance of the ulnar technique in the daily practice of a center that adopts the radial strategy as the first option. Methods The sample was extracted from a single-center prospective registry, from May 2008 to October 2018, including all patients undergoing invasive coronary procedures in […]
ABSTRACT Severe mitral stenosis is associated to congestive symptoms, increased pulmonary artery pressure, atrial fibrillation, and thromboembolic events. Among the treatment options, balloon mitral valve repair is the first choice in patients with favorable anatomy. We report a case of mitral valve repair using balloon in a patient with severe mitral stenosis and suprasystemic pulmonary hypertension (systolic pressure of pulmonary artery estimated at 135mmHg). Valve surgery was contraindicated due to functional class III (NYHA), after hospitalization for ischemic stroke.
ABSTRACT Introduction The recently described distal puncture of the left radial artery through the anatomical snuffbox (radial fossa) can be considered a refinement of the original technique. Its potential benefit is greater comfort to patients and operators, as well as maintenance of blood flow through the superficial palmar arch, in case of radial artery occlusion. Our goal was to evaluate the safety and feasibility of this new approach. Methods A prospective registry of patients who underwent invasive diagnostic or therapeutic […]