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 […]
Description of rare diseases, special patients or situations, and innovative diagnostic or therapeutic approaches comprise the objectives of the Case Reports published in the Journal of Transcatheter Interventions (JOTCI). Considering the manuscripts submitted after the reformulation of the journal, this type of article accounts for approximately 40% of materials received by the editorial production. However, how can we confront the traditional literature with the reality and current speed of some social media, such as Twitter, which enable immediate and unrestricted […]
ABSTRACT Valve-in-valve procedures are likely to become increasingly frequent with the aging of the population and the increasing number of surgical bioprostheses implanted. More than 50% of these implanted valves have small diameters, which hinders the good expansion of transcatheter devices, leading to higher final gradients. Therefore, post-dilation is required to optimize implantation of the new device. Compliant balloons have limitations and a higher potential to rupture when used for this purpose. We describe a case of a valve-in-valve procedure […]
The new Editor-in-Chief has the floor When celebrating its 25th anniversary, in 2018, the Revista Brasileira de Cardiologia Invasiva went through a major reformulation process. It was led by Áurea Chaves, our current Editor-in-Chief Emeritus, in an attempt to overcome the challenges brought by new communication tools, and characterized by agility in reporting scientific news and contents. With this purpose, the publication became the Journal of Transcatheter Interventions . Considering the profusion of new medical journals, particularly in the field […]
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 […]