Journal of Transcatheter Interventions

How is it possible to say goodbye to my friend, to our Professor? He is still here with us at this Escola. Only those who walked the corridors of the Cardiology Department of the Escola Paulista de Medicina in the past 30 years know very well he is still present. Only the young physicians of the last decades, fascinated by the Professor´s encyclopedic knowledge, those young doctors captivated by his tireless availability to teach medicine and dedication to patients as […]

ABSTRACT An 85-year-old patient with multiple comorbidities presents with severe symptomatic aortic stenosis and concomitant infrarenal abdominal aortic aneurysm with 100mm in diameter. A transcatheter aortic valve replacement was done along with concomitant percutaneous repair of the aneurysm. The therapeutic strategy was initially to implant the transcatheter aortic valve prosthesis, and then to perform the implantation of the aortic bifurcated endograft, with extensions to the right and to the left, to exclude a large fusiform aneurysm, due to the high […]

ABSTRACT Background Ad hoc percutaneous coronary intervention via radial access has become frequent in interventional cardiology services, with reduced bleeding rates, vascular complications and costs. There are few reports in the medical literature on radiological exposure rates (kerma area product − Kap, and incident air kerma − Iak) in these procedures, when they are performed via radial access. The objective of the study was to compare radiological variables in staged percutaneous coronary interventions with ad hoc interventions via radial access. […]

ABSTRACT Background The objective of this study was to evaluate the impact of age ≥80 years on the clinical outcomes after transcatheter aortic valve replacement compared to patients aged under 80 years. Methods This is an observational study that assessed 86 patients with severe aortic stenosis that underwent to transcatheter aortic valve replacement. Results There was a greater incidence of total mortality in the group ≥80 years (p=0.043), as well as in the composite endpoint of total mortality, non-fatal myocardial […]

ABSTRACT Rupture and entrapment of a guidewire are rare complications of percutaneous coronary intervention; nevertheless, they deserve attention due to the possible outcomes. We report the case of a patient undergoing percutaneous coronary intervention for treatment of unstable angina. During the procedure, the guidewire fractured in the left main coronary artery and migrated to the left anterior descending artery. Another invasive procedure was necessary to remove the fragment retained in the coronary circulation. There are many treatment options, and the […]

ABSTRACT Background Few publications have evaluated temporal trends and outcomes of percutaneous coronary intervention in diabetic patients in the contemporary era. Our objective was to verify characteristics, procedural results and mortality of percutaneous coronary intervention in diabetic subjects in Brazil in the last 10 years. Methods We analyzed the percutaneous coronary interventions registered in the Brazilian National Registry of Cardiovascular Interventions (CENIC) of the Sociedade Brasileira de Hemodinâmica e Cardiologia Intervencionista , from 2006 to 2016, comparing three timeframes: 2006-2008, […]

ABSTRACT Transcatheter aortic valve replacement became a routine interventional procedure worldwide, together with improvements in valve technology and optimized implant techniques. The concept of minimalist approach became relevant, aiming at optimal technical implant, fewer perioperative comorbidities, and consequently faster recovery and less associated risks. Compared with surgical aortic valve replacement, reduction of hospital and intensive care unit stay and fewer rates of procedural complications offset the high costs of transcatheter aortic valve replacement valves. The principles of the minimalist approach […]

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 Penetrating aortic ulcer is a rare entity with a poor prognosis within the spectrum of acute aortic syndrome. Even rarer are the cases located in the ascending aorta. This case demonstrates the importance of ancillary imaging methods for correct diagnosis and choice of the most appropriate management of this atypical presentation of the disease.

ABSTRACT We describe the case of a patient with multiple comorbidities scheduled to undergo intracoronary optical coherence tomography-guided percutaneous coronary intervention. Based on the images acquired, it was possible to observe the mechanism of restenosis and the anatomy of the lesion, and to optimize planning of the procedure. Our strategy was to resect the neointimal hyperplastic tissue using laser atherectomy, with great results and a successful procedure.