Journal of Transcatheter Interventions

In the manuscript “Management of complications during percutaneous coronary intervention: a current appraisal”, DOI: 10.31160/JOTCI202230A202202, published at J Transcat Intervent. 2022;30:eA202202, p. 5, figure 4, where it states “Yes”, on the right of box “Successful”, it should be read “No”.   […]

ABSTRACT Congenital anomalies and within them anatomical variations of coronary arteries, although uncommon, are being increasingly studied and diagnosed due to the close relationship of symptoms such as angina, dyspnea, syncope or arrhythmias in young people without comorbidities. This study aimed to present the case report of a patient with ischemic symptoms secondary to malformation of a coronary artery. We describe the moment of patient admission, diagnosis by complementary tests and therapeutic resolution of the case. Coronary fistulas, despite having […]

ABSTRACT More advanced technology, better drugs and more experienced operators have contributed to improved complex percutaneous coronary intervention outcomes. Complications with significant impact on patient survival and healthcare costs have not been completely eliminated by modern percutaneous coronary intervention procedures. Professional expertise and consistent preventive procedures are the only ways to avoid severe side effects of percutaneous coronary intervention. Dissections, abrupt arterial closure, coronary perforation, no-reflow, air embolism, stent deformation, device embolization, and rotating atherectomy burr entrapment are some of […]

FINAL CONSIDERATIONS This clinical trial supports the increasingly growing importance of using drug therapy oriented by the most updated guidelines to treat ischemic ventricular dysfunction, regardless of patients being revascularized or not. This had already been demonstrated in the ISCHEMIA trial and, mainly in analysis of subgroups of this study, which enrolled 398 patients with ejection fraction between 35% and 45%, there was a clear benefit of revascularization over OMT after a 4-year follow-up. Other considerations can only be inferred […]

ABSTRACT The use of invasive coronary physiology to select individuals for coronary revascularization has been established in current guidelines for the management of stable coronary artery disease. Compared to angiography alone, coronary physiology has been proven to improve clinical outcomes and cost-effectiveness in the revascularization process. Randomized controlled trials, however, have questioned the efficacy of ischemia testing in selecting individuals for revascularization. After an angiographically successful percutaneous coronary intervention, 20 to 40% of patients experienced persistent or recurrent angina. Artificial […]

ABSTRACT This life-threatening condition, known as pulmonary embolism, is prevalent throughout the world, affecting a large percentage of population and representing one of the leading causes of cardiovascular death. To reduce mortality and morbidity and improve outcomes, early risk stratification is critical. There is a wide range in the severity of a pulmonary embolism, from mild to life-threatening. When a patient has a high-risk pulmonary embolism and is in shock or cardiac arrest, emergency systemic thrombolysis or embolectomy is reasonable, […]

ABSTRACT Background Left-to-right shunting via the foramen ovale is a potential cause of paradoxical embolism. The presence of patent foramen ovale in more than 40% of patients with idiopathic ischemic stroke has led to deeper investigation of the impact of its closure on decreasing stroke recurrence rates. This study describes 20 years of experience with percutaneous patent foramen ovale occlusion performed by a single operator. Methods This sample comprised 527 patients with ischemic stroke submitted to percutaneous occlusion of patent […]

ABSTRACT Background Patient safety is considered a global priority by the World Health Organization, and Brazil, as a Member State, launched the National Patient Safety Program in 2013, recommending safe practices for all health services. Although mandatory, many facilities do not have structured Patient Safety Units to manage their risks and incidents. Objective To describe the experience in implementing a safety program for patients undergoing invasive cardiology procedures. Methods This was an observational, descriptive, and retrospective study on the creation […]

ABSTRACT Coronary artery fistulas are rare congenital anomalies and characterize an abnormal communication between coronary arteries and cardiac chambers or major arteries. Many devices, including various coils, vascular plugs, occluders, and cover stent, have been used in transcatheter closure of coronary artery fistulas. In this report we successfully closed coronary artery fistula, between left anterior descending artery and right ventricle apex, by using Amplatzer Piccolo™ device, formerly called as Amplatzer™ Duct Occluder additional size. In our opinion, Amplatzer Piccolo™ device […]

ABSTRACT Invasive physiological assessment of the coronary circulation has emerged in recent years as a valuable diagnostic approach in the management of patients with chronic coronary syndrome, overcoming important limitations such as evaluating function from the anatomy and the low spatial resolution associated with angiography or non-invasive tests. The value of hyperemic flow measurements to estimate the functional relevance of coronary stenoses is supported by many studies. The aim of this paper is to review the physiological bases, clinical applications […]