Journal of Transcatheter Interventions

ABSTRACT Background Palliative care is a set of procedures for patients and families facing terminal or advanced illnesses. Numerous studies have already evaluated the role of palliative care and indications in outpatient or emergency settings. Nonetheless, data referring to the role of palliative care during a pandemic, such as COVID-19, are lacking. This study aimed to analyze the profile of deaths by COVID-19 at a tertiary reference cardiology hospital, and to identify the factors associated with more frequent indication of […]

A 69-year-old male with hypertension, dyslipidemia, and coronary artery disease (CAD) was admitted to the emergency room in December 2020 reporting chronic angina, with slight limitation to ordinary activities (Canadian Cardiovascular Society angina grade II) and described worsening of symptoms in the past 20 days, with episodes of prolonged angina (over 20 minutes) and mild dyspnea. An initial 12-lead electrocardiogram showed no signs of acute ischemia, and the cardiac biomarkers were negative for myocardial infarction (troponin 9ng/L; upper limit of […]

ABSTRACT Fractional flow reserve has become the mainstay of functional hemodynamic assessment and is considered the gold standard to identify ischemic coronary stenoses. However, adopting the method into daily practice has been limited. Indeed, it requires the use of a costly pressure wire and the administration of a hyperemic agent. Vessel fractional flow reserve is a 3D-QCA based fractional flow reserve, using CAAS Workstation (version 8.4; Pie Medical Imaging, Maastricht, the Netherlands). It is a non-invasive method that does not […]

Percutaneous coronary intervention (PCI) became the most frequent modality of revascularization to treat coronary artery disease. Historically, most patients undergoing elective PCI remained hospitalized, overnight or more, aiming to detect and possible peri- and post-procedural complications, including access site complications, bleeding, stent thrombosis and peri-procedural myocardial infarction (MI).Currently, there is a demand for a simplified and efficient out-hospital flow, keeping the best practices in hospital services and patient care. Overtime, the improvement of PCI techniques, combined with technological advancement of […]

In the article “Single access in complex angioplasty using the ventricular support system Impella CP™” with DOI number 10.31160/JOTCI202129A202103, published in August 3, 2021 J Transcat Intervent., on page 1, where we read the author’s name “Gustavo Neves” we should read “Gustavo Neves de Araújo”. […]

ABSTRACT Left ventricular free wall rupture is one of the most catastrophic and lethal mechanical complications associated with myocardial infarction. Its diagnosis in a patient still alive is rare, and its only therapeutic option is open surgical treatment. We report the case of an 82-year-old male patient who presented with an acute ST-segment elevation myocardial infarction, within more than 24 hours of onset, in which it was possible to record, in real time, the rupture of the left ventricular free […]

ABSTRACT Transcatheter aortic valve implantation is considered a standard treatment for many symptomatic patients with severe aortic stenosis. Coronary artery occlusion after transcatheter aortic valve implantation is associated with a mortality rate of up to 50%. In this case report we described a patient with severe aortic bioprosthesis dysfunction, at high risk of coronary obstruction after transcatheter aortic valve implantation. This patient underwent Basilica procedure followed by valve-in-valve transcatheter aortic valve implantation. The patient demonstrated good improvement and was discharged […]

ABSTRACT Background: Coronary artery disease is a major public health concern worldwide. In Africa, varying rates of progression increased in different countries. In Angola, although the epidemiological scenario is dominated by infectious diseases, the prevalence of coronary artery disease is increasing with notable impacts, requiring the creation of mechanisms to face this reality in a country where lack of specific infrastructure is still a challenge. The objective of this study was to describe the experience of primary angioplasty in patients […]

ABSTRACT Ventricular diverticulum is a rare congenital malformation. Although most patients are asymptomatic, it can present with rupture and sudden death, for which surgical repair is indicated. The authors report the case of a 5-year-old boy with a prenatal diagnosis of an isolated left ventricular diverticulum. It was decided for surgical closure; however, a persisting leakage at the patch repair site was observed, for which a transcatheter percutaneous closure approach was used, achieving complete occlusion of the defect. Transcatheter closure […]

ABSTRACT Since the mid-1990s, the dual antiplatelet therapy, consisting of the association between acetylsalicylic acid and a platelet P2Y12 receptor inhibitor, is the core of thrombosis prevention after coronary stent implantation, regardless of the models used. It is also used to prevent the occurrence of atherothrombotic events in the late phase after the intervention. The clinical presentation of coronary artery disease influences the duration of dual therapy, which tends to be longer in treated cases of acute coronary syndrome (usually […]