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Author(s): Lucy Blows , Simon Redwood Added: 3 years ago
Transforming a critically narrowed coronary vessel to one that is angiographically smooth and unobstructed is immensely satisfying. However, if the procedure is examined in its component parts, it is surprising that this technique is considered safe with minimal overt clinical complications. Temporary vessel occlusion renders the downstream myocardium ischaemic, while vessel trauma initiates… View more
Author(s): Lucy Blows , Simon Redwood Added: 3 years ago
Transforming a critically narrowed coronary vessel to one that is angiographically smooth and unobstructed is immensely satisfying. However, if the procedure is examined in its component parts, it is surprising that this technique is considered safe with minimal overt clinical complications. Temporary vessel occlusion renders the downstream myocardium ischaemic, while vessel trauma initiates… View more
Author(s): Alda Huqi , Giacinta Guarini , Doralisa Morrone , et al Added: 3 years ago
Myocardial revascularisation in patients with stable chronic angina is performed with the aim of reducing cardiovascular death, reducing myocardial infarction (MI) and relieving angina symptoms. However, contrary to expectations, modern therapy with percutaneous coronary intervention (PCI) has not had a significant impact on hard outcomes.1–5 Indeed, as also summarised in a recently published… View more
Author(s): Margaret McEntegart , Keith G Oldroyd Added: 3 years ago
There has been extensive discussion and debate in terms of the outcome of the recent landmark coronary revascularisation trials and their implications for the future management of chronic stable angina (CSA) and prognostically significant coronary artery disease (CAD). While the Clinical Outcomes Utilizing Revascularisation and Aggressive Drug Evaluation (COURAGE) trial questioned the added… View more
Author(s): Duk-Woo Park , Do-Yoon Kang Added: 7 months ago
ESC 2023 — We are joined onsite by Dr Duk-Woo Park and Dr Do-Yoon Kang (Asan Medical Center, Seoul, KR) to discuss the findings from the OCTIVUS study (NCT03394079). The OCTIVUS study (Seung-Jung Park, CardioVascular Research Foundation, Korea) aims to compare the clinical safety and efficacy of optimal coherence tomography (OCT) guided and intravascular ultrasound (IVUS) guided strategies in… View more
Author(s): Tito Kabir , Adel Aminian , Andrea Zuffi , et al Added: 3 years ago
The benefit of primary percutaneous coronary intervention (PCI) over hospital-based thrombolysis for ST-elevation myocardial infarction (STEMI) has been established beyond reasonable doubt.1 However, thrombolysis remains an effective and widely used therapy for a significant proportion of STEMI patients and is particularly effective within two hours of the onset of symptoms.2 There may also be… View more
Author(s): Kristina Grønborg Laut , Alma Becic Pedersen , Timothy L Lash , et al Added: 3 years ago
Coronary heart disease (CHD) remains a leading cause of mortality and disability for both men and women in Europe, accounting for 1.92 million deaths each year.1 One in five women (22%) and one in five men (21%) die from the disease.1 This significant burden necessitates ongoing improvements in patient management and treatment, to minimise the impact of cardiovascular conditions on both patients… View more
Author(s): Andrew McNeice , Andrew Ladwiniec , Simon J Walsh , et al Added: 3 years ago
The treatment of patients with clinically significant chronic total occlusions (CTOs) will become more frequent with an ageing population, an increasing number of patients undergoing transcatheter aortic valve implantation (TAVI) (20 % have co-existing coronary disease) and patients presenting following coronary artery bypass graft (CABG) failure where redo CABG is not attractive or not possible… View more