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Fifteen years of coronary intravascular ultrasound in percutaneous coronary int...

Azevedo Guerreiro, R; Fernandes, R; Campante Teles, R; Canas da Silva, P; Pereira, H; Cruz Ferreira, R; Costa, M; Seixo, F; Farto E Abreu, P; Pipa, JL

INTRODUCTION: Coronary intravascular ultrasound (IVUS) is increasingly important in catheterization laboratories due to its positive prognostic impact. This study aims to characterize the use of IVUS in percutaneous coronary intervention (PCI) in Portugal. METHODS: A retrospective observational study was performed based on the Portuguese Registry on Interventional Cardiology of the Portuguese Society of Cardiol...

Date: 2020   |   Origin: Saúde - CUF

Fifteen years of coronary intravascular ultrasound in percutaneous coronary int...

Azevedo Guerreiro, R; Fernandes, R; Campante Teles, R; Canas da Silva, P; Pereira, H; Cruz Ferreira, R; Costa, M; Seixo, F; Farto E Abreu, P; Pipa, JL

INTRODUCTION: Coronary intravascular ultrasound (IVUS) is increasingly important in catheterization laboratories due to its positive prognostic impact. This study aims to characterize the use of IVUS in percutaneous coronary intervention (PCI) in Portugal. METHODS: A retrospective observational study was performed based on the Portuguese Registry on Interventional Cardiology of the Portuguese Society of Cardiol...

Date: 2019   |   Origin: Lusíadas Saúde

Short- and Long-Term Outcome After Alcohol Septal Ablation in Obstructive Hyper...

Aguiar Rosa, S; Fiarresga, A; Galrinho, A; Cacela, D; Ramos, R; de Sousa, L; Gonçalves, A; Bernardes, L; Patrício, L; Branco, LM; Cruz Ferreira, R

Introduction: In obstructive hypertrophic cardiomyopathy (HCM), alcohol septal ablation (ASA) can lead to gradient reduction and symptom improvement. We aimed to assess the efficacy and safety of ASA in a long-term outcome study. Methods: We analyzed patients who underwent ASA over a seven-year period in a tertiary center. The primary echocardiographic endpoint was >50% reduction in left ventricular outflow tra...


Timing and Long-Term Prognosis of Recurrent MI After Primary Angioplasty : Sten...

Viveiros Monteiro, A; Ramos, R; Fiarresga, A; Sousa, L; Cacela, D; Patrício, L; Bernardes, L; Soares, C; Cruz Ferreira, R

BACKGROUND: In patients recovering from an ST-segment elevation myocardial infarction (STEMI), it is not clear whether the negative impact of stent thrombosis (ST) is different from a non-stent-related recurrent myocardial infarction (NSRMI). This study sought to assess the long-term incidence and prognostic impact of recurrent myocardial infarction (MI) after percutaneous coronary intervention (PCI) for STEMI ...


Alcohol Septal Ablation in Obstructive Hypertrophic Cardiomyopathy: Four Years ...

Fiarresga, A; Cacela, D; Galrinho, A; Ramos, R; Sousa, L; Bernardes, L; Patrício, L; Cruz Ferreira, R

INTRODUCTION: We describe our center's initial experience with alcohol septal ablation (ASA) for the treatment of obstructive hypertrophic cardiomyopathy. The procedure, its indications, results and clinical outcomes will be addressed, as will its current position compared to surgical myectomy. OBJECTIVE: To assess the results of ASA in all patients treated in the first four years of activity at our center. MET...


Safety and Effectiveness of the Genous™ Endothelial Progenitor Cell-Capture Ste...

Pereira-da-Silva, T; Bernardes, L; Cacela, D; Fiarresga, A; Sousa, L; Patrício, L; Cruz Ferreira, R

PURPOSE: The Genous™ stent (GS) is designed to accelerate endothelization, which is potentially useful in the pro-thrombotic environment of ST-elevation acute myocardial infarction (STEMI). We aimed to evaluate the safety and effectiveness of the GS in the first year following primary percutaneous coronary intervention (PCI) and to compare our results with the few previously published studies. METHODS AND MATER...


Trombose Muito Tardia de Stent Coronário Após Suspensão de Terapêutica Antiagre...

Cardona, L; Simas, A; Lousinha, A; Fiarresga, A; Sousa, L; Cacela, D; Patrício, L; Bernardes, L; Cruz Ferreira, R

Percutaneous transluminal coronary angioplasty (PTCA) with stent placement is widely used to achieve myocardial revascularization in patients with symptomatic ischemic heart disease and significant coronary artery stenosis. Drug-eluting stents are used in most patients undergoing percutaneous angioplasty. Stent thrombosis is an uncommon but serious complication, manifested mostly by sudden death or acute ST-ele...


Fractura de Stent: Caso Clínico e Revisão da Literatura

Lousinha, A; Fiarresga, A; Cardona, L; Lopes, JP; Lopes, A; Cacela, D; Sousa, L; Patrício, L; Bernardes, L; Cruz Ferreira, R

Apresentamos o caso de um doente, previamente submetido a angioplastia coronária com um stent revestido com fármaco, com enfarte agudo do miocárdio (EAM) provocado por trombose tardia do stent, tendo sido detectada fractura do mesmo. Este caso vem reforçar o reconhecimento crescente da fractura como potencial mecanismo para a trombose tardia de stent, na era dos stents revestidos com fármaco. A propósito deste ...


Resultados da Angioplastia Primária num Centro de Referência. Evolução Intra-Ho...

Ramos, R; Patrício, L; Bernardes, L; Cacela, D; Sousa, L; Fiarresga, A; Gonçalves, JM; Toste, A; Lousinha, A; Oliveira, JA; Ferreira, ML; Andreozzi, V

INTRODUCTION: Primary angioplasty is accepted as the preferred treatment for acute myocardial infarction in the first 12 hours. However, outcomes depend to a large extent on the volume of activity and experience of the center. Continuous monitoring of methods and results obtained is therefore crucial to quality control. OBJECTIVE: To describe the demographic, clinical and angiographic characteristics as well as...


Intervenção Percutânea Urgente no Enfarte Agudo do Miocárdio por Lesão do Tronc...

Ramos, R; Patrício, L; Abreu, A; Soares, C; Mamede, A; Fernandes, R; Gamboa, P; Timóteo, AT; Sousa, L; Cacela, D; Bernardes, L; Cruz Ferreira, R

BACKGROUND: ST-elevation myocardial infarction (STEMI) with the culprit lesion in the left main artery is a rare cardiac emergency with a poor prognosis. OBJECTIVE: Review and prognosis evaluation of primary percutaneous coronary intervention (PCI) performed in the setting of STEMI with left main occlusion in a single high-volume center. METHODS: Of the 483 primary or rescue PCIs performed and followed in our h...


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