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Global Chronic Total Occlusion Crossing Algorithm

Wu, EB; Brilakis, ES; Mashayekhi, K; Tsuchikane, E; Alaswad, K; Araya, M; Avran, A; Azzalini, L; Babunashvili, AM; Bayani, B; Behnes, M; Bhindi, R

The authors developed a global chronic total occlusion crossing algorithm following 10 steps: 1) dual angiography; 2) careful angiographic review focusing on proximal cap morphology, occlusion segment, distal vessel quality, and collateral circulation; 3) approaching proximal cap ambiguity using intravascular ultrasound, retrograde, and move-the-cap techniques; 4) approaching poor distal vessel quality using th...

Date: 2021   |   Origin: Lusíadas Saúde

Evaluation and Management of Nonculprit Lesions in STEMI

Thim, T; van der Hoeven, NW; Musto, C; Nijveldt, R; Götberg, M; Engstrøm, T; Smits, PC; Oldroyd, KG; Gershlick, AH; Escaned, J; Baptista, SB, et al.

Nonculprit lesions are frequently observed in patients with ST-segment elevation myocardial infarction. Results from recent randomized clinical trials suggest that complete revascularization after ST-segment elevation myocardial infarction improves outcomes. In this state-of-the-art paper, the authors review these trials and consider how best to determine which nonculprit lesions require revascularization and w...


Safety of the Deferral of Coronary Revascularization on the Basis of Instantane...

Escaned, J; Ryan, N; Mejía-Rentería, H; Cook, CM; Dehbi, HM; Alegria-Barrero, E; Alghamdi, A; Al-Lamee, R; Altman, J; Ambrosia, A; Baptista, SB

OBJECTIVES: The aim of this study was to investigate the clinical outcomes of patients deferred from coronary revascularization on the basis of instantaneous wave-free ratio (iFR) or fractional flow reserve (FFR) measurements in stable angina pectoris (SAP) and acute coronary syndromes (ACS). BACKGROUND: Assessment of coronary stenosis severity with pressure guidewires is recommended to determine the need for m...


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