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Initial experience with orbital atherectomy in a non-surgical center in Portugal

Faria, Daniel; Vinhas, Hugo; Bispo, João; Guedes, João; Marto, Sandrine; Palmeiro, Hugo; Franco, Patrícia; Mimoso, Jorge

Introduction and objectives: Percutaneous coronary intervention (PCI) of severely calcified lesions is associated with a higher risk of procedural complications, suboptimal stent expansion, and in-stent restenosis. Lesion preparation with orbital atherectomy (OA) in severely calcified lesions has been shown to increase procedural success and decrease reintervention rates. In this study, we sought to report the ...


Clinical results of percutaneous coronary intervention in chronic total occlusi...

Costa, Hugo; Espirito-Santo, Miguel; Bispo, João; Guedes, João; Mimoso, Jorge; Palmeiro, Hugo; Gonçalves, Rui Baptista; Vinhas, Hugo

Introduction and Objectives: Coronary chronic total occlusions (CTOs) of the right coronary artery (RCA) are a relatively common finding in the context of coronary angiography. However, the benefit of revascularization remains controversial. Methods: A single -center retrospective cohort analysis prospectively collected outcomes of CTO patients undergoing percutaneous coronary intervention (PCI) in 2019 and 202...


Clinical outcomes of percutaneous coronary intervention in chronic total occlus...

Costa, Hugo; Espírito-Santo, Miguel; Bispo, João; Guedes, João; Mimoso, Jorge; Palmeiro, Hugo; Gonçalves, Rui Baptista; Vinhas, Hugo

Introduction and Objectives: Coronary chronic total occlusions (CTOs) are relatively common findings in patients with type 2 diabetes mellitus (T2DM). However, the indication for percutaneous coronary intervention (PCI) and its clinical benefit in these patients remain controversial. Methods: A single-center retrospective cohort study with prospectively collected outcomes was carried out with CTO patients under...


Ionizing radiation exposure in complex percutaneous coronary intervention: Defi...

Costa, Hugo; Espírito-Santo, Miguel; Bispo, João; Guedes, João; Paulo, Graciano; Mimoso, Jorge; Palmeiro, Hugo; Gonçalves, Rui Baptista; Vinhas, Hugo

Introduction and objectives: Concerns regarding the consequences of ionizing radiation (IR) have been increasing in the field of interventional cardiology (IC). There is little information on reported national and local radiation diagnostic reference levels (DRLs) in catheterization laboratories in Portugal. This study was designed to assess the IR dose exposure during complex percutaneous coronary intervention...


A report on a survey among Portuguese Association of Interventional Cardiology ...

Costa, Hugo; Vinhas, Hugo; Calé, Rita; Pereira, Ernesto; Santos, Joana; Paulo, Graciano; Jorge, Elisabete; Brochado, Bruno; Melica, Bruno

Introduction and objectives: Concerns surrounding the consequences of ionizing radiation (IR) have increased in interventional cardiology (IC). Despite this, the ever-growing complexity of diseases as well as procedures can lead to greater exposure to radiation. The aim of this survey, led by Portuguese Association of Interventional Cardiology (APIC), was to evaluate the level of awareness and current practices...


Long-term follow-up of patients with deferred coronary intervention guided by m...

Pereira, Luísa Vilalonga; Pereira, Hélder; Vinhas, Hugo; Martins, Cristina; Calé, Rita; Pereira, Ernesto; Vitorino, Sílvia; Esteves, Ricardo

Introduction and Aims: The functional significance of coronary lesions can be assessed in the cardiac catheterization laboratory by determination of fractional flow reserve (FFR), thus overcoming one of the major limitations of conventional angiography. The aim of this study was to analyze the long-term clinical course of patients with intermediate coronary stenosis (50---70%) deferred for intervention based on...


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