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When the shaft breaks: managing a cath lab nightmare

Oliveira, Catarina; Azaredo Raposo, Miguel; Marques da Costa, José; Pinto, Fausto J.; Silva Marques, João

Objective: We describe the case of a 57-year-old male patient with anterior ST-segment elevation myocardial infarction in cardiogenic shock. Coronary angiography revealed severe left main (LM) and triple-vessel disease, and the patient was refused for surgery due to lack of distal grafting landing zone. A shaft fracture occurred during LM percutaneous coronary intervention, leaving the fractured stent hanging i...


Coronary intravascular lithotripsy effectiveness and safety in a real-world cohort

Oliveira, Catarina; Vilela, Marta; Menezes, Miguel Nobre; Silva Marques, João; Jorge, Claudia; Rodrigues, Tiago; Almeida Duarte, José

Background: Coronary artery calcification is a predictor of adverse outcomes after percutaneous coronary intervention (PCI). Intravascular lithotripsy (IVL) is a promising tool for the treatment of calcified lesions. The aim of this study was to assess the effectiveness and safety of IVL. Methods: A single-center observational study of PCI procedure, with assessment of the outcomes of patients undergoing PCI us...


The CTo-aBCDE score : a new predictor of success in chronic total occlusions

Rigueira, Joana; Aguiar-Ricardo, Inês; Menezes, Miguel Nobre; Santos, Rafael; Rodrigues, Tiago; Cunha, Nelson; Francisco, Ana Rita

Introduction: Patient selection for percutaneous coronary intervention (PCI) in chronic total occlusions (CTOs) is crucial to procedural success. Our aim was to identify independent predictors of success in CTO PCI in order to create an accurate score. Methods: In a single-center observational registry of CTO PCI, demographic and clinical data and anatomical characteristics of coronary lesions were recorded. Li...


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