13 documents found, page 1 of 2
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, JorgeIntroduction 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, HugoIntroduction 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...
Regional myocardial infarction networks: How to improve quality
Mimoso, JorgeThis work highlights the need for treatment delays to be systematically recorded and audited, in order to detect avoidable systematic delays and to implement measures at community, hospital, and EMS levels to improve the effectiveness of the healthcare pathway and the quality of care.
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, HugoIntroduction 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, HugoIntroduction 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...
The impact of delays in inter-hospital transfers on ST-elevation myocardial inf...
Mimoso, JorgeThe guidelines for ST-elevation myocardial infarction (STEMI) care provide an overview of therapies and strategies that improve prognosis and reduce mortality in patients presenting with STEMI.
Long-term recurrent events in ST-elevation myocardial infarction and multivesse...
Mimoso, JorgeThis study makes an important contribution to responding to issues in the field. Significant non-culprit lesions should undergo revascularization because it can reduce recurrent cardiovascular events compared to the culprit-vessel-only PCI strategy. Second, there are no significant differences in clinical endpoint between it being conducted at index hospital admission or after discharge. They observed a reducti...
Fibrilhação auricular - uma abordagem pré-hospitalar “descomplicada”
da Mota, Teresa Faria; Candeias, Rui; Mimoso, Jorge; de Jesus, IlidioA Fibrilhação Auricular (FA) é a arritmia crónica mais comum a nível mundial, com uma prevalência que poderá duplicar nas próximas décadas. O seu diagnóstico baseia-se na análise do ECG de 12 derivações e caracteriza-se habitualmente pela ausência de ondas p e pela irregularidade dos intervalos R-R, embora possam existir exceções. Uma das principais e mais nefastas complicações da FA são os eventos tromboembóli...
Sindrome coronária aguda sem supradesnivelamento do segmento ST – abordagem pré...
Fernandes, Raquel Menezes; Bento, Dina; Mimoso, Jorge; Jesus, IlídioO eletrocardiograma (ECG) de 12 derivações é o exame complementar de diagnóstico inicial de maior relevância num doente que se apresenta com dor torácica aguda e persistente. Se se documentar elevação persistente do segmento-ST, cumprindo critérios diagnósticos de Enfarte Agudo do Miocárdio com supradesnivelamento do segmento-ST, está indicada a terapêutica de reperfusão imediata. Já o diagnóstico de Síndrome c...
Factors influencing patient delay before primary percutaneous coronary interven...
Pereira, Hélder; Calé, Rita; Pinto, Fausto J.; Pereira, Ernesto; Caldeira, Daniel; Mello, Sofia; Vitorino, Sílvia; Almeida, Manuel de SousaIntroduction and Aims: Shorter patient delays are associated with a better prognosis for patients diagnosed with ST-segment elevation myocardial infarction (STEMI). This study aimed to identify predictors of patient delay in the Portuguese population. Methods: Data on 994 patients with suspected STEMI of less than 12 hours’ duration and referred for primary percutaneous coronary intervention (pPCI) and admitted...