Powered by OpenAIRE graph
Found an issue? Give us feedback
addClaim

[Interventional cardiology].

Authors: Agustín, Albarrán; Eduardo, Pinar; José A, Baz; Josepa, Mauri;

[Interventional cardiology].

Abstract

Percutaneous intervention, both coronary and noncoronary, is one area of medicine that has experienced significant progress in recent years. This article does not attempt to present an exhaustive review of all the publications that have appeared in the field in the last year, but is rather intended to summarize those which have had the greatest impact on daily practice. The controversy about drug-eluting stents (DESs) revived in the last year with the emergence of copious data that has, finally, demonstrated that DESs can reduce the need for revascularization at the expense of a slight increase in the rate of late stent thrombosis, though without a significant increase in mortality. Nonetheless, the patients who will benefit most must be carefully selected and double antiplatelet therapy must be continued for at least a year. The debate about the use of percutaneous coronary intervention (PCI) for unprotected left main coronary artery stenosis remains open while the results of randomized clinical trials comparing it with surgery are awaited. For the treatment of bifurcation lesions, it appears that implantation of a single stent, when possible, provides the optimum approach. The treatment of chronic total occlusions continues to provide a real challenge for PCI, though both the number treated and the success rate are increasing. The use of DESs and new antiplatelet drugs, which are safer but no less effective, is revolutionizing the treatment of non-ST-elevation acute coronary syndrome. Moreover, the role of primary PCI is increasingly being recognized in the treatment of acute myocardial infarction, as is the importance of reducing the door-to-balloon-angioplasty time. However, there are well-founded doubts about the safety of DESs in this setting. There has been a significant increase in the use of closure devices for closing patent foramen ovale in the past year, and there have been reports of possible benefits in patients with migraine.

Keywords

Myocardial Infarction, Humans, Coronary Disease, Drug-Eluting Stents, Acute Coronary Syndrome, Angioplasty, Balloon, Coronary

  • BIP!
    Impact byBIP!
    selected citations
    These citations are derived from selected sources.
    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    3
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Average
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Average
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Average
Powered by OpenAIRE graph
Found an issue? Give us feedback
selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
3
Average
Average
Average
Upload OA version
Are you the author of this publication? Upload your Open Access version to Zenodo!
It’s fast and easy, just two clicks!