Relevant bibliographies by topics / Angioplastia primaria

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  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers
  6. Reports

Academic literature on the topic 'Angioplastia primaria'

Author: Grafiati
Published: 4 June 2021
Last updated: 3 February 2022

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Journal articles on the topic "Angioplastia primaria"

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Alfonoso, Fernando. "Angioplastia primaria en España." Revista Española de Cardiología 53, no. 9 (January 2000): 1164–68. http://dx.doi.org/10.1016/s0300-8932(00)75220-1.

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Figueras, Jaume. "Angioplastia primaria y enfermedad multivaso." Revista Española de Cardiología 51, no. 7 (January 1998): 556–58. http://dx.doi.org/10.1016/s0300-8932(98)74789-x.

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Domínguez Rodríguez, Alberto, Pedro Abreu González, and Francisco Bosa Ojeda. "Angioplastia primaria y variaciones diurnas." Revista Española de Cardiología 62, no. 6 (June 2009): 709–10. http://dx.doi.org/10.1016/s0300-8932(09)71345-4.

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San Román, Jose Alberto, and Itziar Gómez Salvador. "Riqueza, mortalidad y angioplastia primaria." Revista Española de Cardiología 70, no. 3 (March 2017): 221–22. http://dx.doi.org/10.1016/j.recesp.2016.09.047.

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Trejo, Blanca, Pilar García, and Eva Rumiz. "Angioplastia primaria sobre arteria coronaria única." Revista Española de Cardiología 70, no. 7 (July 2017): 590. http://dx.doi.org/10.1016/j.recesp.2016.08.017.

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Bluguermann, Jorge, and Juan Manuel Lewkowicz. "Angioplastia Primaria en el Infarto de Miocardio: ¿Qué es?" Revista Argentina de Cardiología 82, no. 5 (October 2014): 472. http://dx.doi.org/10.7775/rac.es.v82.i5.5079.

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García, Eulogio. "Angioplastia primaria: este balón sí es de interés general." Revista Española de Cardiología 55, no. 6 (January 2002): 565–67. http://dx.doi.org/10.1016/s0300-8932(02)76662-1.

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Goicolea Ruigómez, Francisco J., and Sánchez Raymundo Ocaranza. "Abordaje transradial para la angioplastia primaria. ¿Necesidad o funambulismo?" Revista Española de Cardiología 57, no. 8 (January 2004): 720–21. http://dx.doi.org/10.1016/s0300-8932(04)77180-8.

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Moreno, Raúl, Eulogio García, Jaime Elízaga, Manuel Abeytua, Javier Soriano, Javier Botas, José Luis López-Sendón, and Juan Luis Delcán. "Resultados de la angioplastia primaria en pacientes con enfermedad multivaso." Revista Española de Cardiología 51, no. 7 (January 1998): 547–55. http://dx.doi.org/10.1016/s0300-8932(98)74788-8.

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Baz, José Antonio, José Barrabés, Eduardo Pinar, Agustín Albarrán, and Josepa Mauri. "Técnicas actuales en la angioplastia primaria. Manejo actual del shock cardiogénico." Revista Española de Cardiología Suplementos 9, no. 3 (January 2009): 17–26. http://dx.doi.org/10.1016/s1131-3587(09)72809-2.

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Dissertations / Theses on the topic "Angioplastia primaria"

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Ruiz, Rios Lilder. "Impacto en tiempo de actuación y perfil de los pacientes tratados con angioplastia primaria en el área metropolitana de Lima al implantar el programa de asistencia permanente en el Hospital Nacional Edgardo Rebagliati Martins (HNERM-EsSalud) de junio 2011 a junio 2014." Bachelor's thesis, Universidad Nacional Mayor de San Marcos, 2014. https://hdl.handle.net/20.500.12672/13307.

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Objetivo: Determinar el impacto de implantar el Programa de Asistencia Permanente en los tiempos de actuación y el perfil de los pacientes tratados con angioplastia primaria atendidos en el HNERM de julio 2011 al junio 2014. Metodología: Estudio observacional, descriptivo, retrospectivo de corte transversal. El tamaño de la muestra está conformado por 176 pacientes con IMA ST elevado tratados con angioplastia primaria que cumplieron los criterios de inclusión y ninguno de exclusión. Para describir variables cualitativas se emplearon frecuencias absolutas y relativas, para variables cuantitativas se emplearon medidas de tendencia central y dispersión. Resultados: Entre las características epidemiológicas de los pacientes incluidos se observó una edad promedio de 65.7 años, siendo en gran parte de casos: menores de 60 años (36.4%), pacientes de sexo masculino (82.4%), casados (63.1%) y de ocupación empleados (47.2%). La principales comorbilidades fueron la HTA (61.1%) y dislipidemia (58.3%). El tiempo entre la llegada del paciente al hospital y la angioplastia primaria (tiempo puerta-balón) en la mayoría de casos fue > 90 minutos; asimismo, las medianas de los tiempos simples fueron: tiempo 1 (inicio de los síntomas-llegada al hospital), 194 minutos; tiempo 2 (llegada al hospital-evaluación por el médico de emergencia), 40.5 minutos; tiempo 3 (evaluación por el médico de emergencia-atención por el especialista), 40 minutos; tiempo 4 (atención por el especialista-apertura de la arteria), 36 minutos. La mayoría de pacientes tuvieron un tiempo de isquemia menor a 12 horas y una severidad del IAM ST elevado fueron catalogados como Killip I (89.4%) y Killip II (5.6%). El impacto de la atención oportuna del programa de asistencia permanente en la evolución de la función cardiaca en pacientes con IMA ST elevado demostró un mayor grado de afectación cardiaca severa y leve cuando el tiempo de demora en la atención por el especialista fue mayor a 30 minutos, no observándose relación alguna entre este tiempo y la evolución de la función cardiaca (p=0.271). Si bien hubieron mayores casos de afectación cardiaca severa, moderada y leve en pacientes con un tiempo de isquemia total menor a 12 horas, la evolución a corto plazo de la función cardiaca no se vio afectada por el tiempo de isquemia total (p=0.615). El éxito de la angioplastia (TIMI III) se dio en el 94.3% de pacientes y solo el turno de atención del paciente se asoció a esta condición (p=0.023). Conclusiones: El impacto en tiempo de actuación demostró que si bien el tiempo recomendable puerta-balón para la angioplastia se cumplió en una minoría de casos, el tiempo de isquemia no afectó la severidad del IAM ST elevado. El tiempo de demora en la atención por el especialista mayor a 30 minutos aumentó la frecuencia de casos de afección funcional cardiaca severa y leve. El tiempo de isquemia menor a 12 horas permitió observar mayores casos de función cardiaca óptima. La única condición asociada al éxito de la angioplastia primaria fue el turno de atención.
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Rodríguez, Leor Oriol. "Síndrome coronària aguda i angioplàstia primària." Doctoral thesis, Universitat Autònoma de Barcelona, 2015. http://hdl.handle.net/10803/288283.

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Tot i la seva curta vida –la primera angioplàstia coronària la va dur a terme Andreas Grüntzig l’any 1977-, l’intervencionisme coronari percutani ha representat una revolució en el tractament de la patologia coronària. L’objectiu d’aquesta tesi és analitzar diferents condicionants de l’angioplàstia coronària en pacients amb infart de miocardi amb elevació del segment ST (IAMEST) i/o xoc cardiogènic, que estan relacionats amb el pronòstic: 1) Condicionants temporals (I). Anàlisi del retard fins a la reperfusió en funció del lloc on es realitza el primer contacte amb el sistema assistencial . • Anàlisis de los tiempos de atención en pacientes con infarto agudo de miocardio tratados con angioplastia primaria según su procedencia y según el horario de realización del procedimiento. Rev Esp Cardiol 2011;64(6):476-483. 2) Condicionants temporals (II). Anàlisi dels canvis en el retard fins a la reperfusió després de la integració d’una xarxa local dins d’una xarxa regional d’atenció a l’infart, el Codi Infart a Catalunya. • Integration of a local into a regional primary angioplasty action plan (the Catalan Codi Infart network) reduces time to reperfusion. Int J Cardiol 2013;168(4):4354-4357. 3) Condicionants funcionals i anatòmics. Anàlisi del paper de l’accés transradial en pacients amb xoc cardiogènic. • Transradial percutaneous coronary intervention in cardiogenic shock: a single-center experience. Am Heart J 2013;165(3):280-285. 4) Condicionants anatòmics. Anàlisi del paper de l’accés transradial en pacients amb edat ≥75 anys amb IAMEST en els que es realitza angioplàstia primaria. • Results of primary percutaneous intervention in patients ≥75 years treated by the transradial approach. Am J Cardiol 2014;113(3):452-456. Per la realització d’aquest treball s’ha confeccionat un registre prospectiu observacional de pacients consecutius tractats amb angioplàstia en el context de l’IAMEST i/o de xoc cardiogènic atesos en un centre terciari entre 2007 i 2013. En la primera etapa del registre (2007-2010) es va objectivar que l’anàlisi dels diferents intervals de temps entre l’inici dels símptomes i la reperfusió permet identificar punts febles del sistema on es produeixen demores no justificades; i que el lloc on es realitzava el primer contacte mèdic (hospital amb disponibilitat d’angioplàstia primària, hospital sense disponibilitat d’angioplàstia primaria o atenció extrahospitalària pel SEM) tenia una influència en el retard. La realització de la intervenció en horari laboral o en horari de guàrdia no influïa en el retard, en contra del que havien suggerit altres publicacions. Amb la posada en marxa del Codi Infart, l’any 2010, es va millorar l’organització de la xarxa amb un increment del nombre de pacients que van rebre tractament de reperfusió i un increment en l’angioplàstia primària com a tractament d’elecció, amb una disminució del retard fins a la reperfusió quan es comparava amb el període previ. L’anàlisi dels pacients amb xoc cardiogènic va mostrar que l’accés radial és factible en dues terceres parts dels pacients i que l’absència de pols radial era la principal causa de triar la via femoral com a alternativa. Una troballa interessant va ser la relació entre l’accés radial i la disminució de la mortalitat en l’anàlisi multivariant. En els pacients amb edat ≥75 anys als quals es va practicar angioplàstia primària l’accés radial va ésser possible en quasi bé tots els casos (>95%). Tot i la complexitat dels pacients, el seguiment va demostrar una incidència de mortalitat i esdeveniments cardíacs majors significativament inferior a la que s’havia reportat prèviament en aquest subgrup de pacients quan el procediment es realitzava per accés transfemoral.
Despite its short life-the first coronary angioplasty was carried out by Andreas Grüntzig in 1977-percutaneous coronary interventions have represented a revolution in the treatment of coronary disease. The objective of this thesis is to analyze different factors of coronary angioplasty in patients with myocardial infarction with ST segment elevation (STEMI) and / or cardiogenic shock, which are related to the prognosis: 1) Time Factors (I). Analysis of delay to reperfusion depending on where the first medical contact was made. • Anàlisis de los tiempos de atención en pacientes con infarto agudo de miocardio tratados con angioplastia primaria según su procedencia y según el horario de realización del procedimiento. Rev Esp Cardiol 2011;64(6):476-483. 2) Time Factors (II). Analysis of changes in the delay to reperfusion after integrating a local network within a regional network, the Codi Infart Network in Catalonia. • Integration of a local into a regional primary angioplasty action plan (the Catalan Codi Infart network) reduces time to reperfusion. Int J Cardiol 2013;168(4):4354-4357. 3) Anatomical and Functional Factors. Analysis of the role of transradial access in patients with cardiogenic shock. • Transradial percutaneous coronary intervention in cardiogenic shock: a single-center experience. Am Heart J 2013;165(3):280-285. 4) Anatomical Factors. Analysis of the role of transradial access in patients aged ≥75 years with STEMI treated with primary angioplasty. • Results of primary percutaneous intervention in patients ≥75 years treated by the transradial approach. Am J Cardiol 2014;113(3):452-456. We made a prospective observational registry of consecutive patients treated with angioplasty in the context of STEMI and / or cardiogenic shock between 2007 and 2013. In the first phase of the registry (2007-2010) the analysis of different time intervals between symptom onset and reperfusion permited to identify weaknesses in the system and unjustified delays. The place where the first contact medical was made (hospital with or without 7/24 PCI or outpatient care by SEM) had an influence on the delay. The performance of the operation at work or on call time did not affect the delay, contrary to what had suggested other publications. With the launch of the Codi Infart in 2010, the improvement in the organization of the network was related to an increase in the number of patients who received reperfusion therapy and an increase in primary angioplasty as the treatment of choice with a reduction of the delay to reperfusion when compared with the previous period. The analysis of patients with cardiogenic shock showed that radial access was feasible in 2/3 of patients and that the absence of radial pulse was the main femoral approach. We find a relationship between radial access and decreased mortality in the multivariate analysis. In patients aged ≥75 years who underwent primary angioplasty radial access was possible in almost all cases (> 95%). Despite the complexity of patient monitoring showed an incidence of mortality and major cardiac events was significantly lower than that previously reported in this subgroup of patients when the procedure is performed by transfemoral access.
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Aboal, Viñas Jaime. "Creació i validació d'un model de predicció per al càlcul del temps d'angioplàstia primària en pacients amb infart agut de miocardi que són traslladats a un hospital amb disponibilitat d'hemodinàmica." Doctoral thesis, Universitat de Girona, 2020. http://hdl.handle.net/10803/669976.

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Introduction: Achieving optimal times of reperfusion in STEMI patients transferred for primary percutaneos coronary intervention (PCI) remains a challenge, particularly in geographically disperse regions. Our goal was to create a prediction model of STEMI diagnosis - wire crossing time and perform an internal validation. Methods: Prospective cohort study of patients admitted to the critical care unit (2007-2018) diagnosed with STEMI who required to be transferred to PCI center. An analysis was carried out to identify the predictive variables leading to a delay in STEMI diagnosis -wire crossing times. Afterwards, a prediction model was created and an internal validation of this model was performed. Results: A total of 1.049 patients were included during the study period. The delaying predictive factors were: severe Killip on admission (Killip ≥3) (OR 1,100 IC 95% (1,048-1,155) p=0,0001), coronary artery bypass grafting (OR 1,241 IC 95% (1,119-1,377) p <0,001), out-of-hospital cardiac arrests (OR 1,150 IC 95% (1,078-1,228) p <0,001), lateral ischemia (OR 1,065 IC 95% (1,030-1,102) p=0,0002), first medical contact in a non-PCI center (OR 1,225 IC 95% (1,174-1,279) p<0,001), primary healthcare center (OR 1,183 IC 95% (1,131-1,238) p<0,001), home care (OR 1,077 IC 95% (1,026-1,131) p=0,003) and distance (Km) from PCI center; < 40 Km (OR 1,034 IC 95% (1,026-1,043) p<0,001) and >40 Km (OR 1.079 IC 95% (1,066-1,092) . Internal validation showed a square R of 0.355 and a correlation of 0.6. The area under the curve to predict time >120 minutes was 0.785. Conclusions: STEMI diagnosis-wire crossing time predictor variables were identified and included in a prediction model. Internal validation was success. This tool could be useful in clinical practice when taking relevant decisions in STEMI patients
Introducció: És difícil aconseguir temps òptims d´angioplàstia primària (AP) en un percentatge de pacients amb IAMEST procedents del medi extra-hospitalari o d'hospitals sense programa d'AP. Disposar d'una eina de predicció del temps d'AP desde el diagnòstic podria ser útil. El nostre objectiu va ser crear un model de predicció del temps d'ECG diagnòstic-pas de guia i realitzar una validació d'aquest model. Mètode Estudi de cohorts prospectiu de pacients ingressats a la unitat de cures crítiques cardiològiques (2007-2018) amb IAMEST, tractats amb AP i que van requerir ser traslladats a un centre amb disponibilitat d'hemodinàmica. Es va realitzar un anàlisi per identificar les variables predictores de demora de l'ECG diagnòstic- pas de guia, es va crear un model de predicció d'aquest temps i una validació interna del model. Resultats Es van incloure un total de 1.049 pacients en l'estudi. Les variables incloses en el model de predicció van ser la insuficiència cardíaca greu a l'ingrés (Killip ≥3) (OR 1,100 IC 95% (1,048-1,155) p = 0,0001), la cirurgia cardíaca prèvia de bypass (OR 1,241 IC 95% (1,119-1,377) p <0,001), la mort sobtada extrahospitalària (OR 1,150 IC 95% (1,078-1,228) p <0,001), la localització lateral de l'IAM (OR 1,065 IC 95% (1,030-1,102) p = 0, 0002), el primer contacte amb hospital sense disponibilitat d'hemodinàmica (OR 1,225 IC 95% (1,174-1,279) p <0,001), centre d'atenció primària (OR 1,183 IC 95% (1,131-1,238) p <0,001), domicili ( OR 1,077 IC 95% (1,026-1,131) p = 0,003) i finalment la distància al centre amb hemodinàmica; <40 Km (OR 1,034 IC 95% (1,026-1,043) p <0,001) i> 40 km (OR 1.079 IC 95% (1,066-1,092) p <0,001). La validació interna va mostrar un R quadrat de 0,355 i una correlació de 0,6. L'àrea sota la corba per a temps superiors a 120 minuts va ser de 0,785. Conclusions Identificades les variables predictores del temps ECG diagnòstic-pas de guia es va crear un model de predicció, amb una validació interna satisfactòria, que pot ser útil en la presa de decisions clíniques en el IAMEST
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Descou, Quentin. "Echographie de contraste myocardique pendant l'angioplastie primaire de l'infarctus." Montpellier 1, 1996. http://www.theses.fr/1996MON11148.

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Moragues, Christophe. "Viabilité myocardique après infarctus du myocarde et angioplastie primaire : apport de l'échocardiographie-dobutamine." Montpellier 1, 1995. http://www.theses.fr/1995MON11147.

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Derimay, François. "Développement d'une nouvelle technique séquentielle d'optimisation proximale des angioplasties de bifurcations coronaires avec implantation d'un seul stent nommée rePOT : concept, validations expérimentales et cliniques." Thesis, Lyon, 2019. http://www.theses.fr/2019LYSE1004/document.

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La bifurcation coronaire est un site privilégié d’athérosclérose. Jusqu’alors aucune des techniques de stenting provisionnel percutanées avec juxtaposition de ballons n’a démontré de bénéfice clinique. Ces échecs peuvent être expliqués par le non-respect de la géométrie fractale des bifurcations qui pourtant doit toujours guider la revascularisation (correction de la malapposition et optimisation de l’ostium de la branche collatérale). Fort de ce constat, nous avons imaginé une nouvelle technique séquentielle et simple, en 3 temps, le rePOT, associant Proximal Optimizing Technique (POT) initial, ouverture de la branche collatérale et POT final. Son évaluations s’est voulue progressive en 4 étapes : 1) concept, 2) preuve expérimentale de concept, 3) confirmation des bénéfices mécaniques in vivo, et 4) validation clinique. Dans ce travail nous avons donc d’abord expérimentalement démontré la supériorité du résultat mécanique final du rePOT par rapport aux techniques non séquentielles de provisional stenting (manuscrit # 1). Ainsi, le rePOT effondre la malapposition globale du stent, conserve la circularité proximale physiologique et optimise l’obstruction ostiale résiduelle de la branche accessoire. Ces excellents résultats sont confirmés indépendamment du design ou de la composition des stents (manuscrits # 2, 4). Nous avons par ailleurs démontré l’importance de chacune des 3 étapes du rePOT: POT initial (manuscrit # 1), ouverture de SB et POT final (manuscrit # 3). Enfin, fort de ces démonstrations expérimentales, nous avons confirmé in vivo avec mesures OCT itératives à la fois les excellents résultats expérimentaux et la bonne évolution clinique à moyen terme (manuscrit # 5). Ce travail démontre donc étape par étape, de l’expérimentale à la clinique, l’ensemble des bénéfices de cette nouvelle technique séquentielle de stenting provisionnel "rePOT", devenue une référence en Europe dans la revascularisation percutanée des bifurcations coronaires
Coronary bifurcations are a preferential location for atherosclerosis development. Until now, no technic with balloons juxtaposition demonstrated a clinical benefit in percutaneous coronary bifurcation revascularization by provisional stenting (with 1 stent). Successive failures could be explained by the absence of respect of the bifurcations fractal geometry, which need to be systematically followed during all revascularization (correction of the malapposition and optimization of the side branch ostium). Thus, we imagined a new technique, simple and sequential, in 3 steps, named rePOT. It is combining initial Proximal Optimizing Technique (POT), side-branch opening and final POT. We proposed a demonstration in 4 steps : 1) concept, 2) experimental proofs of concept, 3) confirmation of the clinical benefits in vivo, and 4) clinical validation. In this work, we experimentally demonstrated the superiority of the final mechanical results of the rePOT compared to all non-sequential provisional stenting (manuscript # 1). Thus, rePOT decreased stent global malapposition, maintained the initial proximal circularity and optimized the final ostial side branch obstruction. These excellent results were confirmed independently of stent design or material (manuscripts # 2, 4). Moreover, we demonstrated the specific benefits of each steps of the rePOT : initial POT (manuscript # 1), SB opening, and final POT (manuscript # 3). Finally, we confirmed in vivo, with serial OCT analysis, these excellent mechanical results and the good clinical outcome at mid-term. (manuscript # 5). Thank to this step by step demonstration, from experimental to clinic, we confirmed all benefits of this new provisional stenting sequential technique "rePOT". Thereby, before the last step of the demonstration, rePOT became a reference in Europe for the percutaneous revascularization of coronary bifurcations
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Perroutin, Laurent. "L'angioplastie primaire de l'infarctus du myocarde du sujet de plus de 70 ans : intérêts de la voie radiale, résultats immédiats et suivi à distance." Bordeaux 2, 1998. http://www.theses.fr/1998BOR2M101.

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SELLAL, ANTOINE KRAFFT REMY. "SUIVI PAR TOMOSCINTIGRAPHIE MYOCARDIQUE AU THALLIUM 201 DES INFARCTUS DU MYOCARDE TRAITES PAR ANGIOPLASTIE PRIMAIRE." [S.l.] : [s.n.], 2000. http://www.scd.uhp-nancy.fr/docnum/SCDMED_T_2000_SELLAL_ANTOINE.pdf.

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Smith, Elliot J. "Optimising coronary reperfusion in acute myocardial infarction : the role of primary angioplasty." Thesis, Queen Mary, University of London, 2007. http://qmro.qmul.ac.uk/xmlui/handle/123456789/1791.

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Thrombolysis remains the predominant reperfusion strategy for ST segment elevation myocardial infarction (STEMI) in the United Kingdom. Although primary angioplasty may offer superior outcomes, the logistics of delivering this therapy in the UK have not been investigated. This thesis describes the development of a pilot primary angioplasty service in North East London. Outcomes are compared with the thrombolytic strategy, and platelet activation is explored as a possible biological mechanism determining reperfusion. The impact of the thrombolytic strategy on revascularisation following STEMI in North East London was first investigated. Thrombolytic delivery was effective, but necessitated frequent early revascularisation, leading to prolonged hospital stay. A primary angioplasty service was developed at the cardiac centre, and expanded to serve six network hospitals. Within the limitations of a daytime pilot, the service improved clinical outcomes, and was associated with a substantial reduction in hospital stay. Two admission strategies were compared - direct access to the cardiac centre following pre-hospital diagnosis by ambulance crews, and transfer of patients presenting to network emergency (A&E) departments after upstream administration of abciximab and clopidogrel. Direct access significantly reduced reperfusion times. Upstream anti-platelet therapy improved angiographic reperfusion prior to primary angioplasty, possibly compensating for inter hospital transfer delays. A subgroup of STEMI patients underwent platelet activation studies. Lower baseline platelet monocyte aggregate (PMA) levels predicted improved angiographic reperfusion following primary angioplasty, supporting the concept that PMAs may reflect plaque rupture severity, and may promote microvascular 2 dysfunction. Early anti-platelet therapy reduced PMAs following intervention, which may explain the benefit of early abciximab observed in clinical trials. In summary this thesis has demonstrated that primary angioplasty can be del ivered safely and eff ectively in North East London. The eff icacy of reperf usion may be determined by mechanisms involving platelet activation. Delivery of a 24 hour seven day service should now be addressed.
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Kunadian, Babu. "Evolution of treatment for patients with acute myocardial infarction : a single centre experience of thrombolysis with rescue angioplasty moving to a comprehensive primary angioplasty service." Thesis, University of Newcastle Upon Tyne, 2012. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.576647.

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Early restoration of infarct-related artery (IRA) blood flow and myocardial perfusion in patients with acute STEMI is associated with preservation of left ventricular function, myocardial salvage and reduction in mortality (GUSTO, 1993, FTT -Group, 1994, Berger et al., 1999, Cannon et al., 2000, De Luca et al., 2004, Shavelle et al., 2005, Brodie et al., 2006). Wider implementation of PPCI in the UK is limited by different geography and demography of the patients presenting with STEMI. There are difficulties in initiating a PPCI service and delivering therapy within recommended timelines. This has been due mainly to lack of facilities and trained staff, uncertainties about the cost-effectiveness of the strategy and difficulties in changing established practice. The widespread introduction of PPCI would have major implication for the reorganisation of health care provision. The primary aim of this thesis is the evaluation of a reorganisation of service from one based on thrombolysis (including a rescue angioplasty service) to a PPCI service at The lames Cook University Hospital for patients with acute myocardial infarction. The long-term outcomes of rescue PCI (rPCI), its use in high-risk groups, and an analysis of the predictors of failed rPCI procedures, form the basis of the first part of this thesis. Additional analysis reflects the change from one pathway of service delivery to another with the development of a PPCI service.
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Books on the topic "Angioplastia primaria"

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Anastasian, Zirka H., and Eric J. Heyer. Neuroprotection for Carotid Endarterectomy and Carotid Artery Stenting. Edited by David L. Reich, Stephan Mayer, and Suzan Uysal. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190280253.003.0018.

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Carotid endarterectomy (CEA) and carotid artery stenting (CAS) pose risks of cerebral injury and adverse neurological outcomes consisting of perioperative stroke and cognitive decline. This chapter examines the mechanisms of and risks for neurological injury associated with these procedures and the various strategies that are employed to protect the brain and minimize the risk of stroke and cognitive decline, including surgical and anesthetic techniques, blood pressure management, and statin administration. During CEA, neuromonitoring is used to guide surgical technique in order to prevent ischemic stroke due to hypoperfusion during carotid artery cross-clamping and embolic stroke during unclamping. For CAS, cerebral protective devices are the primary neuroprotection technique, with the focus on preventing embolic stroke during manipulation of wires, angioplasty, and stenting.
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Ritchie, James, Darren Green, Constantina Chrysochou, and Philip A. Kalra. Renal artery stenosis. Edited by Neil Turner. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199592548.003.0215.

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In fibromuscular disease (FMD), renal artery occlusion seems to be rare. Balloon angioplasty appears moderately successful in the medium term in controlling hypertension, at least in younger patients. In more complicated circumstances, medical therapy may be preferred. Similar approaches have been used in Takayasu disease but with less information about lasting outcomes.In atherosclerotic renal disease, the risk of renal artery occlusion and loss of renal function seems higher, but so are the complications of invasive management. Randomized clinical studies have not shown better blood pressure control or renal outcomes between medical therapy and percutaneous revascularization. As a consequence, modern management of atherosclerotic renovascular disease is primarily pharmacological, with interventional techniques reserved for selected presentations such as rapidly declining therapy, acute occlusion, or characteristic ‘flash’ pulmonary oedema.Whilst this approach is widely accepted, long-term outcome data are scant and there is ongoing research interest into specific disease phenotypes, refined interventional techniques, and novel treatment strategies aimed at preserving the renal microcirculation.
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Allon, Michael. Haemodialysis. Edited by Jonathan Himmelfarb. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199592548.003.0256.

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Delivery of haemodialysis is dependent on having a vascular access that can reproducibly deliver an adequate blood flow thrice weekly. None of the three types of vascular access is perfect; each has potential advantages and drawbacks. Fistulas are the preferred type of vascular access because they have the longest cumulative survival and require the fewest interventions to maintain their long-term patency, once they achieve suitability for dialysis. However, fistulas have a fairly high non-maturation rate, frequently require revisions to achieve suitability for dialysis, and often are associated with prolonged catheter dependence until they are ready to cannulate. In contrast, grafts have a lower primary failure rate, are usually ready to use within 2–3 weeks of creation, and are therefore associated with a shorter duration of catheter dependence. However, the cumulative survival of grafts is shorter than that of fistulas, and they require more frequent interventions (angioplasty, thrombectomy, or surgical revisions) to maintain their patency for dialysis. The major advantage of dialysis catheters is that they are suitable for use as soon as they are placed. However, catheter use is associated with frequent complications, including catheter-related bacteraemia, dysfunction, and central vein stenosis. Many patients require a tunnelled dialysis catheter as a bridge, until they have a mature fistula or graft. Optimal management of vascular access is extremely challenging, and requires close collaboration among multiple medical disciplines, advance planning, and treatment or prophylaxis of their frequent complications.
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Book chapters on the topic "Angioplastia primaria"

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Jafary, Fahim H. "Anticoagulants and Primary PCI." In Primary Angioplasty, 109–18. Singapore: Springer Singapore, 2018. http://dx.doi.org/10.1007/978-981-13-1114-7_9.

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Lee, Zhen Vin, and Bashir Hanif. "Historical Perspectives on Management of Acute Myocardial Infarction." In Primary Angioplasty, 1–13. Singapore: Springer Singapore, 2018. http://dx.doi.org/10.1007/978-981-13-1114-7_1.

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Sathananthan, Janarthanan, Timothy J. Watson, Dale Murdoch, Christopher Overgaard, Deborah Lee, Deanna Khoo, and Paul J. L. Ong. "Management of Intracoronary Thrombus." In Primary Angioplasty, 119–35. Singapore: Springer Singapore, 2018. http://dx.doi.org/10.1007/978-981-13-1114-7_10.

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Hensey, Mark, Janarthanan Sathananthan, Wahyu Purnomo Teguh, and Niall Mulvihill. "Is There a Role for Bare-Metal Stents in Current STEMI Care?" In Primary Angioplasty, 137–50. Singapore: Springer Singapore, 2018. http://dx.doi.org/10.1007/978-981-13-1114-7_11.

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Wickramarachchi, Upul, Hee Hwa Ho, and Simon Eccleshall. "Drug-Coated Balloons in STEMI." In Primary Angioplasty, 151–65. Singapore: Springer Singapore, 2018. http://dx.doi.org/10.1007/978-981-13-1114-7_12.

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Paradies, Valeria, and Pieter C. Smits. "Culprit-Only Artery Versus Multivessel Disease." In Primary Angioplasty, 167–78. Singapore: Springer Singapore, 2018. http://dx.doi.org/10.1007/978-981-13-1114-7_13.

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Hau, William K. T., and Bryan P. Y. Yan. "Role of Intravascular Imaging in Primary PCI." In Primary Angioplasty, 179–95. Singapore: Springer Singapore, 2018. http://dx.doi.org/10.1007/978-981-13-1114-7_14.

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Yu, Katherine M., and Morton J. Kern. "Physiological Lesion Assessment in STEMI and Other Acute Coronary Syndromes." In Primary Angioplasty, 197–210. Singapore: Springer Singapore, 2018. http://dx.doi.org/10.1007/978-981-13-1114-7_15.

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Shi, William Y., and Julian A. Smith. "Role of Coronary Artery Bypass Surgery in Acute Myocardial Infarction." In Primary Angioplasty, 211–21. Singapore: Springer Singapore, 2018. http://dx.doi.org/10.1007/978-981-13-1114-7_16.

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Adjedj, Julien, Olivier Muller, and Eric Eeckhout. "A Handbook of Primary PCI: No-Reflow Management." In Primary Angioplasty, 223–35. Singapore: Springer Singapore, 2018. http://dx.doi.org/10.1007/978-981-13-1114-7_17.

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Conference papers on the topic "Angioplastia primaria"

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Visona, Adriana, Guido Liessi, Luigi Miserocchi, Andrea Bonanome, Luigi Lusiani, Giovanni Breggion, and Antonio Pagnan. "Primary success and one-year followup of percutaneous peripheral excimer laser angioplasty." In OE/LASE '92, edited by George S. Abela. SPIE, 1992. http://dx.doi.org/10.1117/12.137300.

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KOMATSU, HIROTAKA, MASATO NAKAMURA, HISAO HARA, and KAORU SUGI. "MYOCARDIAL SALVAGE EFFECTS OF PRIMARY ANGIOPLASTY UNDER DISTAL PROTECTION IN PATIENTS WITH MYOCARDIAL INFARCTION." In Proceedings of the 31st International Congress on Electrocardiology. WORLD SCIENTIFIC, 2005. http://dx.doi.org/10.1142/9789812702234_0173.

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Lodi, Y., S. Chin, B. Pulgarin, Z. Weiss, and V. Reddy. "E-125 Primary rapid-exchange coronary balloon angioplasty for the treatment of recurrent symptomatic intracranial atherosclerotic disease." In SNIS 17TH ANNUAL MEETING. BMA House, Tavistock Square, London, WC1H 9JR: BMJ Publishing Group Ltd., 2020. http://dx.doi.org/10.1136/neurintsurg-2020-snis.157.

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Saleh, Haissam Abou, Asha Elmi, Yasmeen Salameh, Basirudeen Kabeer, Awad Al-Qahtani, Jassim Al Suwaidi, Abdurrazzak Gehani, and Magdi Yacoub. "Time Course of Platelet Activation Markers as a Potential Prognostic Indicator after Primary Percutaneous Coronary Angioplasty in Qatar." In Qatar Foundation Annual Research Conference Proceedings. Hamad bin Khalifa University Press (HBKU Press), 2016. http://dx.doi.org/10.5339/qfarc.2016.hbpp3346.

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Ismail, Mohamed, and Mohamed Rizk. "A Prospective Randomized Study Comparing the Use of Plain Percutaneous Transluminal Angioplasty Balloon Catheters for Primary Balloon Angioplasty versus Hydrostatic Dilatation to Prepare the Cephalic Vein Prior to Creation of Radio-Cephalic Arteriovenous for Dialysis." In PAIRS Annual Meeting. Thieme Medical and Scientific Publishers Pvt. Ltd., 2019. http://dx.doi.org/10.1055/s-0041-1730641.

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Reports on the topic "Angioplastia primaria"

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Krastev, Plamen, Violeta Groudeva, Filip Abedinov, Peter Nikolov, Hristo Angelov, and Iliyan Petrov. Early versus Late Primary Percutaneous Coronary Angioplasty in Patients with Acute Myocardial Infarction and Single Vessel Coronary Disease - Factors for Overall Patients Survival Rate. "Prof. Marin Drinov" Publishing House of Bulgarian Academy of Sciences, July 2020. http://dx.doi.org/10.7546/crabs.2020.07.16.

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