Aim. To analyze factors affecting the availability of hybrid cerebral and myocardial revascularization by synchronous percutaneous coronary intervention (PCI) carotid endarterectomy (CEA). Material methods. This retrospective study included 263 patients with internal artery involvement undergoing PCI CEA during period from 2011 to 2017. Results. The revealed following increasing revascularizati...

Manipulation of aorta, such as side clamping of the ascending aorta, is known as a possible cause of the increased incidence of perioperative cerebrovascular accidents during myocardial revascularization. We describe an easy and cheap alternative technique for proximal anastomosis of saphenous vein to aorta using a Hegar dilator without clamping in off-pump coronary artery bypass procedures. IN...

Study on the effects of coronary revascularization and medical treatment on the prognosis of patients with ischemic cardiomyopathy who satisfy myocardial viability criteria on gated single-photon emission computed tomography (SPECT) assessment of myocardial perfusion. In total, 140 consecutive patients with ischemic cardiomyopathy were studied at rest using gated-SPECT and technetium-labeled co...

The presence and severity of ischemic left ventricular (LV) systolic dysfunction is an important predictor of prognosis. There are ample data demonstrating that for patients with coronary artery disease and ischemic LV dysfunction, revascularization is associated with a better prognosis compared with medical therapy alone. In addition, varying degrees of recovery of LV dysfunction can be observ...

• Objective: To review the COURAGE trial and other data related to revascularization of patients with asymptomatic or stable coronary artery disease. • Methods: Literature review. • Results: The goals of therapy in patients with stable angina are to alleviate symptoms, prevent future events, and improve survival. This is achieved by a combination of antiplatelet therapy, risk factor modificatio...

Mailing address: Anellys Emilia Lourenço da Costa Moreira Rua Cincinato Braga, 102 01333-010 São Paulo, SP Brazil E-mail: [email protected] Sent for publishing on 11/17/2004 Accepted on 12/03/2004 Approximately 60% of the patients with multivessel coronary artery disease and indication for myocardial revascularization can, technically, be treated both through surgical myocardial revascularizat...

Primary percutaneous coronary intervention (PCI) is a standard interventional treatment modality for ST-segment elevation myocardial infarction (STEMI). Diagnostic coronary angiogram during PCI reveals multivessel coronary artery disease in about half of patients with STEMI, and it is difficult to make decision on the extent of intervention in these patients. Although revascularization for the ...

Geriatric patients affected by stable multi-vessel coronary artery disease (CAD) are at the crossroad: they can live with the risks of acute coronary syndrome, malignant arrhythmias or heart failure, or they can undergo a rapid evaluation for myocardial revascularization. It might be a common thought that the risks inherent the revascularization procedure outnumber the perceivable benefits in o...

BACKGROUND Guidelines recommend coronary artery bypass graft surgery (CABG) over percutaneous coronary intervention (PCI) for multivessel disease and severe left ventricular systolic dysfunction. However, CABG has not been compared with PCI in such patients in randomized trials. METHODS AND RESULTS Patients with multivessel disease and severe left ventricular systolic dysfunction (ejection fr...