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1.
J Am Coll Cardiol ; 78(4): 384-407, 2021 07 27.
Article in English | MEDLINE | ID: mdl-34294273

ABSTRACT

Over the last 4 decades, percutaneous coronary intervention has evolved dramatically and is now an acceptable treatment option for patients with advanced coronary artery disease. However, trialists have struggled to establish the respective roles for percutaneous coronary intervention and coronary artery bypass graft surgery, especially in patients with multivessel disease and unprotected left-main stem coronary artery disease. Several pivotal trials and meta-analyses comparing these 2 revascularization strategies have enabled the relative merits of each technique to be established with regard to the type of ischemic syndrome, the coronary anatomy, and the patient's overall comorbidity. Precision medicine with individualized prognosis is emerging as an important method of selecting treatment. However, the never-ending advancement of technology, in conjunction with the emergence of novel pharmacological agents, will in the future continue to force us to reconsider the evolving question: "Which treatment strategy is better and for which patient?"


Subject(s)
Coronary Artery Disease/history , Patient Selection , Percutaneous Coronary Intervention/history , Coronary Artery Disease/surgery , Drug-Eluting Stents/history , History, 20th Century , History, 21st Century , Humans
3.
Catheter Cardiovasc Interv ; 93(4): 639-644, 2019 03 01.
Article in English | MEDLINE | ID: mdl-30536709

ABSTRACT

Since its introduction by Lucien Campeau three decades ago, percutaneous radial artery approach at the forearm has been shown to provide advantages over the femoral approach and has become the standard approach for coronary angiography and intervention. Though infrequent, vascular complications still remain, mainly radial artery occlusion. Therefore, a more distal radial approach at the snuffbox or at the dorsum of hand has been suggested, initially by anethesiologists for perioperative patient monitoring, and more recently by Babunashvili et al. for retrograde radial artery recanalization of radial artery occlusion and then for coronary angiography and intervention. This distal radial approach has been advocated to reduce the risk of radial artery occlusion at the forearm (which precludes reintervention through the same access site) and bleeding and vascular access site complications, as well as to improve operator and patient comfort, especially when using left radial approach. This review describes in detail the anatomy of the radial artery at the wrist and the hand, the history of distal radial access, the rationale underlying use of this technique, the results published by experienced operators, the technique, the limitations, and potential role of this approach. This journey from the very proximal to the very distal part of the radial artery was indeed initiated and conceptualized by Lucien Campeau himself.


Subject(s)
Cardiac Catheterization , Catheterization, Peripheral , Coronary Angiography , Coronary Artery Disease/diagnostic imaging , Coronary Artery Disease/therapy , Coronary Vessels/diagnostic imaging , Percutaneous Coronary Intervention , Radial Artery , Cardiac Catheterization/adverse effects , Cardiac Catheterization/history , Catheterization, Peripheral/adverse effects , Catheterization, Peripheral/history , Coronary Angiography/adverse effects , Coronary Angiography/history , Coronary Artery Disease/history , History, 20th Century , History, 21st Century , Humans , Percutaneous Coronary Intervention/adverse effects , Percutaneous Coronary Intervention/history , Predictive Value of Tests , Punctures , Treatment Outcome
16.
Curr Cardiol Rep ; 18(1): 5, 2016 Jan.
Article in English | MEDLINE | ID: mdl-26699632

ABSTRACT

The evolution of the management of acute myocardial infarction (MI) has been one of the crowning achievements of modern medicine. At the turn of the twentieth century, MI was an often-fatal condition. Prolonged bed rest served as the principal treatment modality. Over the past century, insights into the pathophysiology of MI revolutionized approaches to management, with the sequential use of surgical coronary artery revascularization, thrombolytic therapy, and percutaneous coronary intervention (PCI) with primary coronary angioplasty, and placement of intracoronary stents. The benefits of prompt revascularization inspired systems of care to provide rapid access to PCI. This review provides a historical context for our current approach to primary PCI for acute MI.


Subject(s)
Coronary Angiography/methods , Myocardial Infarction/therapy , Myocardial Revascularization/methods , Percutaneous Coronary Intervention/methods , Stents , Thrombolytic Therapy/methods , Acute Disease , Coronary Angiography/history , History, 19th Century , History, 20th Century , History, 21st Century , Humans , Myocardial Infarction/history , Myocardial Revascularization/history , Percutaneous Coronary Intervention/history , Recurrence , Stents/history , Thrombolytic Therapy/history
20.
J Cardiovasc Transl Res ; 8(4): 211-20, 2015 Jun.
Article in English | MEDLINE | ID: mdl-25986910

ABSTRACT

The joint European Society of Cardiology and European Association of Cardio-Thoracic Surgery (ESC/EACTS) guidelines on myocardial revascularization collect and summarize the evidence regarding decision-making, diagnostics, and therapeutics in various clinical scenarios of coronary artery disease, including elective, urgent, and emergency settings. The 2014 document updates and extends the effort started in 2010, year of the first edition of these guidelines. Importantly, this latest edition provides a systematic review of all randomized clinical trials performed since 1980, comparing different strategies of myocardial revascularization, including coronary artery bypass graft (CABG), balloon angioplasty, percutaneous coronary intervention (PCI) with bare-metal stents (BMS) and first- and second-generation drug-eluting stents (DES). This review aims to highlight the most relevant novelties introduced by the 2014 edition of the ESC/EACTS myocardial revascularization guidelines as compared with the previous edition and to describe similarities and differences with the American societies' guidelines.


Subject(s)
Coronary Artery Bypass/standards , Coronary Artery Disease/therapy , Coronary Stenosis/therapy , Percutaneous Coronary Intervention/standards , Consensus , Coronary Artery Bypass/adverse effects , Coronary Artery Bypass/history , Coronary Artery Bypass/mortality , Coronary Artery Disease/diagnosis , Coronary Artery Disease/history , Coronary Artery Disease/mortality , Coronary Stenosis/diagnosis , Coronary Stenosis/history , Coronary Stenosis/mortality , Evidence-Based Medicine , History, 20th Century , History, 21st Century , Humans , Percutaneous Coronary Intervention/adverse effects , Percutaneous Coronary Intervention/history , Percutaneous Coronary Intervention/instrumentation , Percutaneous Coronary Intervention/mortality , Randomized Controlled Trials as Topic , Severity of Illness Index , Stents , Time Factors , Treatment Outcome
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