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Browsing by Author "Cardoso, Pedro Pinto"

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  • Coronary intravascular lithotripsy effectiveness and safety in a real-world cohort
    Publication . Oliveira, Catarina; Vilela, Marta; Menezes, Miguel Nobre; Silva Marques, João; Jorge, Claudia; Rodrigues, Tiago; Almeida Duarte, José; Marques da Costa, José; Carrilho-Ferreira, Pedro; Francisco, Ana Rita; Cardoso, Pedro Pinto; Pinto, Fausto J.
    Background: Coronary artery calcification is a predictor of adverse outcomes after percutaneous coronary intervention (PCI). Intravascular lithotripsy (IVL) is a promising tool for the treatment of calcified lesions. The aim of this study was to assess the effectiveness and safety of IVL. Methods: A single-center observational study of PCI procedure, with assessment of the outcomes of patients undergoing PCI using IVL, was performed. Angiographic procedural success was used as the primary effectiveness endpoint. The primary safety endpoint was defined as a composite of cardiac death, myocardial infarction and target vessel revascularization within 30 days. Results: A total of 111 patients were included. Indications for PCI spanned the spectrum of chronic (53.2%) and acute coronary syndromes (43%). Lesion preparation before IVL was performed with non-compliant (42%), cutting or OPN (14.4%) balloons and with atherectomy techniques in 11% of procedures. Intravascular imaging was used in 21.6% of procedures. The primary effectiveness endpoint was achieved in 100% and the primary safety endpoint in 3.6% of procedures. Peri-procedural complications were minimal and successfully resolved. Conclusions: IVL was an effective and safe technique for the treatment of calcified coronary lesions. These findings contribute to the growing body of evidence supporting the use of IVL in the management of these challenging scenarios.
    2024Journal article Open access Show more
  • Double ventricular rupture after inferolateral myocardial infarction : a rare mechanical complication
    Publication . Rigueira, Joana; Silva, Gustavo Lima da; Silva, Pedro Canas da; Pinto, Fausto J.; Cardoso, Pedro Pinto
    An 80-year-old female patient presented to emergency department with cardiogenic shock. In the previous week, she had intermittent episodes of oppressive chest pain. The night before, she had another episode that persisted for several hours. The following afternoon, she collapsed and the prehospital emergency team was triggered. On admission, she was hypotensive (60/30 mm Hg) and needed support with norepinephrine. The electrocardiogram revealed inferolateral ST-segment elevation, with inferior, posterior, and lateral wall akinesia and an anterior moderate pericardial effusion, with neither right atrial nor right ventricular (RV) collapse on transthoracic echocardiography.
    2019-06-24Journal article Restricted access Show more