RESUMEN
Despite all well-known benefits of transradial access, patients presenting with cardiogenic shock are usually submitted to coronary angiography and percutaneous coronary intervention via traditional transfemoral access, mainly due to challenge puncture of radial artery in the setting of hemodynamic instability. We report a challenging case of STEMI-related cardiogenic shock requiring primary PCI of an occluded and unprotected left main, safety, and successfully performed via right distal trans radial access in the anatomical snuffbox.
RESUMEN
For ST-segment elevation myocardial infarction (STEMI) patients with multi-vessel coronary disease, complete revascularization is superior to culprit-only percutaneous coronary intervention (PCI). Chronic total occlusion represents the most challenging setting for PCI. Distal transradial access (dTRA) has advantages such as faster hemostasis and risk of proximal radial artery occlusion. We report a case of nonculprit coronary total occlusion recanalization concurrent to culprit primary PCI via dTRA in the setting of STEMI.
RESUMEN
O implante da valva pulmonar (ITVP) Melody proporcionou um importante avanço terapêutico para pacientes no pós-operatório tardio de algumas cerdiopatias congênitas com disfunção de condutos ou próteses biológicas na via de saída do ventriculo direito (VSVD). Trata-se de opção menos invasiva e com menor taxa de complicação que a substituição valvar com tórax aberto, resultando em redução da necessidade de cirurgias repetidas e consequente melhor qualidade de vida...