Dia: 16 de junho de 2014

O que é bom para o Cérebro não é bom para o coração?

Beto Matos-Souza

Embolic protection devices for carotid artery stenting: better results than stenting without protection?

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http://eurheartj.oxfordjournals.org/content/25/17/1550.long

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Conclusion Since 1996 there has been a steady increase in the use of PDs for CAS, with a 100% use in 2003. The use of a PD may lower the rate of ipsilateral strokes during CAS.

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Após dúvidas sobre as vantagens, agora a dúvida é qual proteção usar.

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Distal protection filter device efficacy with carotid artery stenting: comparison between a distal protection filter and a distal protection balloon

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http://link.springer.com/article/10.1007%2Fs11604-012-0145-9

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Slow-Flow Phenomenon During Carotid Artery Intervention With Embolic Protection Devices: Predictors and Clinical Outcome

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http://www.sciencedirect.com/science/article/pii/S0735109705017237

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Nós acreditamos que a cardiologia tem muito a aprender  com as carótidas e o uso de filtros na angioplastia coronária ainda vai demonstrar benefício.

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Que falta faz o contraste de microbolhas intravenoso e intracoronário!

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Uma nova forma de fazer o risco cardiovascular nas Carótidas – Valentim Fuster

Beto Matos-Souza

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http://www.healthcare.philips.com/pwc_hc/za_en/about/Events/RSNA/pdfs/iU22_Sillesen_VPQ_WhitePaper.pdf

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CONCLUSIONS
In the BioImage study, a new 3-dimensional–based ultrasound method identified
more carotid plaques than in previous studies. Compared to other methods, carotid plaque burden was
the strongest cross-sectional predictor of CACS, and its clinical utility as predictor of future cardiovascular events is being evaluated in the BioImage study.
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A medida do IMT já demonstrou seu valor clínico.
Medidas automáticas desfizeram as críticas de examinador dependente.
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Agora vamos para o 3D automático.
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