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La fibrinolisis intracoronaria como estrategia de rescate ante una cat�strofe tromb�tica masiva. Resoluci�n 冠状动脉内纤维溶解作为大规模血栓灾难的抢救策略。(�n
Q2 Medicine Pub Date : 2023-05-10 DOI: 10.24875/recic.m22000301
Rui Flores, João Costa, Carlos Braga, Catarina Vieira y, Catarina Quina-Rodrigues
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引用次数: 0
Implante percut�neo de v�lvula a�rtica con Evolut PRO comparada con la SAPIEN 3: estudio comparativo aleatorizado evolt PRO与SAPIEN 3的经皮空气瓣膜植入:随机比较研究
Q2 Medicine Pub Date : 2023-05-10 DOI: 10.24875/recic.m22000348
Heba M. Elnaggar, Wolfgang Schoels, Marwan S. Mahmoud, Yehia T. Kishk, Matthias Kullmer, Mohamad Dia y, Magdy Algowhary
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引用次数: 0
Eficacia de la realidad virtual en la reducci�n de la ansiedad en la revascularizaci�n de las OTC: dise�o del ensayo ReViCTO 虚拟现实在减少OTC血运重建中焦虑的有效性:设计回顾性试验
IF 1.4 Q2 Medicine Pub Date : 2023-05-03 DOI: 10.24875/recic.m23000370
Agustín Fernández-Cisnala, Beatriz Sillaa, José María Ramóna, Ernesto Valeroa, Sergio García-Blasa, Julio Núñeza, Vicent Bodía, Juan Sanchisa, G. Miñana
Introduction and objectives: Percutaneous coronary interventions (PCI) of chronic total occlusions (CTO) are long procedures where many patients suffer moderate-to-high level anxiety and pain. Virtual reality (VR) has proven capable of reducing procedural pain and anxiety in many medical procedures. The objective of this study is to demonstrate that the use of VR during CTO PCI reduces anxiety and pain compared to conventional routine clinical practice. Methods: Randomized, controlled, open-label, superiority trial clinical trial with 2 parallel arms including 58 patients with a scheduled CTO PCI randomized on a 1:1 ratio to VR during the procedure or conventional management. In both arms, the administration of anxiolytic drugs will be left to the lead operator’s discretion and based on the degree of anxiety o pain perceived. The remaining actions for the management of pre-and perioperative anxiety will be identical in both arms. The primary endpoint will be the maximum level of anxiety perceived by the patient. Secondary endpoints will be the level of patient-perceived pain, the need for intraoperative anxiolytic drug therapy, dose of drug administered, and satisfaction with the VR goggles. Results: The results of this study will add significant knowledge on the utility of VR regarding anxiety reduction in CTO PCIs. Conclusions: The ReViCTO trial is the first randomized clinical trial to use VR during a PCI CTO. Its results will show the utility of this technology to reduce anxiety and pain in PCIs performed on CTOs. Trial design registered at ClinicalTrials.gov (Identifier: NCT05458999).
引言和目的:慢性完全闭塞(CTO)的经皮冠状动脉介入治疗(PCI)是一项长期手术,许多患者会遭受中度至高度的焦虑和疼痛。虚拟现实(VR)已被证明能够减少许多医疗程序中的程序性疼痛和焦虑。本研究的目的是证明,与传统的常规临床实践相比,在CTO PCI期间使用VR可以减少焦虑和疼痛。方法:随机、对照、开放标签、优越性试验临床试验,2个平行组,包括58名计划CTO PCI患者,在手术或常规治疗期间按1:1的比例随机分配至VR。在这两种情况下,抗焦虑药物的给药将由首席操作员自行决定,并根据感知到的焦虑或疼痛程度。两组患者术前和围手术期焦虑的其余治疗措施相同。主要终点将是患者感知到的最大程度的焦虑。次要终点是患者感知的疼痛程度、术中抗焦虑药物治疗的需要、给药剂量以及VR护目镜的满意度。结果:本研究的结果将为VR在CTO PCI中减少焦虑的实用性增加重要知识。结论:ReViCTO试验是第一个在PCI CTO期间使用VR的随机临床试验。其结果将显示该技术在减少CTO PCI中的焦虑和疼痛方面的实用性。在ClinicalTrials.gov上注册的试验设计(标识符:NCT05458999)。
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引用次数: 0
Estudio de la vasorreactividad y la funci�n microvascular por termodiluci�n en ausencia de enfermedad coronaria obstructiva 在没有阻塞性冠状动脉疾病的情况下,用热荧光研究血管反应性和微血管功能
IF 1.4 Q2 Medicine Pub Date : 2023-05-03 DOI: 10.24875/recic.m23000376
Pau Federico Zaragoza, Teresa Castelló Viguer, Luis Martínez Ortiz de Urbina, Ana Planas del Viejo, Enrique Peris Domingo, Y. F. Pomar Domingo
Introduction and objectives: Invasive diagnosis of vasoreactivity and microvascular function may be useful to optimize
引言和目的:血管反应性和微血管功能的侵入性诊断可能有助于优化
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引用次数: 0
Influencia del preacondicionamiento isqu�mico en la funci�n vasomotora de la arteria radial 缺血预处理对桡动脉血管舒缩功能的影响
IF 1.4 Q2 Medicine Pub Date : 2023-05-03 DOI: 10.24875/recic.m23000382
Eduardo Arroyo-Úcar, Borja Ibáñez Cabeza, Y. G. Pizarro Sánchez
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引用次数: 0
Falda en la TAVI � un embalaje sin peaje 电视上的裙子——没有通行费的包装
IF 1.4 Q2 Medicine Pub Date : 2023-05-03 DOI: 10.24875/recic.m23000379
Bruno García del Blanco, Y. H. Cuéllar Calabria
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引用次数: 0
Par�metros dosim�tricos en cateterismos para cardiopat�as cong�nitas en Espa�a: registro multic�ntrico Radcong-21 del GTH-SECPCC 西班牙先天性心脏病导管的剂量参数:GTH-SECPCC的Radcong-21多中心登记
Q2 Medicine Pub Date : 2023-05-03 DOI: 10.24875/recic.m23000372
Fernando Rueda Núñez, César Abelleira Pardeiro, Beatriz Insa Albert, María Álvarez-Fuente, Vanesa Balboa Barreiro, Fernando Ballesteros Tejerizo, Pedro Betrián-Blasco, Félix Coserría Sánchez, Juana María Espín López, Luis Fernández González, Dolores Herrera Linde, Miguel Romero Moreno, Fernando Sarnago Cebada, Ricardo Sanz-Ruiz, y Juan Ignacio Zabala Argüelles
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引用次数: 0
Perforaci�n percut�nea de la v�lvula pulmonar en reci�n nacidos. Evoluci�n del abordaje transfemoral al transyugular 新生儿经皮肺静脉穿刺术。经股动脉至经颈动脉入路的演变
IF 1.4 Q2 Medicine Pub Date : 2023-04-19 DOI: 10.24875/recic.m23000362
Marc Figueras Coll, Andrea Fidalgo García, Gerard Martí Aguasca, P. Blasco
Introduction and objectives: Pulmonary atresia with intact ventricular septum (PA/IVS) is a rare but serious cyanotic congenital heart disease. Depending on the patient’s anatomy, different therapeutic strategies—surgical or trancatheter—can be planned. The objective of this study was to describe the results of transcatheter pulmonary valve perforation in patients with PA/IVS in a single tertiary center, and compare transjugular to transfemoral approach. The need for additional source of pulmonary flow (ductal stenting or systemic-to-pulmonary artery fistula) at follow-up was reviewed to identify possible risk factors associated with this reintervention. Methods: patients with PA/IVS referred for transcatheter pulmonary valve perforation as first-line therapy from February 2004 through May 2022 were included. Technical procedural details, total procedural and fluoroscopy times, and demographic and echocardiographic data were studied. Results: A total of 22 patients were included. Procedure was successful in 20 cases (91%). The rate of complications was 2/22 (9%). No deaths were reported. The transjugular and transfemoral approaches were equally safe and effective. The total median procedural (n = 20) and fluoroscopy times (n = 16), however, were shorter in the transjugular compared to the transfemoral approach (85 min vs 156 min, and 31 min vs 62 min, respectively), which reached statistical significance. At follow-up, 8/20 (40%) patients needed additional flow (4 ductal stenting, 4 systemic-to-pulmonary artery shunts). No significant risk factors regarding this rein-tervention were reported.
引言和目的:室间隔完整的肺动脉闭锁(PA/IVS)是一种罕见但严重的发绀型先天性心脏病。根据患者的解剖结构,可以计划不同的治疗策略——手术或插管。本研究的目的是描述在单个三级中心对PA/IVS患者进行经导管肺动脉瓣穿孔的结果,并比较经颈静脉和经股动脉入路。对随访时是否需要额外的肺流来源(导管支架置入术或系统性肺动脉瘘)进行了审查,以确定与这种再干预相关的可能风险因素。方法:纳入2004年2月至2022年5月因经导管肺动脉瓣穿孔而转诊为一线治疗的PA/IVS患者。研究了技术操作细节、总操作和荧光透视时间以及人口统计学和超声心动图数据。结果:共纳入22例患者。手术成功20例(91%)。并发症发生率为2/22(9%)。没有死亡报告。经颈静脉和经股动脉入路同样安全有效。然而,与经股入路相比,经颈静脉的总中位手术时间(n=20)和荧光检查时间(n=16)更短(分别为85分钟vs 156分钟和31分钟vs 62分钟),这达到了统计学意义。在随访中,8/20(40%)的患者需要额外的流量(4个导管支架,4个系统至肺动脉分流)。没有关于这种干预的重大风险因素的报告。
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引用次数: 0
Correlaci�n fluorosc�pica y tomogr�fica para medir el anillo a�rtico en implante percut�neo de v�lvula a�rtica: regla de c�spide coronaria derecha 经皮冠状动脉植入物中轴环测量的荧光和断层相关:右冠状动脉尖规则
IF 1.4 Q2 Medicine Pub Date : 2023-04-19 DOI: 10.24875/recic.m23000367
Héctor A. Álvarez-Covarrubias, Markus Kasel, Jonathan M. Michel, Salvatore Cassese, Sebastian Kufner, Charlotte Duesmann, Constanza Pellegrini, Tobias Rheude, N. Patrick Mayr, Heribert Schunkert, Adnan Kastrati, Erion Xhepa, Gabriela Borrayo-Sánchez, Y. Michael Joner
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引用次数: 0
Enfermedad venosa compleja en el cierre percut�neo de orejuela izquierda 经皮左耳关闭术中的复杂静脉疾病
IF 1.4 Q2 Medicine Pub Date : 2023-03-13 DOI: 10.24875/recic.m23000364
David Martí Sánchez, Alfonso Suárez Cuervo, Juan Duarte Torres, Diego Rodríguez Torres, Miguel Ángel Sastre Perona y, Noelia Alonso Gómez
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引用次数: 0
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REC Interventional Cardiology
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