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Tips and tricks of transcatheter cardiovascular interventions: West versus East

ESC Congress 2010

This unusual session was a great opportunity to evaluate similarities between East and West regarding strategies in various situations of interventional cardiology.
Invasive and Interventional Cardiology, Cardiovascular Surgery


CTO obviously remains the sanctuary of eastern countries, in particular Japan. Dr Carrie presented carefully the tricks, namely the equipment, the anatomy of the vessels, the antegrade and retrograde approaches, anchoring approach, and also the anticipated complications. He announced a success rate of 69%, whereas Kozuma announced 86%.

After presenting the history from 1995, Kozuma insisted on the equipment: microcatheters, balloons, wires, and tricks: IVUS, CT guided strategy, retrograde approach and all its secrets.

M Roffi presented the state of the art of carotid stenting, compared with surgery in the CREST trial. Obviously, asymptomatic patients will be at less risk than symptomatic patients. Briefly, the anatomy and the age of the patient should help to guide choice of the most appropriate technique. Stenting should be proposed to patients with a high surgical risk, and surgery to patients with complex anatomy. Again, careful choice of the equipment appears critical in order to perform safe and successful stenting.

Sievert presented success and complications of interventional congenital cardiology : PFO and LAA closures. He also gave the same aproach to percutaneous aortic valve replacement with the Edwards valve and the CoreValve, and the mitral clip, showing both success and complications for all these techniques. Similarly Takayama evaluated FOP closure, mentioning 0.24% prosthesis migration and 0.19% perforation. He presented the PREVAIL trial in Japan, concerning 3 centers for the evaluation of percutaneous aortic valve replacement.

References


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SessionTitle:

Tips and tricks of transcatheter cardiovascular interventions: West versus East
The content of this article reflects the personal opinion of the author/s and is not necessarily the official position of the European Society of Cardiology.

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