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Treating patients suffering from acute coronary syndrome with prasugrel, the Rotterdam experience

AuthorsAuthors and affiliations RJde Winter Open Access Editor’s Comment First Online: 21 June 2018 253 Downloads Platelet activation and aggregation that results in intracoronary

Cardiology fellows-in-training are exposed to relatively high levels of radiation in the cath lab compared with staff interventional cardiologists—insights from the RECAP trial

BackgroundInterventional cardiologists are inevitably exposed to low-dose radiation, and consequently are at risk for radiation induced diseases like cataract and left-sided brain tumours. Operator behaviour may possibly be the largest influencer on radiation exposure. We hypothesised that awareness regarding radiation exposure grows as skill and the general experience in the...

Treatment patterns of non-ST-elevation acute coronary syndrome patients presenting at non-PCI centres in the Netherlands and possible logistical consequences of adopting same-day transfer to PCI centres: a registry-based evaluation

BackgroundEuropean Society of Cardiology (ESC) guidelines recommend same-day transfer to a percutaneous coronary intervention (PCI) centre for angiography in high-risk (ESC-HR) patients with non-ST-elevation acute coronary syndrome (NSTE-ACS). We describe the treatment patterns of NSTE-ACS patients presenting at non-PCI centres and evaluate the logistical consequences of adopting...

2017 ESC guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: comments from the Dutch ACS working group

On behalf of the Dutch ACS working group, we discuss the most important changes in recommendations in the 2017 ESC guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation relevant for both the general and interventional cardiologist.

Five-year clinical follow-up of the STENTYS self-apposing stent in complex coronary anatomy: a single-centre experience with report of specific angiographic indications

Objectives We sought to investigate angiographic indications for the use of the STENTYS technique and evaluated the long-term safety and clinical efficacy of the stent.BackgroundCoronary lesions involving complex anatomy, including aneurysmatic, ectatic, or tapered vessel segments often carry a substantial risk of stent malapposition. The self-apposing stent technique may reduce...

Trends in patient characteristics and clinical outcome over 8 years of transcatheter aortic valve implantation

AimIn the evolving field of transcatheter aortic valve implantations (TAVI) we aimed to gain insight into trends in patient and procedural characteristics as well as clinical outcome over an 8‑year period in a real-world TAVI population.MethodsWe performed a single-centre retrospective analysis of 1,011 consecutive patients in a prospectively acquired database. We divided the...

Optimal duration of dual antiplatelet therapy after percutaneous coronary intervention or after acute coronary syndrome

To prevent recurrent ischaemic events, dual antiplatelet therapy (DAPT) is the standard of care after percutaneous coronary intervention and in the treatment of acute coronary syndrome. Recent evidence supports an adjusted DAPT duration in selected patients. The current paper aims to encourage cardiologists to actively search for patients benefiting from either shorter or...

Measuring hospital performance in the management of acute coronary syndromes

R. J. de Winter 0 ) Department of Cardiology , B2-137, Academic Medical Center , Meibergdreef 9, 1105AZ Amsterdam, the Netherlands - In recent years it has become customary to publish the design

2015 ESC guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation: comments from the Dutch ACS working group

5 6 7 8 0 Academic Medical Center, University of Amsterdam , Amsterdam , The Netherlands 1 R. J. de Winter 2 P. Damman , A.W. van 't Hof, J.M. ten Berg, J.W. Jukema, Y. Appelman , A.H. Liem and R.J

Percutaneous coronary intervention without surgery on‐site is here to stay

R. J. de Winter 0 ) Department of Cardiology , B2-137, Academic Medical Center , Meibergdreef 9, 1105AZ Amsterdam, the Netherlands - The need for emergency cardiac bypass surgery due to a

Mid-term and long-term safety and efficacy of bioresorbable vascular scaffolds versus metallic everolimus-eluting stents in coronary artery disease: A weighted meta-analysis of seven randomised controlled trials including 5577 patients

AimsMid- and long-term safety and efficacy of the Absorb bioresorbable vascular scaffold (BVS) have been studied in randomised trials; however, most were not individually powered for clinical endpoints. We performed a weighted meta-analysis comparing mid- and long-term outcomes in patients treated with the BVS compared with the Xience metallic stent.Methods and resultsRandomised...

Practice of ST-segment elevation myocardial infarction care in the Netherlands during four snapshot weeks with the National Cardiovascular Database Registry for Acute Coronary Syndrome

Background Clinical registries provide information on the process of care and patient outcomes, with the potential to improve the quality of patient care. A large Dutch national acute coronary syndrome (ACS) registry is currently lacking. Recently, we initiated the National Cardiovascular Database Registry (NCDR) for ACS in the Netherlands. The purpose of this study was to assess...

Relationship between atrial septal defects and asthma-like dyspnoea: the impact of transcatheter closure

remains to be further investigated in prospective studies. Funding None. Conflict of interest M. Nassif, C.B.B.C. Heuschen, H. Lu, B.J. Bouma, R.P. van Steenwijk, P.J. Sterk, B.J.M. Mulder and R. J. de ... Winter state that they have no competing interest. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http:// creativecommons.org

Female platelets are hard to control

Y. Appelman 0 R. J. de Winter 0 0 R. J. de Winter Department of Cardiology, Academic Medical Center , Meibergdreef 9, 1105 AZ Amsterdam, the Netherlands 1 ) Department of Cardiology, VU University

Cardiovascular imaging in children and adults following Kawasaki disease

Kawasaki disease (KD) is a paediatric vasculitis with coronary artery aneurysms (CAA) as its main complication. Two guidelines exist regarding the follow-up of patients after KD, by the American Heart Association and the Japanese Circulation Society. After the acute phase, CAA-negative patients are checked for cardiovascular risk assessment or with ECG and echocardiography until...