Publications by authors named "Fernando Cohen"
Background: Collective risk factors such as climate and pollution impact on the risk of acute cardiovascular events, including ST-elevation myocardial infarction (STEMI). There is limited data however on the precise temporal and independent association between these factors and STEMI, and the potentially interacting role of government policies against Coronavirus disease 2019 (COVID-19), especially for Latin America.
Methods: We retrospectively collected aggregate data on daily STEMI admissions at 10 tertiary care centers in the Buenos Aires metropolitan area, Argentina, from January 1, 2017 to November 30, 2020.
Background: Fractional flow reserve (FFR) is a proven technology for guiding percutaneous coronary intervention, but it is not reimbursed despite the fact that it frequently allows to defer revascularization. Our goal was to determine the economic benefit of FFR on intermediate lesions, as well as the clinical endpoints at 1 year follow up.
Methods: Observational prospective study that included consecutive patients with intermediate lesions evaluated with FFR between April 2013 and March 2016.
Article Synopsis
- The study examines how the transfemoral approach (TFA) is currently practiced for coronary angiography and intervention, highlighting variability in techniques among interventional cardiologists worldwide.
- A survey conducted among 987 operators revealed that a majority preferred femoral pulse palpation for access, while fewer used imaging techniques like fluoroscopy or ultrasound, and that preferences for performing femoral angiography varied significantly.
- The findings indicate a gap between recommended practices, like adopting imaging guidance and performing consistent femoral angiography, and what is actually being used in practice, suggesting a need for further investigation into these discrepancies.