Publications by authors named "Jessica Ristorto"
Article Synopsis
- Transradial procedures significantly reduce bleeding events and mortality compared to transfemoral approaches, but complications like radial artery spasm (RAS) can occur.
- This study assessed the effects of opioids versus inhalation sedation (Kalinox) on pain and RAS during transradial coronary angiography with 325 patients enrolled.
- Results showed no significant differences in pain or RAS rates between the two sedation methods, although headaches were more common in the Kalinox group, and certain patient characteristics influenced the risk of RAS.
Article Synopsis
- The study investigates whether the severity of coronary artery disease (CAD) affects outcomes after transcatheter aortic valve replacement (TAVR), focusing on two specific scores: baseline SYNTAX score (bSS) and residual SYNTAX score (rSS).
- It finds that a higher bSS (> 22) is linked to an increased risk of major adverse cardiac events (MACE), and both bSS and rSS can predict late major/life-threatening bleeding complications (MLBCs).
- Overall, while CAD severity influences the likelihood of bleeding complications, it does not significantly affect overall or cardiovascular mortality in TAVR patients.
Background: Spontaneous coronary artery dissection (SCAD) is a rare disease that predominantly affects woman. Percutaneous coronary intervention (PCI) is recommended only in patients with ongoing ischaemia because it carries a high risk of procedural complications in SCAD patients.
Case Summary: A 51-year-old woman was admitted to our institution owing to severe chest pain.
Background: Residual coronary artery disease (CAD) has been associated with worsened prognosis in patients undergoing percutaneous coronary intervention (PCI) for acute coronary syndromes (ACS). The residual SYNTAX Score (rSS) aims to assess residual CAD after PCI. The association between kidney function and rSS has not been investigated in ACS patients.
View Article and Find Full Text PDFAim: In percutaneous coronary intervention (PCI)-treated acute coronary syndrome (ACS) patients on clopidogrel therapy, high on-treatment platelet adenosine diphosphate (ADP) reactivity was observed in numerous studies, with significant increases in non-fatal myocardial infarction, definite/probable stent thrombosis, or cardiovascular mortality. Compared to clopidogrel, prasugrel and ticagrelor provide more potent platelet inhibition. Whether new P2Y12 inhibitors reduce thrombotic events in a similar manner compared to the rate observed with appropriate P2Y12 inhibition by clopidogrel must still be determined.
View Article and Find Full Text PDFBackground: In STEMI patients treated by primary PCI, damage of the microvascular circulation caused by distal embolization of thrombotic material affects the quality of myocardial reperfusion. Important controversies remain concerning the usefulness of the manual thrombectomy to improve myocardial perfusion. The aim of this study is to evaluate the impact of manual thrombectomy on ST resolution as a surrogate of reperfusion extent.
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