Publications by authors named "Quintilio Caretta"

Article Synopsis
  • This meta-analysis aimed to compare the outcomes of transcatheter aortic valve implantation (TAVI) and surgical aortic valve replacement (SAVR) in low-risk patients with severe aortic valve stenosis (AS).
  • Results showed that TAVI had a significantly lower 30-day mortality rate and lower instances of major bleeding and acute kidney injury compared to SAVR. However, TAVI was associated with a higher risk of needing a new pacemaker and experiencing paravalvular leak.
  • The study concludes that while TAVI shows advantages in some areas, it also presents risks that make further trials necessary to fully evaluate its effectiveness against traditional SAVR.
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Aim: To assess the impact of percutaneous cardiac support in cardiogenic shock (CS) complicating acute myocardial infarction (AMI), treated with percutaneous coronary intervention.

Methods: We selected all of the studies published from January 1(st), 1997 to May 15(st), 2015 that compared the following percutaneous mechanical support in patients with CS due to AMI undergoing myocardial revascularization: (1) intra-aortic balloon pump (IABP) vs Medical therapy; (2) percutaneous left ventricular assist devices (PLVADs) vs IABP; (3) complete extracorporeal life support with extracorporeal membrane oxygenation (ECMO) plus IABP vs IABP alone; and (4) ECMO plus IABP vs ECMO alone, in patients with AMI and CS undergoing myocardial revascularization. We evaluated the impact of the support devices on primary and secondary endpoints.

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Aims: Despite the recommendations of the current guidelines, scientific evidence continue to challenge the effectiveness of intra-aortic balloon pump (IABP) in acute myocardial infarction (AMI) complicated by cardiogenic shock. Moreover, 2 recent meta-analyses showed contrasting results. The aim of this study is to test the effect of IABP according to the type of therapeutic treatment of AMI: percutaneous coronary intervention (PCI), thrombolytic therapy (TT), or medical therapy without reperfusion.

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Background: Although controversial, using prophylactic intra-aortic balloon pump (IABP) in patients undergoing high-risk percutaneous coronary intervention (PCI) has been reported to be effective by numerous registry studies. However, conflicting findings were observed in observational studies (Obs.) and randomised controlled trials (RCTs).

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Objective: To evaluate alfentanil, sufentanil, and the combination of both opioids in patients undergoing cardiac surgery.

Design: Prospective, randomized study.

Setting: University hospital.

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