Publications by authors named "Vicente Jimenez-Franco"
Diagnostic Performance of Quantitative Flow Ratio for the Assessment of Non-Culprit Lesions in Myocardial Infarction (QFR-OUTSMART): Systematic Review and Meta-Analysis.
José Alfredo Salinas-Casanova Vicente Alonso Jiménez-Franco Carlos Jerjes-Sanchez Juan Alberto Quintanilla-Gutiérrez Erasmo De la Pena-Almaguer
Catheter Cardiovasc Interv
November 2024
Article Synopsis
- The study investigates the effectiveness of Quantitative Flow Ratio (QFR) as a method to evaluate non-culprit lesions (NCLs) in patients who have suffered a myocardial infarction (MI), comparing its performance to the traditional fractional flow reserve (FFR) method.
- It involves a systematic review and meta-analysis of eight studies, comprising 713 patients and 920 vessels, yielding high diagnostic accuracy metrics for QFR, including an overall AUC of 0.941 and sensitivity of 87.3%.
- The results indicate that QFR is a promising tool for assessing NCLs in MI patients, with recommendations for further multicenter studies to validate these findings.
Despite the elevated mortality rates associated with high-risk pulmonary embolism (PE), this condition remains understudied. Data regarding the effectiveness and safety of invasive therapies such as venoarterial extracorporeal membrane oxygenation (VA-ECMO) in this patient population remains controversial. Here, we present the case of a 61-year-old male with high-risk PE associated with refractory cardiac arrest and cardiogenic shock who underwent a combination of extracorporeal cardiopulmonary resuscitation with VA-ECMO and pharmaco-invasive therapy (mechanical thrombi fragmentation plus lower alteplase dose), resulting in successful pulmonary reperfusion.
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