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Objectives The clinical outcomes of transcatheter aortic valve replacement (TAVR) in patients with aortic stenosis (AS) and concomitant active cancer remain insufficiently explored. Results Of the 2336 patients who underwent TAVR from October 2013 to July 2017, 89 patients (3.8%) had active cancer, whereas 2247 did not.
Based on a blend of the number of podcast downloads, webpage views, social media engagement, number of positive emails and comments that I received, and my own favs, I'm pleased to bring you the EM Cases Best of 2017 Top 10. The post EM Cases Best of 2017 Top 10 appeared first on Emergency Medicine Cases. And here they are.
BACKGROUND:A high permanent pacemaker implantation (PPI) risk remains a concern of self-expandable transcatheter aortic valve implantation, despite the continued improvements in implantation methodology. There were no group differences in 30-day all-cause mortality (1.4% versus 0%;P=0.608).CONCLUSIONS:Our
Methods This real-world, multicentre registry included CS patients undergoing percutaneous coronary intervention between 2017 and 2021 in 14 Dutch hospitals. MCS was deployed in 516 patients (23.3%), of which the intra-aortic balloon pump was used most frequently (n=253, 49.0%). years and predominantly male (72.8%, n=1613).
Background Redo sternotomy aortic root surgery is technically demanding, and the evidence on outcomes is mostly from retrospective, small sample, single-centre studies. We report the trend, early clinical results and outcome predictors of redo aortic root replacement over 20 years in the United Kingdom. Emergency surgery (OR: 3.95, 2.27–6.86,
Background The aim of this study is to explore the clinical value of computed tomography angiography (CTA) in the diagnosis of aortic aneurysm. Results There was no significant difference in the accuracy of diagnosing aortic aneurysms (P > 0.05) between DSA [98.33% (59/60)] and CTA [95.00% (57/60)].
Analysis of 13,587 patients undergoing isolated tricuspid valve surgery from 2017 to 2023 revealed a 5.5% SAVR after TAVR Surgical aortic valve replacement after prior TAVR is the fastest-growing cardiac surgery procedure in the U.S. overall predicted risk of mortality for isolated repair and a 5.7% and 4.1%, respectively.
Objectives To explore the ethnic differences in patients undergoing aortic valve (AV) intervention for severe aortic stenosis (AS) in Leicestershire, UK.
RAA features were characterised by comparing prenatal ultrasound data with anatomical casting results after pregnancy termination or postnatal imaging and surgical intervention to analyse the prognosis and misdiagnoses of fetal RAA.ResultsOf the 157 fetal RAA cases, 50 (31.8%) cases were isolated RAA and 107 (68.2%) cases were nonisolated RAA.
Background Acute type A aortic dissection (ATAAD) is a pressing cardiovascular emergency necessitating prompt surgical intervention. Methods Between April 2017 and October 2023, 229 patients diagnosed with ATAAD underwent aortic arch intervention via UHS at the General Hospital of Northern Theater Command.
A 76-year-old woman with a history of double valve replacement (Aortic and mitral valves) for rheumatic heart disease, presented with acute dyspnea after a switch from Warfarin to LMWH before a planned bone marrow biopsy. The investigations revealed a stuck aortic prosthetic valve ,that showed a prohibitive gradient of more than 50 mmhg.
Background Increase in left ventricular filling pressure (FP) and diastolic dysfunction are established consequences of progressive aortic stenosis (AS). However, the impact of elevated FP as detected by pretranscatheter aortic valve replacement (TAVR) echocardiogram on long-term outcomes after TAVR remains unclear.
Cardiac Surgery after Transcatheter Aortic Valve Replacement: Trends and Outcomes The researchers set out to document trends and outcomes in cardiac surgery following transcatheter aortic valve replacement (TAVR), a topic gaining importance as reports of subsequent cardiac operations and early TAVR explantations increase.
Background Patients undergoing transcatheter aortic valve implantation (TAVI) often have multiple comorbidities, such as anaemia and chronic inflammatory disorders. Methods In the present study, consecutive patients (N=908) who underwent TAVI at the Cleveland Clinic between 2017 and 2019 with available complete blood counts were studied.
launch in 2017, more than 375,000 VBX Stent Grafts have been implanted worldwide.* the device is indicated for the treatment of de novo or restenotic lesions found in iliac arteries with reference vessel diameters ranging from 5-13 mm and lesion lengths up to 110 mm, including lesions at the aortic bifurcation. Since its U.S.
Background: Atrial fibrillation (AF) is common in patients undergoing transcatheter aortic valve replacement (TAVR) and is associated with increased risk of bleeding and stroke. Conclusions: Concomitant WATCHMAN LAAO and TAVR is noninferior to TAVR with medical therapy in severe aortic stenosis patients with AF. At baseline, 85.4%
STS leveraged contemporary national data from the STS Adult Cardiac Surgery Database between July 2017 and December 2023 to analyze outcomes of 32,938 patients that underwent multi-valve surgery involving replacement of the aortic valve, plus replacement or repair of the mitral valve, with and without concomitant coronary artery bypass grafting.
The miniature Elevate device is folded and delivered percutaneously through the femoral artery (8 Fr inner diameter, 10 Fr sheath), passing through the aorta and aortic valve, before self-expanding in patients’ hearts where it controls blood flow (surpassing 5 L/min of mean flow, 8L/min peak). acquisition by J&J.
The research, conducted on patients within the STS Adult Cardiac Surgery Database (ACSD) undergoing isolated TV repair or replacement between July 2017 and June 2023, involved a comprehensive examination of 13,587 cases. The primary endpoints for the study were operative mortality and major morbidity/mortality composite.
The method was compared to a previously introduced random forest ensemble model with extreme gradient boosting (XGBRF) based on six vascular tortuosity descriptors of the aortic and supra-aortic regions.Results:A total of 745 patients (aged 78 years IQR 68-85, 56% women) were included in this study. Patients treated in 2023 (n=177, 3.4%
Methods A retrospective, observational cohort study including adult patients undergoing heart valve surgery at Odense University Hospital from August 2013 to November 2017. to 4.01) and aortic valve disease versus mitral valve disease (HR 2.16, 95% CI 1.20 Increasing age (HR 0.97, 95% CI 0.95 Being a man (HR 2.30, 95% CI 1.32
Method A retrospective case–control study evaluated 388 patients (98 developed POAF and 290 remained in sinus rhythm) who undertook CABG surgery at Townsville University Hospital between 2016 and 2017. Results Patients who developed POAF were significantly older. ±33.9 min, p=0.001) and increased cross clamp time.
METHODS:The J-HOP study enrolled outpatients with ≥1 cardiovascular risk factor between 2005 and 2012, with follow-up until March 2015 and extended follow-up from December 2017 to May 2018. 2.00] for overall cardiovascular disease and 2.68 [95% CI, 1.34–5.38]
The next morning the patient went for his routine echocardiogram, where the operator noticed a dilated aortic root at 5.47 cm with severe aortic insufficiency. The team was notified and they ordered a stat aortagram which showed type A aortic dissection from the aortic valve to the iliacs. 15-9/6/2017 ).
During medical school, one of the classic bedside exam questions we get is how to differentiate the valve issues of aortic stenosis and mitral regurgitation, which produce similar but different murmurs when you listen with a stethoscope. “How can you tell the difference between aortic stenosis and mitral regurgitation at the bedside?”
In 2011, cardiac transplantation was initiated at the Third Military Hospital in Hanoi and in Hue, and in 2017 at Cho Ray Hospital. In addition, several centers are now performing minimally invasive aortic and mitral valve procedures with good results.
There is ventricular hypertrophy in the absence of abnormal loading conditions, such as aortic stenosis, or hypertension, for example – of which the most common variant is Asymmetric Septal Hypertrophy. As a brief review, HCM is a genetically inherited disorder that produces structural disarray in the myocardial cells. & Desai, M.
Background Treatment of severe aortic stenosis with transcatheter aortic valve implantation (TAVI) was introduced in 2002. The 13-year period was divided into period 1 (2008–2012), period 2 (2013–2017), and period 3 (2018–2021).
As a recipient of this award in 2017, I know it comes with great honor and, also, great responsibility. Blood lipids such as cholesterol and triglycerides are causal risk factors for coronary heart disease as well as several other types of cardiovascular disease , such as aortic stenosis).
BackgroundAcute type B aortic dissection is a cardiovascular emergency with considerable mortality and morbidity risk. Prior abdominal aortic aneurysm (6% versus 15%;P=0.009), distally extending dissections (71 versus 85%;P=0.001), and clinical malperfusion (18% versus 32%;P=0.002) were less frequently observed in women.
Objective As thoracic aortic disease (TAD) is generally asymptomatic, biomarkers are needed to provide insight into early progression. We aimed to examine the association between circulating blood biomarkers and the maximal thoracic aortic diameter (TADmax).
Recommendations Plan for alternative capital equipment to transition away from these Getinge cardiovascular devices: Getinge/Maquet/Datascope Cardiosave Hybrid and Rescue Intra-Aortic Balloon Pump (IABP) devices. The device is an electromechanical system used to inflate and deflate intra-aortic balloons. for the Cardiosave IABP.
Objective A paucity of data exists on how transcatheter aortic valve implantation (TAVI) practice has evolved in Ireland. This study sought to analyse temporal trends in patient demographics, procedural characteristics, and clinical outcomes at an Irish tertiary referral centre. mean Society of Thoracic Surgeons score 5.9±5.1).
BackgroundAcute type A aortic dissection can extend upwards to involve the common carotid artery. ConclusionsAsymptomatic CCAD increased the risk of early fatal stroke and death in patients with acute type A aortic dissection after surgery but did not affect midterm survival in patients who survived the early postoperative period.
Since 2017, a plethora of AI-based algorithms for interpreting ECGs have been approved by the FDA in the US, ranging from the detection and diagnosis of arrythmias, to more recent advances in the diagnoses of structural and ischemic diseases.
It further reported that MHIF led the way as the first to provide this technology to a patient as part of an early research study in 2017 and completed the first-in-the-world enrollment in the pivotal trial in August 2019.
to intra-aortic balloon pump (IABP) for hemodynamic support in patients with LV dysfunction undergoing high-risk PCI (HRPCI). Between March 2017 and March 2020, the study recorded baseline LVEF data for 940 patients. The PROTECT II randomized controlled trial compared Impella 2.5
1,2 ASCVD causes or contributes to conditions that include coronary artery disease (CAD), cerebrovascular disease, and peripheral vascular disease (inclusive of aortic aneurysm).3 Atherosclerotic cardiovascular disease (ASCVD), caused by plaque buildup in arterial walls, is one of the leading causes of disability and death worldwide.1,2
Adult Cardiac Surgery Database Lead Author Title Publication Date Jacob Raphael Red Blood Cell Transfusion and Pulmonary Complications: The Society of Thoracic Surgeons Adult Cardiac Surgery Database Analysis The Annals of Thoracic Surgery January 2024 Joseph Sabik Multi-Arterial versus Single-Arterial Coronary Surgery: Ten Year Follow-up of One Million (..)
Program Designations Access and Publications (A&P) 1 Participant User File (PUF) 2 Task Force on Funded Research (TFR) 3 Special Projects 4 Adult Cardiac Surgery Database Lead Author Title Publication Date William Keeling 2 National Trends in Emergency Coronary Artery Bypass Grafting European Journal of Cardiothoracic Surgery October 2023 Jake (..)
Here is a simple research paper on echocardiography , yet comprehensive, that assessed aortic leaflet separation distance with mean aortic gradient and valve area in patients with aortic stenosis. Reference Jayaprakash K, Dilu V, George R.Maximal Aortic Valve Cusp Separation and Severity of Aortic Stenosis.J
BackgroundWe aimed to analyze the risk factors associated with Type II endoleak (T2EL) requiring reintervention after endovascular aneurysm repair (EVAR) for multicenter abdominal aortic aneurysms.MethodsA retrospective analysis was conducted on data from 614 patients with abdominal aortic aneurysms who underwent elective EVAR at three centers (Tianjin (..)
Background Transcatheter aortic valve replacement (TAVR) is increasingly used for aortic valve replacement instead of surgical aortic valve replacement (sAVR). Methods Data were extracted from the Nationwide Readmissions Database from 2012 to 2017. Diabetes was present in 36.4% of TAVR patients and 29.1%
BackgroundAcute type A aortic dissection (ATAAD) poses significant challenges in cardiovascular management due to its high morbidity and mortality rates. Postcardiotomy cardiogenic shock (PCS) is a severe complication following ATAAD repair that complicates postoperative recovery.
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