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Getty Images milla1cf Mon, 01/29/2024 - 14:24 January 29, 2024 — Despite national guidelines recommending surgical aorticvalve replacement (SAVR) for patients under age 65 with severe aortic stenosis , many hospitals are still opting for a nonsurgical approach in patients under 60—possibly with poorer survival rates.
The optimal management of concomitant chronic obstructive coronary artery disease (CAD) in transcatheter aorticvalve replacement (TAVR) recipients remains a debated topic. While some advocate for pre-TAVR percutaneous coronary intervention, others adopt an expectant approach.
Objective The association between a combined anaemia and renal failure index and 1-year prognosis of patients undergoing transcatheter aorticvalve implantation (TAVI) is unexplored. Methods A total of 469 consecutive patients undergoing TAVI between 2015 and 2021 were enrolled.
Procedure trends certainly suggest that we’ve entered the TAVR era, but a pair of new studies show that surgical aorticvalve replacement (SAVR) is a far better option for many younger and healthier patients who are increasingly seen as TAVR candidates.
Over the last two decades, the differentiation of severe from non-severe aorticvalve stenosis with echocardiography has become more complex. Low flow can result in low gradient and, thereby, mask severe aortic stenosis. The consideration of flow is now frequently essential to evaluate haemodynamic stenosis severity.
This study aims to comprehensively analyze the global burden of valvular heart disease.Methods and ResultsUsing the Global Burden of Disease 2021 data, we analyzed the prevalence and disabilityadjusted life years, examining implications across demographics and geographic regions. In 2021, an estimated 54.8 In 2021, an estimated 54.8
BackgroundIn patients undergoing transcatheter aorticvalve replacement (TAVR), the impact of acute kidney injury (AKI) on the prognosis and especially on future kidney function has been sparsely examined, and data from large cohorts are warranted.Methods and ResultsWith Danish nationwide registries, we identified all patients undergoing TAVR from (..)
Objectives This study aimed to evaluate the prognostic value of coronary microvascular dysfunction (CMD) at long term after transcatheter aorticvalve implantation (TAVI) and to explore its relationship with extravalvular cardiac damage (EVCD). CMD was defined as IMR angio ≥30 units.
Background Studies have found statin treatment to be associated with improved 1-year survival after transcatheter aorticvalve implantation (TAVI), suggesting pleiotropic effects of statins on preventing perioperative complications.
Methods Three databases were searched up to June 2021. Only the transfemoral transcatheter aorticvalve replacement (TAVR) approach was associated with the prevention of POAF and was supported by convincing evidence from meta-analyses of observational data.
Introduction Severe aortic stenosis is a major cause of morbidity and mortality. The existing treatment pathway for transcatheter aorticvalve implantation (TAVI) traditionally relies on tertiary Heart Valve Centre workup. Methods The centre performing local workup implemented a novel TAVI referral pathway.
Compared to centralized training approaches, the adoption of FL could negatively impact model performance.AimThis study aimed to evaluate four types of multicenter model development strategies for predicting 30-day mortality for patients undergoing transcatheter aorticvalve implantation (TAVI): (1) central, learning one model from a centralized dataset (..)
Patients were selected from the HCA database (Jan 2021-Jul 2023). Patients with documented STEMI, left ventricular thrombus, mechanical mitral or aorticvalve replacement were excluded. ICD 10 codes were used to identify patients with documented a fib. 5,661 underwent percutaneous closure.
An Aortic Impella device, that is distal to the aorticvalve and devoid of LV-related issues. 2021 Feb 10;83:1-15. The innovators and engineers of new-age mechanical assist systems could learn a few crucial insights from these unique and humble animal beings. J Muscle Res Cell Motil. 2023 Jun;44(2):53-60. PMID: 35879488.
For example, we have a lot of meaningful data on outcomes from CABG procedures and transcatheter aorticvalve replacement in the short term. Speir, MD, Chair of the STS Council on Health Policy and Relationships. Download the PDF version Advocacy Quality Improvement Technology
As per Dr. Meyers — Given the context of a patient with known AFlutter since her aorticvalve repair — for which she had been taking the Flecainide but not the Metoprolol she was prescribed — ECG #2 almost certainly represented conversion of her AFlutter from 2:1 to 1:1 AV conduction. Did You Calculate Atrial and Ventricular Rates?
Background Treatment of severe aortic stenosis with transcatheter aorticvalve implantation (TAVI) was introduced in 2002. Methods This retrospective observational study included 867 patients who underwent TAVI at the University Hospital of North Norway in Tromsø from 2008 to 2021.
BACKGROUND:The incidence and prognosis of right bundle branch block (RBBB) following transcatheter aorticvalve replacement (TAVR) are unknown. Circulation: Arrhythmia and Electrophysiology, Ahead of Print. Post-TAVR RBBB was defined as new-onset RBBB in the postimplantation period.
Within the realm of transcatheter aorticvalve replacement (TAVR), stroke emerges as a recognized adverse event, manifesting at various stages during and after the procedure. Between February 2011 and June 2021, 11,957 consecutive TAVR patients (average age 81.8 ± 6.5 female) were included.
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 (..)
Background Increasing demand for transcatheter aorticvalve implantation (TAVI) places greater emphasis on the efficiency of pathways and services. Results The validation study included 1034 consecutive patients who underwent TAVI between June 2021 and October 2023. min vs 136 min; p<0.001), VARC-3 technical success (97.9%
Christopher Orozcos journey began on August 6, 2021, when he entered the world full of hope and love, though his story would soon take an unexpected turn. At just 20 days old, Christopher underwent his first heart surgery, a complex procedure to patch the VSD, repair the ASD, resect the LVOT muscle, and reconstruct his aortic arch.
While left ventricular (LV) systolic function is preserved, right ventricular dysfunction (RVD) and consecutive LV underfilling may contribute to low-flow and reduced stroke volume index, and to adverse outcomes following transcatheter aorticvalve implantation (TAVI).
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