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Almost 50% of Patients Under 60 Years Choose TAVR Over Surgical Aortic Valve Replacement with Worse Outcomes

DAIC

Getty Images milla1cf Mon, 01/29/2024 - 14:24 January 29, 2024 — Despite national guidelines recommending surgical aortic valve 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.

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Aortic arch branch-prioritized reconstruction for type A aortic dissection surgery

Frontiers in Cardiovascular Medicine

Background Acute Stanford type A aortic dissection (STAAD) is a fatal condition requiring urgent surgical intervention. In this study, we prioritized the reconstruction of aortic arch branches during surgery and investigated the association between prioritizing the branches and the postoperative outcomes of patients with STAAD.

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Clinical use and impact of mechanical circulatory support for myocardial infarction-related cardiogenic shock in the Netherlands: a registry-based propensity-matched analysis

Open Heart

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).

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Impact of untreated CAD on TAVR outcomes

Cardiology Update

The optimal management of concomitant chronic obstructive coronary artery disease (CAD) in transcatheter aortic valve replacement (TAVR) recipients remains a debated topic. While some advocate for pre-TAVR percutaneous coronary intervention, others adopt an expectant approach.

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Global, Regional, and National Burden of Valvular Heart Disease, 1990 to 2021

Journal of the American Heart Association

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

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Clinical Validation of the 2021 European Society of Cardiology Guidelines on Pre-existing Right Bundle Branch Block in Patients undergoing Transcatheter Aortic Valve Implantation

HeartRhythm

Risk stratification of patients with right bundle branch block (RBBB) undergoing transcatheter aortic valve implantation (TAVI) remains challenging.

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SAVR’s Value in the TAVR Era

CardiacWire

Procedure trends certainly suggest that we’ve entered the TAVR era, but a pair of new studies show that surgical aortic valve replacement (SAVR) is a far better option for many younger and healthier patients who are increasingly seen as TAVR candidates. Much of these SAVR declines occurred in patients with tricuspid aortic valves (from 84.5%

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