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IntroductionSince TAVR was approved for lower-risk aortic stenosis (AS) patients, managing post-implantation conduction disturbances has become crucial, especially with self-expanding heart valves (SEV). Forty-seven received SEVs using COL, and 50 with CON techniques.
Background: Symptomatic severe aortic stenosis (AS) remains undertreated with high resultant mortality despite increased growth and availability of aortic valve replacement (AVR) since the advent of transcatheter therapies. Circulation, Ahead of Print. cm2were enrolled. cm2were enrolled.
It marks a big step in our goal of delivering point-of-care assisted diagnosis, or POCAD, with unparalleled scalability and accessibility – from the largest academic centers to the most remote rural locations,” added Ehud Raanani, MD, co-founder, AISAP, and director, Leviev Cardiovascular and Thoracic Center, Sheba Medical Center.
Regarding the issue at hand, it is widely known that in cases of mitral stenosis with AF, the left atrium (LA) is larger than the right atrium (RA) due to the obvious reason that the baseline LA was larger at the onset of AF. Is there proof for this, or just an academic gossip? We know atrial flutters can be confined to one atrium.
The researchers set out to solve this problem using AI, and indeed showed that AI could perform MR exams at the same level as academic echo labs. Transthoracic echocardiography is the go-to modality for mitral regurgitation diagnosis, but these exams are difficult to perform and prone to high variability.
Likelihood of truth : High The flamboyant genius of Andreas Roland Gruntzig, from Zurich gifted us the path-breaking treatment modality for coronary stenosis five decades ago. There seems to be a non-academic indication for doing this study to undo the damage done by ORBITA-1. Transluminal dilatation of coronary-artery stenosis.
Reviewing NOTION study, the Nordic TAVI 10 year follow up has just been released (Ref 1) : Caution : Non-academic content This study reports the long-term outcome in low-risk individuals who required AVR. Now, some academic queries ? No doubt ,the Aortic interventional world is applauding and everyone is joining the party.
The Medtronic Evolut TAVR platform includes devices less invasive than traditional open-heart surgery for the treatment of symptomatic severe aortic stenosis. “At Cohen , MD, MSc, Director of Clinical and Outcomes Research at the Cardiovascular Research Foundation , Director of Academic Affairs at St. mmHg TAVR; 11.8
The PREMIER study first demonstrated high rates of complete occlusion without parent vessel stenosis or permanent neurological complications after the treatment of wide-necked small and medium-sized intracranial ICA aneurysms with the 48-wire pipeline. Successful implantation was encountered in 99% (128/129) of the cases. At a median 10.1
On follow up angiography, there was a large OM1 and small AV groove Cx/LPL visible as the vessel re-canalized LAD is noted to have diffuse 50% stenosis in the proximal segment and is occluded immediately beyond a small D1 RCA is a medium-large caliber vessel and supplies a medium rPDA, medium rPLA1, and three small rPLA branches. TIMI-0 flow.
The estimated left ventricular ejection fraction is 58 % Aortic stenosis, mild, 9.0 Academic Emergency Medicine 17(s1):S194; May 2010 The patient thus did not need immediate angiography. An echocardiogram showed: Left ventricular hypertrophy concentric. mmHg mean gradient. cm^2 valve area.
The ARIVA trial (Aspirin Plus Rivaroxaban Versus Rivaroxaban Alone for the Prevention of Venous Stent Thrombosis in Patients With PTS) tested whether 100 mg of daily aspirin plus 20 mg of rivaroxaban is superior to 20 mg of rivaroxaban alone to prevent stent thrombosis within 6 months after stent placement for post-thrombotic syndrome.METHODS:In this (..)
We describe clinical PCMMD characteristics in a large cohort of patients with MMD.METHODS:We retrospectively reviewed patients with MMD treated between 1991 and 2019 at a large academic medical center. Demographics, perioperative outcomes, and radiological phenotypes were recorded for 770 patients.
The culprit lesion was a complex calcified mid LAD stenosis involving the first and second diagonal branches. Academic Emergency Medicine 27(S1): S220; May 2020. Setting – large, academic, suburban ED. Severe hypokinesis of the mid-apical anteroseptal, anterior, anterolateral, and apical myocardium. Continue medical management.
FAME 2 Purpose FAME 2 sought to evaluate whether FFR-guided PCI plus optimal medical therapy (OMT) was superior to OMT alone in patients with stable CAD and at least one functionally significant stenosis (FFR 0.80).
BACKGROUND:Current guidelines recommend surgical aortic valve replacement (SAVR) for patients with severe aortic stenosis and unfavorable iliofemoral access. Circulation: Cardiovascular Interventions, Ahead of Print.
However, the prognostic value of malnutrition status in patients with moderatetosevere aortic stenosis is unclear. ConclusionsIn patients with moderate or severe aortic stenosis, we found that high CONUT scores, low nutritional risk index scores, and low prognostic nutritional index scores were associated with allcause death.
Dr. Dormu performed an aortogram of the bilateral lower extremity with bilateral iliac runoff, which revealed a 90% stenosis of the right superficial femoral artery and 100% occlusion of all three tibial vessels. These studies revealed an 80% stenosis of the left superficial femoral artery and 100% occlusion of all three tibial vessels.
Angiography : LMCA — 90-99% osteal stenosis. LCx — 50-69% stenosis of the 1st marginal branch; with 100% distal LCx occlusion. Distinction of PMVT vs VFib is an academic one in this case ). Cath findings shown above in Dr. Nossen's discussion confirm multi-vessel disease , including 90-99% osteal stenosis of the LMCA.
SMART 4 ( NCT04722250 ) studied patients with severe aortic stenosis and a small aortic annulus who underwent transcatheter aortic valve replacement (TAVR). The primary superiority endpoint was clinically relevant bleeding (Bleeding Academic Research Consortium [known as BARC] types 2, 3, or 5). vs. 6.2%) and stroke (2.9%
Marked differences can be seen in the prevalence of coronary artery stenosis at autopsy by age and gender. In 30-39 year old women the rate of coronary stenosis at autopsy was 5/1,545 (0.3%) while 60-69 year old men had a prevalence of 12%, almost 40 times higher. The results of this dataset by age and gender follow.
Aortic Dissection, Valvular (especially Aortic Stenosis), Tamponade. heart auscultation (aortic stenosis); c. Academic Emergency Medicine., Academic Emergency Medicine, 2003 Volume 10, Number 5 539-540. Good History and Physical exam, including a. orthostatic vitals b. FHx of sudden death. Thiruganasambandamoorthy, V.,
Welcome to 2025 and best wishes for a great academic journey to all readers. Collected from ACC website (Arranged in three heading) These are the creamy academic extract of whatever happened over the last one year. Top 10 Clinical Trials Preventive PCI on Stenosis With Functionally Insignificant Vulnerable Plaque PREVENT (ACC.24)
Background Current guidelines recommend transcatheter aortic valve implantation (TAVI) for patients with aortic stenosis and porcelain aorta (PA). PA diagnosis was made when non-contrast axial CT images fulfilled Valve Academic Research Consortium-2 criteria for PA.
The therapeutics of coronary stenosis has become a technogical wonder, interwoven with statistical wordplay in the last few decades. It is a strange academic habit among cardiologists, that they have subdivided medical management into optimal and suboptimal. (My Academic lessons from this patient.
severe mitral stenosis, pulmonary hypertension, or cardiomyopathy), prolonged labor could strain the heart excessively, potentially leading to decompensation, heart failure, or arrhythmias. For women with significant heart disease (e.g., In women with significant heart disease, the physiological demands of labor (e.g.,
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