Shockwave Lithoplasty-facilitated transfemoral access for transcatheter aortic valve replacement. An initial single-center experience in Spain

Publication date: Available online 2 August 2019Source: Revista Española de Cardiología (English Edition)Author(s): Diego López Otero, Xoan Carlos Sanmartín Pena, Ramiro Trillo Nouche, Belén Cid Álvarez, Pablo Antúnez Muiños, José Ramón Gonzalez Juanatey
Source: Revista Espanola de Cardiologia - Category: Cardiology Source Type: research

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Conclusions: Our center successfully implanted the self-expandable aortic valve Evolut™ through direct aortic for presenting a dissection in transverse aorta with possibilities of embolization. PMID: 31702726 [PubMed - in process]
Source: Archivos de Cardiologia de Mexico - Category: Cardiology Authors: Tags: Arch Cardiol Mex Source Type: research
AbstractIntroductionThe outcomes of transfemoral (TF) compared with transapical (TA) access for transcatheter aortic valve replacement (TAVR) in diabetics are unknown.MethodsWe queried the NIS database (2011 –2014) to identify diabetics who underwent TAVR. We performed a propensity matching analysis comparing TF-TAVR versus TA-TAVR.ResultsThe analysis included 14.555 diabetics who underwent TAVR. After matching, in-hospital mortality was not different between TF-TAVR and TA-TAVR. (3.5 vs. 4.4%,p = 0.11). TF-TAVR was associated with lower rates of cardiogenic shock (2.7 vs. 4.7%,p = 0.02), ...
Source: Cardiology and Therapy - Category: Cardiology Source Type: research
ConclusionPatient carried a mutant of RYR1 gene could possibly lead to MH development post anaesthesia of cardiac surgery.
Source: Annals of Medicine and Surgery - Category: General Medicine Source Type: research
ConclusionThe standardized modified hemi ‐remodeling technique we present is a safe and reproducible procedure, with satisfactory durability at follow‐up. This technique represents an interesting alternative to full valve sparing root replacement, as it avoids the operative risk of coronary reimplantation, allows shorter cross‐clampi ng time and a better exposition on the valve for a symmetrical repair, placing the commissure at 180°, compared with valve sparing root replacement.
Source: Journal of Cardiac Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: ORIGINAL ARTICLE Source Type: research
AbstractBackgroundWhen transcatheter aortic valve replacement (TAVR) was first approved by the Food and Drug Administration in October 2011, it was an innovative treatment with limited accessibility. However, over the past few years, TAVR has become standard of care in patients with aortic stenosis. The effect of socioeconomic status (SES) on this transition of use of TAVR is unknown.MethodUsing the New York state department Statewide Planning and Research Cooperative System database, we compared baseline patient characteristics and facilities in low ‐income areas and high‐income areas. Trends in residential SES of pat...
Source: Journal of Cardiac Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: ORIGINAL ARTICLE Source Type: research
Publication date: Available online 7 November 2019Source: The LancetAuthor(s): Georg Nickenig, Marcel Weber, Philipp Lurz, Ralph Stephan von Bardeleben, Marta Sitges, Paul Sorajja, Jörg Hausleiter, Paolo Denti, Jean-Noël Trochu, Michael Näbauer, Abdellaziz Dahou, Rebecca T HahnSummaryBackgroundTricuspid regurgitation is a prevalent disease associated with high morbidity and mortality, with few treatment options. The aim of the TRILUMINATE trial is to evaluate the safety and effectiveness of TriClip, a minimally invasive transcatheter tricuspid valve repair system, for reducing tricuspid regurgitation.Methods...
Source: The Lancet - Category: General Medicine Source Type: research
Transcatheter aortic valve implantation (TAVI) is the current standard of care for patients with severe aortic stenosis (AS) who are at high risk for surgery. However, several recent studies have demonstrated the comparable safety and efficacy of TAVI in low-risk patients as well. We sought to pool the existing data to further assert its comparability. MEDLINE, Cochrane, and Embase, databases were evaluated for relevant articles published from January 2005 to June 2019. Studies comparing outcomes of TAVI versus surgical aortic valve replacement (SAVR) in patients who are at low risk for surgery were included.
Source: The American Journal of Cardiology - Category: Cardiology Authors: Source Type: research
ConclusionPatient carried a mutant of RYR1 gene could possibly lead to MH development post anaesthesia of cardiac surgery.
Source: Annals of Medicine and Surgery - Category: General Medicine Source Type: research
The objectives of the study were to evaluate the impact of aortic angulation (AA) on success of transcatheter aortic valve replacement (TAVR) with a new generation self-expandable prosthesis (Medtronic Evolut R ®). Specific anatomical conditions, such as for example the presence of a horizontal aorta with elevated AA, have seemed to pose a significant challenge for the correct positioning and consequent functioning of self-expandable TAVR prostheses. We assessed 146 patients treated with Evolut R. AA was measured at computed tomography and two groups were identified using as cutoff the mean AA value. Acute outcomes wer...
Source: Heart and Vessels - Category: Cardiology Source Type: research
This study is aimed to evaluate the performance of MAGGIC risk score for predicting mortality by external validation using multicenter transcatheter aortic valve replacement (TAVR) registry. We assessed 1383 patients who underwent TAVR from October 2013 to April 2016. Patients were divided into 2 groups according to the median of MAGGIC score and we compared the incidence of all-cause death between high and low MAGGIC score. To assess whether the MAGGIC risk score add prognostic value on STS risk score, we also compared the incidence of all-cause death between the 2 groups according to low, intermediate, and high STS score...
Source: Heart and Vessels - Category: Cardiology Source Type: research
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