Adjunct Pharmacotherapy After Transcatheter Aortic Valve Replacement: Current Status and Future Directions

Publication date: October 2019Source: Interventional Cardiology Clinics, Volume 8, Issue 4Author(s): David A. Power, Paul Guedeney, George D. Dangas
Source: Interventional Cardiology Clinics - Category: Cardiology Source Type: research

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CONCLUSIONS: MitraClip procedure improved life-years and quality of life in patients at high surgical risk and it was also a cost-effective treatment option. PMID: 31516049 [PubMed - as supplied by publisher]
Source: Journal of Medical Economics - Category: Health Management Tags: J Med Econ Source Type: research
Publication date: Available online 14 September 2019Source: The Annals of Thoracic SurgeryAuthor(s): Richard J. Shemin
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
WE READ with great interest the recent article by Zaouter et al. regarding the introduction of an enhanced recovery after surgery (ERAS) protocol for minimally invasive aortic valve replacements.1 This prospective study found that ERAS implementation was associated with a significantly reduced median postoperative length of stay (LOS) and with trends toward decreased opioid requirements and clinical complications. We congratulate the authors on their article, which adds to a robust body of literature linking ERAS to decreased morbidity, mortality, and health care costs in cardiac2,3 and other surgical specialties.
Source: Journal of Cardiothoracic and Vascular Anesthesia - Category: Anesthesiology Authors: Tags: Letter to the Editor Source Type: research
Publication date: Available online 12 September 2019Source: The Annals of Thoracic SurgeryAuthor(s): Naoki Tadokoro, Yosuke Inoue, Kenji Minatoya, Hitoshi MatsudaAbstractUtilization of Gelweave Valsalva graft (Terumo Vascutek) for David type valve sparing aortic root replacement was still controversial because this prosthesis didn’t completely reproduce the native sinus of Valsalva. We focused on the morphology of pseudo-Valsalva sinus after the re-implantation procedure and evaluated our novel crimp plication stich from the viewpoint of morphology of Valsalva sinus at mid-term follow up periods.
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
AbstractIn patients with subarterial ventricular septal defect (VSD), the progression of aortic regurgitation (AR) still remains unclear. This review is to identify the incidence of AR progression after VSD repair and to determine the optimal operation timing for subarterial VSD repair with or without aortic valve prolapse or AR. From January 2002 to December 2015, 103 patients who underwent subarterial VSD repair alone at our hospital were reviewed. All patients routinely underwent echocardiography (echo) performed by our pediatric cardiologists. The operative approach was through the pulmonary artery in all patients. The...
Source: Pediatric Cardiology - Category: Cardiology Source Type: research
AbstractPurpose of ReviewThe goal was to evaluate published data on the incidence, diagnosis, and management of symptomatic combined mitral and aortic valvular disease. Furthermore, to identify the role of treatment using contemporary transcatheter techniques.Recent FindingsUp to a quarter of symptomatic adult valvular disease is caused by multiple left-sided valvular lesions. The etiologic spectrum of this combined disease has shifted from rheumatic to degenerative. Both presentation and diagnosis of lesions are modified compared with isolated disease. Based upon narrative review, there are only limited observational expe...
Source: Current Cardiology Reports - Category: Cardiology Source Type: research
AbstractPurposeTo evaluate our 10-year clinical experience of performing the Pacopexy procedure for left ventricular aneurysm (LVA).MethodsBetween January, 1998 and November, 2015, a cohort of 92 patients with LVA underwent surgery to reshape the left ventricle. Fifty-seven patients underwent the Dor procedure and 35 underwent the Pacopexy procedure to emphasize the conical shape, whereby patch placement followed an oblique trajectory between the left ventricular apex and the septum below the aortic valve.ResultsThe early-mortality rate was 4.34% (4/92;n = 2 in each group). The 10-year survival rate was 70.4&...
Source: Surgery Today - Category: Surgery Source Type: research
Publication date: Available online 11 September 2019Source: The Annals of Thoracic SurgeryAuthor(s): Nikolaos G. Baikoussis, Alexandros Karantzas, Konstantinos Triantafillou
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
We report outcomes of the Norwood procedure in standard and high risk patients in the recent era.MethodsAll patients born with Hypoplastic Left Heart Syndrome (HLHS) between 2006 and 2016 who underwent a Norwood procedure at our institution were included. Retrospective review of patient data was performed and Kaplan-Meier analysis was used to evaluate survival between groups.ResultsThe cohort included 177 patients. Fifty patients were determined high risk preoperatively: LBW (n=18), ventricular dysfunction/AVV regurgitation (n=13), intact or restrictive atrial septum/obstructed anomalous pulmonary venous return (n=14), and...
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
AbstractValve size selection for transcatheter aortic valve replacement (TAVR) is currently based on cardiac CT-scan. At variance with patient-specific computer simulation, this does not allow the assessment of the valve-host interaction. We aimed to compare clinical valve size selection and valve size selection by an independent expert for computer simulation. A multicenter retrospective analysis of valve size selection by the physician and the independent expert in 141 patients who underwent TAVR with the self-expanding CoreValve or Evolut R. Baseline CT-scan was used for clinical valve size selection and for patient-spe...
Source: The International Journal of Cardiovascular Imaging - Category: Radiology Source Type: research
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