Impact of Ascending Aorta Dilation on Mid-Term Outcome After Transcatheter Aortic Valve Implantation.

CONCLUSIONS: AAD does not appear to impact the mid-term outcomes in a cohort of subjects undergoing TAVI. PMID: 31522139 [PubMed - as supplied by publisher]
Source: The Journal of Invasive Cardiology - Category: Cardiology Tags: J Invasive Cardiol Source Type: research

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CONCLUSION: Mortality in CS patients due to decompensated severe AS is high, regardless of interventional treatment strategy. Both eBAV and eTAVR seem feasible. As eTAVR is associated with better initial improvements in hemodynamics and simultaneously avoids sequential interventions, it might be favorable to eBAV in select patients. If eTAVR is not available, eBAV might serve as a "bridge" to elective TAVR. PMID: 31611428 [PubMed - as supplied by publisher]
Source: The Journal of Invasive Cardiology - Category: Cardiology Tags: J Invasive Cardiol Source Type: research
Last month, Medtronic announced receipt of U.S. Food and Drug Administration (FDA) approval for and launch of the Evolut Pro+ TAVR (Transcatheter Aortic Valve Replacement) System to treat patients with symptomatic severe aortic stenosis. Aortic steno...
Source: Medgadget - Category: Medical Devices Authors: Tags: Cardiac Surgery Cardiology Exclusive Source Type: blogs
Source: The Journal of Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Source Type: research
PMID: 31610548 [PubMed - as supplied by publisher]
Source: Annals of Internal Medicine - Category: Internal Medicine Authors: Tags: Ann Intern Med Source Type: research
Authors: Hsieh WC, Aboud A, Henry BM, Omara M, Lindner J, Pirk J Abstract Transcatheter aortic valve replacement is becoming a more common therapeutic option for the treatment of aortic stenosis in patients at high risk for invasive surgery, but detecting which patients will benefit clinically can be challenging. Hypoalbuminemia is a useful prognostic marker for chronic inflammation in this population. We carried out a systematic review and meta-analysis of studies evaluating the prognostic value of serum albumin level in patients undergoing transcatheter aortic valve replacement. A literature search of PubMed, Emb...
Source: Reviews in Cardiovascular Medicine - Category: Cardiology Tags: Rev Cardiovasc Med Source Type: research
Publication date: Available online 10 October 2019Source: The Annals of Thoracic SurgeryAuthor(s): Vincent Chauvette, Émilie Laflamme, Valérie Lafrenière-Bessi, Mohammed Marzouk, Olivier Bertrand, Kim O’Connor, Mario Sénéchal, Christian Steinberg, Michel Gingras, Pierre Voisine, Frederic JacquesAbstractAn 80 year-old-man followed for aortic stenosis was found to have an intracardiac mass. Multiple imaging modalities were inconclusive in characterizing the mass but raised concerns about the potential malignancy of the mass. Fear of operating on an elderly patient with a potential for...
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
Prevalence of hypertension is higher than 50% in patients with aortic stenosis (AS) and increases with increasing age [1,2]. Elevated blood pressure may influence the progression from aortic sclerosis to aortic stenosis, by accelerating aortic valve calcification [2,3] and stenosis. In addition systemic hypertension exerts a deleterious effect on hypertrophic left ventricular (LV) remodeling, systolic and diastolic function, leading to subsequent worsening of clinical outcomes [1,2].
Source: International Journal of Cardiology - Category: Cardiology Authors: Source Type: research
Bicuspid aortic valve (BAV) disease is the most common congenital cardiac anomaly and is a prominent risk factor for premature aortic valve disease, most commonly aortic stenosis [1]. BAV has historically been detected using 2-dimensional echocardiography; however, compared with pathologic analysis of BAV removed at the time of surgery, echocardiography detects only congenital BAV morphology in 58 –66% of cases [2,3]. Therefore, the use of three-dimensional imaging, mainly ECG-gated computed tomography (CT), is fundamentally required in the diagnosis and definition of the complex [4] and variable BAV anatomy (Fig.
Source: International Journal of Cardiology - Category: Cardiology Authors: Source Type: research
Trans-catheter aortic valve implantation (TAVI) is currently becoming an alternative to surgical valve replacement for patients at low risk, a population that is likely to experience an increase in the radiation-induced cancer risk following TAVI. We aimed to evaluate the overall exposure to ionizing radiation in patients undergoing trans-femoral TAVI, including the procedure itself as well as the procedures performed in the pre-intervention work-up and the post-TAVI interventions. All patients who underwent trans-femoral TAVI for symptomatic aortic stenosis in our centre over a 26 months period were included.
Source: The American Journal of Cardiology - Category: Cardiology Authors: Source Type: research
This article aims to give an overview on the most recent literature addressing the different forms of valve-related aortopathies and the optimal timing of surgical intervention. It highlights the valve morphotype-dependent (BAV vs. TAV) and the valve lesion-dependent aortopathies (stenosis vs. regurgitation) and outlines the current treatment options of those pathologies. Further, this review discusses novel serological and rheological markers, potentially helping in the decision-making process in valve-related aortopathy. Systematic literature searches were performed using PubMed and Embase up to July 2019. Expert opinion...
Source: Expert Review of Cardiovascular Therapy - Category: Cardiology Tags: Expert Rev Cardiovasc Ther Source Type: research
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