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Specialty: Cardiology
Condition: Aortic Stenosis

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Total 670 results found since Jan 2013.

Early surgical intervention versus conservative management of asymptomatic severe aortic stenosis: a systematic review and meta-analysis
Conclusions This study suggests that for patients with asymptomatic severe AS an early surgical intervention compared with a conservative WW strategy was associated with a lower heart failure hospitalisation and a similar rate of stroke or myocardial infarction, although with significant risk of bias. PROSPERO registration number CRD42021291144.
Source: Heart - January 27, 2023 Category: Cardiology Authors: Costa, G. N. F., Cardoso, J. F. L., Oliveiros, B., Goncalves, L., Teixeira, R. Tags: Valvular heart disease Source Type: research

Short- and Mid-Term Outcomes of Complex and High-Risk Versus Standard Percutaneous Coronary Interventions in Patients Undergoing Transcatheter Aortic Valve Replacement
J Invasive Cardiol. 2022 Dec 15:JIC20221215-2. Online ahead of print.ABSTRACTThe prevalence of coronary artery disease (CAD) in patients undergoing TAVR varies and is associated with increased morbidity and mortality. We evaluated the outcomes of complex and high-risk percutaneous coronary interventions (CHIP-PCIs) and TAVR compared with standard PCI and TAVR. Between January 2014 and March 2021, a total of 276 consecutive patients with severe aortic stenosis (AS) who underwent TAVR and PCI at 3 centers within Northwell Health were retrospectively reviewed. CHIP-PCI was defined as PCI with one of the following: left ventri...
Source: The Journal of Invasive Cardiology - December 16, 2022 Category: Cardiology Authors: Arber Kodra Craig Basman Luigi Pirelli Denny Wang Hamfreth Rahming Richard Chaudhary Shangyi Liu Ahmad Mustafa Bruce Rutkin Gregory Maniatis Robert Kalimi Sean Wilson Pey-Jen Yu Michael Kim Varinder Singh Perwaiz Meraj Rajiv Jauhar Ruben Kandov Puneet Gan Source Type: research

TAVI With or Without Predilation: Trends From a Large, Propensity-Score Weighted German Aortic Valve Registry (GARY) Population
CONCLUSIONS: The safety and efficacy of d-TAVI vs b-TAVI depends on the type of THV implanted. For balloon-expandable valves, d-TAVI provides an advantage, while self-expanding valves offer a similar safety profile for d-TAVI compared with b-TAVI. However, increased mPG post intervention with both valve types and more significant PVL in self-expanding THVs emphasize the importance of proper patient selection and evaluation of valve anatomy to identify suitable cases for d-TAVI.PMID:36416901
Source: The Journal of Invasive Cardiology - November 23, 2022 Category: Cardiology Authors: Brunilda Alushi Alexander Lauten Umniye Balaban Eva Herrmann Andreas Schaefer Timm Bauer Andreas Beckmann Sabine Bleiziffer Christian Frerker Helge M öllmann Thomas Walther Raffi Bekeredjian Stephan Ensminger Lenard Conradi Source Type: research

Cerebral Embolic Protection in Transcatheter Aortic Valve Replacement: A Meta-Analysis of Randomized Clinical Trials
Transcatheter aortic valve replacement (TAVR) has become a mainstay treatment option for most patients with severe symptomatic aortic stenosis. Although the majority of TAVR-related complications have decreased overtime, stroke rates remained relatively unchanged.1,2 Hence, numerous efforts have been devoted to developing effective strategies to mitigate the risk of post-TAVR strokes. We performed an updated meta-analysis to assess the efficacy and safety of cerebral embolic protection (CEP) during TAVR.
Source: The American Journal of Cardiology - November 14, 2022 Category: Cardiology Authors: Abdullah Al-Abcha, Yehia Saleh, Muhannad Abbasi, Edward El-Am, Mohamad Alkhouli Source Type: research

TAVI for patients with normal-flow low-gradient compared to high-gradient aortic stenosis
Normal-flow (stroke volume index, SVi>35  ml/m2) low-gradient (dPmean
Source: International Journal of Cardiology - October 24, 2022 Category: Cardiology Authors: Julius Steffen, David Andreae, Michael Nabauer, Nikolas Rei ßig, Philipp M. Doldi, Magda Haum, Martin Orban, Hans Theiss, Konstantinos Rizas, Daniel Braun, Sven Peterß, Jörg Hausleiter, Steffen Massberg, Simon Deseive Source Type: research

Systemic blood pressure in severe aortic stenosis: Haemodynamic correlates and long ‐term prognostic impact
ConclusionsIn severe AS patients, lower MAP reflects lower systemic vascular resistance and valvulo-arterial impedance, which may help to preserve stroke volume and filling pressures despite reduced left ventricular performance, and lower MAP is a predictor of higher long-term post-AVR mortality.
Source: ESC Heart Failure - October 7, 2022 Category: Cardiology Authors: Micha T. Maeder, Hans Rickli, Lukas Weber, Daniel Weilenmann, Peter Ammann, Lucas Joerg, Philipp K. Haager, Johannes Rigger, Joannis Chronis, Roman Brenner Tags: Original Article Source Type: research

Inter-racial differences in patients undergoing transcatheter aortic valve implantation
Conclusions There were significant differences in baseline and procedural factors among Asian and non-Asian patients who underwent TAVI. Observed inter-racial differences in clinical outcomes were largely explained by baseline differences in clinical, anatomical and procedural factors. Trial registration number NCT03826264 (https://wwwclinicaltrialsgov).
Source: Heart - September 12, 2022 Category: Cardiology Authors: Kang, D.-Y., Ahn, J.-M., Kim, J. B., Yeung, A., Nishi, T., Fearon, W., Cantey, E. P., Flaherty, J. D., Davidson, C. J., Malaisrie, S. C., Park, S. Y., Yun, S.-C., Ko, E., Park, H., Lee, S.-A., Kim, D.-H., Kim, H. J., Kim, J. B., Choo, S. J., Park, D.-W., Tags: Valvular heart disease Source Type: research

Acute kidney injury as the most important predictor of poor prognosis after interventional treatment for aortic stenosis
CONCLUSIONS: Our study revealed that AKI is the strongest predictor of major adverse cardiovascular events after both methods of aortic valve replacement (SAVR/TAVI).PMID:35924995 | DOI:10.33963/KP.a2022.0182
Source: Polish Heart Journal - August 4, 2022 Category: Cardiology Authors: Anita Korczak Robert Morawiec Micha ł Stegienta Aleksandra Ryk Andrzej Walczak Jan Krekora Micha ł Krejca Jaros ław Drożdż Source Type: research

Hemodynamic changes during aortic valve surgery among patients with aortic stenosis
Conclusion. In patients with AS, CI can be increased with both dobutamine and fluid during surgery. Dobutamine's effect on SVI was highly variable and associated with baseline LVEF, and an increase in CI was mostly driven by an increase in heart rate. Fluid increased SVi at the cost of an increase in PCWP.PMID:35848519 | DOI:10.1080/14017431.2022.2099008
Source: Scandinavian Cardiovascular Journal - July 18, 2022 Category: Cardiology Authors: Rasmus Carter-Storch S øren Mose Hansen Jordi S Dahl Kasper Enevold Nils Sofus Borg Mogensen Henrik Berg Marie-Annick Clavel Jacob E M øller Source Type: research