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Novel concept of less invasive concomitant surgical aortic valve replacement and coronary artery bypass grafting avoiding full median sternotomy
AbstractIn the last decades, minimally invasive procedures have been developed in the therapy of aortic valve disorders. Recently, a novel concept of minimally invasive coronary revascularization in multivessel disease via left anterior mini-thoracotomy demonstrated promising results. Full median sternotomy, as a very invasive procedure, is the standard approach in concomitant surgical aortic valve replacement (sAVR) and coronary bypass grafting (CABG). The aim of our study was to show that the combination of minimal invasive aortic valve replacement via upper mini-sternotomy and coronary artery bypass grafting via left an...
Source: Heart and Vessels - September 12, 2023 Category: Cardiology Source Type: research

Rescue aortic valvuloplasty for severe aortic stenosis is simple and effective in severely hemodynamically compromised patients presenting to centers without on-site heart surgery or TAVI facilities
AbstractManagement of high-risk patients with severe aortic stenosis (AS) is a challenging issue. The prognosis of patients with AS presenting  with therapy-refractory pulmonary edema (RPE) or cardiogenic shock (CS) remains poor. The purpose of this study was to assess the 30-day mortality of rescue percutaneous balloon aortic valvuloplasty (PBAV) in AS patients presenting with RPE or CS in a community-based hospital without on- site heart surgery. From January 2016 to February 2019, we identified consecutively admitted patients with CS or RPE related to severe AS who underwent emergent PBAV. The primary end...
Source: Heart and Vessels - May 30, 2023 Category: Cardiology 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

A Special Clinical Scenario for Transcatheter Aortic Valve Replacement: "Iatrogenic Double-Outlet" Left Ventricle
This report offers some guidance for treating patients with existing apicoaortic conduits and suggests that transcatheter aortic valve replacement is safe and effective if native aortic valve insufficiency develops.PMID:36174575 | DOI:10.14503/THIJ-22-7889
Source: Texas Heart Institute Journal - September 29, 2022 Category: Cardiology Authors: Alexander Postalian Sudeep Kuchibhotla Srikanth Koneru Neil E Strickman Source Type: research

Low-Risk Surgical Aortic Valve Replacement in the Era of Transcatheter Aortic Valve Implantation
Tex Heart Inst J. 2022 Jan 1;49(1):e207435. doi: 10.14503/THIJ-20-7435.ABSTRACTOpen surgical aortic valve replacement (SAVR) is a viable alternative to transcatheter implantation in low-risk patients. In this light, we evaluated the safety and effectiveness of SAVR performed through conventional and less invasive surgical approaches in a high-volume center. We retrospectively reviewed the records of 395 consecutive patients who underwent open SAVR from January 2019 through December 2019 in our center. We evaluated and compared the operative results and postoperative major adverse outcomes of 3 surgical approaches: full med...
Source: Texas Heart Institute Journal - January 31, 2022 Category: Cardiology Authors: Milos M Jovanovic Slobodan V Micovic Miodrag S Peric Igor S Zivkovic Stasa D Krasic Ognjen S Milicevic Stefan P Stankovic Petar M Vukovic Source Type: research

Safety and efficacy of cerebral embolic protection devices in patients undergoing transcatheter aortic valve replacement: a meta-analysis of in-hospital outcomes
The objective of this study was to evaluate in-hospital outcomes with the use of cerebral EPDs in TAVR. We performed a comprehensive EMBASE and PUBMED search to investigate randomized control studies or propensity score-matched retrospective studies which assessed patients undergoing TAVR with or without EPD up to April 2021. Endpoints of interest were in-hospital mortality, stroke, acute kidney injury, pacemaker implantation, major bleeding, vascular complication, length of stay. Ten studies involving 173,002 patients with EPD (n = 16,898, 9.8%) and those without (n = 156,104, 90.2%) fulfilled the inclusion criter...
Source: Cardiovascular Intervention and Therapeutics - November 13, 2021 Category: Cardiology Source Type: research

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